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Narcissism? Munchausen and Munchausen by Proxy Syndromes

Uploaded 11/24/2013, approx. 3 minute read

My name is Sam Vaknin, I am the author of Malignant Self-Love, Narcissism Revisited.

Patients afflicted with a factitious disorder, colloquially known as Minischausen Syndrome, seek to attract the attention of medical personnel by feigning or by self-inflicting serious illness or even injury.

Minschausen biproxi Syndrome, another type of disease, is also known as factitious illness or disorder by proxy, factitious illness imposed by another, or in the United Kingdom, FII, fabricated or induced illness by carers.

Anyhow, Minschausen biproxi Syndrome involves the patient inducing illness in or causing injury to a dependent, usually a child or an old parent. This is done in order to gain in her capacity as a caretaker the attention, praise and sympathy of medical care providers.

Both syndromes, Minschausen Syndrome and Minschausen Biproxi Syndrome are forms of shared psychosis, foliar deux or foliar plizio. It is a form of crazy-making with hospital staff as unwilling and unwitting participants in the drama.

Superficially, this overwhelming need for consideration by figures of authority, by role models such as doctors and nurses, this need for attention resembles the narcissist's relentless and composite pursuit of narcissistic supply.

Narcissistic supply to remind you, consists of attention, adulation, admiration or being feared and noted. Still, there are important differences between classical narcissism and Minischausen and Minischausen Biproxi.

To start with, the narcissist, especially the somatic narcissist, worships his body and cherishes his health. If anything, narcissists tend to be hypochondriacs. They are loath to self-harm and self-mutilate. They are reluctant to fake laboratory tests and consume potentially deleterious substances in medications.

Unlike the Minischausen patient, they are not likely to harm themselves. They are also unlikely to seriously damage their sources of supply, in other words, their own children, as long as they are compliant and adulating.

As opposed to narcissists, people with both Minischausen syndromes desire acceptance, love, caring. They seek relationships and naturally, not merely, attention. Theirs is an emotional need that amounts to much more than the mere regulation of their sense of self-worth, as is the case with narcissists.

People with Minischausen syndrome have no full-fledged false self. Only a clinging, insecure, traumatized, deceitful and needy true self.

Minschausen syndrome may be called morbid, can be diagnosed with personality disorders.

And patients are pathological liars. Some of them are schizoid, paranoid, hypervigilant and aggressive, especially when they are controlled.

But this doesn't make them narcissists. While narcissists are indiscriminate and promiscuous when it comes to their sources of narcissistic supply, anyone would do.

Patients with Minischausen syndrome derive emotional nurturings and sustenance mainly from health care practitioners.

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Schizoid Narcissist Is Not Covert Narcissist

Atypical presentations of narcissism can complicate diagnosis, particularly with the schizoid narcissist, who exhibits traits that may lead to misdiagnosis as avoidant or covert narcissists. Schizoid narcissists often avoid social interactions and lack emotional reactivity, distinguishing them from covert narcissists who may still experience negative emotions and create ideologies around their social aversion. Their sexual behavior is also markedly different; while classic and covert narcissists may use sex as a tool for supply, schizoid narcissists are often asexual or find sex unpleasurable, viewing it as a chore rather than a source of gratification. The internal conflict between the narcissistic need for supply and the schizoid desire for solitude creates complex relational dynamics, leading to approach-avoidance behaviors that can confuse those around them.


NEW Psychopath: Ashamed, Empathic, Anxious (Primary Factor 1 F1 vs. Secondary F2 Literature Review)

There is a significant shift in the understanding of psychopathy, particularly distinguishing between primary and secondary psychopaths, which may represent two distinct categories rather than variations of the same disorder. Primary psychopaths are characterized by low anxiety and a lack of emotional response to others, while secondary psychopaths experience anxiety and can exhibit emotional responses, including empathy. Recent studies suggest that psychopathy may not solely be an empathy deficit, as some psychopaths can experience emotional empathy, challenging traditional views on the disorder. This evolving understanding emphasizes the need for a nuanced approach to psychopathy, recognizing its complexity and the implications for treatment and societal protection.


Narcissists Have Emotions

Narcissists do have emotions, but they tend to repress them so deeply that they play no conscious role in their lives or conduct. The narcissist's positive emotions come bundled with very negative ones, and they become phobic of feeling anything lest it be accompanied by negative emotions. The narcissist is reduced to experiencing down-steerings in their soul that they identify to themselves and to others as emotions. Narcissists are not envious of others for having emotions, they disdain feelings and sentimental people because they find them to be weak and vulnerable.


Do Psychopaths Have Conscience, Morality Narcissists

Psychopaths and narcissists lack a true conscience, as their moral judgments are not motivated by empathy or an internalized sense of right and wrong. While they can recognize societal rules and may act in pro-social ways, their motivations are often superficial, driven by external factors rather than genuine moral conviction. Research indicates that psychopaths may understand moral concepts but do not feel compelled to act on them due to their lack of empathy, which prevents them from recognizing the significance of moral obligations. Ultimately, the distinction between moral and conventional transgressions is blurred for them, leading to a failure to internalize moral responsibility despite an awareness of societal norms.


Shyness or Narcissism? Avoidant Personality Disorder

Avoidant personality disorder is characterized by feelings of inadequacy, inferiority, and a lack of self-confidence. People with this disorder are shy and socially inhibited, and even constructive criticism is perceived as rejection. They avoid situations that require interpersonal contact and find it difficult to establish intimate relationships. The disorder affects 0.5 to 1% of the general population and is often co-diagnosed with mood and anxiety disorders, dependent and borderline personality disorders, and cluster A personality disorders.


Is Your Pet Cat a Psychopath? (PURR, GASP!)

A recent study by researchers at the University of Liverpool has found that all cats have some level of psychopathy, with the reason being that in an ancestral environment that demanded self-sufficiency, wild cats that had higher levels of psychopathic traits may have been more successful in acquiring resources such as food, territory and mating opportunities. The study settled on the conclusion that all cats are psychopathic to some degree. The questions asked in the study are pretty generic, such as my cat demands attention, or my cat disobeys rules, or behaviors that are pretty standard for the species.


Narcissist: Socially-anxious, Schizoid

Schizoid personality disorder is characterized by a lack of interest in social relationships and interactions, limited emotional expression, and a preference for solitary activities. Schizoids are often described as robotic and uninterested in social bonding. While there are similarities between schizoid and narcissistic personality disorders, the two are distinct in that schizoids are uninterested in bonding, while narcissists are both uninterested and incapable due to their lack of empathy and grandiosity. Narcissism is not about self-love, but rather a broken ego or self that withdraws from society to protect itself.


Antisocial Psychopath and Sociopath: Antisocial Personality Disorder

Psychopathy is characterized by antisocial traits combined with a lack of empathy, callousness, and deceitfulness, and it often becomes evident in early adolescence. While it is chronic, psychopathy can improve with age, as criminal behavior and substance abuse typically decline in older individuals. Psychopaths view others as tools for their gratification, reject social norms, and lack a sense of obligation or remorse, often rationalizing their harmful actions. Additionally, psychopathy may have genetic and neurological components, and some individuals may exhibit underlying anxiety that drives their antisocial behavior.


Hermit: Schizoid Personality Disorder

Schizoid personality disorder is characterized by anhedonia, leading individuals to experience little to no pleasure and exhibit indifference towards social relationships. Schizoids are emotionally flat, lacking intimacy and rarely expressing feelings, which results in a preference for solitary activities and mechanical tasks. They maintain few connections, even with family, and are rigid in their routines, often struggling to adapt to changing circumstances. Their social interactions are marked by ineptness, as they fail to respond appropriately to social cues and gestures.


Delayed Gratification is NOT Stamina or Perseverance or Persistence

Narcissists, psychopaths, and individuals with borderline personality disorder may appear to demonstrate delayed gratification by completing academic studies or developing careers, but this behavior is often a result of stamina and perseverance rather than true impulse control. Stamina involves overcoming obstacles and maintaining effort over time, while perseverance is the ability to continue a task despite challenges, often influenced by self-delusion. Delayed gratification, on the other hand, is rooted in the ability to control impulses and trust in future rewards, reflecting an individual's optimism or pessimism about the world. Ultimately, these concepts are distinct and relate to different aspects of personality and behavior, with delayed gratification being more fundamental and biological in nature.

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