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[–]soundsituationI myself was once a gay 2 insightful - 1 fun2 insightful - 0 fun3 insightful - 1 fun -  (3 children)

Sure, could you post those? I have a guess, but I'm curious about whether paraphilias overlap with PDs in general or mostly with specific ones.

[–]reluctant_commenter 2 insightful - 1 fun2 insightful - 0 fun3 insightful - 1 fun -  (2 children)

Okay, found a few links! Sorry for the delay.

  • Comment I made a few months ago, about whether a narcissistic style of argumentation among gender identity ideology believers, is possibly related to epidemiological studies that show personality disorders are much more common among transgender-identified population than those who don't identify as trans. (My comment links to 3 such studies, but there are more; go to Google Scholar and search "personality disorders transgender" or similar searches and you'll find more such studies.]. Bear in mind that the % varies depending on what population you're looking at; 6% is a TON for general population, for example.)

For example: Out of 73 transgender patients receiving SRS, 81% had at least one personality disorder, and 57% had narcissistic personality disorder (at the very least), with higher prevalence among transwomen. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4301205/

Of 87 participants receiving "gender affirming treatments", approx. 50% diagnosed with one or more personality disorders. https://www.mdpi.com/1660-4601/17/5/1521

Among transgender people not necessarily receiving SRS: 6% of the trans people in the study diagnosed with one or more personality disorders, compared to 0.37% of cis people in the study. https://www.liebertpub.com/doi/full/10.1089/trgh.2019.0029

Unofficial data: the Subreddit Overlaps website. It's a gem. For example, r/FtM has an odds ratio of about 6-7 for r/bpd, meaning that someone who posts/comments on r/FtM is 6 or 7 times more likely than the average redditor to also post/comment on r/bpd. (Here's a post I made breaking down some interesting trends among these communities; I made a couple mentions of personality disorders but didn't have time to take many notes about personality disorders in particular, too much other interesting stuff!)

[–]soundsituationI myself was once a gay 2 insightful - 1 fun2 insightful - 0 fun3 insightful - 1 fun -  (1 child)

Thanks for putting this all together. As crazy as these numbers and correlations are, I'm honestly not surprised by any of it.

A couple things that stood out to me:

-the relatively low prevalence of BPD in that Iranian study. I'm not particularly surprised by this either but it's an interesting exception to the "Cluster B rule". Imo antisocial PD and histrionic PD make a lot more sense as NPD comorbidities in the trans community, especially the intolerant and demanding faction of it that has risen to prominence.

-the especially high levels of NPD in those who undergo "gender-affirming treatment". This makes so much sense to me too. My guess is that this subgroup is made up of exhibitionist narcissists in particular, who are especially image-conscious.

[–]reluctant_commenter 2 insightful - 1 fun2 insightful - 0 fun3 insightful - 1 fun -  (0 children)

Imo antisocial PD and histrionic PD make a lot more sense as NPD comorbidities

For the record... I think histrionic PD might be on the way out, there's some roots in that diagnosis coming from sexism (e.g. women being accused of being hypersexual in a harmful way, but not men when men do the same behavior; most Histrionic PD diagnosis go to women). But I'd be curious to see how various symptom cluster break down in the transgender population. There are probably more recent studies since I made that post.

My guess is that this subgroup is made up of exhibitionist narcissists in particular, who are especially image-conscious.

I wonder about that as well, or, if they're not outright exhibitionists, that they at least place a lot of value on external image.

No prob, thanks for reading! :) Interesting stuff. Interesting to dissect the train wreck in slow motion, that is, lol.