Narcissist Dominates Borderline in Comorbidity (When Diagnosed in Same Person)
January 26, 2025
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24:19Now PlayingNarcissist Dominates Borderline in Comorbidity (When Diagnosed in Same Person)
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as posted by the channelComorbidity Hierarchy: primary and secondary or dominant vs. recessive diagnoses in comorbidities.
Secondary disorders are traits and behaviors and amount to subclinical style. They are triggered by environmental stressors and are self-states.
Secondary disorders may be a form of functional overlay (additional symptoms triggered by psychological dynamics) or may even be triggered by the primary disorder (example: ASD and NPD). Similarly, the primary disorder may be a defense against the secondary disorder.
In NPD-BPD comorbidity, NPD is the dominant, primary disorder and is a defense against BPD, the secondary disorder. Only during decompensation does the secondary disorder emerge (affective dysregulation and suicidal ideation).
Covert states are comorbidities: narcissism plus passive-aggression (negativism)=covert narcissist
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