12-13-2011, 12:39 AM
Which one, narcissistic or attention-seeking personality disorder? (Long post, just parse)
(A) Narcissistic Personality Disorder
Characterised by a pervasive pattern of grandiosity and self-importance, need for admiration, and lack of empathy, people with narcissistic personality disorder overestimate their abilities and inflate their accomplishments, often appearing boastful and pretentious, whilst correspondingly underestimating and devaluing the achievements and accomplishments of others.
Often the narcissist will fraudulently claim to have qualifications or experience or affiliations or associations which they don't have or aren't entitled to. Belief in superiority, inflating their self-esteem to match that of senior or important people with whom they associate or identify, insisting on having the "top" professionals or being affiliated with the "best" institutions, but criticising the same people who disappoint them are also common features of narcissistic personality disorder.
Narcissists react angrily to criticism and when rejected, the narcissist will often denounce the profession which has rejected them (usually for lack of competence or misdeed) but simultaneously and paradoxically represent themselves as belonging to the profession they are vilifying.
Fragile self-esteem, a need for constant attention and admiration, fishing for compliments (often with great charm), an expectation of superior entitlement, expecting others to defer to them, and a lack of sensitivity especially when others do not react in the expected manner, are also hallmarks of the disorder. Greed, expecting to receive before and above the needs of others, overworking those around them, and forming romantic (sic) or sexual relationships for the purpose of advancing their purpose or career, abusing special privileges and squandering extra resources also feature.
People with narcissistic personality disorder also have difficulty recognizing the needs and feelings of others, and are dismissive, contemptuous and impatient when others share or discuss their concerns or problems. They are also oblivious to the hurtfulness of their behavior or remarks, show an emotional coldness and a lack of reciprocal interest, exhibit envy (especially when others are accorded recognition), have an arrogant, disdainful and patronizing attitude, and are quick to blame and criticize others when their needs and expectations are not met.
The DSM-IV Diagnostic Criteria for Narcissistic Personality Disorder are:A pervasive pattern of grandiosity, need for admiration, lack of empathy, as indicated by at least five of:
1. a grandiose sense of self-importance
2. is preoccupied with fantasies of unlimited success, power, brilliance, beauty, or ideal love
3. believes that he or she is "special" and can only be understood by, or should associate with, other special or high-status people (or institutions)
4. requires excessive admiration
5. has a sense of entitlement, i.e. unreasonable expectations of especially favorable treatment or automatic compliance with his or her expectations
6. is interpersonally exploitative, ie takes advantage of others to achieve his or her own ends
7. lacks empathy and is unwilling to recognize or identify with the feelings and needs of others
8. is often envious of others or believes that others are envious of him or her
9. shows arrogant, haughty behaviors or attitudes
(B) Attention-seeking personality disorders
The need for attention
Human beings are social creatures and need social interaction, feedback, and validation of their worth. The emotionally mature person doesn't need to go hunting for these; they gain it naturally from their daily life, especially from their work and from stable relationships. Daniel Goleman calls emotional maturity emotional intelligence, or EQ; he believes, and I agree, that EQ is a much better indicator of a person's character and value than intelligence quotient, or IQ.
The emotionally immature person, however, has low levels of self-esteem and self-confidence and consequently feels insecure; to counter these feelings of insecurity they will spend a large proportion of their lives creating situations in which they become the centre of attention. It may be that the need for attention is inversely proportional to emotional maturity, therefore anyone indulging in attention-seeking behaviors is telling you how emotionally immature they are.
Attention-seeking behavior is surprisingly common. Being the centre of attention alleviates feelings of insecurity and inadequacy but the relief is temporary as the underlying problem remains unaddressed: low self-confidence and low self-esteem, and consequent low levels of self-worth and self-love.
Insecure and emotionally immature people often exhibit bullying behaviors, especially manipulation and deception. These are necessary in order to obtain attention which would not otherwise be forthcoming. Bullies and harassers have the emotional age of a young child and will exhibit temper tantrums, deceit, lying and manipulation to avoid exposure of their true nature and to evade accountability and sanction. This page lists some of the most common tactics bullies and manipulators employ to gain attention for themselves. An attention-seeker may exhibit several of the methods listed below.
Attention seekers commonly exploit the suffering of others to gain attention for themselves. Or they may exploit their own suffering, or alleged suffering. In extreme forms, such as in Munchausen Syndrome By Proxy, the attention-seeker will deliberately cause suffering to others as a means of gaining attention.
The savior: in attention-seeking personality disorders like Munchausen Syndrome By Proxy (MSBP, also known as Factitious Disorder By Proxy) the person, usually female, creates opportunities to be centre of attention by intentionally causing harm to others and then being their saviour, by saving their life, and by being such a caring, compassionate person. Few people realise the injury was deliberate. The MSBP mother or nurse may kill several babies before suspicions are aroused. When not in saviour mode, the saviour may be resentful, perhaps even contemptuous, of the person or persons she is saving.
The manipulator: she may exploit family relationships, manipulating others with guilt and distorting perceptions; although she may not harm people physically, she causes everyone to suffer emotional injury. Vulnerable family members are favourite targets. A common attention-seeking ploy is to claim she is being persecuted, victimised, excluded, isolated or ignored by another family member or group, perhaps insisting she is the target of a campaign of exclusion or harassment.
The drama queen: every incident or opportunity, no matter how insignificant, is exploited, exaggerated and if necessary distorted to become an event of dramatic proportions. Everything is elevated to crisis proportions. Histrionics may be present where the person feels she is not the centre of attention but should be. Inappropriate flirtatious behaviour may also be present.
The feigner: when called to account and outwitted, the person instinctively uses the denial - counterattack - feigning victimhood strategy to manipulate everyone present, especially bystanders and those in authority. The most effective method of feigning victimhood is to burst into tears, for most people's instinct is to feel sorry for them, to put their arm round them or offer them a tissue. There's little more plausible than real tears, although as actresses know, it's possible to turn these on at will. Feigners are adept at using crocodile tears. From years of practice, attention-seekers often give an Oscar-winning performance in this respect. Feigning victimhood is a favourite tactic of bullies and harassers to evade accountability and sanction. When accused of bullying and harassment, the person immediately turns on the water works and claims they are the one being bullied or harassed - even though there's been no prior mention of being bullied or harassed. It's the fact that this claim appears only after and in response to having been called to account that is revealing. Mature adults do not burst into tears when held accountable for their actions.
The victim: she may intentionally create acts of harassment against herself, eg send herself hate mail or damage her own possessions in an attempt to incriminate a fellow employee, a family member, neighbour, etc. Scheming, cunning, devious, deceptive and manipulative, she will identify her "harasser" and produce circumstantial evidence in support of her claim. She will revel in the attention she gains and use her glib charm to plausibly dismiss any suggestion that she herself may be responsible. However, a background check may reveal that this is not the first time she has had this happen to her.
Hard to pick just one, right?
(A) Narcissistic Personality Disorder
Characterised by a pervasive pattern of grandiosity and self-importance, need for admiration, and lack of empathy, people with narcissistic personality disorder overestimate their abilities and inflate their accomplishments, often appearing boastful and pretentious, whilst correspondingly underestimating and devaluing the achievements and accomplishments of others.
Often the narcissist will fraudulently claim to have qualifications or experience or affiliations or associations which they don't have or aren't entitled to. Belief in superiority, inflating their self-esteem to match that of senior or important people with whom they associate or identify, insisting on having the "top" professionals or being affiliated with the "best" institutions, but criticising the same people who disappoint them are also common features of narcissistic personality disorder.
Narcissists react angrily to criticism and when rejected, the narcissist will often denounce the profession which has rejected them (usually for lack of competence or misdeed) but simultaneously and paradoxically represent themselves as belonging to the profession they are vilifying.
Fragile self-esteem, a need for constant attention and admiration, fishing for compliments (often with great charm), an expectation of superior entitlement, expecting others to defer to them, and a lack of sensitivity especially when others do not react in the expected manner, are also hallmarks of the disorder. Greed, expecting to receive before and above the needs of others, overworking those around them, and forming romantic (sic) or sexual relationships for the purpose of advancing their purpose or career, abusing special privileges and squandering extra resources also feature.
People with narcissistic personality disorder also have difficulty recognizing the needs and feelings of others, and are dismissive, contemptuous and impatient when others share or discuss their concerns or problems. They are also oblivious to the hurtfulness of their behavior or remarks, show an emotional coldness and a lack of reciprocal interest, exhibit envy (especially when others are accorded recognition), have an arrogant, disdainful and patronizing attitude, and are quick to blame and criticize others when their needs and expectations are not met.
The DSM-IV Diagnostic Criteria for Narcissistic Personality Disorder are:A pervasive pattern of grandiosity, need for admiration, lack of empathy, as indicated by at least five of:
1. a grandiose sense of self-importance
2. is preoccupied with fantasies of unlimited success, power, brilliance, beauty, or ideal love
3. believes that he or she is "special" and can only be understood by, or should associate with, other special or high-status people (or institutions)
4. requires excessive admiration
5. has a sense of entitlement, i.e. unreasonable expectations of especially favorable treatment or automatic compliance with his or her expectations
6. is interpersonally exploitative, ie takes advantage of others to achieve his or her own ends
7. lacks empathy and is unwilling to recognize or identify with the feelings and needs of others
8. is often envious of others or believes that others are envious of him or her
9. shows arrogant, haughty behaviors or attitudes
(B) Attention-seeking personality disorders
The need for attention
Human beings are social creatures and need social interaction, feedback, and validation of their worth. The emotionally mature person doesn't need to go hunting for these; they gain it naturally from their daily life, especially from their work and from stable relationships. Daniel Goleman calls emotional maturity emotional intelligence, or EQ; he believes, and I agree, that EQ is a much better indicator of a person's character and value than intelligence quotient, or IQ.
The emotionally immature person, however, has low levels of self-esteem and self-confidence and consequently feels insecure; to counter these feelings of insecurity they will spend a large proportion of their lives creating situations in which they become the centre of attention. It may be that the need for attention is inversely proportional to emotional maturity, therefore anyone indulging in attention-seeking behaviors is telling you how emotionally immature they are.
Attention-seeking behavior is surprisingly common. Being the centre of attention alleviates feelings of insecurity and inadequacy but the relief is temporary as the underlying problem remains unaddressed: low self-confidence and low self-esteem, and consequent low levels of self-worth and self-love.
Insecure and emotionally immature people often exhibit bullying behaviors, especially manipulation and deception. These are necessary in order to obtain attention which would not otherwise be forthcoming. Bullies and harassers have the emotional age of a young child and will exhibit temper tantrums, deceit, lying and manipulation to avoid exposure of their true nature and to evade accountability and sanction. This page lists some of the most common tactics bullies and manipulators employ to gain attention for themselves. An attention-seeker may exhibit several of the methods listed below.
Attention seekers commonly exploit the suffering of others to gain attention for themselves. Or they may exploit their own suffering, or alleged suffering. In extreme forms, such as in Munchausen Syndrome By Proxy, the attention-seeker will deliberately cause suffering to others as a means of gaining attention.
The savior: in attention-seeking personality disorders like Munchausen Syndrome By Proxy (MSBP, also known as Factitious Disorder By Proxy) the person, usually female, creates opportunities to be centre of attention by intentionally causing harm to others and then being their saviour, by saving their life, and by being such a caring, compassionate person. Few people realise the injury was deliberate. The MSBP mother or nurse may kill several babies before suspicions are aroused. When not in saviour mode, the saviour may be resentful, perhaps even contemptuous, of the person or persons she is saving.
The manipulator: she may exploit family relationships, manipulating others with guilt and distorting perceptions; although she may not harm people physically, she causes everyone to suffer emotional injury. Vulnerable family members are favourite targets. A common attention-seeking ploy is to claim she is being persecuted, victimised, excluded, isolated or ignored by another family member or group, perhaps insisting she is the target of a campaign of exclusion or harassment.
The drama queen: every incident or opportunity, no matter how insignificant, is exploited, exaggerated and if necessary distorted to become an event of dramatic proportions. Everything is elevated to crisis proportions. Histrionics may be present where the person feels she is not the centre of attention but should be. Inappropriate flirtatious behaviour may also be present.
The feigner: when called to account and outwitted, the person instinctively uses the denial - counterattack - feigning victimhood strategy to manipulate everyone present, especially bystanders and those in authority. The most effective method of feigning victimhood is to burst into tears, for most people's instinct is to feel sorry for them, to put their arm round them or offer them a tissue. There's little more plausible than real tears, although as actresses know, it's possible to turn these on at will. Feigners are adept at using crocodile tears. From years of practice, attention-seekers often give an Oscar-winning performance in this respect. Feigning victimhood is a favourite tactic of bullies and harassers to evade accountability and sanction. When accused of bullying and harassment, the person immediately turns on the water works and claims they are the one being bullied or harassed - even though there's been no prior mention of being bullied or harassed. It's the fact that this claim appears only after and in response to having been called to account that is revealing. Mature adults do not burst into tears when held accountable for their actions.
The victim: she may intentionally create acts of harassment against herself, eg send herself hate mail or damage her own possessions in an attempt to incriminate a fellow employee, a family member, neighbour, etc. Scheming, cunning, devious, deceptive and manipulative, she will identify her "harasser" and produce circumstantial evidence in support of her claim. She will revel in the attention she gains and use her glib charm to plausibly dismiss any suggestion that she herself may be responsible. However, a background check may reveal that this is not the first time she has had this happen to her.
Hard to pick just one, right?