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Re:The narcissism epidemic is dead? by dragonwriter on Tuesday January 30, 2018 @06:42PM (#16270159)
> My point is more that, the hidden criterion in basically every entry in the DSM is, can they make it work?

That's usually not hidden; criteria involving degree of social problems are associated with other of the symptoms are openly part of the criteria for many disorders.

Re:The narcissism epidemic is dead? by hoopladler on Tuesday January 30, 2018 @06:53PM (#16270205)
Sure - but I think it's understated how important that stuff is. If you go into a psychiatrists office looking like a mess, you're absolutely, by the book, going to be more likely to accrue a diagnosis. This isn't a critique of psychiatry - it's just a natural result of the DSM being a statistical manual.

It also makes any notion of 'absolute' personality disorder a kind of contradiction in terms.