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Self injury is actually one of the hallmarks of borderline pd. I've never thought of those with it as being narcissistic or not caring about other people's feelings. My sister who has it is one of the most generous and caring people I know. It's a pretty complex disease. It kind of seems like all the other disorders rolled into one! Here are the DSM IV criteria:
-Frantic efforts to avoid real or imagined abandonment.
-A pattern of unstable and intense interpersonal relationships characterized by alternating between extremes of idealization and devaluation.
-Identity disturbance: markedly and persistently unstable self-image or sense of self.
-Impulsivity in at least two areas that are potentially self-damaging (e.g., spending, promiscuous sex, eating disorders, substance abuse, reckless driving, binge eating). --Recurrent suicidal behavior, gestures, threats, or self-mutilating behavior.
-Affective instability due to a marked reactivity of mood (e.g., intense episodic dysphoria, irritability, or anxiety usually lasting a few hours and only rarely more than a few days).
-Chronic feelings of emptiness.
-Inappropriate, intense anger or difficulty controlling anger (e.g., frequent displays of temper, constant anger, recurrent physical fights).
-Transient, stress-related paranoid ideation or severe dissociative symptoms.
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