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Personality disorders (Cluster B: dramatic, emotional, or erratic…
Personality disorders
Cluster B: dramatic, emotional, or erratic
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Narcissistic PD
Pervasive grandiosity about self -- self-importance masking deep insecurity. See self as unique. Feels entitled to admiration, recognition, special privileges -- enraged when this is not received. Excessive and constant need for admiration, oriented toward success and perfection.
Difference between perfectionism and PD is the lack of empathy and need for recognition and admiration for accomplishments.
Relationships: must have their own way, focused on their own needs, tends to engulf others with their needs, charms others to get needs met.
Family history may involved being rewarded for accomplishments, not self anxious or ambivalent caregivers, early privilege, pampering, spoiling.
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Borderline PD: "intense, unstable, extremes"
Instability in relationships, self-image, and mood; impulsivity. Frantic efforts to avoid being abandoned.
In relationships, these individuals are high maintenance and surrounded with turmoil and chaos. Baffling and exhaustive to others, require constant attention to soothing moods and stroking insecurities. Extremes of closeness and distance.
Possible family history: probable childhood sexual abuse; enmeshed family; no support for individuation. Trauma is a particular subtype of the borderline personality resulting in the characteristic dissociation. Reactive and difficult baby may exhibit a different neurobiology.
Devaluing and idealizing, splitting, all-or-nothing thinking
prone to self-harm, micropsychotic episodes, chronic passive thoughts of death
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