The Cracked Mirror: Features of Narcissistic Personality Disorder in Children

  title={The Cracked Mirror: Features of Narcissistic Personality Disorder in Children},
  author={Karen Kernberg Bardenstein},
  journal={Psychiatric Annals},
The notion of character disorder in children remains highly controversial given unanswered questions regarding personality formation. According to the Diagnostic and Statistical Manual of Mental Disorders, fourth edition,1 personality is defi ned as “enduring patterns of perceiving, relating to and thinking about the environment and oneself ... when they are maladaptive and infl exible, they constitute Personality Disorders.”1 Currently, such disorders are “generally recognized by adolescence… 

Narcissistic Personality Disorder in Children: Applying a Controversial Diagnosis to Guide Treatment

Abstract This paper examines the limited literature on narcissistic personality disorder in children, addressing the relevance of the concept of ‘personality’ or enduring and consistent traits during

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.


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A framework for research on the etiology and development of narcissism is described, and ten research priorities are recommended, which should yield fundamental knowledge and should inform intervention efforts to minimize the negative impact narcissistic individuals have on themselves and on others.

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This chapter focuses on selected developmental psychopathologies during three stages of childhood and three stages of adolescence that involve the self. A new framework casts the Jamesian processes

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Putting It All Together: The Four Pillars of the Contemporary Diagnostic Interview

The modern child and adolescent psychiatrist is well trained, familiar, and comfortable with the use of the structured DSM-5 (Diagnostic and Statistical Manual of Mental Disorders, 5th Edition, APA

The Relationship Between Narcissistic Personality and Violent Behavior as Represented in William Golding’s Lord of the Flies

This thesis explores the violent behaviour illustrated in William Golding’s Lord of the Flies. It focuses on the antagonist’s Narcissistic Personality Disorder (NPD) in order to reveal the motives

Small or Big in the Eyes of the Other: On the Developmental Psychopathology of Self-Conscious Emotions as Shame, Guilt, and Pride

The nature and function of self-conscious emotions, and their developmental course in children and adolescents, are discussed, and a model is presented to explain why these self- conscious emotions are associated with a diversity of psychopathological outcomes.

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Abstract: In direct opposition to the dominant nativist perspective tracing back to Descartes, William James suggested that the sense of self is constructed through a never-ending process of



Grandiosity in children with narcissistic and borderline disorders. A comparative analysis.

  • Y. Cohen
  • Psychology
    The Psychoanalytic study of the child
  • 1991
It is raised the question how and when these disorders emerge, stressing that both derive from the early, preoedipal period, and precede completion of the separation-individuation processes.

Comorbidity of conduct disorder and personality disorders in an incarcerated juvenile population.

OBJECTIVE: Youths with conduct disorder extract an inordinate amount of time and money from the U.S. judicial system and taxpayers, yet studies pertaining to this population have been few. This study

Adolescent psychopathy in relation to delinquent behaviors, conduct disorder, and personality disorders.

The validity of the PCL-R as a measure of psychopathy in adolescence was supported and significant relationships were noted between elevated PCL -R psychopathy scores and delinquent behaviors, conduct disorder, and narcissistic personality disorder.

Identifying Narcissistic Personality Disorders in Preadolescents

  • J. Guilé
  • Psychology
    Canadian journal of psychiatry. Revue canadienne de psychiatrie
  • 1996
There is a high concordance among the 3 systems for DSM criteria, suggesting that NPD can be identified among preadolescents, and preliminary ways of adapting DSM-IV criteria for NPD in this age group are discussed.

The diagnostic interview for narcissistic patients.

The content and development of a semistructured interview, the Diagnostic Interview for Narcissism, is described, which evaluates 33 features of pathological narcissism covering five domains of function.

Normal and pathological narcissism in adolescence.

  • E. Bleiberg
  • Psychology
    American journal of psychotherapy
  • 1994
Examining the unfolding of self-esteem regulation against a developmental background, the author proposes a framework to differentiate normal adolescent vulnerability from pathological narcissistic regulation and narcissistic psychopathology.

Pathological Narcissism in an Eight-Year-Old Boy: An Example of Bellak's TAT and CAT Diagnostic System

Narcissistic pathology is difficult to assess in psychological testing of children and adults. Contemporary psychoanalytic diagnosis is based on Freud's (1915) metapsychological points of view and A.

Narcissism in the Rorschach Revisited: Some Reflections on Empirical Data

This study investigates the extent to which the Rorschach was able to identify accurately pathological expressions of narcissism according to the methodological recommendations offered by T.

Development and Validation of the Childhood Narcissism Scale

The CNS provides researchers a convenient tool for measuring narcissism in children and young adolescents with strong preliminary psychometric characteristics and suggests that childhood narcissism has similar psychological and interpersonal correlates as adult narcissism.

The Relation of Narcissism and Self-Esteem to Conduct Problems in Children: A Preliminary Investigation

  • C. T. BarryP. FrickAmber L Killian
  • Psychology
    Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53
  • 2003
Results indicated that certain aspects of narcissism were particularly predictive of maladaptive characteristics and outcomes such as low self-esteem, callous-unemotional (CU) traits, and conduct problems.