As a blogger, I pay attention to what readers want to know about. I’ve noticed that articles about three particular types of personality disorders (PDs), narcissistic, borderline and sociopathic, are often the most read.
Since my specialty (and the topics of my books and blogs) is Childhood Emotional Neglect or CEN, I can tell you that adults who grow up with emotional neglect often seem to attract people with personality disorders. That’s because CEN teaches you to take up little space, and those with personality disorders tend to take up a lot. It’s a classic case of opposites attracting.
People who find themselves involved with a personality disordered person may often find themselves getting hurt. I have noticed that the folks who comment on posts about PD’s very often express a mixture of strong emotions like confusion, hurt, anger and helplessness. Clearly, a great many people are hungry for information and guidance on how to handle relationships with these complex people in your lives.
Here are some example questions I’ve received from readers asking for guidance on dealing with a narcissistic or sociopathic person in their lives.
“Such a pity that escape (divorce) seems to be the only viable outcome. I’ve had to divorce my wife, but she still controls the minds of my now young adult daughters, so now I live with the pain of this alienation.”
“Does it serve a purpose to see a narcissistic parent’s condition coming from childhood emotional neglect? Yes. Once I realized that possibility, I looked at myself and realized how I often did to others exactly what my father did to me: because he left me with the same fragile sense of self. Fortunately I did not pass it on to another generation, having decided to end the bucket chain of abuse.”
The world is full of people who struggle with personality disorders. In truth, the numbers are staggering. 6% of the U.S. population has a narcissistic personality disorder. 5.6% has a borderline personality, and 1% has antisocial personality (according to the National Institute of Health).
With these numbers, there’s a reasonable chance that you’ve met, befriended, been related to, or fallen in love with at least one of these personality types.
These three personality disorders are all different. Narcissists are known for being self-centered. Those with borderline personality are known for being unpredictable and highly emotional. And antisocial personalities (or sociopaths) are famous for their brutality. Generally, these three PD’s can best be understood by their ability or inability to feel two very important emotions: guilt and empathy.
Narcissistic Yes No
Borderline Yes Yes
Sociopathic No No
Here are the Four Main Questions About PD that I see you, our readers, struggling with:
1. What causes personality disorders?
We don’t know for sure, but current science tells us that it’s a combination of genetics and childhood experiences, such as emotional abuse and unpredictable parenting characterized by the repeated, sudden withdrawal of love and approval by the parent or love based on false, self-serving, or superficial factors. Neither nature nor nurture alone is probably enough to produce a personality disorder; most research indicates that it takes a combination of both.
2. Why didn’t I realize sooner that my husband/sister/father/friend, etc. has a personality disorder?
First, I’d like to suggest that you stop asking this question because it sounds like you are blaming yourself. The huge majority of people have no idea what a personality disorder is, or how to recognize it. Folks with narcissistic or borderline personality are not simply all good or all bad. They have very lovable qualities, and very maddening qualities, just like everyone else. This is why even mental health professionals require a good amount of time to make a diagnosis of personality disorder.
Sociopaths, however, fall into a special category of their own. Unlike people with borderline and narcissistic personalities, sociopaths have no capacity for guilt. But that is a very difficult thing to see in someone, especially when that someone is both highly charismatic and skilled at faking guilt and other emotions. Unfortunately, sociopaths, the most emotionally ruthless people among us, are also the most difficult to recognize.
3. Do people with personality disorders know what they are doing? Is he/she hurting me on purpose?
For sociopaths, the answer is simple: yes. Many sociopaths actually take pleasure in manipulating and hurting others. They view (and treat) the people in their lives like chess pieces.
For narcissists and borderlines, the answer is not so clear, because both of these groups are scrambling to protect their fragile inner core. The narcissist’s greatest fear is that you will see what he/she feels about herself deep down: worthlessness. Whereas the borderline person’s greatest fear is that you will abandon him.
Narcissists appear to not care if they hurt you, but it’s because they are extremely focused on protecting themselves. Borderline folks are at the mercy of their own pain and have little energy left over to offer care for others. They are capable of both guilt and empathy, but often cannot access either.
Most narcissistic and borderline people are not purposely inflicting pain or misery on others. They are more like a bull in a china shop.
4. I now hate someone I used to love. Is it OK to kick this person out of my life?
It all depends on what he/she has done, and what is your relationship with them. Of course, you must protect yourself and your children above all. And the type of PD you’re dealing with matters. Unfortunately, many people share traits from all three, making it difficult to know.
If this person is a family member, spouse or co-parent, and is not a clear sociopath, I recommend a delicate balance of self-protection and as much empathy as you can muster for the true pain that this person is living with and hiding.
Here are some Suggestions for Managing Your Relationship:
To learn how to manage your relationship with a narcissistic or borderline parent, see the book Running On Empty No More: Transform Your Relationships. To learn how Childhood Emotional Neglect is different from emotional abuse and how to heal from it, see the book Running on Empty: Overcome Your Childhood Emotional Neglect.
A version of this article was originally published on psychcentral.com. It has been republished here with the permission of the author.