9 Megalomaniacal Facts About Narcissism

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You hear the term narcissist tossed out frequently, but is that date who’s more interested in hearing himself talk really a narcissist or just a jerk? What about your boss who always demands you do things his way? The term stems from the Greek myth of Narcissus, a beautiful and proud young man who was cursed by the god Nemesis to fall in love with his own reflection and died pining for his own beauty. But in real life, psychologists have developed a list of actual criteria for the definition of narcissism.

Narcissistic Personality Disorder (NPD), as it’s called in the Diagnostic and Statistical Manual of Mental Disorders (DSM), “is one of the least understood of personality disorders,” psychologist Anjhula Mya Singh Bais tells mental_floss. A former model and now Ph.D, Bais has for the past 10 years worked with clients who are celebrities, high achievers, and their partners dealing with various facets of NPD.

Bais says the NPD diagnosis evolved through collaboration between psychoanalysts and psychologists over the years “who couldn’t quite put their finger on a subset of their patients." NPD also tends to co-exist with depression or anxiety; having one of those conditions is often the only reason a narcissist tries therapy.

To qualify as a narcissist, an individual must have "a pervasive pattern of grandiosity (in fantasy or behavior), need for admiration, and lack of empathy, beginning by early adulthood and present in a variety of contexts," paraphrased from the fifth version of the DSM [PDF]:

— A grandiose sense of self-importance, exaggerating achievements and talents
— Fantasizes about unlimited success, power, brilliance, beauty, or ideal love
— Believes that he or she is “special” and should associate only with high-status people or institutions
— Requires excessive admiration
— Has a sense of entitlement, expects favorable treatment or automatic compliance
— Is interpersonally exploitative, taking advantage of others
— Lacks empathy, unwilling to recognize or identify others' feelings and needs

1. NARCISSISTS LIVE IN A GRANDIOSE WORLD OF THEIR OWN MAKING.

Narcissists become fixated on fantasies of infinite success, control, brilliance, beauty, or idyllic love, Bais says. They believe they are "extraordinary and exceptional and can only be understood by, or should connect with, other extraordinary or important people or institutions.”

2. NARCISSISTS DO NOT EXPERIENCE EMPATHY.

What makes narcissists incredibly difficult to be in relationship with is “they lack empathy in totality,” Bais says. They do not care about others’ points of view or feelings, unless “it is to manipulate a situation or person to their advantage,” she adds. Psychologist Brad Reedy, the clinical director of Evoke Therapy Programs, puts it more bluntly. “If you don’t fulfill their needs, they have no use for you,” say Reedy, who has treated clients with narcissism in therapy for 20 years. In this regard, the difference between a narcissist and a sociopath—who also views people as objects and lacks empathy—may simply be a matter of degree.

3. YET THEY HAVE A MADDENING ABILITY TO CHARM.

A romantic relationship with a narcissist may start with passion and excitement. Your narcissist may be the most dynamic person in the room or “extraordinarily charming,” Bais says. But that charm eventually gives way to manipulation, entitlement, lack of forgiveness, a desperate need for ego strokes, and even rage.

4. NARCISSISM IS WORSE THAN ARROGANCE.

According to Reedy, the narcissist’s personality is so pervasive, rigid, and consistent that “they won’t be able to demonstrate anything different than the narcissist presentation.” A person who is just a little arrogant still has moments where they can admit they’re wrong, apologize for their mistakes, and empathize. But unlike people with “strong confidence” or arrogance, narcissists “place value only on [themselves] and no one else,” Bais says.

5. NARCISSISM STARTS IN CHILDHOOD …

Narcissism is forged by “a fundamental lack of connection in childhood—a lack of attachment,” Reedy explains. This “narcissistic wound,” as psychologists call it, comes from what Reedy describes as “valuing the wrong thing in the child”—such as praising them for their achievements or outward appearance, but never for their inner value. In this way they differ from people with anti-social personality disorder, who usually have experienced direct abuse. Many children who become narcissists, according to psychologist Alice Miller’s landmark book The Drama of the Gifted Child, consistently seek admiration because of an empty sense of themselves. Without therapy, Reedy says, “it is impossible for the grandiose person to cut the tragic link between admiration and love.”

6. … BUT CAN ONLY BE DIAGNOSED IN ADULTHOOD.

Be careful not to call your child or teen a narcissist, Reedy cautions. “Developmentally, children have many narcissistic traits," he says. "This is normal. Shaming them is not healthy.”

7. TRY NOT TO TAKE A NARCISSIST’S BEHAVIOR PERSONALLY.

Since narcissists require immense amounts of therapy to even begin to make changes in their nature, your best bet if you’re dealing with one in your life, says Reedy, is to “see them for what they are and don’t take it personally. It really isn’t about you.” However, narcissists inspire in others an understandable urge to “take them down a notch” or “put them in their place," Reedy says, which will only further aggravate a narcissist’s behavior. “A superiority complex always covers up an inferiority complex.”

8. HOWEVER, YOU MIGHT HAVE TO LEAVE A RELATIONSHIP WITH A NARCISSIST.

Since narcissists are unlikely to change on their own without therapy—which most of them are unlikely to seek out unless they have co-existing anxiety or depression—you may have to accept that the only solution for a healthy relationship is to leave. “If that is either impractical or you are unwilling to leave [the relationship], be sure not to try to fix it or conclude that you can fix it if you do all the right things,” Reedy advises. He considers that the most common mistake of people who stay in “toxic relationships.”

9. THERAPY MAY HELP NARCISSISTS TO CHANGE.

The cure is long-term therapy, Reedy says, “where one experiences something different than what they experienced in their childhood.” However, getting a narcissist to therapy is no small task, as many of them view therapy as an admission of something wrong with them. The good news is that once they’re getting help, Bais says, they do respond well to psychotherapy.

Nike Is Releasing a Durable Slip-On Sneaker Designed for Medical Professionals

monkeybusinessimages/iStock via Getty Images
monkeybusinessimages/iStock via Getty Images

Nike is known for releasing footwear that covers just about every activity under the moon—impact-absorbing running shoes, sleek soccer cleats, snazzy fashion statements, and so much more. Now, they’ve developed a sneaker for nurses, doctors, and other medical professionals who spend long shifts on their feet.

According to a press release, Nike sent designers to the OHSU Doernbecher Children’s Hospital in Portland, Oregon, where they learned from healthcare providers exactly what their jobs entail. Then, they used their findings to create the Nike Air Zoom Pulse, a “traditional clog made athletic.”

nike air zoom pulse
Nike

If you’ve ever gone sightseeing in a new city or even just taken a longer-than-expected afternoon stroll, you might have experienced firsthand that even your most comfortable walking shoes stop being so comfortable after a few miles of non-stop action—and nurses experience that type of exercise every time they go to work. During a regular 12-hour shift, a nurse might walk between four and five miles and sit for less than an hour. To account for that, the Nike Air Zoom Pulse features a full-rubber outsole, a flexible drop-in midsole, arch support, and a “heel fit so secure [that] it feels like a soft, snug hug.”

nike air zoom pulse
Nike

Since healthcare professionals also need a shoe durable enough to withstand spills of any kind, Nike coated the top of the Air Zoom Pulse with a polyurethane layer that’s easy to wipe down. It’s also a laceless slip-on, so people won’t have to worry about tripping on untied laces—and they’ll also be able to slip their shoes off for a quick nap in the staff room.

nike air zoom pulse
Nike

Six patients at the OHSU Doernbecher Children’s Hospital have contributed vibrant, colorful designs for the Air Zoom Pulse, which Nike will release for online orders (in versions that include its own colorways) starting December 7.

9 Facts About Narcolepsy

Korrawin/iStock via Getty Images
Korrawin/iStock via Getty Images

Everyone experiences occasional daytime sleepiness, but just a small fraction of the population knows what it’s like to have narcolepsy. The disorder is defined by persistent drowsiness throughout the day, and in some cases, sleep paralysis, hallucinations, and the sudden loss of muscle control known as cataplexy. Having narcolepsy can make doing everyday activities difficult or dangerous for patients, but unlike some chronic conditions, it’s also easy to diagnose and treat. Here are some facts you should know about the condition.

1. There are two types of narcolepsy.

If everything you know about narcolepsy comes from movies and TV, you may think of it as the disease that causes people to go limp without warning. Sudden loss of muscle control is called cataplexy, and it’s the defining symptom of type 1 narcolepsy. Type 2 narcolepsy, on the other hand, is mainly characterized by fatigue. Losing motor function while awake isn’t a problem for those with type 2.

2. Type 1 narcolepsy stems from a chemical deficiency.

Almost every patient with type 1 narcolepsy has low levels of hypocretin. Hypocretin is a neurochemical that regulates the wake-sleep cycle. When there isn’t enough of this chemical in the brain, people have trouble staying conscious and alert throughout the day. Most people with the second, less severe type of narcolepsy have normal hypocretin levels, with about a third of them producing low or undetectable amounts. Type 2 narcoplepsy has been studied far less than type 1 of the disorder, and scientists are still figuring out what causes it.

3. The exact causes of narcolepsy aren’t always clear.

So why do some people’s brains produce less hypocretin than others? That part has been hard for scientists to figure out. One possible explanation is that certain autoimmune disorders cause the body to attack the healthy brain cells that make this chemical. This disorder can be the result of genetic and environmental factors. Although people with narcolepsy rarely pass it down to their offspring (this happens less than 1 percent of the time), the sleep condition does occasionally crop up in family clusters, suggesting there is sometimes a genetic component at play. Head trauma that impacts the area of the brain responsible for governing sleep can also lead to narcolepsy in rare cases.

4. There are tests to diagnose narcolepsy.

If patients believe they might have narcolepsy, their doctors might ask them to detail their sleep history and keep a record of their sleep habits. There are also a few tests potential narcoleptics can take to determine if they have the condition. During a polysomnography test, patients spend the night at a medical facility with electrodes attached to their heads to monitor their breathing, eye movement, and brain activity. A multiple sleep latency test is similar, except it gauges how long it takes patients to fall asleep during the day.

5. Strong emotions can trigger cataplexy.

Cataplectic spells can sometimes be predicted by triggers. In some patients, feeling strong emotions—whether they’re crying, laughing, angry, or stressed—is all it takes for them to lose muscle control. These triggers vary from patient to patient, and they can even affect the same person randomly. Some people deal with them by avoiding certain situations and closing themselves off emotionally, which can disrupt their social lives.

6. Narcolepsy can make sleep terrifying.

Narcoleptics don’t just worry about their disorder during their waking hours. When they’re trying to fall asleep at night or wake up in the morning, narcolepsy can complicate things. One symptom is experiencing vivid, dream-like hallucinations while transitioning in or out of consciousness. These visions are often scary and may involve an intruder in the room with the sleeper. If they happen as the patient falls asleep, the hallucinations are called hypnagogic, and if they occur as they wake up, they’re hypnopompic.

A related symptom is sleep paralysis. This happens when a person’s brain cuts off muscle control of their body before they’re fully asleep or as they’re waking up. This combined with hypnagogic or hypnopompic nightmares can cause frightening experiences that are sometimes confused for real encounters.

7. Narcoleptics sometimes do activities half-asleep.

To outside observers, narcolepsy is sometimes hard to spot. A narcoleptic patient overcome by sleepiness won’t necessarily pass out in the middle of what they’re doing. Some act out “automatic behavior,” which means they continue with their actions—whether that’s walking, driving, or typing—with limited consciousness. This can cause poor performance at work or school, and in worst case scenarios, accidents while driving a car or operating machinery.

8. Harriet Tubman may have had narcolepsy.

One of the most famous likely narcoleptics in history is Harriet Tubman. The African American abolitionist was known to suffer from what were probably sudden narcoleptic episodes. The condition may have stemmed from the severe head trauma she sustained when a slave master threw an iron at another slave and hit her instead. The injury left her with permanent brain damage: In addition to narcolepsy, she also experienced chronic seizures and migraines throughout her life.

9. Medications and lifestyle changes are common narcolepsy treatments.

Though there’s no way to cure narcolepsy completely, there are many treatment options available. Taking medication is one of the most common ways to manage the disorder. Stimulants such as modafinil and armodafinil can be used to combat mild sleepiness, while amphetamines are often prescribed for more severe forms of fatigue. For hallucinations and sleep paralysis, selective serotonin reuptake inhibitors and serotonin and norepinephrine reuptake inhibitors—drugs that suppress REM sleep—can help.

As an alternative or supplementary treatment to medications, doctors may recommend lifestyle changes. Sticking to a sleep schedule, exercising regularly, avoiding nicotine and alcohol, and taking naps during the day can all reduce the symptoms of narcolepsy.

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