
Sure you can argue that a narcissist can abuse someone in a way that’s not typical of a non narcissist! You can argue this with any other mental illness too, however. I know multiple people with believed autistic parents who believe their parent’s neurodivergence affected the way they were mistreated. That is fine to acknowledge. However, calling that, “autistic abuse” would be completely insane.
also, to believe that a certain diagnostic label means a person is unavoidably destined to cause harm, irreparably selfish & manipulative & untrustworthy, inherently “criminal” etc is to believe in eugenics, full stop. it’s just not an objective or politically-neutral act to buy into the idea that a particular mental health diagnosis categorizes those who suffer from it as definitively destructive
I somewhat agree, but specifying “narcissistic abuse” does tell you a bit more about the nature and method of the abuse, where “autistic abuse” really doesn’t. Same way that people often specify that someone is an “abusive alcoholic” or something similar. Alcoholics and narcissists are both capable of not being abusive, but the specification tells you more about why they’re having trouble.
this just tells me that you’ve embraced some really dangerous dehumanizing stigma without thinking it through critically. psychiatry as a field has plenty of flaws, but one thing we’ve mostly gotten right by now is that there can be no such thing as Evil Abuser Disorder—that’s just not how that works. it would totally undermine the logic & function of clinical psychiatry to invent a diagnostic category that labels the afflicted as irredeemable & unavoidably destructive
that’s why, for instance, constructs like “sociopathy” & “psychopathy” are mostly considered outdated / don’t actually exist as diagnostic labels in the DSM at this point in time, instead mainly only being perpetuated by copaganda tv and shallow pop-psych grifters. a disorder is a flexible pathology, by definition it is not a condemnation to a lifetime of harmful behavior or a reason to conceptualize someone as innately malignantly separate from the entire rest of humanity
someone with NPD has the same “needs” as every other human being, and being “damaged & insecure” is pretty obviously not unique to people with NPD. people with and without NPD broadly cope with those feelings using the same set of tools: some of which are productive, some of which are harmful. going the harmful route doesn’t necessarily mean someone has NPD, and having NPD doesn’t necessarily mean someone is going to attempt to damage others in pursuit of healing internal wounds
“abusive alcoholic” as a phrase functions very differently from how “alcoholic abuse” would, though—the former doesn’t imply a unique form of abuse which is Only characteristic of & attributable to alcoholics, it just claims that an individual alcoholism-afflicted person is being abusive. “abusive narcissist” claims that an individual with NPD is behaving abusively; the phrase “narcissistic abuse” seeks to invent a form of abuse which is universal to people with NPD and perpetuated only by them
“autistic abuse” would only tell you less about the nature and method of abuse than “narcissistic abuse” does if you already harbor the belief that a NPD diagnosis means someone is innately predisposed towards being abusive, moreso than other mental health diagnoses. a diagnosis is just a name for a cluster of symptoms, not a monolith—the symptoms themselves can manifest in a variety of different forms & behaviors
distinct how…? the only other established categorical labels for abuse that I can think of refer strictly to the “type” of abuse insofar as it being emotional abuse, physically violent abuse or sexual abuse (or the additional modifier of elder abuse / child abuse) it’s fine if you wanna push for the development of new categorical language beyond that, but there’s no productive path forward for the usage of labels that very explicitly demonize anyone with a particular mental health diagnosis
it’s also definitely Not “precise language”—it refers to a set of abusive behaviors that can be perpetrated by *anyone* as if those behaviors are somehow 1) unique to and 2) innately characteristic of NPD. it’s a misnomer that causes tangible harm to people living with an aggressively-stigmatized mental health diagnosis. and I say this as someone with cptsd from being abused in ways that absolutely do get lumped in under the so-called “narcissistic abuse” umbrella!
So hi I have a lot of experience with this and my first career was in abnormal psychology. Sociopathy and psychopathy are pretty similar which is why they are grouped together in the current DSM. NPD is a whole different animal. Their affliction will not allow the self much true reflection making it really the worst disorder. That doesn’t mean they are malicious.
Yeah man it is totally fucked up it sucks. I have a lot of compassion for narcissists, truly. I think they suffer a tremendous amount and they operate from survival instinct like you said which makes them behave and think differently. They cannot accept that anything is “wrong” with them. They say it’s the only disorder with no reliable treatment and I’ve never known a recovered narc