Asperger Syndrome is an Autism Spectrum Disorder (or Pervasive Developmental Disorder) characterized by significant difficulties in social interaction along with restricted and repetitive patterns of behaviors and interests. Those with Asperger Syndrome, or AS, may exhibit a lack of empathy for their peers, clumsiness, and atypical use of language, though none of these symptoms are required for a diagnosis.1
The pain of coming to terms with having Asperger's is still very real for me right now. There is a tremendous sense of grief. Grief for all that I suffered through to try to be "normal" and grief for how short of "normal" I always have been. There is also great relief to know that I am not crazy and that not everything can be traced back to an abusive past in the sense that some of what I experience is not choice/emotional but neurons/physical. The greatest challenge I face right now is trying to figure out which is which. This is not easy.
One of the most common side effects of a number of antidepressant medications is loss of sex drive. I could forgive our friends at fine companies such as Eli Lilly, Bristol Meyers Squibb, and Pfizer if dry mouth, irritability, disrupted sleep patterns, loss of appetite, sloth, and social phobia were the sole issues related to the medications I take on a daily basis. However, it is the sex thing I find most challenging.
Anhedonia is the technical term for the inability to experience joy. When people are in the depths of depression, nothing touches them, not the most intensely pleasurable activities, not the most familiar comforts. They are emotionally frozen. In this state, people either have to get professional help or simply wait for weeks or months until the depression lifts by itself; nothing is going to make them feel better.
Schizophrenia is a mental illness which affects one person in every hundred.
Depression is perhaps the most common of all mental health problems, currently felt to affect one in every four adults to some degree. Depression is a problem with mood/feeling in which the mood is described as sad, feeling down in the dumps, being blue, or feeling low. While the depressed mood is present, evidence is also present which reflects the neurochemical or "brain chemistry" aspects of depression with the depressed individual experiencing poor concentration/attention, loss of energy, accelerated thought/worry, sleep/appetite disturbance, and other physical manifestations. When this diagnosis is present, the individual will exhibit at least five of the following symptoms during the depressive periods:
Who are these people? In romantic relationships they are controlling, abusive, manipulative partners who can ruin not only the relationship, but our self-esteem, finances, and reputation. As a parent, they can put the "D" in Dysfunctional Family and be the parent that abuses, neglects, ignores, or psychologically damages their children. As a friend they may be irresponsible, selfish, unreliable, dishonest, and often create significant problems in our life. As a neighbor, they spread rumors, create disharmony in the neighborhood, and steal our lawnmower. As a family member, they maintain themselves as the center of attention and keep the family in an uproar or they may be the 45 year/old brother who has never worked and remains dependent on the family for his support. They may be the brother or sister who verbally bullies and intimidates others with their temper tantrums. As a coworker they are manipulative, unethical, dishonest, and willing to damage co-workers to achieve their employment goals. On the street they are the criminals, con-artists, and people-users who purposefully damage others then quickly move on to avoid detection.
In over three decades of experience of dealing with victims, it's clear that the majority of emotional victims I see in clinical practice are actually victims of an individual with a "Personality Disorder". The "Personality Disorder" has been around for many years. For several centuries, professionals working with all types of people recognized that some individuals clearly thought and acted differently - without "normal" feelings, attitudes, behaviors, and interactions. In 1835 Dr. Pritchard suggested the term "moral insanity" to reflect the fact that these individuals were not insane by the standards of the day, yet had significant differences in their behavior, attitudes, ethics, morality, emotional expressions, and reactions to situations. Despite their significant differences when compared to others in their culture, the individual exhibited little emotional or social distress.
Personality Disorders are individuals who have a long history of personality, behavior, emotional, and relationship difficulties. This group is said to have a "personality disorder" - an enduring pattern of inner experience (mood, attitude, beliefs, values, etc.) and behavior (aggressiveness, instability, etc.) that is significantly different than those in their family or culture. These dysfunctional patterns are inflexible and intrusive into almost every aspect of the individual's life. These patterns create significant problems in personal and emotional functioning and are often so severe that they lead to distress or impairment in all areas of their life. (Source: Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition)
Personality Disorders are divided into three groups of "clusters".
In considering individuals who create the most damage to social and personal relationships, the abusers, manipulators, "players", controllers, and losers are found in Cluster B. For this reason, this article will focus on the behaviors associated with Cluster B personality disorders.
In the general population, the largest number of personality disorders fall in the Cluster B group. The four personality disorders in Cluster B are:
When encountering the victims of emotional and physical abuse, the Personality Disorder individual is already present in their lives as a mother, father, sibling, spouse, partner, or relative. The majority of clients with difficulties related to their childhood find a Personality Disorder as a parent. For many, they have found themselves in a romantic relationship or marriage with a Personality Disorder. Others discover they are working with a Personality Disorder as a co-worker, supervisor, or supervisee. A smaller group finds they are victims of the severe behavior of a Personality Disorder and have been assaulted, robbed, traumatized, or manipulated.
Personality Disorders are present in 10 to 15 percent of the adult population with Cluster B accounting for approximately 9 percent based on research. At such a high percentage, it's important that we learn to identify these individuals in our lives. A failure to identify them may create significant risk. While most of our contact with a Personality Disorder may be brief, the more involved they are in our lives, the higher the risk of emotional, social, and other damage. For this reason, it's helpful to identify some of the characteristics of a personality disorder.
Mental health professionals have identified ten personality disorders, each with their own pattern of behaviors, emotionality, and symptoms. However, in my observation, all Cluster B Personality Disorders have core personality features that serve as the foundation for their specific personality disorder. Some of those core personality features are:
When we look at the emotions, attitudes and behaviors of an individual with a Personality Disorder we eventually begin to question: Are these characteristics calculated and purposeful or are they unconscious behaviors that are not under their control? In working with Personality Disorders, we see both. For example:
In a relationship with a Personality Disorder, several basic truths are present: These include:
As we go through life, we encounter a variety of individuals. We also develop a variety of relationships with others including family members, neighbors, fellow workers, friends, and familiar faces. Healthy relationships seem to be healthy in the same way - having characteristics of respect, concern for others, affection, cooperation, honesty, mutual goals, etc. A relationship with a Personality Disorder is totally different. That 9 or 10 percent of adults with a "Cluster B" Personality Disorder can create significant difficulties in our life. In brief contacts they are often troublesome - the uncle who is a con artist or the sister-in-law that nobody can tolerate at holiday dinners. When we bring them into our lives however, a Personality Disorder rapidly takes over and our life becomes centered on their needs, demands, and goals. To achieve their self-centered objectives, the Personality Disorder becomes the controller, abuser, manipulator and user in relationships. The early identification of individuals who create unhealthy relationships can save us from years of heartache as well as damage to our personality, self-esteem, finances, and lifestyle.
Specific techniques used by individuals with a Cluster B Personality Disorder can be found in another article entitled "Identifying Losers in Relationships". I have also addressed the issues associated with remaining in an abusive or dysfunctional relationship in an article entitled "Love and Stockholm Syndrome: The Mystery of Loving an Abuser". Both articles are available on my website at www.drjoecarver.com or at www.counsellingresource.com
Joseph M Carver, Ph.D.Psychologist
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