Title: The Covert Borderline
I propose a new clinical entity, a hybrid between narcissistic and borderline personality disorders. It is not the comorbidity which it quite common in clinical settings. It is a personality disorder that seamlessly integrates features of both NPD and BPD.
Introduction
Covert Borderline Personality Disorder (BPD)
The shy or quiet borderline internalizes her struggles rather than externalize them. She becomes the exclusive target of her own turmoil. She “acts in”.
Self-Concept 1. identity diffusion;
2. false self grandiosity; 2. inferiority;
3. preoccupation with fantasies of outstanding love; undue sense of uniqueness; feelings of entitlement; alloplastic defenses;
4. internal locus of control; seeming self- sufficiency; 4. external locus of control;
Both the classic and covert borderline (many of the latter are men) act out. Here is a table which compares the clinical features of these two subtypes. It is based on the schematic present by Arnold M. Cooper and S. Akhtar in 1989 for classic vs. cover narcissist.
Covert/Antisocial Borderline Classic/Dysregulated Borderline
3. morose self-doubts and ego-dystony or ego discrepancy (“wrongness”), autoplastic defenses;
5. marked propensity toward feeling ashamed, guilty, or to blame;
6. fragility, vulnerability;
7. relentless search for safety and completion;
8. marked sensitivity to criticism and realistic setbacks;
9. mood lability;
10. emotional dysregulation and rationalization or reactance and defiance, contumaciounsess;
12. low boredom threshold and tolerance;
14. externalizing-internalizing;
15. No suicidal ideation, aggression other- directed;
16. No self-mutilation, hypochondriasis, addictive behaviors;
17. dissociative self-states, mainly: selective attention, confabulation, repression or denial, primary psychopathic protector
9. mood lability;
10. emotional dysregulation and numbing and dysempathy;
11. alexithymia;
12. low frustration threshold and tolerance;
13. depression and anxiety;
14. internalizing-externalizing;
15. suicidal tendencies;
16. self-harm and substance abuse or self-trashing (like egregious promiscuity)
17. dissociative self-states, mainly: realization, depersonalization, or amnesia
1. paranoid ideation; 1. inability to genuinely depend on others and trust them, hypervigilance;
2. numerous but shallow relationships;
2. instant or fake intimacy (sometimes in casual sex)
3. abandonment anxiety (impostor syndrome);
intense need for love from others, people pleasing; 4. engulfment anxiety and fear of intimacy;
lack of real empathy in primary psychopathic phase; 5. rejection sensitivity;
valuing of children over spouse in family life; 6. effortful control;
Interpersonal Relationships
9. passive-aggressive, sullen, surly, self- denying, behaviors; cunning and premeditated malevolence;
10. intermittent reinforcement;
11. scorn for others, often masked by pseudohumility;
7. inability to genuinely participate in group activities; 7. chronic envy of others talents, possessions, and capacity for deep object relations;
8. lack of regard for generational boundaries;
9. disregard for others’ time, limitations, obligations, and resources (unreasonably demanding);
10. unpredictable,
11. explosive behavior;
12, 17. histrionic attention seeking; 12. impulsivity;
13. recklessness aimed at hurting or affecting others; 13. recklessness;
14. sadistic-punitive or goal-oriented triangulation;
15, 16. object inconstancy: idealize-devalue- discard-revert or replace
14. interpersonal triangulation;
people pleasing;
15. approach-avoidance repetition compulsion and preemptive abandonment;
16. object inconstancy;
17. drama queens
1. nagging aimlessness;
2. Socially charming, charismatic; 2. social anxiety;
3. consistent hard work done mainly to seek admiration (pseudo- sublimation); 3. shallow vocational commitment;
4. intense ambition;
Social Adaptation
5. often successful;
7. preoccupation with appearances
2. inordinate ethnic and moral relativism;
Ethics, Standards, and Ideals
4. dilettante-like attitude;
5. multiple but superficial interests;
6. chronic boredom;
7. aesthetic taste often ill-informed and imitative
1. idiosyncratically and unevenly moral, caricatured modesty, activism and apparent enthusiasm for sociopolitical affairs; 1. readiness to shift values to gain favor;
3. pretended contempt for money in real life, feigned spirituality and “guru” status; 2. pathological lying;
4. irreverence toward authority
3. materialistic lifestyle;
4.delinquent tendencies;
1.marital instability; 1. inability to remain in love;
Love and Sexuality
2. cold and greedy seductiveness; 2. impaired capacity for viewing the romantic partner as a separate individual with his or her own interests, rights, and values;
3. inability to genuinely comprehend the incest taboo;
3. extramarital affairs and promiscuity; 4. occasional sexual perversions
4. uninhibited sexual life
1. dichotomous thinking; 1. dichotomous thinking;
2. splitting; 2. splitting;
3. catastrophizing;
4. impressively knowledgeable; 4. knowledge often limited to trivia (headline intelligence);
5. egocentric perception of reality;
Cognitive Style
6. fondness for shortcuts to acquisition of knowledge
7. decisive and opinionated;
8. love of language, often strikingly articulate;
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