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Jun 28, 2019

Narcissism and Narcissistic Personality Disorder are terms that have real meaning in psychology but are used very loosely in general vernacular. In this episode, Brett and I discuss what Narcissism actually is and how it is treated. 

A short Mayo Clinic article explaining narcissism and general symptoms:

A Psychology Today article on changing narcissistic behavior:

• Establishing connection without judgment and resisting the urge to get pulled into reacting to the arrogant and dismissive behavior is key.

More dense clinical information
The disorders in Cluster B are Antisocial Personality Disorder, Borderline Personality Disorder, Histrionic Personality Disorder and Narcissistic Personality Disorder.

Narcissism and Borderline States: Kernberg, Kohut, and PsychotherapyNarcissism: a general term for feeling the person has for themselves. Borderline: a general term for severe disturbances of emotional life that are not neurotic but not severe enough to be called psychotic.

Psychotherapy with a Narcissistic Patient Using Kohut’s Self Psychology ModelAccording to Kohut’s self-psychology model, narcissistic psychopathology is a result of parental lack of empathy during development. Consequently, the individual does not develop full capacity to regulate self-esteem.


Narcissism and the narcissistic personality disorder: A comparison of the theories of Kernberg and KohutThe transference signs of narcissism:

• Kernberg (1970, p. 63) looks for the denial of the analyst as an independent person

• Kohut (1972, p. 371) diagnoses patients as narcissistic only when their transference relationship is ‘idealizing’ (i.e. the analyst serves as an idealized self-object) or ‘self-aggrandizing’ (i.e. the analyst serves as a mirror for the narcissistic patient’s grandiose self)

• Full comparison of theories starts on page 141

Prevalence, correlates, disability, and comorbidity of DSM-IV narcissistic personality disorder: results from the wave 2 national epidemiologic survey on alcohol and related conditions. (2008)


Face-to-face interviews with 34,653 adults participating in the Wave 2 National Epidemiologic Survey on Alcohol and Related Conditions conducted between 2004 and 2005 in the United States.


Prevalence of lifetime NPD was 6.2%, with rates greater for men (7.7%) than for women (4.8%). NPD was significantly more prevalent among black men and women and Hispanic women, younger adults, and separated/divorced/widowed and never married adults. NPD was associated with mental disability among men but not women. High co-occurrence rates of substance use, mood, and anxiety disorders and other personality disorders were observed. With additional comorbidity controlled for, associations with bipolar I disorder, post-traumatic stress disorder, and schizotypal and borderline personality disorders remained significant, but weakened, among men and women. Similar associations were observed between NPD and specific phobia, generalized anxiety disorder, and bipolar II disorder among women and between NPD and alcohol abuse, alcohol dependence, drug dependence, and histrionic and obsessive-compulsive personality disorders among men. Dysthymic disorder was significantly and negatively associated with NPD.

For personal use only. Based upon Raskin, R. & Terry, H. (1988). A Principal-Components Analysis of the Narcissistic Personality Inventory and Further Evidence of Its Construct Validity. Journal of Personality and Social Psychology, 54(5).

Instructions: Here you’ll find a list of 40 statements, one in Column A and the opposite in Column B. For each statement, choose the item from Column A or B that best matches you (even if it’s not a perfect fit). Complete the quiz on your own and in one sitting, which takes most people between 5 and 10 minutes to finish. In most browsers, you can click anywhere on the item to choose it (you do not have to click in the radiobox itself). Answer all questions for the most accurate result.

• Was a pilot study to test for the internal validity of the test and construct validity of domains of the test.

 • Internal validity was not supported thought construct validity was.

• There is no “test” for narcissistic personality disorder accredited for clinical use