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Misdiagnosing Personality Disorders as Asperger's Disorder

Character issues can't be safely diagnosed before early adolescence. Nonetheless, though regularly found in between the ages of 3 and 6, Asperger's Disorder is usually misdiagnosed as a cluster B character disorder, most usually as the Narcissistic Personality Disorder (NPD).
The Asperger's Disorder Patient
The Asperger's Disorder patient is self-centered and engrossed in a narrow array of interests and activities. Social and occupational interactions are severely hampered and conversational abilities (the give and take of verbal intercourse) are primitive. The Asperger's patient's physique language - eye to eye gaze, physique posture, facial expressions - is constricted and artificial, akin to sufferers with the Schizoid, Schizotypal, and Narcissistic Personality Disorders. Nonverbal cues are practically absent and their interpretation in other individuals lacking.
Yet, Asperger's and personality pathologies have little in frequent.
Narcissistic Character Disorder and Asperger's Disorder
Take into account pathological narcissism.
From my book "Malignant Self Adore - Narcissism Revisited" :
"The narcissist switches in between social agility and social impairment voluntarily. His social dysfunctioning would be the outcome of conscious haughtiness and the reluctance to invest scarce mental energy in cultivating relationships with inferior and unworthy other people. When confronted with possible Sources of Narcissistic Supply, even so, the narcissist very easily regains his social expertise, his charm, and his gregariousness.
Several narcissists reach the highest rungs of their neighborhood, church, firm, or voluntary organization. Many of the time, they function flawlessly - although the inevitable blowups and also the grating extortion of Narcissistic Provide normally put an end to the narcissist's profession and social liaisons.
The Asperger's patient often desires to become accepted socially, to possess pals, to marry, to become sexually active, and to sire offspring. He just does not have a clue how you can go about it. His affect is limited. His initiative - for instance, to share his experiences with nearest and dearest or to engage in foreplay - is thwarted. His capability to divulge his feelings stilted. He is incapable or reciprocating and is largely unaware on the wishes, requirements, and feelings of his interlocutors or counterparties.
Inevitably, Asperger's individuals are perceived by others to be cold, eccentric, insensitive, indifferent, repulsive, exploitative or emotionally-absent. To avoid the discomfort of rejection, they confine themselves to solitary activities - but, as opposed to the schizoid, not by choice. They limit their world to a single subject, hobby, or individual and dive in with the greatest, all-consuming intensity, excluding all other matters and everybody else. It is a type of hurt-control and discomfort regulation.
Thus, whilst the narcissist avoids discomfort by excluding, devaluing, and discarding other people - the Asperger's patient achieves the same result by withdrawing and by passionately incorporating in his universe only one or two individuals and one or two subjects of interest. Each narcissists and Asperger's sufferers are prone to react with depression to perceived slights and injuries - but Asperger's patients are much more at risk of self-harm and suicide."
The usage of language
Individuals with most character disorders are skilled communicators and manipulators of language. In some character problems (Antisocial, Narcissistic, Histrionic, Paranoid) the patients' linguistic expertise far surpass the average. The narcissist, as an example, hones language as an instrument and utilizes it to receive Narcissistic Provide or as a weapon to obliterate his "enemies" and discarded sources with. Cerebral narcissists really derive Narcissistic Supply in the consummate use they make of their innate loquaciousness.
In contrast, the Asperger's patient, though verbose at occasions (and taciturn on other occasions) features a far more restricted range of tediously repetitive subjects. People with Asperger's fail to observe conversational guidelines and etiquette (for instance, let other individuals speak in turn). The Asperger's patient is unaware and, therefore, unable to decipher physique language and external social and nonverbal cues and gestures. He is incapable of monitoring his own misbehavior. Psychopaths, narcissists, borderlines, schizotypals, histrionics, paranoids, and schizoids are similarly inconsiderate - but they handle their behavior and are fully cognizant of reactions by other people. They just select to ignore these data.
Far more about Autism Spectrum Disorders:
Comorbidity in Character Disorders
McDowell, Maxson J. (2002) The Image in the Mother's Eye: Autism and Early Narcissistic Injury , Behavioral and Brain Sciences (Submitted)
Benis, Anthony - "Toward Self & Sanity: On the Genetic Origins from the Human Character" - Narcissistic-Perfectionist Character Type (NP) with special reference to infantile autism
Stringer, Kathi (2003) An Object Relations Approach to Understanding Unusual Behaviors and Disturbances
James Robert Brasic, MD, MPH (2003) Pervasive Developmental Disorder: Asperger Syndrome