The Lonely Narcissist
By: Dr. Sam Vaknin
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NPD (Narcissistic Personality Disorder) is often diagnosed with other mental health disorders (such as the Borderline, Histrionic, or Antisocial Personality Disorder). This is called "co-morbidity". It is also often accompanied by substance abuse and other reckless and impulsive behaviours and this is called "dual diagnosis".
But there is one curious match, one logic-defying co-appearance of mental health disorders: narcissism and the Schizoid Personality Disorder.
The basic dynamic of this particular brand of co-morbidity goes like this:
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As you can easily see, the narcissistic landscape is fraught with contradictions. The narcissist depends on people - but hates and despises them. He wants to control them unconditionally - but is also looking to punish himself savagely. He is terrified of persecution ("persecutory delusions") - but seeks the company of his own "persecutors" compulsively.
The narcissist is the victim of incompatible inner dynamics, ruled by numerous vicious circles, pushed and pulled simultaneously by irresistible forces.
A minority of narcissist (I am one) choose the SCHIZOID SOLUTION. They choose, in effect, to disengage, both emotionally and socially.
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