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Old 05-28-2004, 10:56 PM   #1
SleazyDream
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Why is it I'm soo much better than you?

The evidence is soo obvious.

I'm just better then you. Period.


Just accept it.
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Old 05-28-2004, 10:56 PM   #2
Fletch XXX
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Sleazy, i love your threads man.

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Old 05-28-2004, 10:57 PM   #3
JSA Matt
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because bigger = better?
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Old 05-28-2004, 10:58 PM   #4
brizzad
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because bigger = better?
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Old 05-28-2004, 10:59 PM   #5
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Narcissistic Personality Disorder

Diagnostic Criteria

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, as indicated by five (or more) of the following:

1) has a grandiose sense of self-importance (e.g., exaggerates achievements and talents, expects to be recognized as superior without commensurate achievements)
2) is preoccupied with fantasies of unlimited success, power, brilliance, beauty, or ideal love
3) believes that he or she is "special" and unique and can only be understood by, or should associate with, other special or high-status people (or institutions)
requires excessive admiration
4) has a sense of entitlement, i.e., unreasonable expectations of especially favorable treatment or automatic compliance with his or her expectations
5) is interpersonally exploitative, i.e., takes advantage of others to achieve his or her own ends
6) lacks empathy: is unwilling to recognize or identify with the feelings and needs of others
7) is often envious of others or believes that others are envious of him or her
8) shows arrogant, haughty behaviors or attitudes


Psychosocial Treatment

Basic Principles:

Narcissistic patients try to sustain an image of perfection and personal invincibility for themselves and attempt to project that impression to others as well. Physical illness may shatter this illusion, and a patient may lose the feeling of safety inherent in a cohesive sense of self. This loss precipitates a panicky sensation that "my world is falling to pieces," and the patient feels a sense of personal fragmentation.

The histrionic patient's idealization of the physician stands in contrast to the narcissistic patient's frequent contemptuous disregard for the physician, who is denigrated in a defensive effort to maintain a sense of superiority and mastery over illness. Only the most senior physician in a prestigious institution is deemed worthy of respect as the frightened patient seeks an external reflection of his or her own fragile grandeur in the doctor. More junior members of the health care team may be the targets of derision as the patient seeks to establish hierarchical dominance in order to counter the shame and fear triggered by illness.

Health care professionals must convey a feeling of respect and acknowledge the patient's sense of self-importance so that the patient can reestablish a coherent sense of self, but they must at the same time avoid reinforcing either pathologic grandiosity (which may contribute to denial of illness) or weakness (which frightens the patient). An initial approach of support followed by step-by-step confrontation of the patient's vulnerabilities may enable the patient to deal with the implications of illness with feelings of greater subjective strength. The increased self-confidence may reduce the patient's need to attack the health care team in a misguided effort at psychologic self-preservation and eases the pressure to provide perfect care, since the patient's antagonistic feeling of entitlement (defined by DSM-III as an "expectation of special favors without assuming reciprocal responsibilities") is reduced.

Many of the treatment principles and approaches discussed for this disorder apply as well to Borderline Personality Disorder.

The individual with narcissistic and related personality disorders is likely to present with Axis I symptoms and disorders at various times in his or her life. These should be treated as described elsewhere. Caution should be observed, however, not to overdiagnose psychotic decompensation as Schizophrenia unless all DSM-III criteria are apparent. The same caveat applies to the pharmacologic treatment of depressive symptoms in the absence of clinical signs of Major Affective Disorder. When treating presenting symptoms and Axis I disorders in patients with Narcissistic Personality Disorder and other similar conditions, attention should be paid to the consequences of removing symptoms in a patient whose underlying character is primitive and or fragile.

Some clinicians, suggest that the grandiosity and tendency to idealize and devalue should be interpreted as defensive maneuvers when aspects of early conflictual relationships are played out in adult life. Other clinicians, posit that the emergence of the patient's grandiosity and tendency to idealize the therapist should initially be viewed supportively. To help the individual develop stronger self-esteem regulation, the therapist then gradually points out the realistic limitations of patient and therapist alike while also offering an empathic ambience to cushion patients in their efforts to accept and integrate these experiences. Unfortunately, much research will be required to validate the description and course of narcissistic personality disorder before further research can answer which techniques bring about a better response to treatment.
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Old 05-28-2004, 10:59 PM   #6
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are you better? or are you the best?
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Old 05-28-2004, 11:00 PM   #7
Illicit
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Quote:
Originally posted by JSA Matt
because bigger = better?

no its wider = better...
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Old 05-28-2004, 11:01 PM   #8
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if you die when no one is watching you wont go to heaven

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Old 05-28-2004, 11:03 PM   #9
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Because MY Milk Shake is better than Yours!
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Old 05-28-2004, 11:04 PM   #10
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Old 05-28-2004, 11:05 PM   #11
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SAY SAUSAGE!!!
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Old 05-28-2004, 11:06 PM   #12
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Old 05-28-2004, 11:06 PM   #13
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Depends how you measure "better".

Smarter = better. (I doubt you win.)
Sex appeal = better (I doubt you win)
More money = better (Fine)
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Old 05-28-2004, 11:11 PM   #14
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thats a generalisation... not hard to be better than most of the people on here though... what kind of comment is that any how ?

"I'm better than you..." sounds like something a 5 year old kid would say on their first day of school.real cute.

I'll agree with u just for the sake of it..
<sarcastic>damn i wish i could be as good as u</sarcastic>
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Old 05-28-2004, 11:14 PM   #15
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Originally posted by SleazyDream
The evidence is soo obvious.

I'm just better then you. Period.


Just accept it.

Long time ago, hon....
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Old 05-28-2004, 11:14 PM   #16
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I take it the penis pills aren't working?
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Old 05-28-2004, 11:15 PM   #17
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Old 05-28-2004, 11:21 PM   #18
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i love me
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Old 05-28-2004, 11:22 PM   #19
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Better at what sir?
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Old 05-28-2004, 11:23 PM   #20
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Better at what sir?
fucking IDIOT doesn't even know


sad
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Old 05-28-2004, 11:23 PM   #21
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i love me
i love me too!
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Old 05-28-2004, 11:24 PM   #22
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i love me too!
yeah but the fact is loving me is better than loving you!
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Old 05-28-2004, 11:25 PM   #23
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Quote:
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i love me too!
They don't call Me Ms.Narcissa for nothing.
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Old 05-28-2004, 11:27 PM   #24
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How can you be better when you just admitted on another thread that you have a small dick? Just wondering.
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Old 05-28-2004, 11:28 PM   #25
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yeah but the fact is loving me is better than loving you!
agreed, loving me is better than loving you!
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Old 05-28-2004, 11:28 PM   #26
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How can you be better when you just admitted on another thread that you have a small dick? Just wondering.
As long as the tongue works well, what's the problem?
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Old 05-28-2004, 11:30 PM   #27
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How can you be better when you just admitted on another thread that you have a small dick? Just wondering.
who the fuck cares how big it is if it isn't stinky! Mine's stinkyier
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Old 05-28-2004, 11:30 PM   #28
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agreed, loving me is better than loving you!
some people just need a big Black gay wrestler to come to their house and beat them with a stupid stick.
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Old 05-28-2004, 11:33 PM   #29
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who the fuck cares how big it is if it isn't stinky! Mine's stinkyier
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Old 05-28-2004, 11:33 PM   #30
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some people just need a big Black gay wrestler to come to their house and beat them with a stupid stick.
whats your address, he'll be on his way
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Old 05-28-2004, 11:36 PM   #31
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If you say so
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Old 05-28-2004, 11:38 PM   #32
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if you die when no one is watching you wont go to heaven

How bout if you die by being hit by a falling tree in a forest with nobody around?
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Old 05-28-2004, 11:39 PM   #33
pure energy
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who the fuck cares how big it is if it isn't stinky! Mine's stinkyier

So basically you're a guy who thinks the world of himself but have a small stinky dick?
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Old 05-28-2004, 11:40 PM   #34
Tala
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Quote:
Originally posted by SleazyDream
who the fuck cares how big it is if it isn't stinky! Mine's stinkyier
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Old 05-28-2004, 11:45 PM   #35
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You're obviously not talking to ME.
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Old 05-28-2004, 11:47 PM   #36
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**looks around and wonders who the hell he is talking about **
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Old 05-28-2004, 11:51 PM   #37
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Why is it I'm soo much better than you?
Just cuz, I guess. You is what you is. *AND* you have Skufty!
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Old 05-28-2004, 11:52 PM   #38
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Old 05-28-2004, 11:52 PM   #39
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Because there is a lot more of you to go around
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Old 05-28-2004, 11:53 PM   #40
Tala
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Quote:
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I'm diggin the metal collar and shackles. Very nice.
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Old 05-28-2004, 11:56 PM   #41
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As long as the tongue works well, what's the problem?
as grandpa used to say, "if you can't cut the mustard, make sure you can at least lick the jar."
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Old 05-29-2004, 12:02 AM   #42
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I'm diggin the metal collar and shackles. Very nice.
Unfortunately, unless you have a penis, I don't think he cares.
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Old 05-29-2004, 12:49 AM   #43
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Quote:
Originally posted by SleazyDream
The evidence is soo obvious.

I'm just better then you. Period.


Just accept it.
yes, you are so rich, big, wealthy.
YOU ARE TELLING SAME BULLSHIT FOR ABOUT YEAR ( or more?).
CAN YOU BRING NEXT TIME LITTLE BIT INNOVATION PLEASE ?
I am already tired to hear that story for 100x times a year.
Probably your childhood wasnt good, but why you need to bored others with that?

Last edited by teomaxxx; 05-29-2004 at 12:50 AM..
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Old 05-29-2004, 12:51 AM   #44
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I luv the Sleazy Bear. You make me laugh all the time.

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Old 05-29-2004, 12:58 AM   #45
Face (o_0)
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Quote:
Originally posted by Ironhorse
Narcissistic Personality Disorder

Diagnostic Criteria

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, as indicated by five (or more) of the following:

1) has a grandiose sense of self-importance (e.g., exaggerates achievements and talents, expects to be recognized as superior without commensurate achievements)
2) is preoccupied with fantasies of unlimited success, power, brilliance, beauty, or ideal love
3) believes that he or she is "special" and unique and can only be understood by, or should associate with, other special or high-status people (or institutions)
requires excessive admiration
4) has a sense of entitlement, i.e., unreasonable expectations of especially favorable treatment or automatic compliance with his or her expectations
5) is interpersonally exploitative, i.e., takes advantage of others to achieve his or her own ends
6) lacks empathy: is unwilling to recognize or identify with the feelings and needs of others
7) is often envious of others or believes that others are envious of him or her
8) shows arrogant, haughty behaviors or attitudes


Psychosocial Treatment

Basic Principles:

Narcissistic patients try to sustain an image of perfection and personal invincibility for themselves and attempt to project that impression to others as well. Physical illness may shatter this illusion, and a patient may lose the feeling of safety inherent in a cohesive sense of self. This loss precipitates a panicky sensation that "my world is falling to pieces," and the patient feels a sense of personal fragmentation.

The histrionic patient's idealization of the physician stands in contrast to the narcissistic patient's frequent contemptuous disregard for the physician, who is denigrated in a defensive effort to maintain a sense of superiority and mastery over illness. Only the most senior physician in a prestigious institution is deemed worthy of respect as the frightened patient seeks an external reflection of his or her own fragile grandeur in the doctor. More junior members of the health care team may be the targets of derision as the patient seeks to establish hierarchical dominance in order to counter the shame and fear triggered by illness.

Health care professionals must convey a feeling of respect and acknowledge the patient's sense of self-importance so that the patient can reestablish a coherent sense of self, but they must at the same time avoid reinforcing either pathologic grandiosity (which may contribute to denial of illness) or weakness (which frightens the patient). An initial approach of support followed by step-by-step confrontation of the patient's vulnerabilities may enable the patient to deal with the implications of illness with feelings of greater subjective strength. The increased self-confidence may reduce the patient's need to attack the health care team in a misguided effort at psychologic self-preservation and eases the pressure to provide perfect care, since the patient's antagonistic feeling of entitlement (defined by DSM-III as an "expectation of special favors without assuming reciprocal responsibilities") is reduced.

Many of the treatment principles and approaches discussed for this disorder apply as well to Borderline Personality Disorder.

The individual with narcissistic and related personality disorders is likely to present with Axis I symptoms and disorders at various times in his or her life. These should be treated as described elsewhere. Caution should be observed, however, not to overdiagnose psychotic decompensation as Schizophrenia unless all DSM-III criteria are apparent. The same caveat applies to the pharmacologic treatment of depressive symptoms in the absence of clinical signs of Major Affective Disorder. When treating presenting symptoms and Axis I disorders in patients with Narcissistic Personality Disorder and other similar conditions, attention should be paid to the consequences of removing symptoms in a patient whose underlying character is primitive and or fragile.

Some clinicians, suggest that the grandiosity and tendency to idealize and devalue should be interpreted as defensive maneuvers when aspects of early conflictual relationships are played out in adult life. Other clinicians, posit that the emergence of the patient's grandiosity and tendency to idealize the therapist should initially be viewed supportively. To help the individual develop stronger self-esteem regulation, the therapist then gradually points out the realistic limitations of patient and therapist alike while also offering an empathic ambience to cushion patients in their efforts to accept and integrate these experiences. Unfortunately, much research will be required to validate the description and course of narcissistic personality disorder before further research can answer which techniques bring about a better response to treatment.
did anybody read this?

and why did holly post that
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Old 05-29-2004, 01:12 AM   #46
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I luv the Sleazy Bear. You make me laugh all the time.

SleazyBear is Netp0nd . . .close
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Old 05-29-2004, 01:59 AM   #47
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Ironhorse's post seems too short, huh?
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Old 05-29-2004, 02:00 AM   #48
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i can see where one would be confused.
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Old 05-29-2004, 02:05 AM   #49
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yes, you are so rich, big, wealthy.
YOU ARE TELLING SAME BULLSHIT FOR ABOUT YEAR ( or more?).
CAN YOU BRING NEXT TIME LITTLE BIT INNOVATION PLEASE ?
I am already tired to hear that story for 100x times a year.
Probably your childhood wasnt good, but why you need to bored others with that?

how does it feel to KNOW that you're inferrior to me?
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Old 05-29-2004, 02:09 AM   #50
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Depends how you measure "better".

Smarter = better. (I doubt you win.)
Sex appeal = better (I doubt you win)
More money = better (Fine)

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