call me "aconite" || bi (fem pref) cisman (he/it ONLY no they) || in my 20s
i am a persecutor & paraphilia holder in an unnamed PF-DID system. this is my personal blog. i will not TW posts here, there will be mentions of topics such as abuse, csa, incest, death & gore, as well as paranoia inducing or "scary" posts. i will not censor myself here. my posts will often be graphic, violent, or nonsensical. i may also occasionally reblog kink oriented content, however this blog is not namely nsfw oriented.
i don't care who follows me, but i block freely. any hate comments anons or dms will be ridiculed and made into a spectacle; they do not phase me, if anything i love the attention.
it should be duly noted i have ASPD & NPD and the way i interact with the world is shaped by these experiences. i'm not trying to be an edgelord or creep when i post about things that go against your moral code. i'm just expressing myself. i also self identify heavily with the (now no longer used) proposed personality disorder of SAPD (sadistic pd).
Note: You cannot be diagnosed with this disorder, as it's not in any diagnostic manual; you would be diagnosed with Other Specified Personality Disorder instead.
Criteria from the DSM-III-R (1987):
A. A pervasive pattern of cruel, demeaning, and aggressive behavior, beginning by early adulthood, as indicated by the repeated occurrence of at least four of the following:
has used physical cruelty or violence for the purpose of establishing dominance in a relationship (not merely to achieve some noninterpersonal goal, such as striking someone in order to rob them);
humiliates or demeans people in the presence of others;
has treated or disciplined someone under their control unusually harshly, e.g., a child, student, prisoner, or patient;
is amused by, or takes pleasure in, the psychological or physical suffering of others (including animals);
has lied for the purpose of harming or inflicting pain on others (not merely to achieve some other goal);
gets other people to do what they want by frightening them (through intimidation or even terror);
restricts the autonomy of people with whom they have a close relationship, e.g., will not let spouse leave the house unaccompanied or permit teen-age daughter to attend social functions;
is fascinated by violence, weapons, martial arts, injury, or torture
B. The behavior in A has not been directed toward only one person (e.g., spouse, one child) and has not been solely for the purpose of sexual arousal (as in Sexual Sadism).
Millon's subtypes:
(Millon, ed.).
About SaPD
SaPD is similar to antisocial, negativistic / passive-aggressive, paranoid, and narcissistic PDs. It's part of what Millon & Bloom term the "Aggressive Personality Patterns", along with AsPD, NPD, & Negativistic / Passive-Aggressive PD.
Differential diagnoses include anxiety disorders, mood disorders, substance abuse, AsPD, psychotic disorders (especially with paranoid & persecutory features), and coercive sexual sadism disorder.
The most common PD comorbidities with SaPD are AsPD (36.45%), Negativistic / Passive-Aggressive PD (24.04%), & NPD (14.09%). The least common was OCPD (0.77%). Less than 1 percent (0.31%) had only ("pure") SaPD [less than those who had comorbid OCPD] (Millon & Bloom).
Millon defines it on a spectrum from assertive -> negativistic (Millon Personality Group); or alternatively from assertive [personality type] -> denigrating [style] -> sadistic [disorder] (Millon).
In the DSM-III-R it was described as being “characterized by pervasive cruel, demeaning, humiliating, and aggressive behavior directed toward others, along with a basic lack of empathy and respect for others" (Coolidge & Segal).
Millon also calls it "Aggressive Personality Disorder" (Millon & Bloom).
People with this disorder "might engage in risky behavior undaunted by danger, and [they] might be forward and inhibiting to others. This kind of person is often described as strongly opinionated, closed-minded, unbending, energetic, hardheaded, competitive, and malicious. [They] might be cold-blooded and detached from awareness of the impact of [their] own actions. Sexual energy might lead to imprudent and unseemly behavior" (Millon & Bloom).
People with SaPD are "socially aggressive and seek to dominate those around them", and "are likely to identify vulnerabilities in [people] and exploit them, producing strong fearful or painful emotional responses" (Millon & Bloom).
Not everyone with SaPD is violent, and some inflict pain by other non-physical means; "[t]he person may inflict pain or suffering by lying; for example, a woman may call her former husband and lie to him about their son's having been seriously hurt" (DSM-II-R).
"People with this disorder rarely experience depression, and their reaction to feeling abandoned is usually anger" (DSM-III-R).
SaPD is often caused by childhood trauma, especially domestic abuse (DSM-III-R). The underlying reason for symptoms is often pain avoidance; "[a]lthough sadistic individuals do seem to acquire a perverse pleasure in inflicting pain on others, the underlying motivation seems to be in their own pain avoidance by inflicting overwhelming pain on others before it can be done to them" (Millon & Bloom).
"... sadists may think of themselves as energetic, assertive, and realistic. What is dominating and callous to others is competitive and not overly sentimental to the sadist" (Millon, ed.).
SaPD only ever appeared in the appendix of the DSM-III-R, and if a person met criteria for this PD they were diagnosed with PDNOS (Coolidge & Segal).
"... it was dropped because of scientific concerns, such as the relatively low prevalence rate of the disorder in many settings. However, there were also political reasons. Physically abusive, sadistic personalities are most often male, and it was felt that any such diagnosis might have the paradoxical effect of legally excusing cruel behavior” (Millon, ed.).
References
Coolidge, Frederick L., & Segal, Daniel L., ‘Evolution of Personality Disorder Diagnoses in the Diagnostic and Statistical Manual of Mental Disorders’, Clinical Psychology Review, 1998, vol. 18, no. 5, pp. 585-599.
Millon, Theodore, & Bloom, Caryl, The Millon Inventories, 2008.
Millon, Theodore, Disorders of Personality, 2011.
Millon, Theodore, ed., Personality Disorders in Modern Life, 2004.
This post is about personality disorders that used to exist in the DSM or ICD but don’t anymore. You cannot be diagnosed with these disorders, as they’re not in any diagnostic manual; you would be diagnosed with Other Specified Personality Disorder (or the ICD-11 equivalent) instead.
Passive-Aggressive / Negativistic (PA/NegPD)
A pervasive pattern of negativistic attitudes and passive resistance to demands for adequate performance, beginning by early adulthood and present in a variety of contexts.
Masochistic / Self-Defeating (Ma/SDPD)
A pervasive pattern of self-defeating behavior, beginning by early adulthood and present in a variety of contexts. The person may often avoid or undermine pleasurable experiences, be drawn to situations or relationships in which he or she will suffer, and prevent others from helping him or her.
Sadistic (SaPD)
A pervasive pattern of cruel, demeaning, and aggressive behavior, beginning by early adulthood and present in a variety of contexts.
Depressive / Melancholic (De/MePD)
A pervasive pattern of depressive cognitions and behaviors, beginning by early adulthood and present in a variety of contexts.
Other Personality Disorders
Turbulent
Turbulent PD has never existed in any DSM. It’s part of Millon’s theorised personality disorder taxonomy, but doesn’t appear in any other literature.
It seems to be an alternate way of categorising and defining hypomania & cyclothymic disorder, and is similar to ADHD, NPD & HPD.
Millon classes it on a spectrum from ebullient personality type -> exuberant personality style -> turbulent personality disorder.
Haltlose
Theorised in German, Russian, and French psychiatry.
Haltlose translates to “unstable” (literally, “without footing”) and refers to a “drifting, aimless and irresponsible lifestyle: a translation might be ‘lacking a hold' on life or onto the self)”.
“Those with haltlose personality disorder have features of frontal lobe syndrome, sociopathic and histrionic personality traits”.
Someone with haltlose PD “lacks concentration and persistence”, and “lives in the present only”. They are “easily persuaded, and [are] often led astray”.
Haltlose PD is similar to AsPD as there is “an inability to learn from experience, and no sincere sense of remorse”. They are often described as ‘lovable rouges’.
(Cullivan, R, ‘‘Haltlose’ type personality disorder (ICD-10 F60.8)’, Psychiatric Bulletin, 1998, pp. 58-59).
Immature
Immature PD was mentioned in the DSM-III as a specifier for Other Specified PD, but removed in later editions.
It seems to be a combination of borderline, histrionic, narcissistic, antisocial, dependent, schizoid and avoidant PDs.
Almeida et al. suggest the following criteria for Immature PD: irresponsibility; impulsivity; unreliability; easily swayed; mood swings; expect overindulgence from others; dependency on others; ability for remorse or regret but it’s “light and fleeting”; inability to manage assets; inability to follow plans; quick to lie; unable to delay gratification; quick to frustration; devaluation of others; risk-taking behaviour; unstable relationships and behaviour; feels both entitled and worthless; attention seeking; recklessness; shyness; ungrateful; over-familiar with others; unable to plan for the future; substance use.
They also suggest 3 subtypes of Immature PD: the dramatic and emotional subtype, the shy subtype, and the mixed subtype.
(Almeida et al., 'Immature Personality Disorder: Contribution to the Definition of this Personality', Clinical Neuroscience & Neurological Research, 2019, pp. 1-16).
Eccentric and Psychoneurotic
These two personality disorders existed only as ‘other specified’ PDs in the ICD-10, where no definition is given.
having a complicated relationship with sex/sexual things after sa is so weird because like . it'll be 1 am and ill be switching through apps and ill be thirsting over a character and then ill open tumblr and i remember everything bad shes ever done to me
