Case Study: Comorbid Narcissistic and Antisocial Personality Disorders
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- Опубліковано 15 лют 2020
- This video answers the question: Can I analyze a case study involving narcissistic personality disorder with comorbid antisocial personality disorder?
Narcissistic personality disorder is a Cluster B personality disorder in the Diagnostic and Statistical Manual. It has nine symptom criteria, five of which are required for a diagnosis.
1: Grandiose sense of self-importance
2: Fantasies
3: Special or unique
4: Requires excessive admiration
5: Sense of entitlement
6: Manipulative
7: Lacks empathy for others
8: Often envious
9: Arrogant attitudes or behaviors
Antisocial Personality Disorder is a Cluster B Personality Disorder in the Diagnostic and Statistical Manual. It has seven symptom criteria, three of which are required for a diagnosis.
1: Repeated unlawful behaviors
2: Consistent deceitfulness
3: Impulsivity, poor planning
4: Aggressiveness, physical fights
5: Reckless disregard for safety
6: Consistent irresponsibility
7: Lack of remorse
Martens, W. H. J. (2010). Narcissistic Personality Disorder as an Intrapsychic Trajectory to Real Self-Love: A Case Report. Journal of Contemporary Psychotherapy, 41(2), 91-98. doi:10.1007/s10879-010-9165-x
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Man I just cant get enough of this channel
Very interesting case study. I think the best thing that happened to Stephen was living in the Netherlands where they take such interest in rehabilitating. If Stephen was just sentenced; it would have been the same old cycle, but because they took an interest in him completing his studies; He was able to gain genuine respect for himself, and so didn't relapse into criminality. The need for admiration and respect for the narcissist is their lifeblood; they will die with this need. This cannot be changed. They also do not want to be embarrassed; shamed. I was very pleased to hear this outcome, as it shows that kindness can do a lot of good; whereas hate doesn't do anything; only causes more hate. I'm not saying that he must not pay for his crime; he definitely needs consequences, but anyway, in this case it was a good result. Thanks Doctor Grande; I always look forward to your next video.
@Anarcho Frills I think we need to make a distinction between two groups of criminals: those that can be rehabilitated and those who cannot, and sentence them accordingly. Unfortunately that would mean unfairness before the law, so this cannot be implemented. Given that, I think The Netherlands should get rid of the rehabilitation centers and increase incarceration duration especially for violent crime.
I can see a need for treatment (structured theraputic community) during a prison term. A no frills environment that reinforces appropriate behavior, educates on addiction, relapse prevention, etc., vocational skills, and daily living skills. Some would take advantage to change, because the long term consequences of addiction and crime are dismal for all: the victim, the perpetrators, and society. Many offenders lack the most basic education in how to live a good, prosocial life due to very unfortunate childhood environments. It is probably beyond the comprehension of anyone raised in a halfway normal environment how much learning is transmitted to a child by adequate, competent parents that is missing from the experience of many.
@@babblingalong7689 the Netherlands has incredible success rates in recidivism in comparison to the US. I think they are doing great without your suggestions. It seems that if you treat prisoners like human beings, they will make a more positive impact on the world, and when you focus on revenge, they will only cause more suffering for themselves and others once they get out, because they dont know any other way to live. You have to TEACH them another way.
No way this would have happened in the "incarcerate happy," USA. He is fortunate! Thx Dr. G. for yet another absorbing & illuminating case study.
i love the case study analysis videos!! they’re all really educational so thank you!
I'm from the Netherlands and I feel sorry for all you Americans for not having a prison system aimed at preventing recidivism. This is normal in the Netherlands and not only for the wealthy also for the poor. Because we don't incarcerate for most drug offences we have the resources to actually help. Our crime rates speak for itself.
That's a bit arrogant, no? Our culture of rehabilitation creates huge social problems as well. The rehabilitation centers (TBS) have major downsides as well.
In several decades of clinical practice I've never heard of a true narcissist coming to understand and accept empathy from others, or developing contempt for their own previous behavior. Long standing patterns of coping with childhood emotional neglect and betrayal are not the same thing as enduring personality deficits. So in addition to questioning the veracity of "Steven's" therapeutic success, I'd question the accuracy of his diagnosis.
what do you practice?
Maybe he just had narc traits but was given the dx for best treatment scenario later.
You see this with eating disorders who don't qualify with all criteria getting their insurance to pay for inpatient...
Inge Fossen I agree to your point as to a person’s behaviour being actually observed as to discussed run-of-the-mill. A person’s significant other witnesses behavioural variations in close quarters that clinicians can only see selected bits of in limiting time blocks. A significant other exhibits narcissistic personality with antisocial, obsessive/compulsive, dissociative and occasionally empathetic behaviour. He also appears resentful of his NPD and is remorseful of his psychopathy. Unfortunately, this plays out through avoidance, running away, blocking and self loathing/depression. I often wonder if he has capacity for psychiatric treatment and possible recovery as he appears to be willing to self-assess. His dropouts and denial during those phases keep him from accessing therapy in the setting in which he resides.
That seems like a no true Scotsman scenario.
Not true at all. There are many of us aware online in certain communities. We’re all on different timelines for change and willingness to change. I'm slowly starting to regret some of my decisions. Sometimes I don't. It's a process. I know when I do more work my views will change.
That is quite the case study! As someone who was married to a person who was clinically diagnosed with both of those disorders due to our divorce, its for me to think that a person with both disorders can somehow turn themselves around. My ex-husband is actually a physician that atte ded Ivy league schools and has had a fairly successful career for the most part. You have to do a deep dive to find out the truth.
If someone changes, contributes to society and doesn't reoffend we shouldn't doubt their motives because psychology isn't about judging someone's soul, it's about health
In Europe they don't follow DSM categories like a Bible which means they can keep an open mind and avoid the self-fulfilling prophecies that run through it
Yep, ISM-11 is Europe's ''bible'' and from 2022 it will no longer recognise personality disorder types at all. It will only offer a general grade (moderate to severe) of personality disorder and then from there the therapist should work issue by issue with the patient. So no labelling anybody pathologically malformed to be a criminal or a narcissist.
This is the way :D
well fucking done! Can't wait for the same to done in North America... in about 50 years. 😆
Well, it’s the Netherlands... these northern countries do things so differently from the USA and even from us in portugal. I find them fascinating. Very interesting 👌🏻
@BrEMHel Agreed. There might be a small percentage of criminals healed, but the general populace pays a high, sometimes the highest price, for the rest. Even violent criminals are released back into society after years of sanguine and deluded therapy. There is often news of these criminals murdering random people.
It's always great to know the opinion of those who really know the system. I guess every system has it's downsides, none is perfect or will ever be. Thanks for letting me know your perspective 👍
@BrEMHel I'm truly sorry for the way these choices by your government are affecting your people so negatively. I had no idea.
If you compare crime rates in the nethetlands to the US, you’ll see which method works better ;)
Oh the irony of my own cynicism regarding this guy's recovery. 🤣 I don't believe it, but I appreciate you sharing it. And Yes! Big props to those who worked with him. Thank you, Dr Grande. 👍🌹
The important fact is he didnt reoffend and end up hurting people again with crimes. As much as it feels satisfying to be cynical, it's clear the guy made serious progress. Happy for him and even more happy that hes not out there committing financial fraud.
I am not a professional, but have some experience with applied behavioural sciences. I got interested in Cluster B disorders because I realized that my partner was a narcissist and that my response to him in the relationship was atypical where I maintained my boundaries for the most part. I also realized that a lot of my responses helped him behave in a functional manner - quite unintentionally since at that time I didn't know he had NPD (and is still not formally diagnosed).
For example, I dismissed a lot of the idealization phase as "new relationship energy", confronted and dismissed a lot of the superficial behaviour, caught lies and set boundaries and so on. Avoided making his projections about me and instead enquired after what was causing them. I also recognized and stated that he appeared to need attention and that made him do a lot of the crazy things he did and i helped him find ways to legitimately get the attention he craved without resorting to dishonest behaviour. This reminds me of the part in your video where you spoke of "feeding his narcissism" - I saw it as a way to meet a compulsive need/addiction in a legitimate way - by earning that attention rather than manipulating for it. Feels more "real".
All this was instinctive. We grew apart with time as he was not capable of intimacy in any real sense and with that distance, he started devolving and eventually started making me his scapegoat and did not trust me enough to have conversations that could address anything. This, of course was quite traumatic for me even without becoming codependent. The relationship ended soon after that with a stalemate, since I would not accept such behaviour and he gave up on trying to manipulate me as my boundaries got stronger and stronger.
In that sense, having an intimate relationship with someone who saw through the bullshit served as a reality check and motivation at the same time. Once he lost that, he stopped caring.
But unlike a marital relationship, a therapeutic relationship comes equipped with a lot of diagnostic skills and tools and is of a different nature. For example, there were things that I would probably do with a participant in group therapy or a life coaching client, which I wouldn't, with a life partner, because of role boundaries. When a relationship is only therapeutic, there is a lot more freedom to engage with the person. A romantic partner knowing the dark side of your mind or the unequal power of a therapeutic relationship existing in a marriage is not a very healthy thing for either. I know some may disagree, but I think an overlap of roles is rarely helpful where there are any significant difficulties to overcome.
But your video certainly provokes thought and I do think substantial change is possible. Though I agree with you that complete recovery seems... fantastic. From what I know of the one "case" who was also my partner, the tendency for the dysfunctional behaviour is instinctive and an instinct is very hard to alter. With time and while conditions suited, he chose more functional responses and benefited from it, but when the conditions were not favorable he reverted and even became worse. But even if our relationship had continued and been stable and he had continued with his new pattern of more healthy behaviour, I don't think the instinctive knowledge of how he could easily exploit a situation would ever go away from choices of responses available to him.
He made better choices because they evaluated as more functional in his mind - more likely to get him more genuine appreciation and so on. But there would definitely be conditions where the honest thing would be too hard or too inconvenient and lying, cheating, manipulating would be a simple solution... maybe not that day or that week or month, but sooner or later, there would be a situation where a narcissistic response would "be simpler". I don't think it is possible that that instinctive knowledge would go away. We can't unknow things.
I don't know if it was just with my partner or common to narcissists, but giving up on behaving better resulted in worse behaviour than before. As though there was no reason to hold back. So in that sense, I don't think the complacency of thinking someone is cured is possible. Continued engagement was what made it work. Or it is like object inconstancy. Out of sight, out of mind, and the manipulative behaviour simply seems faster and more efficient. Or I may be wrong and my partner was simply pretending improved behaviour and if someone really changed, they may not relapse.
Yeah, narcissists are reasonably easy to manipulate themseves. Once u know what a person craves and how to deliver it while benefiting yourself, anyone is a great tool. Though narcissists are like an especially food motivated puppy while othe people can be more "moody" in their day yo day desires.
And yeah, a Narcissist is unlikey to stick to an appropriate behaviour if it doesnt benefit them, but seeing as the gentleman in this case has rather atrong and fixed values, i find it actually reasonable that he remained consistantly low-symptomatic. Im sure it was/is a daily struggle tho
Personally I’m impressed that they responded to a flawed person with compassion and patience. It makes me wonder that if we cared more about rehabilitation in this country perhaps there would be less offending.
@@robbkeele1590 what about OCPD? Is it treatable?
@@robbkeele1590 Hi Mr. Keele, thanks for sharing this. Have you ever thought about the slight probability that your avoiding behaviour could be an intelligent answer of your subconcious to real, existent problems in your social environment? It is possible to develop a more profound understanding of your deeper structure which makes it unnecessary to label yourself with an illness-construct. This labeling thing just shows low empathy imo - for others or maybe in your case, for yourself. It is static and doesn't allow development.
@@robbkeele1590 I agree on all points you make, yet I consider it to be a modern euphemism to call something "help" that is based on a process of social devalueing ("diagnosing mental illness"). There was a time, when psychologists did refrain from labeling more and tried to better understand instead. I think these were the better times.
Thank you for your hard work, doctor. Yet I don't feel strong enough for such a topic today.😟 I wish good health and positive emotions to the owner of the channel and everybody else in his community.🌈✨
Sometimes these are triggering 🙏
@m norton buswell Aw, thank you so much. Great day to you!
@@Jess-kn8vl thank you for your empathy !
"A genuine interest in fraud." For some reason this part gave me a laugh.
comorbidity is always fascinating... the ways in which illnesses interact with one another is so diverse. thanks for this!
Congrats on the growth! 200 k coming soon!
Thank you for this case study!! Speaks volumes of how rehabilitation ( even in giving this man an avenue for earning money with legitimate credentials) is a far cry from our punitive American justice system. Also how college and social services are more readily available and for free to Dutch people. Much better than our new Jim Crow prison system that is basically a sick scheme to make money and generate revenue.
Those case studies are a lot more useful than 10 signs someone is such or such bad person.
Some countries focus on reformation of criminals as opposed to punishment and incarceration alone and that's the right way to deal with criminals. Else they get out only to reoffend.
Man, what a well-painted case study. There’s also something very rewarding about this coming out of a social policy, even if this is a policy that might fail many times for each Steven it produces. On the other hand, given the future costs redeeming a Steven save us, maybe we can stand a couple of failures for each success. It’s definitely a conversation worth having.
Thanks for a great one!
Reform is always worth it. At the end of the day you are saving the criminals life as well as all the people they will end up hurting.
Fascinating case!
I can’t help feeling sorry for the neglect he endured during his childhood, although I don’t think that is the full explanation for his behavior.
His level of insight was quite remarkable but again he manipulated the whole system to achieve his goals.
Good to hear that there was some success in the treatment, I am also skeptical about “full recovery.”
Great analysis Dr. Grande!
I really enjoyed the case study, makes learning and listening so interesting. You told the story well and added insight (plus i like happy endings❤).
Research indicates....
I LOVE YOUR CHANNEL!!!! ❤️🥰🤘🧠👍
He would have never gotten better in the U.S. Locked up and tossed the key. How fortunate for him to be in the Netherlands because....America does not 4give.
I really love hearing you tell about case studies. It gives so much more perspective, and helps me to have a little more sympathy for people who are so easy to dislike.
This is the best, most informative and interesting channel on youtube. Thanks Dr Grande. I don't know how you find the time, but I'm glad you do.
Never expected to see a case from my own country on this channel!
insjen same
Heeyy nog een nederlander
Waited for this for so long. Great video
You are like a machine! Thank you , thank you, Dr.Grande😉 I feel like I’m learning so much with EVERY vid. You are the best
5/28/20. You were closing in on 200k three months ago and now you're nearing 300k. Amazing growth, Doc, congratulations!
It's so nice to see someone healed :))
I want to be healed as well!
Wow, I’d never expected this outcome! Such an improvement, such a development of insight, accepting criticism!
Like you said, it could be him manipulating the staff but, in a certain way, even if it is just manipulation, it’s remarkable he would be able to pretend to such an extent.
It’s an amazing case study on both possibilities. If he truly recovered (showing us the ways to effective treatment for NPD) or if he’s just a really good actor (in this case, we can learn how there are no limits to a person’s manipulation).
Really interesting video. I too share your skepticism. It sounds like Stephen may have started to identify his narcissistic traits as being of less status or value. One important factor here is the British class system, he may have learned that status was still important but how it was measured changed once he got into academia. I have a feeling his narcissism adapted to the hierarchical nature of academia. Have you done a video on narcissism and emptiness?
@Kyros - Got it, thanks for the heads up about that! I did know a Dutch art historian while I got my grad degree...he would fit this profile..lol..
I'd love to see more case study videos. You always make interesting videos, and in my opinion case study videos are amongst the most interesting.
Those case studies are better than a Netflix series. I look forward to them and enjoy your balanced commentary that is also inclusive towards laymen minority of your audience ;) this was a very interesting ep. Cheers!
I really enjoy the case studies. They help to get an understanding and grasp of how certain personality disorders manifest in "real life" scenarios.
Industrialist + Actress. That sounds like a dual Narccisist parents. Not surprising he ends up in prison.
One of the most interesting and informative videos you have made! TY
Very interesting case and explanation!
Sounds like the movie “Catch Me If You Can” with Leonardo DiCaprio was based off of this case!
That movie was based on Frank Abagnale www.thevintagenews.com/2019/01/15/catch-me-if-you-can/
I loved this story. So glad to hear there is help.
Thanks Dr. Grande. Love your channel!❤️
WOW!!!!!!!! I'm SO impressed by this case and the seemingly successful outcome, even if he wasn't completely symptom free. WOWSA GREAT JOB and kudos to the counsellors.
Hope is a good thing. At one time it was believed BPD or alcoholics couldn’t change and no treatment would help. If they cannot change there is also little hope for endless streams of victims.
Wouldn't that be vastly different, though? Of course, BPD may share similar behaviors with both ASPD and NPD, but they are quite different in terms of how ego-syntonic and ego-dystonic the individual who expresses these disorders are.
@@bourne2crimson397 My only point is "treatability". I think we need to hope for good treatment otherwise we are stuck with very dangerous potential with no hope for real change. I hope for change and not only for society sake, but for theirs. The internal life of NPD can be its own hell. Psychopaths probably don't suffer, but people with NPD do.
Thank you so much for all the videos! Very informative and educational!
Always interesting for sure. Thanks Dr. G
Would love if you did more case analysis videos, doc! I know it’s not your typical type of video these days, but I’ve always found your summary of case studies to be very interesting and informative. Regardless, thanks for all that you do!
Thank you for all your hard work Dr.
So good to hear such a good outcome. I think some people can be rehabilitated and should be. Thanks for the fascinating video.
Impressive approach. And apparently quite effective.
Another interesting vídeo. 🤣🤣🤣
i love how you deal-make your hypotheses. It appears very well thought out.
Thanks Dr. Grande.🤒😄😍
Another great case study, thank you Dr Todd🙏🏻
This reminds me of the current Netflix series “I am a killer” ... some episodes suggest the subject would thrive in society after a certain period in prison. Some cases attempt to show how the subject has been rehabilitated. Please do an analysis of this series ?
Fascinating case study.
Another insightful evaluation from you, Dr. Grande! Also, thank you for citing your sources!
Didn't "Steven" show Machiavellian traits as well? Was he excluded from a Dark Triad classification on account of NPD/APD being clinical/pathological diagnoses?
I love when people have these two traits in combination with a high amount of conscientiousness. These are leaders, teachers, CEOs, cult leaders, entrepreneurs.. basically winners.
I’ve watched his interview and it was very interesting. He would be fun to be around for short periods of time.
That's incredible. Really inspires optimism that people afflicted with these personality defects can make meaningful improvement.
Love your videos: keep it up.
I can see how they would assist Steven in leveraging his academic potential for Narcissistic supply but I'm not sure how the overarching impulsivity and irresponsibility of ASPD could be mitigated. Fascinating case study... What does it say about academics? ;)
Please do more case study videos on Personality disordered people. Very helpful and insightful.
👏 loved this episode
Thanks for doing this video.
Heroic and interesting!
I hope he took the time to burry some stash...🙏
Its nice to actually hear a happy ending for once
What a beautiful story, wow.
Diagnosed ASPD+NPD. Thank you very much for sharing this.
Very interesting video maybe they were able to successfully redirect is emotions. Congrats on almost getting 200,000 I'm so excited for you
Love this! Great perspective. I’d like to see a video on tackling recidivism here in the US from a therapeutic standpoint
Thank you for this video
It was useful as it made me clear
Could you Please make a case study video or a video on similarities and differences between paranoid personality disorder and NPD
I get confused all the time
Thank you!
There's a lot to think about in this case study. The more you ponder it, the more complicated it gets. For instance, if you focus only on Stephen's disorders and eventual recovery, that's one thing; however, when you simultaneously combine that with a comparative study of criminal justice systems -- The Netherlands and the United States -- you end up losing some clarity. That's when a hint of skepticism entered in, as Dr. Grande seemed to suggest. The study shows, among other things, that not every case study has a clearcut conclusion and that a degree of skepticism would be an acceptable outcome, especially in a case like this one.
This was a very interesting topic. It does seem to be unlikely that a person with such entrenched narcissism would make a full recovery, but I'm judging it from a layperson's point of view.
keep going great Channel
Great video, very interesting case!
Could you analyze the fictional character Norman Bates from the tv series Bates Motel? Is it a realistic presentation in terms of psychopathology and personality traits?
Interested too.
It's not a good representation in my opinion. He has traits of other PD's that aren't cluster b. That's not typically how it works. I don't know one psychopath/sociopath online who is like that. I haven't seen the show in a while though. But portrays of severe psychopathology in the media is incomplete. They have to change things in order to make a good show.
Dr. Grande,
Thanks so much for all of the great videos!
Could you discuss the difference between paranoia and anxiety? They seem similar to me (you are worried about something) but I know they are associated with different personality disorder clusters (A for paranoia, C for anxiety).
Thank you!
I would really appreciate a video on how to not pass your narcissistic traits to your children
Very interesting subject.
My earliest arrival yet.
With a background in childhood education I always preach that "praise" is better than "blame" emphasizing by age 3 yrs old the personality is already formed. Stephen certainly had potential for having social skills and academic skills. He Earned a doctorate in 3 years. Both parents were narcarcist's = Stephen=narcarcist!
I sympathise with this guy and think we could learn from this about how we deal with criminals and what justice means
Fascinating. Hopefully he now utilizes his intelligence in a way that creates value for others, but I do wonder about his personal life, etc., even if he is not criminally active.
I would imagine he become functional. And it is quite amazing he was able to become rehabilitated. It seems like he was highly intelligent and motivated because of the underlining need for attention and status. It in ways become useful towards becoming a functional person in society. It appears like all he wanted was to become a doctor of something. With the help of his therapist they were able to developer that insight that his personalities/behavior were not helping him get truly what he wanted and luckily it appears he was nonviolent as well. He was giving opportunity to redeem himself and it comes across like he wanted to prove others wrong and that he wasn’t just a criminal, but smart too. Maybe I’m thinking too much into it, but it is amazing that he was able to do what he did and become that someone.
I think it is sad that he experienced trauma and rejection at a young age. Childhood trauma is a common factor with mental illness. Also, it was good he was locked up in the Netherlands, because he probably would have been in prison for life in America, unable to truly tap into his potential and develop healing in someway that was beyond a jail cell.
I think the success rate with NPD is low because they rarely change. In my experience, change is hard for everyone no matter the status of their mental health. We change temporarily to avoid criminal charges , for professional gain , or out of tragedy. I think humanity sucks at a strong approach to change or it's just natural for us to change rarely or slowly.
this is an amazing story.]
He clearly played them, BUT. i will give their country a lot of credit for not just throwing him in Prison for 50 years for a non violent, money based crime. In actuality, what most likely happened (IMO) is that he just learned to become a "better" narcissist, or a "better" socio/psycho path. He was definitely quite intelligent so he would have been able to figure out "other ways" to continue to do what he wanted without being incarcerated. For example flipping houses to screw people over. Buying their house for way less than the asking price, because you know they can't afford the home, and selling it for a nice profit. It's legal, and it can also be quite a narcissistic thing to do to people. My NPD/ASPD father died owing the Veterans association like 60 thousand dollars, because, well, they did give it him. How he got them to do it, i don't know. LOL. Narcissism isn't illegal (lol.......sigh) if it was we wouldn't have a United States Government. BOOM.
OR.......... This one guy out of all of them was somehow able to fight off the devil inside of him for good. Who knows. This is a very interesting study with an ending i didn't see coming LOL.
Thanks! 🙂
Wow that would make a great movie! Thanks for the video! 🎥🎬🎞️ 👍😁😃
Love me some Dr. Grande 🙂
Really interesting case! Question: do you think incarceration and other punishment is an actual deterrent for grandiose narcissists? My limited experience is that they believe themselves to be so superior they would never get caught.
According to this narrative Steven was exacting revenge for unfair treatment in childhood by his parents. Given that he didn't initially take responsibility for his actions, punitive incarceration would most likely have enhanced that sense of victimization and vulnerability. Rather than it acting as a deterrent, he probably would have served his time, learned new strategies to work the system, and resumed overtly antisocial behavior upon release.
@@mjinba07 Which might explain the approach that was taken with him. Thanks for that!
A sociopath won't care much about incarceration, a grandiose narcissist will have too much faith in themselves, and a psychopath is smart enough to avoid it. If we’re talking about crime. You can't put someone in jail just for being NPD.
Great case. I find it hard to believe he made a full recovery as well but perhaps high intellectual ability made him better able to learn insight and realize that his personality wasn't doing him any favors.
I can believe he at least learned how to not act on his disordered impulses most of the time and become high functioning.
What I also find a bit odd in this, as well as other cases I've heard of, is when a felon gets an education and their criminal record doesn't seem to stand in their way. There are people who did minor things and the record haunts them for life.
Dr. Grande, could you do a case study of a person with co-morbid MDD and BPD?
Art saves lives.
If your already diagnosed one diagnosis in a personality cluster aren't you predominantly gonna be more likely to be co-morbid with at least one of the other diagnosis in that cluster? I know I have traits from all of cluster B but diagnosed with APD. I think I'm co-morbid with HPD but haven't been able to get it diagnosed.
Huhhhhhhhhhhh? Why tf are you worried about being diagnosed.
@@luislol3995 to control my behavior and not be a detriment to society. In order to really get control over my issues I have to know which ones are more prominent to prioritize my efforts.
Don't worry too much about diagnosis. With your level of insight, you can foresee which behaviors would hurt other people, and then avoid them.
loved the take on "he played everyone to be awarded a PhD"
Wow what a character!
I really like your case studies. It helps me understand my own cluster b behavior and separate my comorbidity. I can relate to Stephen. Thank you. We watch your videos as well. You and Sam Vaknin help us the most. How do you feel about Sam?
Hi Doctor Grande. Could you talk about the phenomenon called Empathic Supernova from a medical, scientific perspective ?
Definitely a very bold approach in treating this guy! I tend to share your skepticism, however. How old was he, for example, when he completed his treatment and sentence? Are we sure he never reoffended? I feel like, even if this was a true success, it must have been a fluke. Aren't personality disorders among the hardest to treat with such a high level of success?
J Mo The patient was still of high school age when the treatment started. That vastly improved the chances of it working.
Punishment doesn't deter criminals from crime. It's their life. It's what they do. If America's justice system was better we could fix our NPD/ASPD folks as well.
The justice system has nothing to do with the pysche. The pysche correlates with everything including the justice.
One is not ASPD because of poor justice but rather because of degeneration in soul & spirit, from a micro to a macro level, that which effects an individual & populous overall psyche.
The problem is sin.
It would be interesting to see what he would be like in a relationship like dating or marriage that'll determine whether or not he's healed or working on his narcissistic disorder