Narcissistic personality disorder.
ABSTRACT Clinical theorists across various orientations describe individuals diagnosed with narcissistic personality disorder as those characterized by a pervasive pattern of grandiosity, a sense of privilege or entitlement, an expectation of preferential treatment, an exaggerated sense of self-importance, and arrogant or haughty behaviors or attitudes (Westen & Shedler, 1999). Despite common clinical usage, the concept of narcissistic personality disorder is highly controversial and of uncertain validity. The vast majority of the literature on narcissistic personality disorder has been theoretical and clinical rather than empirical. The research that does exist, with a few important exceptions, has not been carried out programmatically. In this chapter, we will summarize and integrate the best available scientific evidence bearing on the etiology, assessment, diagnosis, course, and treatment of the disorder. We will begin with a brief history of the concept of narcissistic personality disorder, then review and evaluate a number of conceptualizations, and conclude with recommendations for further research on unresolved conceptual and methodological issues as we look toward DSM-V. (PsycINFO Database Record (c) 2012 APA, all rights reserved)
Full-textDOI: · Available from: Kenneth Levy, Jul 03, 2015
Click to see the full-text of:
Article: Narcissistic personality disorder.
- SourceAvailable from: Kenneth Levy01/2013; DOI:10.14713/pcsp.v8i3.1774
- [Show abstract] [Hide abstract]
ABSTRACT: The Pathological Narcissism Inventory (PNI) is a recently developed multidimensional inventory for the assessment of pathological narcissism. The authors describe and report the results of two studies that investigate the higher order factor structure and gender invariance of the PNI. The results of the first study indicate that the PNI has a higher order factor structure that conforms to the theoretical structure of pathological narcissism with one factor representing narcissistic grandiosity and the other capturing narcissistic vulnerability. These results uniquely place the PNI as the only measure to broadly assess the two phenotypic themes of pathological narcissism. In the second study, results from tests of measurement invariance indicate that the PNI performs similarly in large samples of men (n = 488) and women (n = 495). These results further establish the psychometric properties of the PNI and suggest that it is well suited for the assessment of pathological narcissism.Assessment 12/2010; 17(4):467-83. DOI:10.1177/1073191110373227 · 3.29 Impact Factor
- [Show abstract] [Hide abstract]
ABSTRACT: The Dangerous and Severe Personality Disorder (DSPD) initiative in England and Wales provides specialized care to high-risk offenders with mental disorders. This study investigated the predictive utility of personality traits, assessed using the Psychopathy Checklist-Revised (PCL-R) and the International Personality Disorder Examination, with 44 consecutive admissions to the DSPD unit at a high-security forensic psychiatric hospital. Incidents of interpersonal physical aggression (IPA) were observed for 39% of the sample over an average 1.5-year period following admission. Histrionic personality disorder (PD) predicted IPA, and Histrionic, Borderline, and Antisocial PDs all predicted repetitive (2+ incidents of) IPA. PCL-R Factor 1 and Facets 1 and 2 were also significant predictors of IPA. PCL-R Factor 1 and Histrionic PD scores were significantly associated with imminence of IPA. Results were discussed in terms of the utility of personality traits in risk assessment and treatment of specially selected high-risk forensic psychiatric patients in secure settings.International Journal of Offender Therapy and Comparative Criminology 05/2010; 55(3):392-415. DOI:10.1177/0306624X10370828 · 0.84 Impact Factor