the low branches, all the
appeasement
critters, right? Who gave gold statues to T, but hire in the branches?
That's where the [— ] you monkey lives, right? And there's a tougher, meaner American up there

www.imdb.com/title/tt0985...

I cannot find one general in a position to confront Hitler with the courage to do it.

My duty as an officer is no longer to save my country, but to save human lives.

The outrages committed by Hitler's SS are a stain on the honor of the German Army. There is widespread disgust in the officer corps toward the crimes committed by the Nazis, the murder of civilians, the torture and starvation of prisoners, the mass execution of Jews.

Aggression and Paranoia: People with certain personality disorders who develop dementia may experience increased aggression, irritability, and paranoid thoughts, as these symptoms are common in advanced stages of dementia

Specific Examples
Narcissistic Personality Disorder (NPD): Individuals with NPD may become more demanding, irritable, and manipulative as their cognitive functions decline due to dementia.

Impact on Core Personality: Dementia can also directly affect fundamental aspects of personality, such as a significant decrease in conscientiousness and extraversion and an increase in neuroticism, which can lead to mood swings and a coarser emotional affect.

Behavioral and Psychological Symptoms of Dementia (BPSD): Dementia can cause a range of BPSD, such as apathy, paranoia, agitation, and disinhibition. These symptoms can interact with a personality disorder, making the individual's behavior more erratic and challenging to manage.
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This can heighten confusion and fear, leading to more reactive behaviors like anger and suspicion, which can amplify existing personality traits like paranoia or aggression.

Altered Perception of the World: Dementia shifts a person's perception, causing them to react to situations in surprising ways. This can lead to increased anxiety and frustration, which are common triggers for anger and irritability, making pre-existing personality traits more prominent.

How Dementia Exacerbates Personality Disorders
Cognitive Decline: As dementia progresses, the brain's ability to make plans, solve problems, and recall events deteriorates.

Existing personality traits can interact with cognitive decline, and premorbid (before dementia) personality characteristics are associated with more severe behavioral and psychological symptoms of dementia (BPSD).

can also coarsen a person's affect, leading to more difficult-to-manage behaviors.

Does Dementia make personality disorders worse?

Google AI:

Yes, dementia can worsen personality disorders because it affects brain areas that control behavior and emotional regulation, leading to intensified symptoms like irritability, paranoia, and aggression, and

The traits of a malignant narcissist are also closely associated with the Dark Triad, which includes narcissism, psychopathy, and Machiavellianism.

Overlap with Other Disorders
Malignant narcissism is often described as a combination of Narcissistic Personality Disorder (NPD) and Antisocial Personality Disorder (APD).

Coercive Control: A strong desire to control others and exert power over them.
Idealization and Devaluation: Rapidly shifting between praising someone and then demeaning them.