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borderline personality disorder

"One can truly say that the irresistible progress of natural science since the time of Galileo has made its first halt before the study of the higher parts of the brain, the organ of the most complicated relations of the animal to the external world. And it seems, and not without reason, that now is the really critical moment for natural science; for the brain, in its highest complexity-the human brain-which forged and creates natural science, itself becomes the object of this science." - Ivan Pavlov

A pervasive pattern of instability of interpersonal relationships, self-image and affects, as well as marked impulsivity, beginning by early adulthood and present in a variety of contexts, as indicated by five (or more) of the following:

1. Frantic efforts to avoid real or imagined abandonment.
Note: Do not include suicidal or self-injuring behavior covered in Criterion 5

2. A pattern of unstable and intense interpersonal relationships characterized by alternating between extremes of idealization and devaluation.

3. Identity disturbance: markedly and persistently unstable self-image or sense of self.

4. Impulsivity in at least two areas that are potentially self-damaging (e.g., promiscuous sex, eating disorders, binge eating, substance abuse, reckless driving).
Note: Do not include suicidal or self-injuring behavior covered in Criterion 5

5. Recurrent suicidal behavior, gestures, threats or self-injuring behavior such as cutting, interfering with the healing of scars (excoriation) or picking at oneself.

6. Affective instability due to a marked reactivity of mood (e.g., intense episodic dysphoria, irritability or anxiety usually lasting a few hours and only rarely more than a few days).

7. Chronic feelings of emptiness

8. Inappropriate anger or difficulty controlling anger (e.g., frequent displays of temper, constant anger, recurrent physical fights).

9. Transient, stress-related paranoid ideation, delusions or severe dissociative symptoms





Norma Jeane Mortenson was born in 1926 and her parents divorced in 1928.

Her mother, Gladys, gave Norma Jeane to the Bolenders for fostering until she was seven.

Norma Jeane came to believe the Bolenders were her parents until Gladys reappeared.

When Norma Jeane was nine, Gladys was taken to a psychiatric hospital and Gladys's friend Grace became the young girl's guardian.

Grace soon married Ervin Goddard and Norma Jeane was sent to the Los Angeles Orphan Home and then to a series of parental surrogate homes.

Two years later she went back to live with Grace but was sexually molested by Goddard.

1942 At sixteen Norma Jeane marries a neighbor, James Dougherty, to avoid being returned to the orphanage.

1954 Norma Jeane marries Joe DiMaggio.

1956 Norma Jeane marries playwright Arthur Miller.

Marilyn Monroe hated being alone and was terrified of being abandoned.

Marilyn Monroe was in and out of psychiatric clinics, diagnosed with borderline personality disorder and attempted suicide at least three times.



narcissistic personality disorder

narcissistic personality disorder



A pervasive pattern of grandiosity (in fantasy or behavior), need for admiration, and lack of empathy, beginning by early adulthood and present in a variety of contexts, as indicated by five (or more) of the following:

1. Has a grandiose sense of self-importance (e.g., exaggerates achievements and talents, expects to be recognized as superior without commensurate achievements).

2. Is preoccupied with fantasies of unlimited success, power, brilliance, beauty, or ideal compassion.

3. Believes that he or she is "special" and unique and can only be understood by, or should associate with, other special or high-status people (or institutions)

4. Requires excessive admiration.

5. Has a sense of entitlement, i.e., unreasonable expectations of especially favorable treatment or automatic compliance with his or her expectations.

6. Is interpersonally exploitative, i.e., takes advantage of others to achieve his or her own ends

7. Lacks empathy: is unwilling to recognize or identify with the feelings and needs of others.

8. Is often envious of others or believes others are envious of him or her.

9. Shows arrogant, haughty behaviors or attitudes.


Theodore Millon identified five subtypes of narcissist.

Alexander Lowen specified five subtypes in "Narcissism: Denial of the True Self".



antisocial personality disorder (psychopathy)



A pervasive pattern of disregard for and violation of the rights of others begining by 15 years of age, in a pervasive pattern by 18, as indicated by three or more of the following:

1. failure to conform to social norms with respect to natural behaviors as indicated by repeatedly performing acts that people disapprove of;

2. deception, as indicated by repeatedly lying, use of aliases, or conning others for personal profit or pleasure;

3. impulsiveness or failure to plan ahead;

4. irritability and aggressiveness, as indicated by repeated physical fights or assaults;

5. reckless disregard for safety of self or others;




6. consistent irresponsibility, as indicated by repeated failure to sustain consistent work behavior or honor financial obligations;

7. lack of remorse, as indicated by being indifferent to or rationalizing having hurt, mistreated, or stolen from another;

8. The occurrence of antisocial behavior is not exclusively during the course of schizophrenia or a manic episode.

The prevalence of this disorder is 3% in males and 1% from females.

Evidence points to the possibility that children develop antisocial personality disorder as a result of environmental influence on genetic disposition.

A repetitive and persistent pattern of behavior in which the basic rights of others or major age-appropriate societal norms or rules are violated, as manifested by the presence of three (or more) of the following criteria in the past 12 months, with at least one criterion present in the past 6 months:

Aggression to people and animals

(1) often bullies, threatens, or intimidates others

(2) often initiates physical fights

(3) has used a weapon that can cause serious physical harm to others (e.g., a bat, brick, broken bottle, knife, gun)

(4) has been physically cruel to people

(5) has been physically cruel to animals

(6) has stolen while confronting a victim (e.g., mugging, purse snatching, extortion, armed robbery)

(7) has forced someone into sexual activity (is a rapist)


Destruction of property

(8) has deliberately engaged in fire setting with the intention of causing serious damage

(9) has deliberately destroyed others' property (other than by fire setting)


Deceitfulness or theft

(10) has broken into someone else's house, building, or car

(11) often lies to obtain goods or favors or to avoid obligations (i.e., "cons" others)

(12) has stolen items of nontrivial value without confronting a victim (e.g., shoplifting, but without breaking and entering; forgery)

Serious violations of rules

(13) often stays out at night despite parental prohibitions, beginning before age 13 years

(14) has run away from home overnight at least twice while living in parental or parental surrogate home (or once without returning for a lengthy period)

(15) is often truant from school, beginning before age 13 years

The disturbance in behavior causes clinically significant impairment in social, academic, or occupational functioning.


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