1. Reason why more FTM than MTF
Women tend to go to therapy way more than men do. I don’t feel the need to pull up statistics or graphs to support my claim - it’s pretty self evident. The difference is that FTM’s are more likely to seek therapy, get diagnosed, and identify as NPD.
Here is a good quote that fits the average FTM/TIF with NPD:
“Females tend to exhibit greater concern with physical appearance (
Buss and Chiodo, 1991) and have higher reactiveness to slights from others (
Richman and Flaherty, 1990). “
Source
Using this same source we can look at how the average man (MTF /TIM) with NPD acts:
“males more likely to have a sense of entitlement, a lack of empathy (
Karterud et al., 2011;
Richman and Flaherty, 1990), fantasies of power and success and a grandiose sense of self-importance (
Bylsma and Major, 1992;
Grijalva et al., 2015;
Karterud et al., 2011;
Luo et al., 2014;
Major, 1994;
Major et al., 1984), and to exploit others and to believe that they are specials or deserve unique privileges (
Grijalva et al., 2015;
O’Brien et al., 2012;
Richman and Flaherty, 1990;
Tschanz et al. 1998).”
The difference between men and women is egosyntoncity.
2. What is Egosyntoncity? EgoDYStonic vs EgoSYNtonic
Egosyntonicity: In psychoanalysis, egosyntonic behaviors, values, and feelings are in harmony with or acceptable to the needs and goals of the ego, or consistent with one's ideal self-image. Egodystonic (or ego alien[1]) behaviors are the opposite, referring to thoughts and behaviors (dreams, compulsions, desires, etc.) that are conflicting or dissonant with the needs and goals of the ego, or further, in conflict with a person's ideal self-image.
Source: (I know Wikipedia sucks ass but it’s the easiest source that isn’t word salad)
So what does this exactly mean? Those who are egodystonic are more likely to get treatment because they see it as opposite to who they believe they are. It’s opposite to their reality. This paragraph from the same source above summarizes the connection between ego and NPD well:
“For example, a person with
narcissistic personality disorder has an excessively positive self-regard and rejects suggestions that challenge this viewpoint.
(Nearly every MTF/TIM/AGP I can think of fits this…) This corresponds to the general concept in
psychiatry of poor
insight.
Anorexia nervosa, a difficult-to-treat disorder (formerly considered an
Axis I disorder before the release of the DSM-5) characterized by a distorted
body image and fear of gaining weight, is also considered egosyntonic because many of its sufferers deny that they have a problem.
[3](cough cough FTM/ROGD/TIF getting mad that they should love themselves instead of cutting off their breasts cough cough)”
