June 27, 2020
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53:49Now PlayingVideo Presentation to the 37th International Conference on Psychiatry and Psychosomatic Medicine, June 2020
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We form memories in familiar settings and based on habits: daisy chain of memories which incorporate schema.
When we are deprived of the familiar – places, people – we compensate by dissociating (like living inside a movie), we freeze, or we try to form new familiarity.
New familiarity constricts the world: lockdown restrictions PLUS takes time to construct new habits and the initial space and number of objects incorporated in it is limited.
Drop in self-efficacy, dissociation (including depersonalization, derealization, and amnesia), disjointedness (discontinuity), confabulation and identity diffusion = psychotic disorder, confusion between internal and external objects and hyperreflxion (hyperreflexivity).
Discontinuity, hyperreflexivity, dissociation are at the core of NPD and BPD. This is why I suggest that NPD is an attenuated form of DID bordering on psychosis (BPD is failed NPD, so FARTHER from psychosis, not NEARER).
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