4:58 AM - PlanetQuo aka Duped: Prognosis
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Category: Blogging

ICD-10 Designation of PlanetQuo
(Int'l Classification of Mental and Behavioural Disorders)

Subject: James Kerr AKA Jim Kerr, PlanetQuo, Duped

Preliminary Diagnosis: Narcissistic Personality Disorder (NPD)

General Description.:

Narcissistic personality disorder (NPD) is characterized by extreme focus on oneself, and is a maladaptive, rigid, and persistent condition.
Individuals with NPD, a Cluster B Personality Disorder, have an excessive sense of how important they are. They demand and expect to be admired and praised by others and are limited in their capacity to appreciate others' perspectives.

Epidemiology:

Narcissist Personality Disorder (NPD) is isolating, disenfranchising, painful, and formidable for those diagnosed with it and often those who are in a relationship with them. 50 to 75% of those with this diagnosis are men.
Narcissistic personality disorder may be an infantile, defensive personality structure.

Diagnostic Criteria (5 or more)

Narcissistic Personality Disorder is marked by a pervasive pattern of grandiosity* (in fantasy or behavior), need for admiration and acknowledgment, and lack of empathy, beginning by early adulthood and present in a variety of contexts, as indicated by five (or more) of the following:

x (1) has a grandiose sense of self-importance (e.g., exaggerates achievements and talents, expects to be recognized as superior without commensurate achievements)
x (2) is preoccupied with fantasies of unlimited success, power, brilliance, ability,
importance
x (3) believes that he or she is "special" and unique and can only be understood by, or
should associate with, other special or high-status people (or institutions).
expectation of acceptance by such people perceived as important.
x (4) requires excessive admiration
x (5) has a sense of entitlement, i.e., unreasonable expectations of especially
favorable treatment or automatic compliance with his or her expectations
x (6) is interpersonally exploitative, i.e., takes advantage of others to achieve his or her
own ends
x (7) lacks empathy: is unwilling to recognize or identify with the feelings and needs of
others, unable to recognize achievements or merit in others.
x (8) is often secretly envious of others and/or believes that others are envious of him
or her
x (9) shows arrogant, haughty behaviors or attitudes

*grandiosity: Inflated self-esteem or self-worth, usually manifested as content of thinking or talk with themes reflecting the patient's belief that he or she is the greatest or has special attributes or abilities. see also: delusions of grandeur**
**delusions of grandeur: beliefs of possessing exaggerated power, importance, knowledge or ability. severely exaggerated sense of self-importance.


Other diagnostic factors:
• exhibit strong attempts to control others' view of them and behavior towards them
• preoccupation with one's own thoughts and feelings, sense of grandiosity, delusional
• an inability to empathize with others' experience
• interpersonal rigidity
• an insistence that one's opinions and values are "right"
• a tendency to be easily offended and take things personally
*controlling
*blaming
*self-absorbed
*intolerant of others' views
*unaware of others' needs

Subject's Disorder Severityr:

mild & transient <-------------------------------X-->severe & inflexible

Subject Kerr appears to exhibit all of above listed diagnostic criterion, many very severely .

Treatment /Prognosis:

It is unusual for narcissistic people to seek therapy for NPD. Subconscious fears of exposure of inadequacy are often met with defensive disdain of therapeutic processes. When sought, treatment is rarely successful.

Prevalence:

Manifests itself in 2-16% of psychiatric outpatients. Studies have not conclusively demonstrated any ethnic, social, cultural, economic, genetic, or professional predilection to NPD.

The disorder occurs up to 75% more frequently in men than in women. It has been suggested that NPD may be exacerbated by the onset of aging and the physical, mental, and occupational restrictions it imposes.

Long-Term Complications:

- often ambitious and capable HOWEVER hindered by inability to tolerate setbacks, disagreements, or criticism, coupled with a lack of empathy make it difficult for narcissistic individuals to work cooperatively with others or to maintain long-term professional achievements.

-with narcissistic personality disorder the subject's perceived fantastic grandiosity, often accompanied by a hypomanic mood is NOT commensurate with his or her real accomplishment

-exploitativeness • sense of entitlement • lack of empathy • disregard for others inherent in NPD, adversely affects interpersonal and professional relationships.
Individuals do not work well with others.

Internal/External Processes:

grandiose • arrogant • defensive
a large, powerful, grandiose 'self' to be admired, envied and appreciated (which is the antithesis of the weakened and internalised self that hides in a generic state of shame, in order to fend off devaluation)

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A detailed, comprehensive report assessing this subject's psychological condition and to include examples of subject's suspected behavioral disorder is forthcoming. If a definitive diagnosis is reached, it will also be made available.