Unpacking Donald Trump’s Psychopathology

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Although Donald Trump does not have an official diagnosis of a personality disorder, many mental health experts believe him to have some combination of Narcissistic Personality Disorder, Antisocial Personality Disorder (sociopathy), and Paranoid Personality Disorder.  When these disorders appear together in the same person, we call it malignant narcissism.

Malignant narcissism is different from garden variety NPD in that, due to the presence of ASPD, the person very often has a blatant disregard for the law or the rights of others. There is also an element of paranoia, which lends itself to a toxic belief in conspiracy theories and a belief everyone is against them. The malignant narcissist will often seek retribution or revenge on others they believe have wronged them.   Often, they are sadistic and actually enjoy inflicting pain on others (I believe Trump is one of these).  Garden variety narcissists are toxic and usually unpleasant to be around, and they can certainly be abusive if you are unlucky enough to have to live with or be in close contact with one, but unless they are also malignant, they aren’t necessarily sadistic or likely to engage in criminal or deliberately cruel behavior.  A few might even have selective empathy, though their “empathy” could just be an act to get what they want.  A malignant narcissist has no empathy and no conscience, and they cannot change.

Donald Trump certainly appears to be a malignant narcissist, based on what he says and does.  The Dark Triad is another term for this combination of dangerous disorders.  Trump seems to have all 9 traits of NPD (per DSM IV, which I prefer to DSM V), and most or all of the traits of ASPD.  He also has some traits of PPD.   While most mental health professionals still stand by The Goldwater Rule and refuse to give Trump a formal diagnosis, some are so certain that he is a malignant narcissist that they chose to disregard this tradition due to the clear and present danger they believed Trump posed to the country and the world.  They believed it was their duty to warn others.  Their conviction resulted in a book that was published early in Trump’s presidency called “The Dangerous Case of Donald Trump,” a compilation of essays by 27 psychologists and psychiatrists describing what makes  Trump so dangerous and which serves as a warning of the existential danger of a Trumpian future.

Due to this book, as well as a number of other well known people, books, and groups openly discussing Trump and his likely personality disorder has broadened the reach of the narcissistic abuse community and made terms such as gaslighting, NPD, narcissism, and blame shifting household words.   We are all victims of narcissistic abuse under this man.  Before Trump, the concept of narcissistic abuse wasn’t well known outside of the online narcissistic abuse community. That is no longer the case, so in a way, Trump has indirectly helped to educate the world about narcissism and the suffering and chaos it can create in relationships, families, countries, and the world.

This article I’ve linked to doesn’t describe Trump’s narcissism so much as it explains how someone like Trump could rise to power and infect an entire country with his pathology.  A Trump (or a Hitler or a Stalin or a Duterte or a Bolsonaro) cannot rise to power without the cooperation and encouragement of a sizable segment of the populace who can relate to or share Trump’s rage or even his pathology, and a political environment that is rife for someone like Trump.  The United States, a country that has rewarded narcissism and selfishness and punished empathy in recent years (a good example is Border Patrol police arresting Good Samaritans who left food and water in the desert for  migrants), was a Petri dish for someone like Trump.   He could not have risen to power forty or fifty years ago or even twenty or thirty years ago, when the idea of the greater good and the values of democracy were still the rule, not the exception, in the top tiers of of government.  Trump isn’t the cause of our downfall, but he is the glaring sympton of a desperately sick society and is certainly helping to fan the flames of destruction.  We can either address the problems that led to a demagogue like Trump, and fix the things that made us so sick, or we can ignore the warning siren and fall even deeper into the abyss of fascism.

The only issue I have with this article (and it’s a small one) is that I’m pretty sure more than 1% of the population (at least in America) suffers from NPD.  But as a society that rewards narcissistic behavior and punishes compassion, it might just seem that way, as such a society encourages even non-disordered people to emulate the traits of narcissism.

Unpacking Donald Trump’s Psychopathology Helps Explain the Toxic Reality Facing America 

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Further Reading:

Narcissistic Abuse in Trumpistan

We Need a Lot More Awareness About Narcissism and Psychopathy

Sociopaths Rule America

Trump’s Personality Disorder Brings Out the Worst in Everyone 

Hypermasculinity and Trumpism 

Donald Trump, Psychopath

dtangryface

Here’s an interesting, informative article from Patheos.com in which the author, Andrew Spitznas, makes an excellent case for Donald Trump being afflicted with Malignant Narcissism — Antisocial Personality Disorder, Narcissistic Personality Disorder, and traits of both Paranoia and Sadism.  Donald Trump displays all four elements, and the author gives examples of each.

Donald Trump, Psychopath

My only criticism is the author states that malignant narcissism is the same as psychopathy.  I disagree.  Psychopathy (as opposed to sociopathy, which it’s often confused with) is a congenital condition in which the brain is missing the structures responsible for the development of a conscience and empathy.   Thus, a person can be a psychopath even though there was no unusual trauma during childhood.  Psychopathy is not a personality disorder, but really a developmental disorder of the brain.  Psychopaths are often “bad seeds,” but not all psychopaths are criminals and some can even be trained to be prosocial (even though prosocial behavior will never come naturally to them).

Malignant narcissism is NPD plus ASPD (antisocial personality disorder), with traits of paranoia and sadism, and it is not a congenital condition.  Both NPD and ASPD are Cluster B personality disorders that develop due to early childhood trauma or neglect.  Children are not born with personality disorders; they are acquired.  While malignant narcissists are quite sociopathic and usually lack a conscience  (garden variety, non-malignant NPDs are not sociopathic, they usually have a conscience, and even sometimes have limited amounts of empathy), they are not psychopathic.    The sociopath’s — or malignant narcissist’s — emotional development was arrested so they never developed empathy or a conscience.   There is no evidence that anyone has ever been cured of malignant narcissism, though in rare circumstances, they may become self-aware.   Donald Trump is most certainly not self-aware, nor is he likely to ever become so.

While it’s entirely possible Donald Trump may be both a malignant narcissist and a psychopath, they are not the same thing.  It’s possible to be one without being the other.  I think the confusion arises because the behavior of a psychopath and a malignant narcissist (or a person with antisocial personality disorder/sociopathy) can be so similar.

Sociopaths rule America — but there’s an easy way to identify them.

<> on January 7, 2016 in Washington, DC.
The above photo, taken at a beer party celebrating “Trumpcare” passing the House last May, drove home to me exactly how cruel and sadistic Trump’s people really are.   It hit me like a ton of bricks.  They are literally laughing over millions of people losing their healthcare.

Since the very beginning of his term, Trump has surrounded himself with people who seem to lack empathy, conscience, or any sense of morality or scruples.    The good people left this administration early on, or were fired.   Later, those people who weren’t so good, but who still had some semblance of a conscience or morals lost their jobs or resigned.

By a process of attrition, Trump’s cabinet is now almost 100% sociopathic.    Trump doesn’t seem to care if the people who work for him care about We the People or have any sense of right from wrong or duty to the country.  In fact, it’s better for Trump if they don’t.   All Trump cares about is their loyalty to him.      Never do you see a shred of empathy from any of these people.   Human suffering doesn’t seem to bother them.  In fact, they seem to delight in causing it.   They never apologize or admit wrongdoing.  In fact, they’re very likely to project their own wrongdoings onto others, smearing and gaslighting innocent people and groups.  Their greed, sense of entitlement, arrogance, and selfishness is bottomless.   We have grifters like Scott Pruitt, whose outrageous and illegal fleecing of the taxpayers for his own self-benefit and entertainment may rival or even surpass Trump’s own.   As if it’s not already bad enough he’s ruining the environment and destroying the EPA from within (which is entirely intentional).   And yet he keeps his job.   In fact, Pruitt may be the one who gets to fire Bob Mueller should Trump fire Jeff Sessions.

All of the people working for Trump, based on their actions and words, seem to have one of the Cluster B personality disorders, most likely NPD, Antisocial PD (sociopathy), or psychopathy.    Many of these people are likely malignant narcissists, like Trump himself.  They serve as his flying monkeys and yes-men. 

There may be one or two non-disordered people left in the administration, who have severe problems with codependency and therefore have some pathological need to be pleasing to Trump, but I think even most of those people have been fired.  People with normal levels of empathy, who don’t feel entitled to cheat and steal, who care about the rule of law, and who have any integrity at all are nonexistent in this administration, and that is scary.

Their one saving grace is it’s fairly easy to identify them.

You can see it in their faces.

One thing I’ve noticed about Trump’s cabinet members, his most fervent sycophants and enablers,  his three elder children, and many Republicans who support this president is the deadness in their eyes.    Their eyes are cold, hard, and flat.   Sometimes they appear black, as if they are lacking irises.  When they smile, the smile doesn’t reach their eyes, making the smile appear mocking or threatening, or at the least insincere.

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NRA spokesperson Dana Loesch showing those cold, dead, black eyes.  Her expression is constantly angry and hate filled.   I strongly suspect malignant narcissism.  Coupled with those eyes that look like miniature black holes, her overall appearance is extremely intimidating — and that may be the point of using her in their ads.

Jared-Kushner-Getty
Jared Kushner has possibly the deadest looking eyes I’ve ever seen on a living person.  He literally looks like he’s dead.   He sold his soul a long, long time ago. Trump’s three oldest children also have the same dead look, though not as pronounced as Kushner.

A few of these people, rather than having those dead reptilian eyes, have eyes that sparkle with psychopathic glee, and they often wear a smirk, especially when they know their policies are hurting others (I’m looking at you, Paul Ryan).

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When is Paul Ryan ever not smirking?   Sometimes I think it’s his only facial expression.

Trump himself has eyes that are so scary I really can’t look at them.   I can’t even look at his face anymore, because I feel evil emanating from the image itself.   I feel like something in my soul is being eaten every time I have to look at him.    Malignant narcissists like Trump get worse over time, especially if they are given access to a great deal of power and influence.  Narcissistic supply is like a drug that increases the malignant narcissist’s need for even more adulation and worship.  As they try to consolidate even more power, their malevolence increases, and this can be chillingly seen in Trump’s facial expressions over time.   He never laughs.  When he smiles, which is rare, his smile is fake and never reaches his eyes.  Most of his recent photos are like this one, showing a combination of malevolence and childish petulance.  Others show him looking as enraged as a rabid dog, especially the ones taken at his hate-rallies.

President Trump Holds Joint Press Conference With Japanese PM Shinzo Abe
Trump’s default expression (besides abject rage) is childish petulance mixed with malevolence and festering hate.

Jack Brown, MD, is a physician who is an expert in reading body language and facial expressions.     He said there is a particular expression that sociopaths and malignant narcissists use much more frequently than normal people: what he calls the Elevated Central Forehead Contraction with a Partial (Insincere) Mouth Smile.  It’s a closed mouth, fake smile with the eyebrows drawn together as if the person is frowning.  It’s similar to a smirk, but not quite.  The overall effect is  mocking condescension and cruel contempt.   Brown says this expression is used often by serial killers, mass murderers, hardened criminals, and by everyday bullies and other people who lack empathy.

Here’s a very obvious example of this expression on hedge fund manager and convicted felon Martin Shkreli (the guy who became infamous for jacking up drug prices to ridiculous rates, making them unaffordable for most people).  He used it continuously while on trial during questioning.

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Martin Shkreli on trial, displaying Dr. Brown’s Elevated Central Forehead Contraction with Partial Mouth Smile, a dead giveaway of a disordered personality.

Here is the same expression, on Trump (who seems to use it quite frequently):
trumpsmirk

Brown says the ECFCWPMS is a default expression for Vladimir Putin (it’s a lot more subtle on him but is ever-present).  Putin appears to be a pure psychopath, rather than a malignant narcissist (which is why Trump looks up to him and tries to curry his favor).  Pure psychopaths are “stronger” than “mere” narcissists, who have that pesky neediness and emotional vulnerability that bring them so much shame.

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Stephen Miller (below) combines a cruel smirk with the reptilian dead eyes.  I think of him as the Joseph Goebbels of the Trump administration.   Trump naturally adores this guy and will probably never fire him.

stephenmillersmirk

Identifying human predators. 

If you are face to face with a sociopathic personality, you may feel as if their eyes are boring into your soul.   This is because they are human predators — they are sizing you up as potential prey and victims.   On a date or with a new person, you may feel as if the predatory stare indicates sexual or romantic interest. Failing to make the distinction between the predatory stare and sexual/romantic interest leads many a woman (and man) into dangerous and abusive relationships with people who live only to use other people because they don’t see them as fully human.

Beauty tip:  Constant lying may ruin your appearance! 

Another thing I’ve noticed is several of the women in the Trump administration, especially those whose job requires them to lie constantly to the public, attain a facial asymmetry that gets worse over time.   It also seems to age them faster than normal.  I don’t know if there’s anything scientific behind this phenomenon, but I have come to believe that constant lying will do this to your facial features.  If you want to retain your physical beauty, then, tell the truth!   Lying is, apparently, bad for both your soul and your physical appearance!

huckabeesanders
Huckabee Sanders looks like this whenever she’s lying.  Her eyes literally focus in two different directions and is very unsettling.   She’s only 35 years old but looks like she’s in her 50’s.  She has aged visibly since she took this post.

Kellyanne Conway
Can you trust a face that looks like this?   Constant lying has apparently done this to Kellyanne Conway’s face.  She used to be a fairly attractive woman until she took her job in the Trump administration.

The other day I read an article that said there is a new bill the GOP is trying to pass that will require a photo of Trump (and Pence) to be hung in every Post Office.   That’s something dictators do, not leaders of democracies.   Isn’t it bad enough we are daily inundated with sound bites and constant images of this president?  We can’t get away from him.  No other president has dominated the media, our conversations, our thoughts, and our very lives the way he has done.
What’s next — requiring that every American household hang a photo of Dear Leader in a conspicuous place, like they do in North Korea?

The old saying about “birds of a feather” are true.  Sociopaths and malignant narcissists like Trump attract other sociopaths and malignant narcissists, and they seek them out.   That’s because they know anyone with a conscience or empathy for others will refuse to work for them.    That’s where we’re at now.   We’re a country run by sociopaths.

For the sake of our own souls, our nation, and the world, learn to identify them.

Trump’s personality disorder brings out the worst in everyone.

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I think it’s pretty safe to say Donald Trump has a very malignant case of Narcissistic Personality Disorder and appears to fit all of its psychiatric criteria.    Unfortunately, he’s only the tip of the iceberg, merely a symptom of America’s soul-sickness.

Trump has surrounded himself with a staff of other Dark Triad or Cluster B personality-disordered types.   Congress and the Senate are also populated by people who appear to have no conscience or empathy, and only feel entitled to take from others to enrich themselves.    Many of them appear to have antisocial or psychopathic personalities.

Narcissists like Trump become codependent and simpering in the hands of psychopaths, because of their emotional neediness.   Vladimir Putin appears to using him to achieve his own nefarious ends of world domination or at least the destruction of western democracy. Trump, being a narcissist and therefore far more emotionally fragile than Putin, doesn’t realize he’s only being used and exploited.

I could go for pages speculating about the psychology of Trump, his enablers, and those who are using him for their own ends (and many have), and I feel pretty confident saying that almost his entire administration is made up of sociopathic and codependent types, the latter of which have mostly already left or been fired (Reince Preibus and Sean Spicer seemed more codependent to me than personality-disordered themselves).

I don’t see any obvious Borderlines in the Trump administration, although Trump himself appears to have a few Borderline or Histrionic traits.    As far as I can tell, Trump is the only obvious case of NPD.   The rest seem more like people with ASPD or psychopathy to me, seemingly emotionless and willing to use and enable Trump for their own ends.

How Trump brings out the worst in everyone.

Authoritarianism and racism are highly correlated with antisocial and narcissistic personalities, and we saw the worst of society become violent at the KKK rally and protest in Charlottesville, Virginia today.    The undercurrent of hatred in this country runs deep, and our election of a black president in 2008 and 2012 did nothing to quell it — if anything, the hatred and racism that were always lurking beneath the surface became even deeper and more toxic than at any time since the Jim Crow days.

America is a sick country and only a sick country would elect a malignant narcissist for its president and psychopathic or antisocial people for high political positions.    Trump isn’t the problem, since the problem would still be there whether or not he was president.   He is the ugly symptom, and is now bringing all the darkness out in the open.   We are finally seeing how deep this cancer runs and hoping against hope it hasn’t reached Stage Four.

In some ways this is a good thing, since now we can see exactly how sick our nation has become and how deep and dark the divisions between us really are.   But Trump also has a way of bringing out the worst traits in everyone he comes in contact with, even indirectly — in his administration, in his supporters, in his enemies, and in his opponents.  Even though I’ve never met the man, whenever he’s on TV I feel as if all the oxygen has been sucked out the room.  He’s everywhere.  You can’t get away from him.

Trump enables his cabinet members and sycophants in their lack of empathy, lack of conscience, and crass greed and selfishness.  They use him for their own ends and they know he will never call them out if they just keep on flattering him and giving him the praise he wants.

Trump brings out the worst in his staff.   He causes drama and chaos whenever his bottomless need for admiration and approval isn’t met — he will attack, devalue or discard whoever he believes isn’t giving him the approval he craves, even those who could benefit him.     He always has a scapegoat, always — even among those who have been loyal to him, like Mitch McConnell or Jeff Sessions.   Never in my life have I seen a White House so filled with drama and discord.   Even the Nixon administration at the height of Watergate seemed like a sanctuary of sanity in comparison.  Trump brings out the very worst in his staff, while anyone with a semblance of a conscience or a soul left has already resigned or been fired.

Trump brings out the worst in his supporters.  He enables them to display their authoritarianism, racism, hatred, and ignorance — even to the point of violence, as we see happening today in Charlottesville.   On social media, the rhetoric of his supporters has become increasingly hate-filled and ugly, to the point of threatening non-supporters with terrorism and even civil war against them.    Trump appears complicit in all this, and acts  as if it isn’t happening.

Trump brings out the worst in his non-supporters.   Many people are suffering from PTSD or even C-PTSD that has been retriggered by his constant gaslighting, projection, threats,  need for revenge, and denial of the truth.   Depression, despair, feelings of dissociation and unreality, and dread are problems for many Americans right now, and therapists even have a name for it:  Trump Traumatic Stress Disorder (TTSD).   Anger is also being triggered in his non-supporters, though not in quite the same way as in his supporters.   Righteous anger differs from hatred, and it may be the only good thing he’s bringing about.   He’s forcing his opponents to expose the truth about what has happened in our country over the past few decades and demanding that we change course — drastically, if necessary.

I was involved in a discussion on Twitter about Trump’s fragile ego, and we agreed that he seems to be a collapsed narcissist, who knows it’s only a matter of time before the whole house of cards comes toppling down and he’s exposed, even to many of his supporters, as the criminal and fraud he really is.   As he grows more desperate, he increases the volume on his endless demands for admiration and approval, holding more hatred-enabling rallies and even threatening nuclear war over a perceived insult from North Korea’s equally unhinged leader.   That’s how bottomless Trump’s emotional void is:  that he would be willing to send millions of people to their deaths — even the entire planet — just to save his fragile ego.  It doesn’t help that many far-right religious leaders are stroking his ego even more by telling him he’s been anointed by God.

We can never begin to think of what he’s doing is normal, because it’s anything but.

trump_2

That’s the sound of your soul being sucked into oblivion. 

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Further reading:

The Soul-Sucking, Attention-Eating Black Hole of the Trump Presidency.

Trump and his impressionistic speech: HPD or NPD?

make_america_great

I’m engaged in an interesting conversation in a Facebook group about Cluster B disorders. Someone raised an interesting point about Trump possibly having HPD instead of, or in addition to, NPD.   His “impressionistic speech,” which is a symptom of HPD, is a clue, but based on his inability to accept blame or criticism (and not just projecting it onto others), that seems a lot more NPD.

I’ll just let the actual conversation speak for itself because it raises some interesting points.  (There were more replies, but I’m leaving out the ones not relevant to the topic raised, which is Trump).

Someone in the group posted this question (who I will call Participant A) :

Random thought: Donald Trump initially appears NPD. But that fucking hair… the orange tan, and the impressionistic speech…makes me wonder if he’s not HPD, or at least comorbid. The one HPD I’ve known was basically a narc in a series of crazy outfits. And she sounded JUST like him with her wild lack of details, inappropriate sex talk and constant attention seeking behavior. Thoughts?  

Participant B:

I think a person with HPD might respond to all of the criticism a little differently than he does. He seems to hold tight to his grandiosity, a person with HPD would be more wounded and emotional. He ignores the fact that nobody wants to join his inauguration and even lies and pretends It’s sold out, inauguration dresses are sold out, etc. That looks like NPD to me.

Participant A:

The HPD I know did this exact thing though. I worked for her and while planning a conference she made me send out an email to supporters saying we had this amazing star studded line up (we had no one) and the tickets would soon be sold out (we had like 10 people signed up so far). As an NPD I personally would be too nervous to publicly fail, so I would opt to undersell the event, in case no one showed up, to save myself embarassment. If people show up, bonus points, because I look humble. She just threw wild shit out there with seemingly no concept of reality. Constantly contradicted herself too.

Participant B:

People with HPD are supposed to be more uncomfortable with criticism and more uncomfortable not being the center of attention. I think people with NPD have mental blocks up that sometimes don’t allow them to see when they’re disliked or unpopular. Maybe on a subconscious level they get it. I think a person with NPD might be better able to answer this though

Me:

I think it’s easier to have ASPD than NPD — NPDs and BPDs care very much what you think (even if they never admit it) while psychopaths and ASPDs generally don’t give a shit.

Participant B:

People with HPD are more easily influenced, they typically blame failure on others. He doesn’t even admit to any failure existing.  Superficial emotional displays or a little more agreement with the majority might be more HPD too…

Me:

That’s a good point. He could also be a somatic narc — with extremely tacky taste! Cluster B disorders often appear together, so it’s entirely possible he could be both NPD and HPD too. But no way is he *just* HPD — like Participant B said, he doesn’t admit to failure — ever.

Me (replying to Participant A):

I’ve heard that HPDs have “impressionistic speech” but I never understood exactly what that means. Can you give an example of Trump using this kind of speech? I’m not doubting you, but I’m just not sure what it is. Sort of a vagueness? Because he talks and talks and never actually says anything. Or it’s like word salad and makes no sense. Is that what you mean?

Participant A:

Earlier today, “It’s going to be Huge! We’re going to turn things around”. Ok, Donald, how are we going to do that? ” We will make America great again!” Lol. Literally just now: “My cabinet is so smart. We have the highest IQ of any cabinet ever assembled.” Oh ok, based on what fucking data? No explanation.

Definition and example of impressionistic speech: “A term used to describe a person’s speech when it consistently lacks in detail and emphasizes emotions. For example, if you asked someone what they thought of something, and they said that the thing was “just wonderful, fabulous”.”

Does he not consistently fit the bill, or what?

Me:

Ah, I see. My NPD mother (who I always suspected was HPD too) talked that way. “Everything was fabulous!” “Oh, I feel marvelous!” A lot of hyperbole, but no substance. At all. Yes, Trump does talk exactly like that and never can back up his grandiose claims. And people think he’s pissing gold.

HPD doesn’t seem to be that common for some reason. Or it gets diagnosed as BPD or NPD.

 

 

Deconstructing Cluster B stereotypes.

clusterb

This is a cute drawing circulating Facebook depicting the “typical” person with each of the four Cluster B personality disorders (I cannot give credit for it since I have no idea who drew it or where it originated).   While I understand it’s meant to streamline the overall feel of each of these disorders, they’re still stereotypes. Stereotypes certainly may have a grain of truth behind them, but it’s important to realize they are convenient shortcuts at best, and quite negative and damaging at worst.

Obviously, not everyone with these disorders is going to act the way they’re depicted in the cartoon.  Human beings, even those with personality disorders, are complicated creatures, and just as there are many variations in the general population, so there are many variations among any group of people with one of these disorders.

Here’s another cartoon (which I have used in several posts) that also depicts these disorders in much the same way as the above drawing.

cluster_b

ASPD:

I think it’s interesting that in both of these cartoons, the person with Antisocial Personality Disorder is a criminal type of individual making threats, either with a weapon or he is already in jail.   Both wear a sadistic expression.  Both are also male figures.    The reality is, not all people with ASPD are criminals or in prison.   They aren’t all serial killers.  Some have never committed a crime (or at least have never been caught).  In fact, the other group of people statistically most likely to have ASPD (or psychopathy) are the very high functioning CEOs of big corporations.   Many people with ASPD are in high profile careers like politics or entertainment.  Their lack of conscience and guilt feelings, coupled with a nearly non-existent lack of empathy (even narcissists have more empathy than a person with ASPD), make it easy for them to rise high in their fields and have no compunctions about firing people or “downsizing.”  Other people’s feelings are much less important than the “bottom line.”  Many high ranking people with psychopathy or ASPD are actually women.

It’s fascinating to me that the two groups of people most likely to have ASPD/psychopathy appear at each extreme of modern society: the low functioning ones locked up in prison and/or running from the law, and the high functioning ones running everything from giant companies to powerful countries.

NPD:

The person pictured with NPD is also a male in both cases, and both guys are dressed up in business suits.   One is holding a wad of cash, and the other is just arrogant, with a PhD (of bullshit!) on his wall.   Both are wearing arrogant expressions.  The reality is, many women also have NPD–females may constitute as much as half of all people with NPD, and I think it’s becoming more common (why else would there be so many narcissistic mothers and websites about them??)

Also, not all narcissists are of this grandiose, arrogant, showoffy stereotype.   Many narcissists are the fragile, vulnerable or covert type, and use their “altruism” or “niceness” to get supply (or put others on a guilt trip).  Or they present themselves as pathetic, put-upon victims who never take any responsibility for themselves and blame others for their miserable lives and failing relationships.    Granted, the vulnerable or covert type of narcissist is probably more likely to be a woman, but this isn’t always the case.   My mother was quite grandiose and arrogant, and so are many women you meet in business.

HPD:

Histrionic Personality Disorder (HPD) and BPD are both depicted by women in these cartoons.  In both cases, the woman with HPD is a femme fatale, exuding sexuality and demanding attention using her body and come hither expression.    Some histrionics are men though, and just act dramatic and over the top for attention.  It’s not always sexual attention they’re after.   I’ve seen many men with what appears to be HPD in the gay community (this is in no way meant to disrespect gay men, it’s just something I’ve noticed).   HPDs do tend to be more extroverted than the average person.

BPD:

The BPD women in the cartoons vary the most.  In the first drawing she is crying; in the second, she is split between devaluation and idealization.   The emotional instability of a borderline is a fact; but not all borderlines are female.   Males with BPD can act a lot like men with ASPD, due to their tendency to act on impulse and have hair-trigger tempers and fly into violent rages.  Borderline males are more likely to be imprisoned or have a criminal record than men with NPD, who prefer to keep their hands and reputations clean.  BPD women with this disorder can also be abusive toward others or even criminally-minded.  Or they can be codependent, or primarily self-destructive (this is probably the more common type in females).    There are so many manifestations of BPD that it’s a hard disorder to diagnose, probably harder than the other three.   Many people with BPD have addiction issues or eating disorders and hurt themselves more than they hurt others.  .

Dear Father…

dear_father_____by_tamingthetiger-d3iyrad
“Dear Father” by Taming the Tiger

I usually shy away from anything too spiritual or religious, because I do realize many of my readers are atheist, agnostic, or of differing faiths–and I respect their right to believe as they wish.   But today in church when the priest asked us to “add our own prayers,” I felt inspired to pray a particular prayer that has great meaning to me, for a myriad of reasons.   I would like to share it here, so maybe others can join me in prayer for these things that are so important to me.

*****

Dear Father,

You have created us all in your own image. I don’t believe you have left anyone out of your great bounty and the hope for eternal life, in spite of what some Christians and others believe.      I don’t believe that Christ’s death on the cross was a “limited atonement” meant only for a select few (as Calvinists believe).   I believe he died for us all, and offers all of us the chance for redemption and healing, no matter how hopeless things may seem.

PTSD, C-PTSD, and narcissistic abuse survivors.

God, please shower your grace and compassion on all victims of narcissistic abuse and all people suffering from PTSD and C-PTSD, that they may find comfort in your arms and be able to trust again, realize that there is still goodness in the world, and eventually, that they may find loving, healthy relationships and friendships that do not turn abusive.  Many survivors have turned to you when everyone else seemed to be turning away from them and rejecting them, and found that you were there and were listening.  But many, especially if they were rejected or scapegoated by their own families, are so damaged they have trouble trusting anyone at all, even You.   Please give them the courage to turn to you when things are at their darkest and it seems like they have no allies.  Please help them to trust you, and to heal from abuse, regain their sense of self worth and self-esteem,  and be whole and happy again. Please show them that what happened to them didn’t happen in vain, and that they are so much stronger than they realize because of the adversity they had to face.  Please let them feel the loving arms of Jesus Christ holding and protecting them from harm.  Guide them on the path to become whole again, and to use what they learned to help others heal, should that be your will for them.

Also, although anger is a necessary stage of healing (in order to leave an abusive situation or person), please allow victims who become trapped in their anger and hatred to be able to move on from it, because only then will healing be possible.   I’ve seen too many survivors who remain so mired in rage that they take on the traits of their abusers and acquire a victim mentality that does not allow them to move forward in their journey to healing.

As for myself, please don’t let me stray from the path you have set me on, which is beginning to be revealed to me. Please don’t allow me to become bogged down by envy, selfishness, or pride.   Don’t allow me to let my own will get in the way of what you have planned for me, for whenever I have forced my own will, it always turned out to be all wrong.

People with NPD, BPD and other Cluster B disorders.

God, please show these broken people who have made so many bad choices and act out toward others–usually because as children they were shamed for their own vulnerability by abusive caregivers or parents–that they do not need to rely on primitive defense mechanisms, abusive or aggressive behavior, or a “false self” in order to survive and be happy.   Please show them the beauty of their own inner vulnerability and that being sensitive can be a great strength and is never a weakness.   Please lift the scales from their eyes and show them that the things they have learned to believe about themselves and others are lies–and the truth is the opposite of what they have always believed.  Please remove the fear and shame  keeps them trapped inside cold, dark walls that separate them from their own vulnerability and the light of your grace.   If there’s a glimmer of their original soul left in them, please help that spark grow like a mustard seed within them and burn away the darkness that surrounds it.  Make them aware that their defense mechanisms are only allowing them to live the stunted, painful life of an emotional cripple, and that by jettisoning authentic feeling, they also jettison love, empathy and joy. With fewer people with narcissism and other “predatory” disorders in the world, there will be fewer abuse victims too.

In particular, please make my mother aware of what has happened to her (due to no fault of her own) and what she became, even at her very advanced age.   Even if it’s too late for her to be healed, at least remove the scales from her eyes and allow her the grace of redemption.

Our increasingly narcissistic society. 

Over the past 30 – 40 years, our western society–especially in America–has become increasingly cold, callous, lacking in empathy and compassion, materialistic, hubristic, and narcissistic.   Wealth and power are valued over compassion and love.   Individual achievement is valued over community involvement.   Greed and an “I got mine!” attitude is valued over altruism and compassion for the less fortunate.

Even families buy into this lie to the point of scapegoating family members who fail to “keep up” (or who are vulnerable or attempt to expose the family dysfunction).    Intolerance of those who are different, hatred, and racism abound.   Every day people die because they are the wrong color, wrong religion, or have a lifestyle that the Powers That Be believe is wrong.  Our society is like a huge dysfunctional family, complete with its narcissistic and abusive leaders, its golden children, and its scapegoats.  This should not be the case.  God,  please heal the hatred and fear that permeate our society and keeps people from being neighborly and charitable toward one another.  Please make dysfunctional families whole and healthy again, and give the scapegoats of both society and of dysfunctional families relief from their suffering and pain.  Make “the least of these” realize they are as worthwhile and valuable to you as the powerful ruling class who seems to have every earthly thing.

I ask these things in the name of your son, Jesus Christ.  Amen.

Family estrangement.

estranged-family-520w

Wikipedia has a good, in depth article about the sad phenomenon of family estrangement, which is related to shunning or ostracism.  Family members who have been estranged (ostracized or scapegoated) are likely to develop PTSD and have dismally low self-esteem.

Family estrangement occurs for a number of reasons, and is most common in societies that value individualism over the family, tribe, or community, so it’s more common in the United States than in other countries.    It’s also my personal opinion that it’s more common in upper middle class families who value material and financial success over loving relationships.  An adult child who fails to toe the line and make the family “look good” becomes an embarrassment to the family’s upwardly mobile aspirations, and becomes the scapegoat or is even rejected from the family.   They are also likely to be disowned.  The ostracized adult child, lacking financial and emotional support and a healthy sense of self worth (because nothing is more devastating to a person’s sense of self esteem than being rejected by one’s own family), often falls into poverty, illness, or mental illness, further shaming the “perfect” family.

The sense of shame of having been rejected by the people who are supposed to love you unconditionally is emotionally, spiritually, and even physically devastating.  It’s the worst kind of soul murder.  To make matters worse, it’s often the “truth teller” (the one who sees through the toxic family dynamics) or the most sensitive or vulnerable child who is shunned in this way.  The scapegoated or ostracized adult child is then blamed for their “failures” and told they brought their hard luck on themselves.

Cluster B personality disorders are very common in families where members become estranged, scapegoated or ostracized, because people with these disorders tend to lack empathy, which is the glue that holds families, tribes and societies together.   Substance abuse is also a common factor and may be co-morbid with Cluster B disorders (substance abuse being a very common but maladaptive coping tool among people with these disorders).

https://en.wikipedia.org/wiki/Family_estrangement

Why we must start trying to help “Cluster B” people instead of stigmatizing them.

Child roles in dysfunctional families.

dysfunctional-family
Credit: Artist unknown.

 

Wikipedia has an excellent, detailed article about dysfunctional family dynamics. Here I am just going to talk about the roles various family members play, and the kinds of families that become dysfunctional. If you’d like to read the whole article, click on this link:

https://en.wikipedia.org/wiki/Dysfunctional_family

Dysfunctional families are usually of two types:

1. One or more of the parents are active alcoholics or addicted to drugs.
2. One or more of the parents have a Cluster B disorder, usually Narcissistic Personality Disorder but sometimes Borderline Personality Disorder, Antisocial Personality Disorder, or Histrionic Personality Disorder (or a combination of any of these).

The Cluster B Connection.

Outside of alcoholics and drug addicts, dysfunctional family dynamics are most prevalent when one or both of the partners suffer from a Cluster B disorder, especially Narcissistic Personality Disorder or Malignant Narcissism.    After NPD, BPD is the most common disorder seen in the head of a dysfunctional family, though because it’s more common in women and Borderlines have more empathy than narcissists, BPD is most often seen in the codependent, passive partner.

ASPD (psychopathy or sociopathy) rarely appears by itself in dysfunctional families, as antisocial people and psychopaths tend to not be raising children at all (either because they’re incarcerated, their children have already been removed from the home, or they simply have no interest in raising children,) but a parent could have Malignant Narcissism, which is a combination of NPD and ASPD.   Also, people with pure ASPD, though more likely to be criminals or involved in illegal activities, tend to be less emotionally abusive than people with NPD or even BPD. They are merely selfish and lack empathy, and they are manipulative to get what they want, but they don’t care about getting emotional supply from others so they don’t engage in mind games like gaslighting, triangulating, projecting, and scapegoating (unless there is a material reward involved or they are trying to avoid culpability). However, some people with ASPD are sadistic and enjoy tormenting family members for fun.

Of all the Cluster B disorders, HPD is probably the least toxic (Histrionics are shallow, attention seeking, and dramatic, but not usually that abusive), but HPD is usually comorbid with another Cluster B disorder, such as NPD.

cluster_b_chart

In some cases, a non-Cluster B mental illness (such as Bipolar disorder) that causes abusive acting-out behavior may be the culprit, but it’s less common because most other mental disorders are less easily hidden from others and the person appears “crazier.” Non-Cluster B disorders are also more easily treated with drugs or therapy, and except for psychotic disorders such as Schizophrenia, the afflicted person knows they have a problem and are more likely to seek help.

Cluster B and addictive disorders. 

Parents of dysfunctional families can also be both mentally ill and addicted to drugs or alcohol. The two often go together. In fact, alcoholism and drug addiction are extremely common in people with Cluster B disorders. Alcohol and drugs are their attempt to fill the emptiness they feel inside themselves.

Even if an alcoholic or drug addict doesn’t have an underlying Cluster B disorder, the behavior of an active addict/alcoholic is very similar to someone who has NPD. The only difference in the behavior of a narcissist and someone with active alcoholism is that for the narcissist, the “fix” is emotional; for the alcoholic, it’s chemical. A non-Cluster B active addict or alcoholic can be every bit as emotionally abusive, self-centered, and manipulative as someone with NPD. Only getting their next fix is important. (As an aside, it’s interesting to me that the 12 steps of AA and other 12-step programs almost all address the problem of narcissism by encouraging humility, responsibility, and amend-making. A person on a so-called “dry drunk” is basically a sober person acting out in narcissistic ways, which may be their nature).

The Codependent Partner.

Sometimes only one partner has a mental disorder or addiction, but the non-afflicted parent is always going to be codependent to them. The codependent parent, whether they have a disorder or not, almost always suffers from PTSD or Complex PTSD. If both parents have a Cluster B disorder (which I think is usually the case), the one who has NPD or Malignant Narcissism is almost always going to call all the shots and dominate the other family members. If a Borderline is paired up with a Narcissist, the Borderline is almost always going to be codependent to the Narcissist, colluding in the abuse but also being abused themselves. Similarly, if a Covert Narcissist is paired up with an Overt Narcissist, the Covert one is going to be codependent to them and possibly abused. Such a scenario can lead to the Borderline or Covert Narcissist developing Stockholm Syndrome (identifying with and colluding with their abuser). Non-Cluster B codependents can also develop Stockholm Syndrome, because it’s a complication of C-PTSD. The codependent parent often (but not always) has a high degree of empathy, which is what drew them to the narcissist in the first place, in a misguided belief that they could “fix” them or they were led to believe that the narcissist could “rescue” them.

The Roles of the Children.

In the ACON community, there’s a lot of talk about Scapegoats and Golden Children, but there are other roles children can play in a family that are rarely addressed. In a two child family, most likely there will be a scapegoat and a golden child, but in larger families, there can also be a Lost Child, a Clown, and a Rescuer (codependent). It’s unhealthy for a child to be in any of these roles, but the Scapegoat and Golden Child role are probably the most dangerous to a child’s mental and emotional health, for different reasons. Even in a two-child family, the roles can shift back and forth (according to the Wikipedia article, families in which the children’s roles change and shift are called Balkanized families–this alludes to the constantly shifting loyalties and borders of the Balkan countries in Eastern Europe).

1. The Scapegoat.

scapegoat

Both this and the Golden Child role are the soul-killing roles, but for different reasons. The Scapegoat is the child who is targeted by the narcissistic (or alcoholic) parent. The parent often is able to get the rest of the family to serve as flying monkeys and gang up on that child, projecting anything they don’t want to “own” onto them. Like the sacrificial goats described in the Bible who were banished to the wilderness and tormented by villagers, the Scapegoated child carries all the shame the rest of the family doesn’t want to confront or deal with. All the unwanted emotions and bad qualities are unloaded and projected onto them, so the abusers don’t have to confront or deal with these problems in themselves.

Usually it’s the most sensitive child of the family who becomes the Scapegoat, because that child tends to be the Truth Teller, the only family member who can see the dysfunction and may even react against it. The most sensitive child, being the child who shows the most emotion, is also a threat to the narcissists in the family because emotional expression is such a frightening thing to them. In many, if not most dysfunctional families, the expression of emotion is not allowed. So the most emotional or sensitive child becomes the scapegoat, especially if they rebel against the dysfunction or criticize it.

The Scapegoat may be assigned the role of Bad Child, the Loser, the Stupid One, the Ugly One, the Crazy One, the Weak One, or any combination of these. No matter what they do, they cannot please the parents (or the siblings who have been turned against them). Scapegoat Children usually develop severe C-PTSD or possibly another mental disorder, and having been trained to be victims and never given the emotional, financial or other tools to succeed in life, tend to fulfill their families’ predictions of being “losers,” so then their families can say to others, “See? This child really is worthless.”

Scapegoated children also tend to attract other abusers throughout their lives and are at risk for being targeted for bullying even as adults and for entering into abusive relationships. If the adult child doesn’t go No Contact, the abuse continues, usually through some form of isolation, silent treatment, or exclusion. Scapegoated adults are talked badly about by the family and not invited to family functions. They are given no emotional or financial support, even though other members of the family are given these things. It’s not unusual for a scapegoated adult child to be living in poverty, even if their families are wealthy–not only because they were denied financial support when they needed it, but also because their self esteem took such a terrible beating that they have no confidence at all and never take any risks that could improve their lives. Severe C-PTSD can also cause a person to have an inability to focus or concentrate or set realistic goals.

A Scapegoat isn’t always a child. It can also be a parent, in which the children are turned against that parent by the abusive one.

2. The Golden Child.

girl with a gold medal and cups.

The Golden Child, often (but not always) the eldest child, is the parent’s trophy, pride and joy. The parents may seem to love that child, but being incapable of real love, their “love” is conditional and is based on their fantasy of what they want that child to be, not on who the child really is. The child is assigned to be a Mini Me of the narcissistic parent.

The Golden Child, basking in constant approval, showered with toys and gifts, never held accountable for any wrongdoing (which may be projected onto the Scapegoat), and often recruited as a co-abuser in the abuse of the Scapegoat, grows up entitled, grandiose, and spoiled. Because their Real Self has never been appropriately mirrored and their less than perfect traits are ignored or projected onto someone else, and because they were rewarded for playing a the role of the Perfect One, a Golden Child in a family is the most likely to develop NPD and become a clone of the abusive parent. In this way their souls are destroyed even more than the Scapegoat’s. To continue to be the parent’s favorite, they had to play a role which became internalized. This becomes their False Self. After awhile, they are no longer able to access their Real Self at all. Golden Children who have become narcissistic continue their entitled, bullying, manipulative, grandiose behavior into adulthood and are likely to head dysfunctional families themselves, continuing the cycle.

A non-Golden Child, even a Scapegoat, can become a narcissist too (usually the covert form of NPD), for self-protection, but Golden Children tend to develop the grandiose, malignant form of narcissism and as such, are the least likely to ever seek help for their disorder or admit they have become abusers themselves.

3. The Lost Child.

lostchild

In larger families (three or more children), one child is likely to be ignored and treated as if they don’t exist. This isn’t a form of silent treatment; it’s as if the parents don’t notice the child is there at all. The Lost Child isn’t victimized like the Scapegoat, but they aren’t spoiled either. They may or may not be recruited to assist in the abuse of the Scapegoat, but they won’t necessarily be punished if they don’t cooperate; they will simply be ignored. The Lost Child tends to be quiet and shy, and not make any waves. They are probably aware of the family dysfunction and may sympathize with the scapegoat (but don’t let anyone know this). As they grow older, they may crave attention or develop addictions, or they may remain shy and retiring throughout their lives. They tend to avoid confrontation and drama, and may become extremely introverted.

4. The Clown/Mascot.

classclown

The Clown/Mascot attempts to divert attention away from the family dysfunction (and also get attention for themselves) by making light of everything. Everything becomes a joke to them, and they even use their own families as sources for humor. Clowns can be disruptive in class as children, to get attention, but because of their ability to see the humor in things, they tend to be outgoing and develop a large circle of friends during adolescence and adulthood (even if they are never taken very seriously). Family Mascots are almost never scapegoated, because they entertain everyone and take the focus off the family problems.

David Sedaris, a writer and humorist, is a good example of this dynamic at play.  Several writers in the ACON community (and even outside that community) were outraged by Sedaris’ callous essay (“Now We Are Five,” which appeared in the New Yorker after his younger sister, Tiffany, committed suicide).   Tiffany was clearly the family scapegoat and had evidently gone No Contact with the rest of the family. At the time of her death, she was living in poverty and only had, as her father put it, “two lousy boxes” of belongings. I don’t know all the details, but it seems as if she was offered no support, either emotionally or financially, in spite of the family’s wealth and Sedaris’ success as a writer. She was probably mentally ill, but her mental illness may have been due to being the family reject.

In a candid interview Sedaris gave for Vice, he describes Tiffany and her relationship with the rest of the family. His words are very telling.

Even as a child I looked at my sister and wondered what that would be like, not to feel the warmth of my mother’s love. Tiffany didn’t. There was always a nervous quality about her, a tentativeness, a desperate urge to be in your good graces. While the rest of us had eyes in the front of our heads, she had eyes on the sides, like a rabbit or a deer, like prey, always on the lookout for danger. Even when there wasn’t any danger. You’d see her trembling and think, You want danger? I’ll give you some danger

It’s been suggested that David Sedaris is himself a narcissist (possibly the golden child) and that could certainly be true, but I also suspect he served a secondary role as the family Clown/Mascot. His callousness toward Tiffany in his famous essay (and grandiosity about how great the rest of the Sedaris family was–it’s very common for narcissists who were golden children to hold their dysfunctional families up as paragons of perfection) seemed to be drawn both from narcissism and from a need to hide his anger and pain behind a wall of humor. Here’s a link to his essay (it’s heartbreaking and may be triggering):

Now We Are Five

The accompanying photo is interesting. Tiffany, the second to youngest child in a family of six children, sits in the bottom right hand corner. Her hair is cut short and unkempt, and she looks very unhappy. David, wearing the glasses, stands above her. Actually, none of the kids look very happy. Not a smile in the bunch.  Something’s definitely not right about this family.  It’s common to see family portraits where no one is smiling in the 18th or 19th centuries,  but not in the late 1960s, when this photo was taken.   Here’s another photo, from the Vice interview, where only Tiffany (again in the bottom right hand spot) looks desperately unhappy and disconnected from her siblings.

tiffany_sedaris
Credit: Vice.com / Left to right: Amy, David, Gretchen, Paul, Lisa, and Tiffany

I used to enjoy Sedaris’ writings and looked forward to his books and essays, but after this essay, I just can’t read him anymore. (Augusten Burroughs is a better alternative and doesn’t seem to be a narcissist).

In spite of their raucous and jovial manner, Clowns are likely to be depressed because they have never learned to confront or deal with their true feelings.  They hide behind a wall of laughter.  Their sense of humor is really just a cover for their pain. Many Clowns become addicted to drugs or alcohol, and a few become suicidal. Many of our great comedians served the Clown role in their families. I don’t think it’s a coincidence that so many of them had drug issues or killed themselves.

5. The Rescuer.

superman_child

This is the codependent child who attempts to “fix” the family dysfunction by being obedient, always good, non-confrontational, overly generous, and self-sacrificing. The Rescuer may be highly empathic. The Rescuer tries to serve all the needs of the narcissistic/addicted parent, which of course is not possible. They will never argue with or criticize the narcissistic parent, and are always trying to get everyone to get along, which also is not possible. They may be the only family member who doesn’t abuse the Scapegoat, but they might if they feel like it’s required. However, even if they do collude in the Scapegoat’s abuse, they will be less abusive than the other family members, tending to take a back seat or even sympathize with the Scapegoat in private. In trying to please everyone, they please no one, and grow up feeling impotent and helpless. It’s a no-win situation.

When Rescuers become adults, they tend to unconsciously look for other abusers to “rescue,” having failed to do so in their families of origin. Like Scapegoats, Rescuers are likely to become abused themselves as adults, but it’s hard for them to leave an abuser because of their high level of empathy which keeps them tied to the abuser in their attempt to want to “help” them. They also tend to fall for an abuser’s promises to change and are easily “hoovered” back into a codependent relationship.

Shifting Roles.

In Balkanized families, the child roles can shift. The most common situation is a Golden Child becoming a Scapegoat, often upon reaching adulthood, if they fail to fulfill the unrealistic expectations put on them. (“You were such a disappointment to me!”) If a Scapegoat goes No Contact or leaves the family for some other reason, another child, possibly the Lost Child, becomes the new Scapegoat. Someone has to carry all the family shame.  If the family only has two children, the Golden Child may find themselves suddenly scapegoated or serving both roles.

Children who serve as both Scapegoats and Golden Children (very common in only children)  often develop Borderline Personality Disorder as well as severe C-PTSD and possibly other mental disorders like Dissociative Identity Disorder (almost always the result of severe emotional abuse).

Serving as both a Scapegoat and Golden Child is the ultimate mindf*ck because there isn’t even any consistency. The child never knows if they will be punished or rewarded from one minute to the next. Their only advantage (if they are an only child) is that they don’t have siblings who have been turned into flying monkeys who collude in the abuse.

If the family ever develops a need for a new Scapegoat (if the Scapegoat goes No Contact, dies, or disappears), the Lost Child is usually picked as a replacement, due to their non-confrontational, malleable temperament and lack of any real pre-existing role in the family.