lightcastle: Lorelei Castle (Default)
Wait, I think mzrowan linked to this but I didn't register it: They are removing Narcissistic Personality Disorder from DSM V?

It seems the move is from presenting an archetype that people should match to a designation of "personality disorder" and then you tick the traits someone has.

Jonathan Shedler, a psychologist at the University of Colorado Medical School, said: "Clinicians are accustomed to thinking in terms of syndromes, not deconstructed trait ratings. Researchers think in terms of variables, and there’s just a huge schism." He said the committee was stacked "with a lot of academic researchers who really don’t do a lot of clinical work. We’re seeing yet another manifestation of what’s called in psychology the science-practice schism."


Also, kind of weirdly: Paranoid, Schizoid, Histrionic and Dependent Personality Disorders will be removed, but Schizotypal, Antisocial, Borderline, Avoidant and Obsessive-Compulsive will stay in. If you're switching over to a broad category with a checklist of behaviors, why keep any?

I certainly see the argument in favor of this from the research point of view. When I was writing about PTSD I could see how the breadth of the symptoms that probably associated with trauma didn't necessarily fit into the DSM IV definition, and all manifestations weren't in all people.

I'm curious to see a more detailed breakdown now. I want to know what to call the pathological narcissists I've met with precision. At least I can still call an NPD an NPD until 2013.


(And as long as we're talking pathology, here's an argument that as an invasive species which has outgrown its environmental niche, humans are - on a group level - sociopathic, and so are our institutions.

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