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by hoopladler 3059 days ago
>Trashing the planet for future generation is certainly reprehensible and not particularly clever, but it isn't narcissism in the official psychological sense. (DSM edits aside.)

I absolutely agree. My point is more that, the hidden criterion in basically every entry in the DSM is, can they make it work?

If you're in and out of jail, psychiatric care, or homeless shelters, you're far more likely to be of interest to a psychiatrist than somebody who is 'high-functioning', simply because the notion of treatment only makes sense in the context of suffering, and treatment only works if the patient actively participates.

My point wasn't that older generations are narcissistic. It's simply that, those in younger generations who have the same mindset probably would be - since you would find them in the aforementioned homeless shelters, or at the very least, in deeply dysfunctional material circumstances.

Equally, as culture shifts, so do attitudes towards what we consider appropriate empathy, self-love, grandiosity, or self-involvement.

So across the generational divide, sound strategies like 'follow your heart' become things that only people who are severly, practically dysfunctional would say - since it's neither in keeping with the material circumstances of the new generation, nor in keeping with their discourse.

EDIT: I just realized I thought you were responding to me, then realized you were responding to the poster above.

1 comments

> My point is more that, the hidden criterion in basically every entry in the DSM is, can they make it work?

That's usually not hidden; criteria involving degree of social problems are associated with other of the symptoms are openly part of the criteria for many disorders.

Sure - but I think it's understated how important that stuff is. If you go into a psychiatrists office looking like a mess, you're absolutely, by the book, going to be more likely to accrue a diagnosis. This isn't a critique of psychiatry - it's just a natural result of the DSM being a statistical manual.

It also makes any notion of 'absolute' personality disorder a kind of contradiction in terms.