Narcissistic personality disorder in DSM-5.

  title={Narcissistic personality disorder in DSM-5.},
  author={Andrew E. Skodol and Donna S Bender and Leslie C. Morey},
  journal={Personality disorders},
  volume={5 4},
The criteria for personality disorders in Section II of DSM-5 have not changed from those in DSM-IV. Therefore, the diagnosis of Section II narcissistic personality disorder (NPD) will perpetuate all of the well-enumerated shortcomings associated with the diagnosis since DSM-III. In this article, we will briefly review problems associated with Section II NPD and then discuss the evolution of a new model of personality disorder and the place in the model of pathological narcissism and NPD. The… 

Narcissistic Personality Disorder: An Integrative Review of Recent Empirical Data and Current Definitions

This review summarized available empirical data on NPD and related these findings to current definitions of NPD, as defined in the DSM-5, followed the five steps to establishing diagnostic validity proposed by Robins and Guze.

Relating DSM-5 section III personality traits to section II personality disorder diagnoses

Although the DSM-5 section III alternative model provided a substantially different taxonomic structure for personality disorders, the associations between this new approach and the traditional personality disorder concepts in DSM- 5 section II make it possible to render traditional personality Disorder concepts using alternative model traits in combination with core impairments in personality functioning.

Changes in the Conceptualization of Personality Disorder: The DSM-5 Debacle

Lanier, Bollinger, and Krueger (2011) provide an overview of proposed changes to the diagnosis and classification of personality disorders to appear in the forthcoming fifth edition of the American

Borderline Personality Disorder and Narcissistic Personality Disorder Diagnoses From the Perspective of the DSM-5 Personality Traits: A Study on Italian Clinical Participants

Separation insecurity, impulsivity, distractibility, and perceptual dysregulation were the DSM-5 traits that significantly discriminated BPD participants, and domain-level analyses confirmed and extended trait-level findings.

Retention or deletion of personality disorder diagnoses for DSM-5: an expert consensus approach.

Surveyed members of two personality disorder associations with respect to the utility, validity, and status of each DSM-IV-TR personality disorder diagnosis indicated that the proposal to delete five of the personality disorders lacks consensus support within the personality disorder community.

Proposed DSM-5 personality traits and substance use: A multi-faceted study

In this study, the Brief Assessment of Traits 37 (BAT37) was developed to measure the presence of the personality traits initially proposed for inclusion in the personality disorders section of the

Personality disorders : toward theoretical and empirical integration in diagnosis and assessment

What are personality disorders? How should they be conceptualized, and how should they be assessed and diagnosed in clinical practice? For over a century these questions have been at the heart of

The Cognitive Neuroscience of Narcissism

Narcissistic Personality Disorder (NPD) is a personality disorder that involves a long-term pattern of abnormal behavior characterized by exaggerated feelings of selfimportance, an excessive need for

Integrating Trait-and Process-based Conceptualizations of Pathological Narcissism in the Dsm-5 Era

The fifth edition of the Diagnostic and Statistical Manual of Mental Disorders contains an innovative alternative model of personality pathology, which includes a substantially revised description of



Narcissistic pathology as core personality dysfunction: comparing the DSM-IV and the DSM-5 proposal for narcissistic personality disorder.

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.

Grandiose and Vulnerable Narcissism and the DSM–5 Pathological Personality Trait Model

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.

Pathological narcissism and narcissistic personality disorder.

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.

Personality disorders in DSM-5.

  • A. Skodol
  • Psychology
    Annual review of clinical psychology
  • 2012
Scientific principles that have influenced the development of proposed changes for the assessment and diagnosis of personality psychopathology in DSM-5 are reviewed, the proposed model as of the summer of 2011 is presented, rationales for the changes are summarized, and critiques of the model are discussed.

DSM-5 personality traits and DSM-IV personality disorders.

Regression analyses support the DSM-5 hybrid model in that pathological traits, and an indicator of general personality pathology severity provided incremental information about PDs.

Debates on the Narcissism Conundrum: Trait, Domain, Dimension, Type, or Disorder?

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.

Personality disorder types proposed for DSM-5.

Modifications in approach to diagnosing PD types and their justifications--including excessive co-morbidity among DSM-IV-TR PDs, limited validity for some existing types, lack of specificity in the definition of PD, instability of current PD criteria sets, and arbitrary diagnostic thresholds--are the subjects of this review.

Synthesizing dimensional and categorical approaches to personality disorders: refining the research agenda for DSM‐V Axis II

The idea of having a set of core descriptive elements of personality for DSM‐V, an approach to rating those elements for specific patients, a way of combining those elements into personality disorder prototypes, and a revised conception of personality disorder as a construct separate from personality traits are discussed.

Comparison of alternative models for personality disorders, II: 6-, 8- and 10-year follow-up

Compared with previous findings, approaches that integrate normative traits and personality pathology proved to be most predictive, as the SNAP, a system that integrates normal and pathological traits, generally showed the largest validity coefficients overall.