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Is Holmes a high functioning sociopath? Actually he is a schizoid narcissist Poirot? The same. Both cloak their sadism as moral uprightness. Are personality disorders merely culture bound diagnoses? Psychopathy as self-state, protective ego resource in DID, BPD (secondary), NPD, HPD, PPD. Philip Bromberg's work. Decompensation owing to intolerable anticipated or actual stress or trauma (CPTSD/PTSD): grandiose and fantasy defenses crumble and lead to acting out or to suicide. Emergence of a psychopathic protective self-state (same in DID). But protect from what? NPD: injury, mortification (hypervigilance) leads to contact with trauma traces, repressed emotions - NPD becomes BPD (Grotstein: BPD failed narcissist). PPD: threat (paranoid ideation, persecutory delusions) BPD: abandonment, rejection HPD: rejection, injury When the protective self overactive or is the only self-state/resource, we get hybrids types (comorbidity) like the malignant narcissist (Fromm, Herbert Rosenfeld, Kernberg). Millon's Unprincipled Narcissist, Disingenuous Histrionic, and Impulsive Borderline. Find and Buy MOST of my BOOKS and eBOOKS in my Amazon Store: https://www.amazon.com/stores/page/60...