Pathological narcissism and narcissistic personality disorder.

  title={Pathological narcissism and narcissistic personality disorder.},
  author={Aaron L. Pincus and Mark R Lukowitsky},
  journal={Annual review of clinical psychology},
We review the literature on pathological narcissism and narcissistic personality disorder (NPD) and describe a significant criterion problem related to four inconsistencies in phenotypic descriptions and taxonomic models across clinical theory, research, and practice; psychiatric diagnosis; and social/personality psychology. This impedes scientific synthesis, weakens narcissism's nomological net, and contributes to a discrepancy between low prevalence rates of NPD and higher rates of… 
Measurement Invariance of the Pathological Narcissism Inventory and Multimethod Examination of Narcissistic Presentations in Community and Clinical Samples.
The Pathological Narcissism Inventory (PNI) is extensively used in recent empirical literature on pathological narcissism. However, most studies using the PNI are community-based, and no studies have
Conceptions of Narcissism and the DSM-5 Pathological Personality Traits
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.
How To Eliminate Narcissism Overnight: DSM-V and the Death of Narcissistic Personality Disorder.
  • R. Pies
  • Psychology
    Innovations in clinical neuroscience
  • 2011
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.
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.
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The new diagnostic approach to NPD can encourage a better integration of the clinicians’ observations of indicators of pathological narcissism from an external perspective and the patients’ formulations of their own subjective experiences and understanding of their problems.
Narcissistic Personality Disorder: Are Psychodynamic Theories and the Alternative DSM-5 Model for Personality Disorders Finally Going to Meet?
The narcissist's unique pattern of self-impairments in identity and self-direction, and of interpersonal disfunctioning, is discussed, and how contemporary psychodynamic theories and the hierarchical model of Pincus and Lukowitsky additionally inform or contradict the AMPD is examined.
The Validity of the Personality Diagnostic Questionnaire–4 Narcissistic Personality Disorder Scale for Assessing Pathological Grandiosity
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.
Profiling Pathological Narcissism According to DSM–5 Domains and Traits: A Study on Consecutively Admitted Italian Psychotherapy Patients
Investigation of the convergences and divergences in DSM–5 trait profiles characterizing multiple measures of narcissism in a clinical sample of 278 consecutively admitted Italian psychotherapy patients showed that PID-5 traits explained from 13% to more than 60% of the variance in the different NPD measures.
Pathological narcissism and depressive symptoms in psychiatric outpatients: mediating role of dysfunctional attitudes.
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.


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 personality
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The findings suggest that DSM-IV criteria for narcissistic personality disorder are too narrow, underemphasizing aspects of personality and inner experience that are empirically central to the disorder.
Initial construction and validation of the Pathological Narcissism Inventory.
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.
Narcissistic Personality Disorders: Part 1
The narcissistic personality disorder presents, clinically, at three levels of severity. The mildest cases, who appear “neurotic,” usually present indications for psychoanalysis. They typically do
Narcissistic personality disorder: relations with distress and functional impairment.
Comparing clinical and social-personality conceptualizations of narcissism.
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.
Changes in pathological narcissism.
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.
Identifying criteria for narcissistic personality disorder.
An exploratory effort to identify useful criteria for narcissistic personality disorder using the semistructured Diagnostic Interview for Narcissism to assess 24 narcissistic patients and 58 others on 33 characteristics imputed to pathological narcissism provides an empirical basis for developing an improved set of criteria.
Interpersonal analysis of grandiose and vulnerable narcissism.
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.