Narcissism at the crossroads: phenotypic description of pathological narcissism across clinical theory, social/personality psychology, and psychiatric diagnosis.

@article{Cain2008NarcissismAT,
  title={Narcissism at the crossroads: phenotypic description of pathological narcissism across clinical theory, social/personality psychology, and psychiatric diagnosis.},
  author={Nicole M. Cain and Aaron L. Pincus and Emily B. Ansell},
  journal={Clinical psychology review},
  year={2008},
  volume={28 4},
  pages={
          638-56
        }
}
This review documents two themes of emphasis found in phenotypic descriptions of pathological narcissism across clinical theory, social/personality psychology, and psychiatric diagnosis. Clinical theories of narcissism spanning 35 years consistently describe variations in the expression of pathological narcissism that emphasize either grandiosity or vulnerable affects and self-states. Recent research in social/personality psychology examining the structure of narcissistic personality traits… Expand
The Validity of the Personality Diagnostic Questionnaire–4 Narcissistic Personality Disorder Scale for Assessing Pathological Grandiosity
TLDR
The validity of a DSM-based measure of pathological narcissism, the Personality Diagnostic Questionnaire–4 Narcissistic Personality Disorder scale (PDQ–4 NPD), was evaluated in 1 clinical and 3 nonclinical samples for its ability to measure pathological grandiosity. Expand
Pathological narcissism and narcissistic personality disorder.
TLDR
Criterion issues must be resolved, including clarification of the nature of normal and pathological narcissism, incorporation of the two broad phenotypic themes of narcissistic grandiosity and narcissistic vulnerability into revised diagnostic criteria and assessment instruments, and elimination of references to overt and covert narcissism that reify these modes of expression as distinct narcissistic types. Expand
Conceptions of Narcissism and the DSM-5 Pathological Personality Traits
TLDR
Results point to strong associations with PID-5 Antagonism scales across narcissism measures, consistent with the DSM-5’s proposed representation of NPD, however, additional notable associations emerged withpid-5 Negative Affectivity and Psychoticism scales when considering more clinically relevant narcissism Measures. Expand
Narcissistic pathology as core personality dysfunction: comparing the DSM-IV and the DSM-5 proposal for narcissistic personality disorder.
TLDR
A revised formulation of narcissistic personality is described, and a case study is presented that illustrates the similarities and differences in the DSM-IV and proposed DSM-5 portrayal of narcissistic issues and related clinical problems over the course of a particular treatment. Expand
A comparison of the criterion validity of popular measures of narcissism and narcissistic personality disorder via the use of expert ratings.
TLDR
Grandiose dimensions from the Five-Factor Narcissism Inventory and the Narcissistic Personality Inventory provided the strongest match to expert ratings of DSM-IV-TR NPD and grandiose narcissism, whereas the vulnerable dimensions of the FFNI and the Pathological Narcissisism Inventory provide the best match to Expert ratings of vulnerable narcissism. Expand
How To Eliminate Narcissism Overnight: DSM-V and the Death of Narcissistic Personality Disorder.
  • R. Pies
  • Medicine
  • Innovations in clinical neuroscience
  • 2011
TLDR
The best course of action may be to refine the narcissistic personality disorder criteria, followed by careful field testing and a search for biomarkers, rather than wholesale elimination of the narcissistic Personality Disorder category. Expand
Pathological narcissism and depressive symptoms in psychiatric outpatients: mediating role of dysfunctional attitudes.
TLDR
Among adult psychiatric outpatients, narcissistic vulnerability is more strongly related to depressive symptoms than narcissistic grandiosity, and dysfunctional perfectionism represents one of the underlying mechanisms of this relationship. Expand
Debates on the Narcissism Conundrum: Trait, Domain, Dimension, Type, or Disorder?
TLDR
It is concluded that NPD as such shows nosological inconsistency and that its consideration as a trait domain with needed further research would be strongly beneficial to the field. Expand
Grandiose and Vulnerable Narcissism and the DSM–5 Pathological Personality Trait Model
TLDR
The Personality Inventory for DSM–5 (PID5) captured a significant portion of the variance in grandiose and vulnerable factors, although the 2 specific facets designated for the assessment of NPD fared substantially better in the Assessment ofgrandiose rather than vulnerable narcissism. Expand
Narcissistic Personality Disorder: A Current Review
TLDR
This review focuses specifically on studies of features that add to the identification, understanding, and treatment of patients with pathological narcissistic functioning and narcissistic personality disorder. Expand
...
1
2
3
4
5
...

References

SHOWING 1-10 OF 204 REFERENCES
Pathological narcissism and narcissistic personality disorder.
TLDR
Criterion issues must be resolved, including clarification of the nature of normal and pathological narcissism, incorporation of the two broad phenotypic themes of narcissistic grandiosity and narcissistic vulnerability into revised diagnostic criteria and assessment instruments, and elimination of references to overt and covert narcissism that reify these modes of expression as distinct narcissistic types. Expand
Pathological Narcissism and Narcissistic Personality Disorder in Axis I Disorders
TLDR
The results show that prevalence rates of NPD in Axis I disorders rarely exceed those found in the general psychiatric or personality disorder populations, and highlight trends of interacting comorbidity between NPD and substance use disorders, bipolar disorder, depression, and anorexia nervosa. Expand
Initial construction and validation of the Pathological Narcissism Inventory.
TLDR
The Pathological Narcissism Inventory is a 52-item self-report measure assessing 7 dimensions of pathological narcissism spanning problems with narcissistic grandiosity and narcissistic vulnerability and exhibited significant associations with parasuicidal behavior, suicide attempts, homicidal ideation, and several aspects of psychotherapy utilization. Expand
Disorders of narcissism : diagnostic, clinical, and empirical implications
Foreword. Diagnostic and Theoretical Considerations. Introduction to Section I. Normal narcissism: an etiological and ethological perspective. Pathological narcissism and narcissistic personalityExpand
Comparing clinical and social-personality conceptualizations of narcissism.
TLDR
The present study compared two measures of narcissism-one used in clinical settings (Personality Diagnostic Questionnaire, PDQ-4+; Hyler, 1994) and one used in social-personality research (Narcissistic Personality Inventory, NPI) across two samples. Expand
Narcissistic personality disorder: relations with distress and functional impairment.
TLDR
It is suggested that NPD is a maladaptive personality style which primarily causes dysfunction and distress in interpersonal domains which ultimately leads to problems and distress for the narcissistic individuals and for those with whom they interact. Expand
Interpersonal analysis of grandiose and vulnerable narcissism.
TLDR
The validity of grandiose and vulnerable narcissism based upon the results of this study was discussed in terms of clinical theory and with reference to the implications of two subtypes of narcissism for diagnosis and treatment. Expand
An MMPI description of the narcissistic personality.
TLDR
A profile analysis of the high NPI scorers suggest that a 98/89 MMPI profile with an elevated F score is most representative of the narcissistic personality in nonclinical samples. Expand
Descriptive studies on narcissistic personality disorder.
TLDR
A survey of the literature and a comparison of three diagnostic systems for narcissistic personality disorder helped clarify the degree of concordance among the existing systematic descriptions and gave rise to the development of a semistructured interview: the Diagnostic Interview for Narcissism. Expand
Assessment of narcissistic personality disorder: A multi-method review
Abstract This review examines the available empirical data for the diagnosis of narcissistic personality disorder (NPD) for three methods of assessment: semi-structured interviews, self-reportExpand
...
1
2
3
4
5
...