Why aren’t people screened for personality disorders?

[Anonymous]

Anonymous wrote:Personality disorders is not mental illness. Mental illness can be treated. Personality disorders cannot. I see where the OP is coming from.

Not true, at all.

[Anonymous]

Anonymous wrote:

Anonymous wrote:Personality disorders is not mental illness. Mental illness can be treated. Personality disorders cannot. I see where the OP is coming from.

Not true, at all.

Which part? What is the treatment plan for someone with narcissistic personality disorder or antisocial personality disorder?

There is some evidence that people with borderline can be treated with DBT or CBT. But there's also recent research that indicates borderline might be miscategorized or that many people might be misdiagnosed, because there is considerable evidence that what we think of as BPD is, in many people, complex PTSD stemming from childhood trauma. There is also overlap in diagnoses between bipolar and BPD and that indicates that BPD might not be a true personality disorder but actually a specific presentation of a mental illness.

But NPD? People have been trying to treat it for decades and it's just not clear it's effective. In fact there have been many indications that patients with NPD use their disordered skill set to manipulate their therapists and can be particularly dangerous in group therapy settings where they can dominate discussion and negatively impact other participants. Also, unlike BPD, NPD is not co-occurring with depression, anxiety, and other common mental illnesses. Many people with NPD reject the idea that their condition is a problem and will argue (unsurprisingly) that their narcissistic traits make them better than other people.

[Anonymous]

Anonymous wrote:

Anonymous wrote:Wow when I read the title I thought it was going to be some kind of screening for early detection and treatment so that their lives and the lives of those around them could be better. Silly me.

Is there any evidence that "early detection and treatment" of these kind of personality disorders improve outcomes? I was under the impression that stuff like NPD was pretty much untreatable. And I don't know how you "early detect" it either.

I don't know either, I just thought OP that since OP was throwing out something impossible it was going to be a fantasy that would make everyone's lives better. Instead it's a fantasy about creating some kind of dystopian system that excludes a class of human beings from society.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Personality disorders is not mental illness. Mental illness can be treated. Personality disorders cannot. I see where the OP is coming from.

THIS.

The blind are attempting to lead the blind in this thread and frankly actually blind people are a lot better at it.

PP. Yup. On second thought, screening and labeling ableists in the work place is something that could have value. Though it would probably knock about half this thread out of the workforce.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Wow when I read the title I thought it was going to be some kind of screening for early detection and treatment so that their lives and the lives of those around them could be better. Silly me.

Is there any evidence that "early detection and treatment" of these kind of personality disorders improve outcomes? I was under the impression that stuff like NPD was pretty much untreatable. And I don't know how you "early detect" it either.

I don't know either, I just thought OP that since OP was throwing out something impossible it was going to be a fantasy that would make everyone's lives better. Instead it's a fantasy about creating some kind of dystopian system that excludes a class of human beings from society.

Ok, but do you understand which class of humans OP is looking to exclude? Literally, dangerous people who harm others. Like are you uncomfortable with the idea of prison or the fact that many employers refuse to hire convicted felons? If not, it's actually kind of weird to get mad that someone might wish that people who lie, manipulate, and take advantage of others, as a fundamental aspect of their personality, might be identified so that people can protect themselves.

OP is not talking about banning people with a certain religion, ethnicity, gender, race, nationality, or sexuality. OP is talking about people who have specific *behaviors* that are known to be harmful, and finding ways to identify them so that people won't be harmed by them.

It's an unrealistic proposition, but having Narcissistic Personality Disorder does not make you a member of a protected class. It makes you dangerous.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Personality disorders is not mental illness. Mental illness can be treated. Personality disorders cannot. I see where the OP is coming from.

THIS.

The blind are attempting to lead the blind in this thread and frankly actually blind people are a lot better at it.

PP. Yup. On second thought, screening and labeling ableists in the work place is something that could have value. Though it would probably knock about half this thread out of the workforce.

Wanting to steer clear of people with diagnosable personality disorders is not "ableist." Having antisocial personality disorder is not akin to having anxiety or depression.

The PP who suggested we need education on these subjects is right! It's not prejudiced to be afraid of or want to avoid people with personality disorders.

[Anonymous]

FWIW, some large companies do have their management candidates go through a personality/mental health screening process. I doubt its effective because I know of a narcissist and a bipolar manager that presumably passed and later became big liabilities.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Wow when I read the title I thought it was going to be some kind of screening for early detection and treatment so that their lives and the lives of those around them could be better. Silly me.

Is there any evidence that "early detection and treatment" of these kind of personality disorders improve outcomes? I was under the impression that stuff like NPD was pretty much untreatable. And I don't know how you "early detect" it either.

I don't know either, I just thought OP that since OP was throwing out something impossible it was going to be a fantasy that would make everyone's lives better. Instead it's a fantasy about creating some kind of dystopian system that excludes a class of human beings from society.

Ok, but do you understand which class of humans OP is looking to exclude? Literally, dangerous people who harm others. Like are you uncomfortable with the idea of prison or the fact that many employers refuse to hire convicted felons? If not, it's actually kind of weird to get mad that someone might wish that people who lie, manipulate, and take advantage of others, as a fundamental aspect of their personality, might be identified so that people can protect themselves.

OP is not talking about banning people with a certain religion, ethnicity, gender, race, nationality, or sexuality. OP is talking about people who have specific *behaviors* that are known to be harmful, and finding ways to identify them so that people won't be harmed by them.

It's an unrealistic proposition, but having Narcissistic Personality Disorder does not make you a member of a protected class. It makes you dangerous.

+1

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Wow when I read the title I thought it was going to be some kind of screening for early detection and treatment so that their lives and the lives of those around them could be better. Silly me.

Is there any evidence that "early detection and treatment" of these kind of personality disorders improve outcomes? I was under the impression that stuff like NPD was pretty much untreatable. And I don't know how you "early detect" it either.

I don't know either, I just thought OP that since OP was throwing out something impossible it was going to be a fantasy that would make everyone's lives better. Instead it's a fantasy about creating some kind of dystopian system that excludes a class of human beings from society.

Ok, but do you understand which class of humans OP is looking to exclude? Literally, dangerous people who harm others. Like are you uncomfortable with the idea of prison or the fact that many employers refuse to hire convicted felons? If not, it's actually kind of weird to get mad that someone might wish that people who lie, manipulate, and take advantage of others, as a fundamental aspect of their personality, might be identified so that people can protect themselves.

OP is not talking about banning people with a certain religion, ethnicity, gender, race, nationality, or sexuality. OP is talking about people who have specific *behaviors* that are known to be harmful, and finding ways to identify them so that people won't be harmed by them.

It's an unrealistic proposition, but having Narcissistic Personality Disorder does not make you a member of a protected class. It makes you dangerous.

Now see this is an intriguing comment because your knowledge of the law makes me think you went to law school, but your analysis of my comment makes me think you are not a trained attorney. I never said that people who have personality disorders are a protected class. Also I don't think you've done criminal law, as I have, because if you had you'd probably have a different perspective about convicted felons.

Personally I think it's weird that someone would prefer the fantasy that someone with a personality disorder would be identified and excluded to the fantasy that people with personality disorders would be magically treated.

[Anonymous]

Anonymous wrote:The narcissist is the OP.

Alternatively, if we have strong boundaries and personal standards, we don't need warnings about people.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Wow when I read the title I thought it was going to be some kind of screening for early detection and treatment so that their lives and the lives of those around them could be better. Silly me.

+1

Instead OP wants to single them out for isolation. Maybe we can get them all to wear armbands or a badge with a picture of a narcissus flower, just so everyone knows to stay away. Terrible idea, OP.

I like it.

Great! Then you will be first in line when someone in your community/family/circle doesn’t like you and has the government diagnose you. You will be forced to stay on the periphery of the herd, lonely and starving. I don’t want to live in a world like that.

[Anonymous]

There's no treatment.

[Anonymous]

Anonymous wrote:Sounds like an extermination plan to me. It's a good thing you wield no power because your way of thinking is very dangerous and scary.

Won’t someone please think of the narcissistic abusers?

[Anonymous]

That's ithe criminal record. Lack of references. Job hopping. Credit report. It can be spotted.

[Anonymous]

Yeah. My org hired this guy who had had eight previous jobs and it’s cuz he was a borderline personality who basically just went to work to stir up drama. Fun for all! He lasted a year.