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What is the definition of the Narcissistic Personality Disorder?

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Narcissistic Personality Disorder

Narcissism is a pattern of traits and behaviours which signify infatuation and obsession with one's self to the exclusion of all others and the egotistic and ruthless pursuit of one's gratification, dominance and ambition. Most narcissists (50-75%, according to the DSM IV-TR) are men. The Narcissistic Personality Disorder (NPD) is one of a "family" of personality disorders known as "Cluster B" which also includes the Borderline, Antisocial, and Histrionic PDs. It is often diagnosed with these or other mental health disorders ("co-morbidity") - or with substance abuse and impulsive and reckless behaviors ("dual diagnosis"). There is only scant research regarding narcissism. But what there is has not demonstrated any ethnic, social, cultural, economic, genetic, or professional predilection to NPD. It is estimated that 0.7-1% of the general population suffer from NPD. The onset of narcissism is in infancy, childhood and early adolescence. It is commonly attributed to childhood abuse and trauma inflicted by parents, authority figures, or even peers. There is a whole range of narcissistic reactions - from the mild, reactive and transient to the permanent personality disorder. Narcissistic Supply is outside attention - usually positive (adulation, affirmation, fame, celebrity) - used by the narcissist to regulate his labile sense of self-worth. Narcissists are either "cerebral" (derive their narcissistic supply from their intelligence or academic achievements) or "somatic" (derive their narcissistic supply from their physique, exercise, physical or sexual prowess and romantic or physical "conquests"). Narcissists are either "classic" - see definition below - or they are "compensatory", or "inverted" - see definitions here: "The Inverted Narcissist". The classic narcissist is self-confident, the compensatory narcissist covers up in his haughty behaviour for a deep-seated deficit in self-esteem, and the inverted type is a co-dependent who caters to the emotional needs of a classic narcissist. The American Psychiatric Association, based in Washington D.C., USA, publishes the Diagnostic and Statistical Manual of Mental Disorders, fourth edition, Text Revision (DSM-IV-TR), 2000. The international equivalent of the DSM is the ICD-10, Classification of Mental and Behavioural Disorders, published by the World Health Organization in Geneva (1992). The DSM defines NPD as "an all-pervasive pattern of grandiosity (in fantasy or behavior), need for admiration or adulation and lack of empathy, usually beginning by early adulthood and present in various contexts." The ICD regards NPD as "a personality disorder that fits none of the specific rubrics." It relegates it to the category "Other Specific Personality Disorders" together with the eccentric, "haltlose", immature, passive-aggressive, and psychoneurotic personality disorders and types. The DSM specifies nine diagnostic criteria. For NPD to be diagnosed, five (or more) of these criteria must be met. (In the text below, I have proposed modifications to the language of these criteria to incorporate current knowledge about this disorder. My modifications appear in bold italics.) (My amendments do not constitute a part of the text of the DSM-IV-TR, nor is the American Psychiatric Association (APA) associated with them in any way.)

Click here to download a bibliography of the studies and research regarding the Narcissistic Personality Disorder (NPD) on which I based my proposed revisions. Proposed Amended Criteria for the Narcissistic Personality Disorder: Feels grandiose and self-important (e.g., exaggerates accomplishments, talents, skills, contacts, and personality traits to the point of lying, demands to be recognized as superior without commensurate achievements); Is obsessed with fantasies of unlimited success, fame, fearsome power or omnipotence, unequalled brilliance (the cerebral narcissist), bodily beauty or sexual performance (the somatic narcissist), or ideal, everlasting, all-conquering love or passion; Firmly convinced that he or she is unique and, being special, can only be understood by, should only be treated by, or associate with, other special or unique, or high-status people (or institutions); Devoid of empathy. Is unable or unwilling to identify with, acknowledge, or accept the feelings, needs, preferences, priorities, and choices of others; Behaves arrogantly and haughtily. Feels superior, omnipotent, omniscient, invincible, immune, "above the law", and omnipresent (magical thinking). Rages when frustrated, contradicted, or confronted by people he or she considers inferior to him or her and unworthy. Based on my book "Malignant Self Love - Narcissism Revisited" (c) 2003 Lidija Rangelovska Narcissus Publications

Here are more opinions from other FAQ Farmers:

  • ...characterized by a rigid, unremitting conviction of personal entitlement which drives, motivates, pervades, and dominates the entire spectrum of the individual's behavior and actions. This belief assumes an imperious postion that supercedes any and all sense of social/community/family/professional association and responsibility. The individual conceptualizes and interprets rules, laws, codes, mores, and values exclusively in terms of a privately/secretly held idea of self-justification and vindication that serves to reinforce and strengthen his/her distorted and contaminated projections, images, fantasies, dogmas, doctrines and practices.

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