Pathological Narcissism and Narcissistic Personality Disorder in Axis I Disorders

@article{Ronningstam1996PathologicalNA,
  title={Pathological Narcissism and Narcissistic Personality Disorder in Axis I Disorders},
  author={Elsa F Ronningstam},
  journal={Harvard Review of Psychiatry},
  year={1996},
  volume={3},
  pages={326–340}
}
  • E. Ronningstam
  • Published 1 March 1996
  • Psychology, Medicine
  • Harvard Review of Psychiatry
&NA; This paper presents available information on the comorbidity of narcissistic personality disorder (NPD) and pathological narcissism with major mental illness. A review of empirical studies reporting on the prevalence of NPD in Axis I disorders, and of theoretical and clinical literature on narcissistic pathology in major mental illness, forms the basis for an analysis of this interface. The results show that prevalence rates of NPD in Axis I disorders rarely exceed those found in the… 
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References

SHOWING 1-10 OF 112 REFERENCES
DSM-III-R personality disorders in panic and obsessive-compulsive disorder: a comparison study.
TLDR
The results do not support the hypothesis of PD as secondary to anxiety disorders and confirm previous findings of a lack of specificity between DSM-III-R axis II categories and OCD and PAD.
Personality disorders in alcoholics and drug addicts.
TLDR
Questions are raised about the validity and usefulness of the distinction between axis I and axis II disorders in patients with substance use disorders, and do not lend support to the validity of the categorical classification of personality pathology.
A psychometric study of the prevalence of DSM-III personality disorders among treated opiate addicts.
  • R. Craig
  • Psychology, Medicine
    The International journal of the addictions
  • 1988
Using the DSM-III criteria for personality disorders, prevalence rates of these disorders were evaluated, among opiate addicts in treatment, with a psychometric test--the Million Clinical Multiaxial
Changes in pathological narcissism.
TLDR
Examination of life events in the interval between assessments suggests that changes in pathological narcissism are related to three kinds of experiences: achievements, new durable relationships, and disillusionments.
Frequency and implications of personality disorders in a sample of depressed outpatients.
The frequency of DSM-III, Axis II personality disorders and their relationship to selected demographic and clinical characteristics were investigated in a sample of 249 outpatients with major
Diagnosing Personality Disorders in Recent-Onset Schizophrenia
TLDR
The degree of concordance between the Structured Interview for DSM-III Personality Disorders (SIDP) and the Millon Multiaxial Clinical Inventory (MCMI-I) was established, and Paranoid and schizotypal traits were found to be ubiquitous across instruments.
Overview: narcissistic personality disorder.
The authors trace the evolution of narcissistic personality disorder as a nosological entity in a critical survey of the literature, considering and comparing differing theoretical viewpoints
DSM-III-R axis II comorbidity in dysthymia and major depression.
TLDR
Data indicate that early-onset dysthymia is associated with significantly greater axis II comorbidity than episodic major depression and further work is necessary to elucidate the processes underlying this association.
Major depression and personality disorder.
TLDR
The results extend the previously described high rates of PDs in depressed patients to a sample of individuals with a lifetime history of treated or untreated depression, and suggest that interview assessments of personality may be less sensitive to the state effects of depression than are questionnaires.
Diagnosing personality disorders in psychiatric inpatients
TLDR
There was little support for the DSM‐III/DSM‐III‐R statements on sex differences in the prevalence of PD, except for antisocial PD, and the implications of the results are discussed.
...
1
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3
4
5
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