Narzisstische Persönlichkeitsstörung

Narcissism is a multifaceted term which encompasses traits of normal personality as well as a specific personality disorder. While much research has been concerned with narcissism as a trait there are only few empirical studies on narcissistic personality disorder (NPS). The current diagnostic system of NPS according to DSM-5 (section II) focuses on grandiose narcissism whereas vulnerable narcissism, which is emphasized by clinicians and researchers, has not yet been recognized. While treating NPD patients an increased suicide risk has to be taken into consideration. Psychotherapy of narcissistic patients mainly focuses on processes during patient-therapist interactions, the analysis and processing of grandiose and vulnerable schemas, emotion regulation techniques and a correction of narcissistic behavior in favor of prosocial interactions.     

Narcissistic Subtypes and Contingent Self‐Esteem: Do All Narcissists Base Their Self‐Esteem on the Same Domains?

ABSTRACT It has been suggested that there are two forms of narcissism: a grandiose subtype and a vulnerable subtype. Although these forms of narcissism share certain similarities, it is believed that these subtypes may differ in the domains upon which their self-esteem is based. To explore this possibility, the present study examined the associations between these narcissistic subtypes and domain-specific contingencies of self-worth. The results show that vulnerable narcissism was positively associated with contingencies of self-worth across a variety of domains. In contrast, the associations between grandiose narcissism and domain-specific contingencies of self-worth were more complex and included both positive and negative relationships. These results provide additional support for the distinction between grandiose and vulnerable narcissism by showing that the domains of contingent self-esteem associated with grandiose narcissism may be more limited in scope than those associated with vulnerable narcissism.     

The five-factor narcissism inventory: a five-factor measure of narcissistic personality traits

This study provides convergent, discriminant, and incremental validity data for a new measure of narcissistic personality traits created from the perspective of the Five-factor model (FFM) of general personality structure. Fifteen scales were constructed as maladaptive variants of respective facets of the FFM (e.g., Reactive Anger as a narcissistic variant of angry hostility), with item selection made on the basis of a criterion-keying approach using results from 167 undergraduates. On the basis of data from 166 additional undergraduates, the convergent validity of these 15 scales was tested with respect to 8 established measures of narcissism (including measures of both grandiose and vulnerable narcissism) and the respective facets of the FFM. Discriminant validity was tested with respect to facets from other FFM domains. Incremental validity was tested with respect to the ability of the FFM narcissism trait scales to account for variance in 2 alternative measures of narcissism, after variance accounted for by respective NEO PI-R facet scales and other established measures of narcissism were first removed. The findings support the validity of these new scales as measures of narcissistic personality traits and as maladaptive variants of the FFM.     

Evidence for the criterion validity and clinical utility of the Pathological Narcissism Inventory

In this study, the authors evaluated aspects of criterion validity and clinical utility of the grandiosity and vulnerability components of the Pathological Narcissism Inventory (PNI) using two undergraduate samples (N = 299 and 500). Criterion validity was assessed by evaluating the correlations of narcissistic grandiosity and narcissistic vulnerability with established indices of normal personality traits, psychopathology and clinical concerns, and pathological personality traits. Overall, the pattern of correlations supported the convergent and discriminant validity of grandiose and vulnerable conceptualizations of pathological narcissism as measured by the PNI. Clinical utility was assessed by evaluating the extent to which clinicians without specific training in pathological narcissism as well as clinicians with expertise in pathological narcissism could accurately predict the correlates of PNI grandiosity and vulnerability with normal and pathological personality traits and psychopathology. The r(contrast-cv) coefficient provided a global index of accuracy in clinicians' predictions that was more fully elaborated by examining systematic discrepancies across groups. Overall, novice and expert clinicians were generally able to predict criterion correlations, with some exceptions (e.g., counter to predictions, pathological narcissism was negatively associated with treatment resistance). These results provide further evidence regarding the validity and utility of the narcissistic grandiosity and narcissistic vulnerability constructs as measured by the PNI.     

Grandiose and vulnerable narcissism: a nomological network analysis

Evidence has accrued to suggest that there are 2 distinct dimensions of narcissism, which are often labeled grandiose and vulnerable narcissism. Although individuals high on either of these dimensions interact with others in an antagonistic manner, they differ on other central constructs (e.g., Neuroticism, Extraversion). In the current study, we conducted an exploratory factor analysis of 3 prominent self-report measures of narcissism (N=858) to examine the convergent and discriminant validity of the resultant factors. A 2-factor structure was found, which supported the notion that these scales include content consistent with 2 relatively distinct constructs: grandiose and vulnerable narcissism. We then compared the similarity of the nomological networks of these dimensions in relation to indices of personality, interpersonal behavior, and psychopathology in a sample of undergraduates (n=238). Overall, the nomological networks of vulnerable and grandiose narcissism were unrelated. The current results support the need for a more explicit parsing of the narcissism construct at the level of conceptualization and assessment.     

Changes of attachment status among women with personality disorders undergoing inpatient treatment

Background: Attachment has increasingly received attention in psychotherapy and has been used as a predictor of process and outcome. Studies investigating changes of attachment styles during psychotherapy are very rare. Method: Forty women with either borderline (BPD) or avoidant personality disorders (AVPD), treated as inpatients, were investigated using an attachment interview (interpersonal relations assessment (IRA)), and questionnaires to determine therapy outcome at the beginning and after seven weeks of therapy. The IRA uses similar questions as the adult attachment interview (AAI) and is used as the basis for the adult attachment prototype rating (AAPR), a procedure to assign individuals to prototypical categories of attachment. Results: The study showed that the therapy in general was effective. In contrast to other studies, we did not find many women classified as secure at the end of their therapy. Comparisons of pre‐post‐ratings revealed instead that clients within both subgroups received higher ratings for the avoidant prototypes at the end of therapy, indicating deactivation of attachment. Changes from ambivalent to avoidant attachment were linked with better outcome among women with borderline personality disorder (BPD). Conclusions: This study adds further evidence to the result that attachment styles do not change dramatically during a time‐limited psychological treatment of personality disorder. Instead, the study showed that features of preoccupied/ambivalent attachment were less significant after seven weeks of therapy. For women with BPD, these changes were linked with a more favourable outcome which might reflect a more structured and deactivated attachment status as a result of inpatient therapy.     

Analyse de la détresse psychologique de leaders narcissiques organisationnels : une étude de cas comparative

The present article is a comparative case study that explores the manifestations of psychological distress of two types of narcissistic organizational leaders. More specifically, the aim of this case study is to check for possible differences between a grandiose narcissistic leader and a vulnerable narcissistic leader in relation to three main variables associated with the manifestation of psychological distress. These variables are: trigger factors, the modulation of negative emotional reactions, the presence of early maladaptive schemas and the use of dysfunctional coping strategies. The results obtained indicate that the manifestation of psychological distress by the grandiose narcissistic leader varies in certain respects from that of the vulnerable narcissistic leader. Indeed, the psychological distress manifested by the grandiose narcissistic leader is mainly characterized by anxiety and cognitive problems. Moreover, his psychological distress appears to be accompanied by a fear of public achievement failure and the partial use of two types of dysfunctional coping strategies – self-aggrandizement with reference to ostentation and self-softening underpinned by social withdrawal. With regard to the psychological distress of the vulnerable narcissistic leader, it is essentially characterized by a profound sense of depression and irritability. Moreover, it is associated with a fear of public interpersonal rejection; the internalization of negative emotions (feelings of guilt, self-criticism and feelings of worthlessness); and the partial use of two types of dysfunctional coping strategies – self-softening underpinned by social withdrawal and self-aggrandizement with reference to ostentation.     

Assessing Interpersonal Subtypes in Depression

The context-free diagnoses outlined by the Diagnostic and Statistical Manual of Mental Disorders might not provide enough information to represent the heterogeneity observed in depressed patients. Interpersonal factors have been linked to depression in a mutually influencing pathoplastic relationship where certain problems, like submissiveness, are related to symptom chronicity. This study evaluated interpersonal pathoplasticity in a range of depressive presentations. We examined archival data collected from 407 participants who met criteria for major depressive disorder (MDD), dysthymic disorder (DD), or subthreshold depression (sD). Latent profile analysis (LPA) identified 5 interpersonal subtypes (vindictive, intrusive, socially avoidant, exploitable, and cold). Apart from gender, the subtypes did not differ significantly on demographic characteristics, psychiatric comorbidity, or self-report depression severity. Socially avoidant participants were more likely to meet criteria for a clinical depression diagnosis (MDD or DD), whereas vindictive participants were more likely to have sD. Our results indicate that interpersonal problems could account for heterogeneity observed in depression.     

Psychologists' and social workers' self-descriptions using DSM-IV psychopathology

There is limited information on mental health of psychologists and social workers despite their rendering mental health services, so their subjective perception of mental disorder was explored via a self-evaluation survey in which they self-diagnosed the presence of DSM-IV disorders within themselves. The sample of 128 professionals included 63 psychologists and 65 social workers. The presence of Axis I traits was reported by 81.2%, the three most frequent traits being mood, obsessive-compulsive disorder, and eating disorder. Axis II traits were reported by 73.4% of subjects, the three most frequent conditions being narcissistic, avoidant, and obsessive-compulsive personality traits. While a high percentage of subjects reported the presence of either an Axis I or Axis II disorder, the average severity reported was low. More psychologists reported on mood, social phobia, and eating problems than social workers, while the latter reported more on psychotic problems. Psychologists reported more Axis II traits, especially paranoid, narcissistic, and avoidant subtypes. More women than men reported eating problems, while more men reported schizoid and avoidant personality traits. In conclusion, manifestations of subthreshold psychiatric conditions were prominently reported. These findings suggest encouraging mental health care professionals to explore treatment for problems if present.     

Interpersonal pathoplasticity in individuals with generalized anxiety disorder

Recent theories of generalized anxiety disorder (GAD) have emphasized interpersonal and personality functioning as important aspects of the disorder. We examined heterogeneity in interpersonal problems in 2 studies of individuals with GAD (n = 47 and n = 83). Interpersonal subtypes were assessed with the Inventory of Interpersonal Problems-Circumplex (Alden, Wiggins, & Pincus, 1990). Across both studies, individuals with GAD exhibited heterogeneous interpersonal problems, and cluster analyses of these patients' interpersonal characteristics yielded 4 replicable clusters, identified as intrusive, exploitable, cold, and nonassertive subtypes. Consistent with our pathoplasticity hypotheses, clusters did not differ with GAD severity, anxiety severity, or depression severity. Clusters in Study 2 differed on rates of personality disorders, including avoidant personality disorder, further providing support for the validity of interpersonal subtypes. The presence of interpersonal subtypes in GAD may have important implications for treatment planning and efficacy.     

Unraveling the Paradoxes of Narcissism: A Dynamic Self-Regulatory Processing Model

We propose a dynamic self-regulatory processing model of narcissism and review supporting evidence. The model casts narcissism in terms of motivated self-construction, in that the narcissist's self is shaped by the dynamic interaction of cognitive and affective intrapersonal processes and interpersonal self-regulatory strategies that are played out in the social arena. A grandiose yet vulnerable self-concept appears to underlie the chronic goal of obtaining continuous external self-affirmation. Because narcissists are insensitive to others' concerns and social constraints and view others as inferior, their self-regulatory efforts often are counterproductive and ultimately prevent the positive feedback that they seek-thus undermining the self they are trying to create and maintain. We draw connections between this model and other processing models in personality and employ these models to further elucidate the construct of narcissism. Reconceptualizing narcissism as a self-regulatory processing system promises to resolve many of its apparent paradoxes, because by understanding how narcissistic cognition, affect, and motivation interrelate, their internal subjective logic and coherence come into focus.     

A Comparison of the Nomological Networks Associated With Forced-Choice and Likert Formats of the Narcissistic Personality Inventory

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. The Likert format NPI—total and subscales—manifested similar construct validity to the original forced-choice format across all criteria with only minor differences that seem to be due mainly to the increased reliability and variability found in the Likert NPI Entitlement/Exploitativeness subscale. These results provide evidence that a version of the NPI that employs a Likert format can justifiably be used in place of the original.     

A Multisurface Interpersonal Circumplex Assessment of Rejection Sensitivity

Individuals high in rejection sensitivity (RS) are at risk for experiencing high levels of interpersonal distress, yet little is known about the interpersonal profiles associated with RS. This investigation examined the interpersonal problems, sensitivities, and values associated with RS in 2 samples: 763 multicultural undergraduate students (Study 1) and 365 community adults (Study 2). In Study 1, high anxious RS was associated with socially avoidant interpersonal problems, whereas low anxious RS was associated with vindictive interpersonal problems. In Study 2, we assessed both anxious and angry expectations of rejection. Circumplex profile analyses showed that the high anxious RS group reported socially avoidant interpersonal problems, sensitivities to remoteness in others, and valuing connections with others, whereas the high angry RS group reported vindictive interpersonal problems, sensitivities to submissiveness in others, and valuing detached interpersonal behavior. Low anxious RS was related to domineering interpersonal problems, sensitivity to attention-seeking behavior, and valuing detached interpersonal behavior, whereas low angry RS was related to submissive interpersonal problems, sensitivity to attention-seeking behavior, and valuing receiving approval from others. Overall, results suggest that there are distinct interpersonal profiles associated with varying levels and types of RS.     

消除威胁或无能狂怒?自恋对暴力犯攻击的影响机制

通过2个研究探索了自恋与暴力犯攻击行为的关系及机制。研究1通过问卷法(N = 498)发现, 自恋与攻击存在正相关, 特质愤怒在自恋与预谋性和冲动性攻击间的中介作用成立, 心理特权的中介作用只对预谋性攻击成立。研究2对90名暴力犯进行了行为学实验, 结果表明威胁感和负性情绪在自恋与攻击间起中介作用, 挑衅调节了上述中介作用。显性自恋者只在挑衅条件下表现出更强的攻击性, 隐性自恋者则在挑衅和无挑衅条件下均有较强的攻击性。研究厘清了不同亚型下自恋与攻击的关系, 突出了隐性自恋的“黑暗性”, 并为罪犯矫治管理及犯罪预防提供了参考。     

The Dark Triad,happiness and subjective well-being

Narcissism can be expressed in grandiose or vulnerable forms. We examined whether positive psychological states (defined by the Oxford Happiness Inventory (OHI) and the Diener Satisfaction With Life (SWL) scales) assisted differentiation relative to general personality traits and the “the Dark Triad” (psychopathy, narcissism, and Machiavellianism, measured by the D12 and Short Dark Triad (SD3) indices) for 840 persons primarily from the UK, USA and Canada. The best fitting structural equation model comprised two latent variables, one of positive mood (comprising total scores on the OHI and SWL scales), and another forming a “dark dyad” of Machiavellianism and psychopathy (predicted by low agreeableness and lower positive mood), with narcissism regarded as a separate construct correlated with the dark dyad. Latent positive mood was primarily predicted by higher emotional stability and extraversion. Narcissism was predicted by lower emotional stability, lower agreeableness, and higher extraversion. Latent profile analysis identified four groups in the data: “unhappy but not narcissistic”, “vulnerable narcissism”, “happy non-narcissism” and “grandiose narcissism”. Our results suggest more problematic narcissism can be identified by reference to measures indexing positive mood states and general personality traits.     

Searching for a Vulnerable Dark Triad: Comparing Factor 2 Psychopathy,Vulnerable Narcissism,and Borderline Personality Disorder

ABSTRACT Paulhus and Williams (2002) identified a “Dark Triad” comprising the following related personality styles: narcissism, psychopathy, and Machiavellianism. The heterogeneity found in narcissism and psychopathy raises the possibility of a second triad made up of emotional vulnerability and dark traits (i.e., the vulnerable dark triad; VDT). Along with vulnerable narcissism and Factor 2 psychopathy, the third member of the hypothesized VDT is borderline personality disorder (BPD). Using a sample of 361 undergraduates, we examine the relations between these constructs and their relations with criterion variables, including personality, environmental etiological factors (e.g., abuse), and current functioning (e.g., psychopathology, affect). The results suggest that the VDT constructs are significantly related to one another and manifest similar nomological networks, particularly vulnerable narcissism and BPD. Although the VDT members are related to negative emotionality and antagonistic interpersonal styles, they are also related to introversion and disinhibition. Ultimately, it seems there is a “dark continuum” of pathological personality traits that differ primarily in relation to negative and positive emotionality and disinhibition.     

Burning With Envy? Dispositional and Situational Influences on Envy in Grandiose and Vulnerable Narcissism

Research on narcissism and envy suggests a variable relationship that may reflect differences between how vulnerable and grandiose narcissism relate to precursors of envy. Accordingly, we proposed a model in which dispositional envy and relative deprivation differentially mediate envy's association with narcissistic vulnerability, grandiosity, and entitlement. To test the model, 330 young adults completed dispositional measures of narcissism, entitlement, and envy; one week later, participants reported on deprivation and envy feelings toward a peer who outperformed others on an intelligence test for a cash prize (Study 1) or earned higher monetary payouts in a betting game (Study 2). In both studies, structural equation modeling broadly supported the proposed model. Vulnerable narcissism robustly predicted episodic envy via dispositional envy. Entitlement—a narcissistic facet common to grandiosity and vulnerability—was a significant indirect predictor via relative deprivation. Study 2 also found that (a) the grandiose leadership/authority facet indirectly curbed envy feelings via dispositional envy, and (b) episodic envy contributed to schadenfreude feelings, which promoted efforts to sabotage a successful rival. Whereas vulnerable narcissists appear dispositionally envy‐prone, grandiose narcissists may be dispositionally protected. Both, however, are susceptible to envy through entitlement when relative deprivation is encountered.     

The View From the Looking Glass: How Are Narcissistic Individuals Perceived by Others?

Previous studies have found that narcissistic individuals are often viewed negatively by those who know them well. The present study sought to extend these previous findings by examining whether normal and pathological aspects of narcissism were associated with perceiver ratings of narcissistic characteristics and aggression. This was accomplished by having each of our undergraduate participants (288 targets) recruit friends or family members to complete ratings of the target who recruited them (1,296 perceivers). Results revealed that perceived entitlement was strongly associated with perceived aggression. Further, self‐reported levels of pathological narcissism moderated these results such that vulnerable narcissism exacerbated the association between perceived entitlement and aggression, whereas grandiose narcissism mitigated the association. The discussion will focus on the implications of these results for understanding the various features of narcissism.     

Grandiose and Vulnerable Narcissism,Materialism, Money Attitudes,and Consumption Preferences

Narcissism is increasingly being investigated in the context of consumer attitudes and behavior. Previous research showed that narcissism is reflected in materialistic tendencies and money-related attitudes. However, almost all of these studies concerned the grandiose type of narcissism. We examined relationships of both grandiose and vulnerable narcissism with materialism, money attitudes, and consumption preferences in a nonstudent sample. The results showed that the two types of narcissism are equally associated with materialism and a tendency to conspicuous (public) consumption. Differences between grandiose and vulnerable narcissism with regard to money attitudes were observed. Materialism mediated most of the relationships between narcissism, money attitudes, and consumption preferences, but the patterns of mediation were different for grandiose and vulnerable subtypes. Mutual suppression occurred when grandiose narcissism and materialism predicted anxiety associated with money and when vulnerable narcissism and materialism predicted money perceived as a source of evil. The results suggested that not only grandiose, but also vulnerable narcissists may be prone to excessive consumption and that this can be explained by their materialistic tendencies.     

Narcissists as "Victims": the role of narcissism in the perception of transgressions

Narcissism is a set of traits that are motivated by the desire to establish and maintain a grandiose self-image. Consistent with this conceptualization, the authors hypothesized that narcissistic people perceive themselves to be the victims of other people's inter-personal transgressions more frequently than do less narcissistic people. In a 14-day diary study, the authors found that narcissism (particularly in its exploitiveness/entitlement dimension) was associated positively with the number and frequency of transgressions that respondents reported. The narcissism-victimization relationship appears to result, at least in part, from biased recall or self-presentation. The exploitiveness/entitlement dimension of narcissism may be particularly useful for explaining why narcissistic people report higher rates of interpersonal transgressions in their daily lives.