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Narcissistic personality disorder

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https://www.readbyqxmd.com/read/29215903/clinician-ratings-of-vulnerable-and-grandiose-narcissistic-features-implications-for-an-expanded-narcissistic-personality-disorder-diagnosis
#1
Kasey Stanton, Mark Zimmerman
Conceptualizations of narcissistic personality disorder (NPD) in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (American Psychiatric Association, 2013) have been criticized for focusing too exclusively on grandiose narcissistic traits (e.g., exploitativeness and entitlement) and failing to capture vulnerable narcissistic features (e.g., feelings of inadequacy). We extended prior grandiose and vulnerable narcissism research by examining the degree to which clinician ratings of traits related to grandiosity overlapped with traits related to vulnerability in a large sample of adult outpatients (N = 2,149)...
December 7, 2017: Personality Disorders
https://www.readbyqxmd.com/read/29200428/low-empathy-like-behaviour-in-male-mice-associates-with-impaired-sociability-emotional-memory-physiological-stress-reactivity-and-variations-in-neurobiological-regulations
#2
Giovanni Laviola, Francesca Zoratto, Danilo Ingiosi, Valentina Carito, Damien Huzard, Marco Fiore, Simone Macrì
Deficits in empathy have been proposed to constitute a hallmark of several psychiatric disturbances like conduct disorder, antisocial and narcissistic personality disorders. Limited sensitivity to punishment, shallow or deficient affect and reduced physiological reactivity to environmental stressors have been often reported to co-occur with limited empathy and contribute to the onset of antisocial phenotypes. Empathy in its simplest form (i.e. emotional contagion) is addressed in preclinical models through the evaluation of the social transmission of emotional states: mice exposed to a painful stimulus display a higher response if in the presence of a familiar individual experiencing a higher degree of discomfort, than in isolation...
2017: PloS One
https://www.readbyqxmd.com/read/29154601/on-studying-narcissism-in-personality-inventories-rather-than-the-narcissistic-personality-inventory-reply-to-miller-and-lynam-2017
#3
Andrea Fossati, Antonella Somma, Serena Borroni, Kristian E Markon
Miller and Lynam's (2017) commentary proved to be very helpful in clarifying that ralerting-CV and rcontrast-CV coefficient values reported in our study indicated that the Narcissistic Personality Inventory (NPI) yielded a trait profile much more closely aligned with expert ratings of Diagnostic and Statistical Manual of Mental Disorders (4th edition; DSM-IV) narcissistic personality disorder (NPD) than did other measures. The commentary gives us the opportunity to make it clear that our study was designed to demonstrate the clinical usefulness of Personality Inventory for DSM-5 (PID-5) domain and trait scales in profiling pathological narcissism...
November 2017: Psychological Assessment
https://www.readbyqxmd.com/read/29154600/a-passionate-call-for-dispassionate-conclusion-comment-on-fossati-et-al-2016
#4
Joshua D Miller, Donald R Lynam
In a recent article published by Fossati and colleagues (2016a, 2016b), the authors compared the empirical profiles derived from correlating measures of narcissism and narcissistic personality disorder (NPD) with a measure of the 25 personality disorder traits included in the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5; American Psychiatric Association, 2013) to an expert-rated profile of NPD. The initial data, which included some mistakes, were interpreted as indicating comparable performance across all three self-report measures of narcissism and NPD, including two hotly debated measures, the Narcissistic Personality Inventory (NPI) and the Pathological Narcissism Inventory (PNI)...
November 2017: Psychological Assessment
https://www.readbyqxmd.com/read/28972814/examining-the-incremental-utility-of-dsm-5-section-iii-traits-and-impairment-in-relation-to-traditional-personality-disorder-scores-in-a-female-correctional-sample
#5
Chelsea E Sleep, Dustin B Wygant, Joshua D Miller
Personality disorders (PDs) are challenging to assess and are associated with great individual and societal costs. In response to the limitations of categorical models, the DSM-5 included an alternative model (i.e., Section III), which uses impairment (Criterion A) and pathological traits (Criterion B) to diagnose PDs. Although numerous studies have illustrated dimensional trait models' ability to capture personality psychopathology, less attention has been paid to personality impairment. The present investigation sought to examine Criterion A's ability to contribute incrementally to the prediction of antisocial (ASPD), borderline (BPD), and narcissistic personality disorders (NPD), and Interpersonal-Affective (F1) and Impulsive-Antisocial (F2) features of psychopathy...
October 3, 2017: Journal of Personality Disorders
https://www.readbyqxmd.com/read/28956087/a-compromise-solution-between-overlapping-and-overlooking-dsm-personality-disorders-in-chinese-psychiatric-practice
#6
SuoYu Zhu, TianHong Zhang, ChengQing Yang, YanYan Wei, LiHua Xu, JunJie Wang, Annabelle Chow, XiaoHua Liu, KaiDa Jiang, ZePing Xiao, Hui Zhou, JiJun Wang
OBJECTIVE: This study aimed to examine the overlaps between the Diagnostic and Statistical Manual-5 (DSM-5) Personality Disorders (PDs) in a high-risk clinical population and to explore a transitional model for implementing DSM-5 PDs. METHOD: A sample population of 982 outpatients with at least one diagnosed PD was selected from 3,075 outpatients of the Shanghai Mental Health Center. The diagnostic process comprised of a personality diagnostic questionnaire and a structured clinical interview...
September 27, 2017: Social Psychiatry and Psychiatric Epidemiology
https://www.readbyqxmd.com/read/28853004/sex-specific-issues-in-eating-disorders-a-clinical-and-psychopathological-investigation
#7
Stefano Valente, Giulia Di Girolamo, Martina Forlani, Anna Biondini, Paolo Scudellari, Diana De Ronchi, Anna Rita Atti
OBJECTIVE: To highlight the characteristics of eating disorders (ED) in males, with particular attention to sex-related clinical features and psychiatric co-morbidities. METHOD: Out of 280 persons, referred to our outpatients ED clinic between January 2011 and June 2014, 267 with complete information were included in this retrospective observational study. RESULTS: The men/women ratio was one to five (male 16.5% vs female 83.5%) with an increasing proportion of male patients over the years...
December 2017: Eating and Weight Disorders: EWD
https://www.readbyqxmd.com/read/28783573/vulnerable-narcissism-is-associated-with-severity-of-depressive-symptoms-in-dysthymic-patients
#8
Leire Erkoreka, Bárbara Navarro
Pathological narcissism involves grandiose and vulnerable presentations. Narcissism, and specifically the vulnerable presentation, has been associated to depression, although empirical research studying this relationship is limited. Dysthymia is characterized by a greater treatment resistance and poorer prognosis than other chronic depressive disorders. The presence of dysfunctional personality traits may explain it. We aim to explore the association between vulnerable narcissistic traits and severity of depressive symptoms in a sample of dysthymic patients...
July 30, 2017: Psychiatry Research
https://www.readbyqxmd.com/read/28767013/narcissistic-personality-disorder-in-clinical-health-psychology-practice-case-studies-of-comorbid-psychological-distress-and-life-limiting-illness
#9
Elizabeth L Kacel, Nicole Ennis, Deidre B Pereira
Narcissistic Personality Disorder (NPD) is characterized by a persistent pattern of grandiosity, fantasies of unlimited power or importance, and the need for admiration or special treatment. Individuals with NPD may experience significant psychological distress related to interpersonal conflict and functional impairment. Research suggests core features of the disorder are associated with poor prognosis in therapy, including slow progress to behavioral change, premature patient-initiated termination, and negative therapeutic alliance...
July 2017: Behavioral Medicine
https://www.readbyqxmd.com/read/28758884/clinical-characteristics-of-comorbid-narcissistic-personality-disorder-in-patients-with-borderline-personality-disorder
#10
Susanne Hörz-Sagstetter, Diana Diamond, John F Clarkin, Kenneth N Levy, Michael Rentrop, Melitta Fischer-Kern, Nicole M Cain, Stephan Doering
This study examines psychopathology and clinical characteristics of patients with borderline personality disorder (BPD) and comorbid narcissistic personality disorder (NPD) from two international randomized controlled trials. From a combined sample of 188 patients with BPD, 25 also fulfilled criteria for a comorbid diagnosis of NPD according to DSM-IV. The BPD patients with comorbid NPD, compared to the BPD patients without comorbid NPD, showed significantly more BPD criteria (M = 7.44 vs. M = 6.55, p < ...
July 31, 2017: Journal of Personality Disorders
https://www.readbyqxmd.com/read/28735709/interpersonal-problems-across-levels-of-the-psychopathology-hierarchy
#11
Jeffrey M Girard, Aidan G C Wright, Joseph E Beeney, Sophie A Lazarus, Lori N Scott, Stephanie D Stepp, Paul A Pilkonis
We examined the relationship between psychopathology and interpersonal problems in a sample of 825 clinical and community participants. Sixteen psychiatric diagnoses and five transdiagnostic dimensions were examined in relation to self-reported interpersonal problems. The structural summary method was used with the Inventory of Interpersonal Problems Circumplex Scales to examine interpersonal problem profiles for each diagnosis and dimension. We built a structural model of mental disorders including factors corresponding to detachment (avoidant personality, social phobia, major depression), internalizing (dependent personality, borderline personality, panic disorder, posttraumatic stress, major depression), disinhibition (antisocial personality, drug dependence, alcohol dependence, borderline personality), dominance (histrionic personality, narcissistic personality, paranoid personality), and compulsivity (obsessive-compulsive personality)...
November 2017: Comprehensive Psychiatry
https://www.readbyqxmd.com/read/28680639/subtypes-of-borderline-personality-disorder-patients-a-cluster-analytic-approach
#12
Maaike L Smits, Dine J Feenstra, Dawn L Bales, Jasmijn de Vos, Zwaan Lucas, Roel Verheul, Patrick Luyten
BACKGROUND: The borderline personality disorder (BPD) population is notably heterogeneous, and this has potentially important implications for intervention. Identifying distinct subtypes of patients may represent a first step in identifying which treatments work best for which individuals. METHODS: A cluster-analysis on dimensional personality disorder (PD) features, as assessed with the SCID-II, was performed on a sample of carefully screened BPD patients (N = 187) referred for mentalization-based treatment...
2017: Borderline Personality Disorder and Emotion Dysregulation
https://www.readbyqxmd.com/read/28631972/an-analysis-of-self-the-development-and-assessment-of-a-measure-of-selfobject-needs
#13
Eamonn Arble, Douglas Barnett
Based on the psychoanalysis of adults with borderline and narcissistic personality disorder symptoms, Kohut ( 1971 , 1977, 1980, 1984) formulated a theory of self psychology that emphasized the importance of early developmental experiences; most centrally, the empathic attunement of caregivers as key ingredients for fostering the capacity for healthy self-regulation and interpersonal relations. Kohut elaborated 3 critical selfobject needs (i.e., idealizing, mirroring, and twinship) that were ideally satiated by these early experiences, deeming the fulfillment of these needs as essential for developing a healthy sense of self...
February 21, 2017: Journal of Personality Assessment
https://www.readbyqxmd.com/read/28581327/countertransference-when-working-with-narcissistic-personality-disorder-an-empirical-investigation
#14
Annalisa Tanzilli, Laura Muzi, Elsa Ronningstam, Vittorio Lingiardi
Narcissistic personality disorder (NPD) is one of the most challenging clinical syndromes to treat in psychotherapy, especially due to the difficulties of establishing a good enough therapist-patient relationship. Countertransference responses to NPD can be particularly intense, frustrating, and difficult to manage, as is often reported in the clinical literature though not clearly supported empirically. The aims of this study were to (a) investigate the relationship between patients' NPD and therapists' responses; (b) examine the associations between patient, clinician, therapy variables and clinicians' reactions during treatment of NPD patients; and (c) provide an empirically derived portrait of countertransference with NPD...
June 2017: Psychotherapy
https://www.readbyqxmd.com/read/28558606/prevalence-of-personality-disorders-in-a-general-population-among-men-and-women
#15
Barbara Gawda, Katarzyna Czubak
The aim of the present study is to establish the prevalence of personality disorders (PDs) in a healthy (nonclinical) Polish population, to examine sex difference in PDs, and to show the structure of clusters which PDs form with regard to men and women. A large sample of 1460 individuals of age between 18 and 65 years was examined. The Structured Clinical Interview for Axis II was used to obtain information on PDs, the Mini International Neuropsychiatric Interview to obtain information on other disorders, and an interview to record demographic data...
June 2017: Psychological Reports
https://www.readbyqxmd.com/read/28527059/personality-disorders-in-cluster-headache-a-study-using-the-millon-clinical-multiaxial-inventory-iii
#16
Sylvie Hélène Marie Jeanne Piacentini, Lara Draghi, Alberto Proietti Cecchini, Massimo Leone
A great deal of studies suggests that cluster headache (CH) patients are usually comorbid to anxiety-mood spectrum disorders and psychopathological symptoms; however, the personality profiles reported in the literature strictly depend on type of assessment used. Psychiatric comorbidities have been extensively studied in migraine and they are recognized to represent a major risk factor associated with poorer outcome, playing a role in the headache chronification process at once as cause and consequence of it...
May 2017: Neurological Sciences
https://www.readbyqxmd.com/read/28513342/integration-in-the-psychodynamic-psychotherapy-of-severe-personality-disorders-the-conversational-model
#17
Joan Haliburn, Janine Stevenson, Shaun Halovic
The psychotherapy of commonly occurring severe personality disorders-borderline, narcissistic, avoidant, dependent, obsessive compulsive, and schizoid-presents the therapist with a unique therapeutic challenge, as each personality disorder rarely occurs alone. Integration of what is most useful and what works in each model is being proposed to enable a more successful approach to the diversity of presentations. We describe the conversational model, some outcome research, and descriptive studies to illustrate this...
May 17, 2017: Journal of Personality Disorders
https://www.readbyqxmd.com/read/28511830/personality-disorders-and-the-difficult-dermatology-patient-maximizing-patient-satisfaction
#18
Mio Nakamura, John Koo
Personality disorders (PDs) are stable and enduring patterns of thought, feeling, and behavior that deviate from one's cultural norms and cause impairment in functionality. Patients with PDs are commonly encountered in the dermatologic setting and can be perceived by providers as "difficult." Given that PDs are chronic, rigid, and frustrating to deal with, it is important to be skillful in the approach to such patients, especially in the era of the value-based reimbursement system, in which patient satisfaction is crucial for reimbursement...
May 2017: Clinics in Dermatology
https://www.readbyqxmd.com/read/28436690/a-comparison-of-the-nomological-networks-associated-with-forced-choice-and-likert-formats-of-the-narcissistic-personality-inventory
#19
Joshua D Miller, Brittany Gentile, Nathan T Carter, Michael Crowe, Brian J Hoffman, W Keith Campbell
The Narcissistic Personality Inventory (NPI) is one of the most popular measures of narcissism. However, its use of a forced-choice response set might negatively affect some of its psychometric properties. The purpose of this research was to compare a Likert version of the NPI, in which only the narcissistic response of each pair was given, to the original NPI, in 3 samples of participants (N = 1,109). To this end, we compared the nomological networks of the forced-choice and Likert formats of the NPI in relation to alternative measures of narcissism, narcissistic personality disorder, entitlement, self-esteem, general personality traits (reported by self and informants), interpersonal styles, and general pathological traits included in the DSM-5...
April 24, 2017: Journal of Personality Assessment
https://www.readbyqxmd.com/read/28420915/paternal-malparenting-and-offspring-personality-disorders-mediating-effect-of-early-maladaptive-schemas
#20
Naila Batool, Humaira Shehzadi, Muhammad Naveed Riaz, Muhammad Akram Riaz
OBJECTIVE: To examine the mediating role of maladaptive schemas between permissive/authoritarian parenting by fathers and personality disorders, including histrionic, antisocial, narcissistic and depressive attitudes among adults. METHODS: This cross-sectional study was conducted at the University of Sargodha, Sargodha, Pakistan, and comprised university students. Data was collected by administering the parental authority questionnaire, the young schema questionnaire and the personality diagnostic questionnaire...
April 2017: JPMA. the Journal of the Pakistan Medical Association
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