this post was submitted on 26 Nov 2024
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Taking words away from people that they use to describe their abusers (narcissist, psychopath) is going to hurt people who don't deserve it (schizophrenia, etc) when you lump it all together as abelism. That's my point.
In my opinion, they did put abuser disorder in the DSM. Here's the diagnosis criterion for NPD (need 5/9, must be maladaptive) Notice how its just the description of an emotionally abusive person, when you need 5 and its gotta be bad enough to affect your life?
This is from Wikipedia, btw, I dont own the manual and cant find it online. DSM is just a guide to help psychiatrists give treatment to people who need help, not a list of descriptors you can no longer use.
Is it really? Let's do some math.
The way other people feel about themselves isn't an attack on you. You don't have the right to police other people's level of self esteem. Abusive traits so far: 0/1
The way other people feel about themselves isn't an attack on you. You don't have the right to police other people's level of self esteem. Abusive traits so far: 0/2
The way other people feel about themselves isn't an attack on you. You don't have the right to police other people's level of self esteem. Abusive traits so far: 0/3
Other people having needs isn't an attack on you. You don't have the right to police other people's needs. You can say no, you can say you don't personally want to be asked or expected to do it, you can't get mad at people for wanting something. Abusive traits so far: 0/4
This is called being a Karen, not being an abuser. Abusive traits so far: 0/5
This one is abusive. Abusive traits so far: 1/6
Other people not having the feelings you want them to have isn't an attack on you. You don't have the right to police other people's feelings. Abusive traits so far: 1/7
Other people having bad feelings isn't an attack on you. You don't have the right to police other people's feelings. Abusive traits so far: 1/8
The way other people feel about themselves isn't an attack on you. You don't have the right to police other people's level of self esteem. Abusive traits so far: 1/9
Okay, we did the math and found that only one out of nine traits is abusive, and given five are required for a diagnosis, it's reasonable to assume most people with NPD don't have any symptoms that make them abusers. On the other hand, most of the traits you called abusive were just other people's feelings you don't like. So it sounds like you're just interested in being the thought police and acting like the contents of other people's heads is an attack on you. Which, you know, is a method abusers use to control their victims. Drag doesn't like you.
Alright Drag, that's fine. I usually respect what you have to say that's why I took the time to type all that out. I'll stay out of your replies in the future.
I'm just going to point out the criteria is "maladaptive" not being a Karen sometimes, so I don't agree with your ratings. Being a pain in the ass sometimes isn't the same as having something so wrong with your personality that you need a pathological label.
I'm pointing out a word people have used for thousands of years to reference antisocial behavior really shouldn't be called ableism, because when you do that, you weaken the word ableism. That's hardly thought policing.
Sorry about the aggression. Drag thought you were unfairly judging people for the way they are, and wanted to make you feel the way you make people with NPD feel.
Drag thinks you've maybe understood the meaning of the word "maladaptive". It doesn't mean hurting other people. It means hurting yourself. Remember, diagnoses are part of medicine. Medicine is about helping the patient. It's not about judgement. People with NPD require an excessive need for praise, and it's maladaptive because it hurts them. The diagnostic criteria don't have anything to do with whether it hurts other people. That's not a factor.
Drag interpreted your statements as wildly aggressive, because drag assumed you knew this. Drag can forget how little some people know about the field of medicine. Try to think about what you said in the context of the maladaptivity applying to the patient: "You have feelings that hurt you, and having those feelings is an act of abuse." That's what the discourse is if everyone understands that medicine is about helping patients. Drag forgot that not everyone spends hours pondering the philosophical purpose of medicine.
Anyway, before drag hits post, drag wants to share an article drag read which really contextualised the last two thousand years of history of the use of the word "narcissist": https://medium.com/@viridiangrail/narcissus-wasnt-an-abuser-he-was-queer-15a74e456838. The people who said the word started out being about abuse lied to you.
Honestly, drag agrees with your mother in law on one thing: the psychiatrist who told your husband he doesn't have NPD wasn't following professional standards.
Lack of self reflection is not a diagnostic criteria of NPD. That psychiatrist was not following the DSM, they were following their own preconceptions. That's not ethical. And it's not supported by the research, either, because the current research actually shows that people with NPD struggle with self doubt a lot. That's where the "excessive need for admiration" comes from. They need to be told they're not a failure. Your husband needed to be told he's not a bad person. Drag isn't saying your husband has NPD; he probably doesn't. Drag is saying the psychiatrist's reason was wrong.
Maybe your psychiatrist is actually competent, and was telling a comforting lie to soothe your husband's fears. Or maybe they were letting their preconceptions and stereotypes compromise their professional judgement.