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A Historical Review of Narcissism and Narcissistic Personality

Authors:
  • Metropolitan institute for training in psychoanalytic psychology

Abstract

From its roots in classical mythology, narcissism was originally conceptualized in the early 20th century as excessive self-love, but it soon began to be considered its own personality disorder or style. In the 1970s, increased interest in narcissism in psychoanalysis, social theory, and social/personality psychology led to conceptual confusion, which is only now being resolved.
... The DSM-5 reports that up to 75% of those diagnosed with Narcissistic Personality Disorder (NPD) are men (American Psychiatric Association, 2013). Such figures suggest that the representation of narcissism as codified in the DSM-5 may only be marginally applicable to females, given its prominent focus and nature on capturing grandiose themes at the expense of vulnerable variants of the disorder (Levy et al., 2011). The extent to which the construct and ensuing prevalence of this psychiatric disorder is, in fact, genderbiased has significant implications for the differential diagnosis and clinical treatment of men and women. ...
... The psychoanalytic literature contains a myriad of conceptual and clinical observations that portray diverse variants of the narcissistic disorder. For the purposes of this thesis, only those relevant and prominent theorists will be discussed (for a more extensive overview, see Levy, Ellison & Reynoso, 2011 Freud (1914Freud ( /1957 signified that these individuals were extraverted, aggressive, highly independent, and unable to love or commit in close relationships. ...
... The criteria of NPD in the DSM-5 have been challenged on conceptual, clinical and empirical grounds, the most common criticism pertaining to the evident lack of narcissistic vulnerability (Cain et al., 2008;Dimaggio, 2012;Kealy & Rasmussen, 2012;Levy et al., 2011;Reidy et al., 2008;Ronningstam, 2009). The failure to capture the phenomenology of NPD in its entirety has been said to most likely contribute to this disorder, exhibiting the lowest prevalence rate of the DSM personality disorders (Caligor, Levy & Yeomans, 2015;Russ et al., 2008). ...
Thesis
Despite its longevity as a personality construct, theoretical understandings of gender differences in narcissistic presentation are underdeveloped given the overemphasis of grandiose features indicative of the male gender. The existing literature is also fragmented across empirical and clinical subfields, with inconsistent conceptualisations regarding an assumed heterogeneous construct encompassing grandiose and vulnerable features. In this context, this thesis aims to enhance theoretical knowledge regarding gender differences in grandiose and vulnerable narcissism through undertaking three distinct but interrelated studies. The focus was specifically on parenting styles in the development of narcissism and variances in self-esteem regulation within Intimate Partner Violence, and the gender bias of narcissistic pathology as captured in the psychiatric nomenclature. Results demonstrate that hypothetical patients with vulnerable narcissism symptomatology are being (mis)diagnosed as having other ‘vulnerable disorders’, findings which may contribute to the observed gender bias in the psychiatric nomenclature (Study 1). Converging evidence demonstrates gender differences linking females to vulnerable features of narcissism (Study 2 and Study 3). Retrospective accounts of childrearing experiences generated findings which associated different parenting styles with manifestations of narcissism and partner violence outcomes in each gender, further elucidating the underling construct of grandiose and vulnerable narcissism (Study 2). The complexity of narcissism is revealed, as gender roles were perceived to shape self-regulatory strategies in females to obtain their self-worth (Study 3). It is concluded that gender socialisation processes play an important role in producing these gender differences, impacting on the diagnostic assessment, development, and manifestation of narcissism. It is recommended that a significant theoretical re-synthesis is required to capture gender issues in narcissism at the level of conceptualisation and clinical treatment, and integrate the disjointed subfields. Limitations of the thesis are identified and suggestions for future research made.
... Indeed, the prominence of interpersonal dysfunction was clearly reflected in early editions of the Diagnostic and Statistical Manual of Mental Disorders (DSM) for narcissistic personality disorder (NPD) (American Psychiatric Association, 1980). Such classification systems overtly required the presence of significant interpersonal dysfunction (Criterion E), as relating to entitlement and non-reciprocation, interpersonal exploitativeness, idealization and devaluation and lack of empathy (Levy et al., 2011;Levy et al., 2013;Reynolds & Lejuez, 2011). The current categorical criteria for NPD do not explicitly require the presence of interpersonal dysfunction in the same way, with interpersonal dysfunction being explicitly outlined in one criterion (e.g., Criterion 6: Is interpersonally exploitative) and implicit in a number of others (American Psychiatric Association, 2013a). ...
... Finally, these results also implicate interpersonal patterns of idealization and devaluation for individuals with narcissistic pathology. While early DSM criteria also included this for NPD (e.g., American Psychiatric Association, 1980), it was subsequently removed in order to reduce overlap with other personality disorders (Levy et al., 2011;Levy et al., 2013); however, these results suggest that it may remain a potentially salient feature of narcissistic functioning as has been suggested in alternate diagnostic and theoretical frameworks (Lingiardi & McWilliams, 2017). ...
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... Similarly, other studies also demonstrated that narcissism did not predict trolling behaviors (Lopes & Yu, 2017;March et al., 2017). It was argued that since narcissists are preoccupied with themselves more than others (Levy et al., 2011), there was no significant association between trolling and narcissism. Based on this information, we also do not expect a significant relationship between narcissism and any form of trolling. ...
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... Narcissism, Narcissistic Abuse, and Access to Support and Understanding Narcissism has been defined through theoretical identification and diagnostic classification within a psychiatric medical model (Levy et al., 2011). The psychiatric formulation of narcissism by the American Psychiatric Association (2013) focuses upon the narcissist's difficulties with self-identification and self-functioning within a diagnosis of Narcissistic Personality Disorder. ...
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