Narcissism and Childhood Recollections: A Quantitative Test of Psychoanalytic Predictions

A computational framework to study the etiology of grandiose narcissism

Grandiose narcissism is characterized by ambivalent interaction behavior (i.e., grandiose self-presentation and rivalrous devaluation of others) and strong oscillations in self-esteem over time. In the light of emotional and social problems associated with these self-esteem regulation patterns and the increasing prevalence of narcissistic tendencies, causal and formalized models for prevention and intervention are needed. Here, we present a computational model of narcissistic self-esteem regulation implementing established, verbal theories of narcissism to identify key etiological and disorder-maintaining mechanisms. Across four studies, we show that parental praise and overvaluation lead to typical grandiose-narcissistic behavioral patterns (i.e., entitled self-presentation and rivalry) and strong self-esteem oscillations. Underlying these phenomena, we identify two maintaining mechanisms that offer targets for intervention and empirical falsification: tolerance development, characterized by an ever-increasing desire for social recognition, and a vicious cycle of rivalry, characterized by the frequent use of other-devaluing behavior and massive drops in self-esteem.

Emotional Dependence and Narcissism in Couple Relationships: Echo and Narcissus Syndrome

Emotional dependency consists of an extreme affective need that manifests pathologically, such that it has been established that the partners of emotionally dependent individuals exhibit narcissistic traits. The present study aimed to examine the relationship between emotional dependency, the narcissistic traits of a romantic partner, and psychological abuse, in addition to examining the sex differences in the first two variables. This study included 271 subjects (144 women and 127 men) between the ages of 18 and 66 (M = 36.9; SD = 14.748). This study compared individuals with and without emotional dependency, finding that those with emotional dependency reported more narcissistic partners. Furthermore, psychological abuse was positively correlated with the narcissism of the partner. There were no significant sex differences in emotional dependency or in the exhibition of narcissistic traits. The importance of examining the connections between emotional dependency, the narcissistic traits of a romantic partner, and the potential for psychological abuse within these relationships are highlighted.

Tracing the Link Between Narcissistic Personality Disorder and Childhood Overgratification

Narcissistic personality disorder (NPD) is a psychiatric disorder that remains largely undiagnosed in modern society. Theories claim that the roots of this disorder can often be traced back to childhood experiences and parenting styles. The prevalence of NPD in the general population is estimated to be significantly high, although rates may vary widely depending on the assessment method and population being considered as a significant portion of the population remains largely unaware of this disorder or though the patient is aware of his/her condition, the bad reputation for the illness demotivates him/her from seeking professional help. This is the main reason why it is difficult to know the real prevalence of these disorders that are so frequently encountered in psychiatric practice but still largely undiagnosed. This review collects and analyzes several research studies and literature reviews found in the electronic databases. The inclusion criteria prioritize studies focusing on the effect of overgratification on the development of NPD. Empirical evidence suggests a link between childhood overgratification and the development of narcissistic traits in adulthood. However, the relationship between childhood overgratification and NPD is much more complex and is deeply influenced by various factors, such as parent-child attachment, individual nature, and cultural context. This paper aims to simplify and illustrate the complex interplay between childhood overgratification and the manifestation of NPD, thereby revealing underlying mechanisms and identifying potential interventions for treatment. This article explores the intriguing correlation between NPD and overgratification during childhood, exploring how early indulgence may sow the seeds for narcissistic personality traits in adulthood.

The influence of Adverse and Positive Childhood Experiences on facets of empathy

BACKGROUND

Although Adverse Childhood Experiences (ACEs) have been associated with empathy, research findings have been incongruous. In contrast, positive parenting practices have been consistently, and positively, associated with empathy.

OBJECTIVE

The current study investigated whether the relationship between ACEs and facets of empathy (i.e., perspective taking, empathic concern, personal distress, fantasy) were moderated by Positive Childhood Experiences (PCEs).

PARTICIPANTS AND SETTING

A sample of 923 participants completed an online survey.

METHOD

Participants completed online versions of the Childhood Experiences Scale-17, the Benevolent Childhood Experiences Scale, and the Interpersonal Reactivity Index.

RESULTS

We found that ACEs were not significantly associated with any facet of empathy. PCEs, on the other hand, were positively associated with fantasy, empathic concern, and perspective taking, and moderated the relationships between (a) ACEs and empathic concern, and (b) ACEs and perspective taking.

CONCLUSIONS

These results provide a more nuanced understanding of the role ACEs and PCEs play in empathy. Specifically, PCEs appear to be a protective factor when ACEs are low, but when people experience above average levels of childhood adversity, PCEs have little influence on empathic concern or perspective taking.

Cognitions in antisocial personality and their association with "dark" traits

Unlike the cognitions associated with depressive symptoms, little is known about those associated with antisocial personality and with its related traits ("dark traits"). Using the scrambled sentences task, an instrument from depression research, we investigated cognitions such as justifications (external blaming for one's behavior) and harm to others (based on the notion that some of these individuals enjoy harming or humiliating others) that we hypothesized may be prevalent in those high in antisocial personality traits. Confirming our hypothesis, these cognitions were associated with ratings on different antisocial personality scales and with antisocial and detachment scores in the alternative model of personality disorders of the DSM-5 (AMPD) in three non-clinical samples, but not with depressive symptoms or neuroticism. Cognitions including harm to others were differentially associated with high sadism. These findings empirically characterize classes of cognitions that are shared by individuals with antisocial tendencies, and that differ from those associated with depressive symptoms.

Procrastination, Perfectionism, Narcissistic Vulnerability, and Psychological Well-Being in Young Adults: An Italian Study

Procrastination is generally regarded as a dysfunctional tendency to postpone tasks, due to its consequences on performance and psychological well-being. Previous research has indicated that it is linked to perfectionism and narcissism, but with mixed results. The present study explored the interaction between procrastination, perceived parental expectations, multidimensional perfectionism, and narcissism in a sample of 548 Italian young adults aged 18-35 years (M = 23.9; SD = 4.3). Participants completed an online survey consisting of a sociodemographic questionnaire and psychometric measures assessing the constructs of interest. The results showed that: (a) procrastination was positively correlated with socially prescribed perfectionism only, which, in turn, was positively correlated with perceived parental expectations and criticism, and both narcissistic grandiosity and vulnerability; (b) perceived parental expectations and criticism and narcissistic vulnerability had a positive effect on socially prescribed perfectionism, while procrastination had a negative one; and (c) narcissistic vulnerability mediated the relationship between socially prescribed perfectionism and procrastination. Taken together, the findings contribute to a better understanding of the link between procrastination, perfectionism, and narcissism in young adults, and highlight the relevance of contemporary parenting styles and the current sociocultural background for understanding dilatory behaviors.

Narcissistic Trauma: Main Characteristics and Life Impact

ABSTRACT

Narcissistic trauma can lead to disruption of the personality functioning system. Therefore, it is important to study the persons who have it, their traits, the sphere of relationships, and strategies of social adaptation. The research aims to study narcissism indicators among individuals with narcissistic trauma diagnosed during a therapeutic conversation to identify its connection with loneliness, life satisfaction, and communication style. The empirical research involved 32 people who sought psychotherapeutic help. All participants provided written consent to participate in the research. A clinical methodology was used to identify the degree of personal narcissism-the Narcissism Assessment Test. The study of the dominant style of social interaction revealed the dominance of two opposite styles: straightforward-aggressive and responsible-generous. Thus, narcissistic trauma is likely to lead to dysfunction of the self-system, and the ability to enjoy life and communication. The data obtained can be useful for both theoretical psychologists and psychotherapists.

A Systematic Review of the Association between Parenting Styles and Narcissism in Young Adults: From Baumrind's Perspective

The concept 'parenting styles' has been widely examined to understand the etiology of narcissism for decades. This study aimed to systematically review the empirical research literature regarding the association between perceived parenting styles and narcissism. In this study, Ebscohost, Wiley Online Library, Taylor&Francis, Springer Link, PubMed, PsycNet, ScienceDirect, and Google Scholar databases were searched using identified keywords. An extensive database search resulted in 75 identified publications. Of these, 60 were scrutinized, and in the end, ten studies were included in the review for data synthesis. To reach a common conceptualization on the parenting styles, the results were evaluated based on Baumrind's typology. As a result of this systematic review, we can conclude that there is a relationship between narcissism and parenting styles. In particular, perceived permissive parenting was positively correlated with narcissism. However, the relationship between narcissism and other parenting styles is more complex. Therefore, more high-quality empirical studies are needed to investigate the relationship between parenting and narcissism.

Childhood emotional neglect and depressive and anxiety symptoms among mental health outpatients: the mediating roles of narcissistic vulnerability and shame

BACKGROUND

Theorized to stem from experiences of childhood emotional neglect, narcissistic vulnerability has been identified as contributing to expressions of psychiatric distress such as depressive and anxiety symptoms, particularly due to shame-proneness.

AIMS

To investigate narcissistic vulnerability and shame as mediators between perceived childhood emotional neglect and depressive and generalized anxiety symptoms among psychiatric outpatients.

METHODS

Adults (N = 137) attending community mental health services completed self-report measures at intake. Mediation analyses tested the indirect effect of perceived emotional neglect on depressive and generalized anxiety symptom severity through narcissistic vulnerability; shame was added to subsequent models to examine narcissistic vulnerability and shame as sequential mediators.

RESULTS

Perceived emotional neglect was significantly associated with narcissistic vulnerability, which in turn was linked with depressive and generalized anxiety symptoms as separate dependent variables. Indirect effects were significant in each model, indicating narcissistic vulnerability as a significant mediator. With the inclusion of shame, narcissistic vulnerability and shame were significant as sequential mediators.

CONCLUSION

Narcissistic vulnerability and shame may operate as mechanisms in conferring affective symptom severity from perceived childhood emotional neglect. Narcissistic vulnerability and susceptibility to shame may thus be important treatment targets when addressing psychological distress in the context of childhood adversity.

The Anti-Mattering Scale Versus the General Mattering Scale in Pathological Narcissism: How an Excessive Need to Matter Informs the Narcissism and Mattering Constructs

The current study uniquely examines mattering and narcissism and reflects our contention that pathological narcissism involves an excessive need to matter and a hypersensitivity to being devalued and not mattering to other people. Specifically, we evaluated the proposed association between pathological narcissism and deficits in mattering by comparing the results obtained with the Anti-Mattering Scale and the General Mattering Scale. We also evaluated anti-mattering as a potential mediator of the link between narcissism and distress. A sample of 168 university students completed the Anti-Mattering Scale, the General Mattering Scale, the Pathological Narcissism Inventory, and a depression measure. Results confirmed that elevated scores on the Anti-Mattering Scale are associated with grandiose and vulnerable narcissism as well as depression. Mattering assessed by the General Mattering Scale had a weaker association with narcissism, thus highlighting the distinction between the Anti-Mattering Scale and the General Mattering Scale. Further analyses suggested that elevated Anti-Mattering Scale scores did indeed mediate the link between vulnerable narcissism and depression in keeping with anti-mattering as a factor that elicits the vulnerability of narcissists. Our findings attest to the uniqueness of the Anti-Mattering Scale and illustrate the need to consider the role of feelings of not mattering as a contributor to the self and identity issues and interpersonal sensitivity that contribute to pathological narcissism. This work also suggests the need to emphasize an excessive need to matter when assessing the self and when developing future measures of the need to matter.

Narcissistic Personality Disorder: Progress in Understanding and Treatment

This review summarizes current knowledge about narcissistic personality disorder (NPD). Each section brings the reader up to date on advances in our knowledge during the last decade. In terms of NPD diagnosis, this review describes the addition of the dimensional model to the categorical model. The accumulating knowledge has led to the description of grandiose and vulnerable narcissism as well as their complex interrelationship. Strong support exists for co-occurrence of these presentations among people with high levels of grandiose narcissism. Studies have identified mechanisms, in domains such as self-esteem dysregulation, emotion dysregulation, cognitive style, interpersonal relations, and empathy, and possible developmental and temperamental antecedents of the disorder. Thus, it appears that NPD has a multifactorial etiology and pathogenesis, with numerous mechanisms associated with each area of dysfunction. Longitudinal studies support the view that these patients can improve, but such improvement is gradual and slow. Several treatments have been developed for the disorder, and a majority share commonalities, including clear goals, attention to treatment frame, attention to relationships and self-esteem, alliance building, and monitoring of countertransference.

Adverse childhood experiences and grandiose narcissism - Findings from a population-representative sample

BACKGROUND

In the development of narcissism, besides genetic factors, hostile educational conditions, including adverse childhood experiences (ACEs), are discussed as causal factors. ACE may play a causal role in the development of antagonistic behavior due to negative interpersonal experiences. However, studies assessing the role of ACEs in the etiology of narcissism are still inconsistent, particularly regarding grandiose narcissism. This may be due to the complexity of grandiose narcissism, which can be distinguished into agentic (admiration) and antagonistic (rivalry) facets. Understanding the role of early traumatic events in the etiology of grandiose narcissism may be important for psychotherapeutic treatment in both, patients with trauma history and narcissistic patients.

OBJECTIVE

We aimed to specify the role of ACEs in grandiose narcissism by differentiating between admiration and rivalry.

PARTICIPANTS AND SETTING

In a cross-sectional survey conducted from November 2017 to February 2018, a representative sample of the German population above the age of 14 (N = 2531) was selected in a random route approach.

RESULTS

Increased numbers of ACEs were associated with higher mean scores for rivalry in females (B = 0.04, p = 0.02) and males (B = 0.08, p < 0.01), while no significant associations were seen for admiration. Focusing on individual ACEs, in males, all maltreatment experiences were associated with narcissistic rivalry, with the exception of physical neglect, while in women only emotional maltreatment and emotional neglect were significant. Associations with household dysfunction were shown only in men. There were no significant associations between individual ACEs and admiration.

CONCLUSIONS

Our results suggest emotional coldness and negative relationship experiences play a role in the development of, in particular, antagonistic and unfavorable narcissistic traits, such as admiration. Therapy with individuals who have experienced ACEs should take into account possible narcissistic personality traits related to ACEs to facilitate successful treatment. Thus, our findings may help building a therapeutic alliance though a better understanding of the development of current behavioral problems for both patient and psychotherapist.

Narcissistic Personality and Its Relationship with Post-Traumatic Symptoms and Emotional Factors: Results of a Mediational Analysis Aimed at Personalizing Mental Health Treatment

Background: Narcissism is characterized by entitlement, grandiose fantasies and the need for admiration. This personality trait has been associated with both traumatic experiences and emotional problems. Most studies have only focused on narcissism in the context of childhood trauma and negative emotional factors. However, dimensions of grandiose narcissism such as authority have been linked to adaptive outcomes. Furthermore, narcissism might not be linked only to negative childhood experiences; it may also be associated with the presence of post-traumatic symptoms. Therefore, the present study aimed to assess the associations between narcissism and the frequency and severity of post-traumatic symptoms and emotional factors (resilience capacity, emotional regulation, positive and negative affect, intolerance of uncertainty and perceived stress), as well as the possible mediational role of the latter in the relationship between narcissism and post-traumatic symptoms. Method: A total of 115 healthy young psychology undergraduates and their relatives, aged from 18 to 40 years, were asked to complete a set of questionnaires to evaluate the aforementioned variables. Results: The results showed that most of the grandiose narcissism dimensions were positively related to emotional adaptive outcomes, except exploitativeness and entitlement. The negative associations observed between the frequency and severity of post-traumatic symptoms and narcissism (self-sufficiency) were mediated by affect and resilience, which were in turn positively associated with the majority of the narcissism dimensions. Both positive affect and resilience were important factors mediating the association between grandiose narcissism and post-traumatic symptoms. Conclusions: Our findings reaffirm the need to assess not only desirable personality traits, but also ones that are not initially desirable, before pathologizing them. This consideration may be essential to achieve a personalized approach to the prevention of mental health problems, and promotion of positive emotions, in the general population.

A Mentalizing Approach for Narcissistic Personality Disorder: Moving From "Me-Mode" to "We-Mode"

Narcissistic personality disorder (NPD) is a prevalent condition that frequently co-occurs with other diagnoses that bring patients into treatment. Narcissistic disturbances are not often the chief complaint, but they complicate the development of an adequate therapeutic alliance. Typical countertransference challenges, combined with stigma related to NPD, result in difficulty for the therapist to relate to these patients empathically. Mentalization-based treatment provides a means for therapists to reach these patients by taking a "not-knowing" stance with interest and curiosity in clarifying and expanding a shared awareness of the patient's emotional experiences. By understanding the attachment functions, mentalizing imbalances, and problems of epistemic disregard among patients with NPD, therapists can break through the self-centered "me-mode" of the therapeutic dyad, where the typical lack of engagement or power struggles prevail, to a "we-mode," where the patient and therapist are joined in attention to what happens in the patient's mind and in interactions with others.

Lay theories of grandiose and vulnerable narcissism

In public discourse, narcissism is often portrayed one-sidedly and overly negative, rendering a picture of narcissistic individuals as "toxic people" or "evil characters". Beyond these salient associations, psychological theories point to a more complex phenomenon, and different developmental mechanisms are being discussed in relation to it. We investigated the prevalence of different implicit theories on narcissism including beliefs about its developmental antecedents. We put forward the question whether grandiose and vulnerable narcissistic behaviors are regarded as congruent or incongruent expressions of underlying feelings and motives, that is whether grandiose behavior is attributed to underlying grandiosity or underlying vulnerability, and vice versa. Results of an online survey (N = 177) show higher agreement with congruent rather than incongruent theories (i.e., grandiose narcissism is attributed to feelings of superiority rather than inferiority, vulnerable narcissism is attributed to inferiority rather than superiority). In line with this, participants displayed predominant beliefs in parental overvaluation as a developmental antecedent of grandiose narcissism/parental coldness as an antecedent of vulnerable narcissism. With higher self-reported prior knowledge of narcissism, endorsement of theories assuming incongruencies increased. The likability of narcissism was not associated with endorsement of the different implicit theories, but instead with perceivers' own narcissism levels. Results suggest that laypeople employ an "it is what it seems" - heuristic facing both grandiose and vulnerable narcissistic behaviors and are less likely to attribute grandiose or vulnerable behavior to incongruent motivational states. Findings might help to better understand the public image of narcissism and its social consequences.

Supplementary Information

The online version contains supplementary material available at 10.1007/s12144-020-01296-w.

Developing and Validating the Narcissistic Personality Scale (NPS) among Older Thai Adults Using Rasch Analysis

Background: Being older could be stressful, especially among people with narcissistic personality disorders. Nevertheless, the tool is yet to be available among older Thai individuals. The study aimed to develop a tool to detect symptoms of narcissistic personality, and to validate its psychometric properties among older Thai adults. Methods: The Narcissistic Personality Scale (NPS) was developed based on nine domain symptoms of narcissistic personality disorder from the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), consisting of 80 items. The original scale was field-tested using Rasch analysis for item reduction, rendering a final 43 items. NPS was further investigated among 296 seniors aged 60 years old. Rasch analysis was used to assess its construct validity. Result: Of 43 items, 17 were further removed as infit or outfit mean square >1.5. The final 26-item NPS met all necessary criteria of unidimensionality and local independence without differential item functioning due to age and sex, and good targeting with subjects. Person and item reliability were 0.88 and 0.95, respectively. No disordered threshold or category was found. Conclusions: The NPS is a promising tool with a proven construct validity based on the Rasch measurement model among Thai seniors. This new questionnaire can be used as outcome measures in clinical practice.

Effects of Self-Concept on Narcissism: Mediational Role of Perceived Parenting

An increase in narcissism has been reported by experts over the years. Narcissists bring a lot of negative consequences to themselves and to the people around them. This study investigates that perceived parenting leads to the development of inflated, unstable self-concept. The inflated self-concept lays the framework for the development of narcissistic traits among individuals; perceived parenting affects this relationship. A sample of 628 adults was taken from North Cyprus through purposive sampling. Scales for perceived parenting, self-concept, and narcissism were administered. Results showed that the statistically significant variance in the self-concept is explained by perceived parenting. Both mothers and fathers contributed significantly to the development of inflated self-concept. Moreover, multiple linear regression results showed a higher significant variance in narcissistic traits due to self-concept compared with perceived parenting. Mediational tests also showed that high levels of narcissistic traits were indirectly related to self-concept through perceived parenting. The study findings have challenged the notion of only mothers being responsible for narcissistic traits among their children. The study results also suggest that targeting self-concept in individuals with narcissistic traits may be a good directive for therapeutic interventions.

The mediating role of narcissism in the effects of regulatory mode on positivity

Positivity (i.e., the individual tendency to positively approach life experiences) has proven to be an effective construct applied in positive psychology. However, individuals’ self-regulation may have contrasting effects on positivity. We specifically examined whether positivity could be partially explained through two aspects of motivation concerned with self-regulation: locomotion (i.e., a motivational orientation concerned with movement) and assessment (i.e., a motivational orientation concerned with comparison and evaluation). Furthermore, based on previous literature that found a link between these aspects and narcissism, we examined whether “adaptive” and “maladaptive” dimensions of narcissism could mediate the effects of locomotion and assessment on increased or decreased positivity. Narcissism was defined by previous research as adaptive or maladaptive insofar as it leads or does not lead to increased psychological well-being. We estimated a mediation model with multiple independent variables and multiple mediators in a cross-sectional study with self-reported data from 190 university students. We found that both locomotion and assessment were associated with adaptive narcissism, which in turn was positively associated with positivity. However, assessment was also associated with maladaptive narcissism, which in turn was negatively associated with positivity. Relationships between aspects of self-regulation, narcissism, and positivity can have significant implications which will be discussed.

Narcissistic traits in young people and how experiencing shame relates to current attachment challenges

BACKGROUND

Young people with pathological narcissistic traits may have more maladaptive ways of relating to themselves and others. In this study, we investigated how the experience of shame may be a mechanism by which vulnerable and grandiose pathological narcissism relates to negative and positive internalised models of the self and others, manifested as attachment styles.

METHODS

Participants (N = 348) were young people who reported on pathological narcissism, the experience of shame and their model of self and others (secure, dismissive, preoccupied and fearful attachment). Mediation of the experience of shame between vulnerable and grandiose narcissism on the one hand and secure, dismissive, preoccupied and fearful attachment on the other hand, was tested using a path model.

RESULTS

Shame mediated the relationship between vulnerable narcissism and a more negative model of others and self (i.e. less secure, more fearful and more preoccupied in attachment). Higher grandiose narcissism traits were related to a more positive model of others and self (i.e. more secure attachment) and were unrelated to the experience of shame.

CONCLUSIONS

Young people with vulnerable narcissism traits tended to report more shame, and struggled to be close to others. It may be that shame experiences highlight a discrepancy between the ideal and actual self that may contribute to a more insecure attachment style. A good working alliance and fostering self-compassion may counter some negative effects of shame in those most vulnerable, but dismissal in those most grandiose presents a clinical conundrum requiring further research.

The Role of Gender, Child Maltreatment, Alcohol Expectancies, and Personality Pathology on Relationship Violence Among Undergraduates

Male (n = 1,104) and female (n = 1,337) college students' self-report surveys on childhood maltreatment, alcohol expectancies, and narcissistic personality traits are examined to determine their associations with relationship violence. Intimate partner violence was measured using the violence subscales of the revised Conflict Tactics. Because we were interested in the effects of gender and because z tests of the correlations and t tests of means indicated men and women differed significantly on several variables, ordinary least squares regression models were run separately for men and women. Results suggest there are both gender similarities and differences. Relationship violence was associated with child sexual abuse for both men and women, whereas high scores on negative alcohol expectancies and vulnerable narcissism, and low scores on grandiose narcissism, were significantly associated with violence for men only. In addition, z tests revealed the regression coefficients for child sexual abuse and negative alcohol expectancies were significantly different for men and women. Child sexual abuse and alcohol expectancies had stronger associations with men's than women's violent behavior. In addition, the models explained a greater amount of variance in men's than in women's behavior. Policy implications of the research will be discussed.

Fifty Shades of Darkness: A Socio-Cognitive Information-Processing Framework Applied to Narcissism and Psychopathy

Existing trait-based and cognitive models of psychopathy and narcissism fail to provide a comprehensive framework that explains the continuum between sub-clinical and clinical presentations of those personalities and to predict associated maladaptive behavior in different social and cultural contexts. In this article, a socio-cognitive information-processing framework for narcissism and psychopathy (SCIPNP) is proposed to explain how psychopathic and narcissistic schemata influence the activation of psychological processes that interact with social and cultural contexts to display those personalities at a sub-clinical level. The proposed framework enables us to predict maladaptive behavior and to explain how sub-clinical narcissists and psychopaths develop personality disorders. The SCIPNP emphasizes the role of culture in shaping motives, appraisals, behavior and affect. Recommendations for future research are provided.

Vulnerable narcissism as beneficial factor for the therapeutic alliance in borderline personality disorder

Evidence suggests that narcissism and borderline personality disorder are associated with each other. This naturalistic study investigated the predictive value of grandiose and vulnerable narcissism on the development of the therapeutic alliance in short-term psychodynamic treatment across 12 weeks. The sample consisted of 99 patients with borderline personality disorder. Narcissism was assessed with the Pathological Narcissism Inventory at treatment onset. The therapeutic alliance was rated with the Scale to Assess Therapeutic Relationships by both patient and therapist at four time points during treatment. Results showed a significant predictive value of vulnerable narcissism on the therapeutic alliance, revealing a more beneficial progression for patients with higher vulnerable narcissism. Grandiose narcissism had no predictive value on the therapeutic alliance. The study strengthens the clinical utility of the concept of vulnerable narcissism towards the evaluation of treatment processes in borderline personality disorder.

In Search of Narcissus

Narcissism, a trait reflecting egocentric exceptionalism and social selfishness, has captured scholarly interest due to its intricate composition and social implications. The construct is polyhedric, comprising several key forms: grandiose versus vulnerable, agentic versus communal, admirative versus rivalrous, collective versus individual. These forms can be integrated into structural models that add predictive power or process models that add explanatory power. The narcissistic nucleus is argued, and partly shown, to be brittle in the face of self-threat. The nucleus may derive from being overvalued, or inconsistently socialised, by parents. Narcissism entails intrapersonal benefits, as it can confer psychological health, buffer against adversity, and facilitate performance. But it can also be an interpersonal and societal liability, partly remediable with narcissism-reduction interventions.

Consequences of childhood memories: Narcissism, malevolent, and benevolent childhood experiences

BACKGROUND

Previous research has shown that narcissistic personality traits can differentiate in those with childhood abuse and rejection. However, narcissism has not been evaluated in various family systems, with the consideration for negative and positive childhood experiences.

OBJECTIVE

The following study evaluates differences in narcissism in those who are raised in various childhood environments that sometimes result in adverse long-term outcomes. We examine the extent to which both traumatic and benevolent childhood experiences that manifest from parent-child relationships increase or decrease the likelihood of narcissistic traits.

PARTICIPANTS AND SETTING

Adoptees (N= 71), former foster children (N = 59), and those who were neither adopted nor former foster children (N = 207) were assessed for early maladaptive schemas (EMS), benevolent childhood memories (BCE), and narcissistic personality traits.

METHODS

Participants were recruited through Facebook support groups and non-profit organizations specifically created for adult adoptees or former foster children to complete an online survey. Others were recruited from a participant pool at a large, public university in the American Southeast to serve as a comparison group.

RESULTS

Individuals who were fostered or adopted had lower levels of narcissism compared to those who are neither. These differences were partially explained by differences in BCE and EMS, with BCE increasing the likelihood of narcissism and EMS decreasing the likelihood. The impact of EMS became non-significant when controlling for BCE.

CONCLUSIONS

Those from less privileged backgrounds are unlikely to develop narcissism as a protective mechanism but are more likely to have maladaptive schemas. Interventions for those from less privileged backgrounds should aim at providing more benevolent childhood experiences to lessen the impact of maladaptive schemas.

Mentalization-Based Treatment for Pathological Narcissism

Despite the growing cultural and empirical interest in pathological narcissism (PN), effective treatment guidelines for PN have not yet been established. This article develops mentalization-based treatment (MBT), a leading evidence-based therapy for borderline personality disorder, as a primary intervention for PN. Synthesizing research on parenting styles, attachment patterns, and empathy in PN, the authors propose a developmental model of narcissism centering on impairments in mentalization. Core therapeutic techniques of MBT for PN are outlined, including clinical examples to illustrate practical implementation. As an accessible, easy-to-operationalize, and resource-sensitive therapeutic approach, MBT offers considerable promise for future empirical investigation and clinical applications in the treatment of patients with pathological narcissism.

That’s my stapler: vulnerable narcissists and organizational territoriality

Purpose

This paper aims to examine two underexplored topics in organizations, i.e. vulnerable narcissists in organizational settings and possible effects of territorial infringements among vulnerable narcissistic employees. The movie, Office Space, illustrates prototypical employee behavior mixed with comedically maladaptive personalities in a modern organizational context. However, the arson committed by character, Milton Waddams, suggests that some employees, especially those with disordered personalities, might violently respond to perceived territorial infringements.

Design/methodology/approach

This conceptual paper combines personality factors with territorial behavior to examine employee reactions to perceived injustices. Theoretical and practical implications are offered, as well as future research directions.

Findings

The argument presented suggests that the vulnerable narcissists may initiate destructive behavior in organizations with ego threats like territorial infringements. While anger is a natural defensive reaction, vulnerable narcissists are more likely to behave aggressively toward perceived territorial infringements due to their general negative affect.

Practical implications

Employees may react to infringement over seemingly subjective things; thus, managers must understand the nature of ownership by addressing territorial claims. Managers must remain cognizant that some disordered personalities are prone toward fulfilling threats, including organizational sabotage, deviance and white-collar crime. Environmental conditions can also compound the negative behavior of personalities like vulnerable narcissists in the workplace.

Originality/value

This conceptual paper adds to the organizational behavior literature and contributes to the fields of psychology and territoriality by exploring vulnerable narcissists in organizational settings and by considering the magnitude of defensive behavior toward perceived infringements.

The "Why" and "How" of Narcissism: A Process Model of Narcissistic Status Pursuit

We propose a self-regulation model of grandiose narcissism. This model illustrates an interconnected set of processes through which narcissists (i.e., individuals with relatively high levels of grandiose narcissism) pursue social status in their moment-by-moment transactions with their environments. The model shows that narcissists select situations that afford status. Narcissists vigilantly attend to cues related to the status they and others have in these situations and, on the basis of these perceived cues, appraise whether they can elevate their status or reduce the status of others. Narcissists engage in self-promotion (admiration pathway) or other-derogation (rivalry pathway) in accordance with these appraisals. Each pathway has unique consequences for how narcissists are perceived by others, thus shaping their social status over time. The model demonstrates how narcissism manifests itself as a stable and consistent cluster of behaviors in pursuit of social status and how it develops and maintains itself over time. More broadly, the model might offer useful insights for future process models of other personality traits.

Narcissistic traits in young people: understanding the role of parenting and maltreatment

BACKGROUND

Elevated narcissism in young people often sets up a cascade of interpersonal and mental health challenges, reinforcing the need to understand its concomitants. Experiences of maltreatment and different parenting styles have been implicated but findings to date are inconclusive. By simultaneously considering multiple remembered parenting styles and maltreatment in a large sample, this study aims to elucidate possible prognostic factors associated with both grandiose and vulnerable narcissistic traits in youth.

METHODS

Young people (N = 328, age range: 17-25 years) reported on the remembered interpersonal environment and current grandiose and vulnerable narcissism traits. Structural equation modelling was used to examine maternal and paternal parenting styles and examine the association between experiences of parenting and grandiose and vulnerable narcissism.

RESULTS

Remembered overprotection from mothers and fathers was associated with both vulnerable and grandiose narcissistic traits. Remembered maternal overvaluation related to current grandiosity, and maternal leniency related to vulnerable narcissistic traits. For paternal parenting, the combination of overvaluation and leniency and overvaluation and care explained grandiose and vulnerable traits. There was no direct effect of remembered parental care or childhood maltreatment on current levels of narcissistic traits.

CONCLUSIONS

Remembered childhood experiences of being overprotected, overvalued and experiencing leniency in parental discipline, were associated with higher traits of pathological narcissism in young people. Care and maltreatment were non-specific risk factors. Remembered childhood environments of being excessively pampered are associated with grandiose and vulnerable narcissistic traits, characterised by the young person expressing unrealistic self-views, entitlement beliefs and impaired autonomy. In treatment these traits may emerge in the patient-therapist relationship and working through their developmental origins may contribute to outcomes.

The End of a Stereotype: Only Children Are Not More Narcissistic Than People With Siblings

The current research dealt with the stereotype that only children are more narcissistic than people with siblings. We first investigated the prevalence of this stereotype. In an online study (Study 1, N = 556), laypeople rated a typical only child and a typical person with siblings on narcissistic admiration and narcissistic rivalry, the two subdimensions of the Narcissistic Admiration and Rivalry Questionnaire. They ascribed both higher admiration and higher rivalry to the only child. We then tested the accuracy of this stereotype by analyzing data from a large and representative panel study (Study 2, N = 1,810). The scores of only children on the two narcissism dimensions did not exceed those of people with siblings, and this result held when major potentially confounding covariates were controlled for. Taken together, the results indicate that the stereotype that only children are narcissistic is prevalent but inaccurate.

Narcissism and Attachment: The Importance of Early Parenting

Research often shows that narcissism and attachment style are related. The present research examines the question of whether early parenting style contributes to adult attachment style, beyond the relation between narcissism and attachment. Parents reported on their parenting style at age 3, and offspring were assessed for attachment style and narcissism at age 23. The results indicated that early parenting style was not directly related to narcissism, but along with narcissism added to the prediction of attachment style. In combination with vulnerable narcissism, authoritarian parenting was positively related to secure attachment, and negatively related to preoccupied attachment, whereas permissive and responsive parenting were negatively related to secure attachment and positively related to preoccupied attachment.

The Higher the Score, the Darker the Core: The Nonlinear Association Between Grandiose and Vulnerable Narcissism

Narcissism is a truly Janusian phenomenon, consisting of both narcissistic grandiosity, exhibitionism, admiration-seeking, boldness, and dominance on the one hand, and narcissistic vulnerability, introversion, withdrawal, hypersensitivity, and anxiety on the other hand. While there is broad consensus that these two seemingly contradictory faces of narcissism can be empirically discerned and have different implications for psychological functioning and mental health, there is not yet agreement on whether grandiose and vulnerable narcissism should be regarded as independent traits or as two manifestations of one personality trait. Previous research indicates that both views hold true when the level of grandiosity is considered a moderating factor: while grandiose and vulnerable narcissism are largely unrelated in the range of normal personality variation, they are correlated in the range of high grandiosity (Jauk et al., 2017b). Here, we replicate and extend this work in an independent sample (N = 891) using a more comprehensive narcissism inventory grounded in a new trifurcated model of narcissism. The trifurcated model partitions narcissism into three main personality dimensions: agentic extraversion, antagonism, and neuroticism. We found a significant breakpoint in the association between narcissistic grandiosity and vulnerability at 75% cumulative frequency of grandiosity. While grandiosity and vulnerability are unrelated below this breakpoint (r = 0.02), they are strongly correlated above (r = 0.45). In the lower range of grandiose narcissism, grandiosity draws more upon agentic extraversion and is largely associated with mental health. In the upper range, however, grandiosity is more strongly linked to antagonism and is substantially associated with fear, negative affect, and depression. These findings provide evidence for the view that grandiose and vulnerable narcissism are distinct traits at lower levels of grandiosity, but blend into an antagonistic core with signs of psychological maladjustment at higher levels. Implications for research on narcissism as a personality trait, as well as clinical practice, are discussed.

Current understanding of narcissism and narcissistic personality disorder

This article reviews historical contributions to the conceptualisation of narcissism and narcissistic personality disorder (NPD), including its evolution as a clinical diagnosis within the DSM classification of mental disorders. It discusses the epidemiology and aetiology of NPD, noting that empirical studies of both are limited. The challenges of managing patients with prominent narcissistic traits are presented, and the psychological therapies specifically designed for the treatment of patients with NPD are summarised.

LEARNING OBJECTIVES

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DECLARATION OF INTEREST

None.

Does a narcissism epidemic exist in modern western societies? Comparing narcissism and self-esteem in East and West Germany

Narcissism scores are higher in individualistic cultures compared with more collectivistic cultures. However, the impact of sociocultural factors on narcissism and self-esteem has not been well described. Germany was formerly divided into two different social systems, each with distinct economic, political and national cultures, and was reunified in 1989/90. Between 1949 and 1989/90, West Germany had an individualistic culture, whereas East Germany had a more collectivistic culture. The German reunification provides an exceptional opportunity to investigate the impact of sociocultural and generational differences on narcissism and self-esteem. In this study, we used an anonymous online survey to assess grandiose narcissism with the Narcissistic Personality Inventory (NPI) and the Pathological Narcissism Inventory (PNI) to assess grandiose and vulnerable aspects of narcissism, and self-esteem with the Rosenberg Self-Esteem Scale (RSE) in 1,025 German individuals. Data were analyzed according to age and place of birth. Our results showed that grandiose narcissism was higher and self-esteem was lower in individuals who grew up in former West Germany compared with former East Germany. Further analyses indicated no significant differences in grandiose narcissism, vulnerable narcissism or self-esteem in individuals that entered school after the German reunification (≤ 5 years of age in 1989). In the middle age cohort (6–18 years of age in 1989), significant differences in vulnerable narcissism, grandiose narcissism and self-esteem were observed. In the oldest age cohort (> 19 years of age in 1989), significant differences were only found in one of the two scales assessing grandiose narcissism (NPI). Our data provides empirical evidence that sociocultural factors are associated with differences in narcissism and self-esteem.

The Relationship between Grandiose and Vulnerable (Hypersensitive) Narcissism

Narcissistic grandiosity is characterized by overt expressions of feelings of superiority and entitlement, while narcissistic vulnerability reflects hypersensitivity and introversive self-absorbedness. Clinical evidence suggests that grandiosity is accompanied by vulnerable aspects, pointing to a common foundation. Subclinical personality research, however, views grandiose and vulnerable narcissism as independent traits. Grandiose narcissism displays substantial correlation with extraversion, while vulnerable narcissism correlates highly with introversion. We investigated if (1) controlling for intro-/extraversion might reveal a "common core" of grandiose and vulnerable narcissism, and if (2) the correlation between both aspects might be higher at higher levels of narcissism. Latent variable structural equation modeling and segmented regression analysis confirmed these hypotheses in a large non-clinical sample (N = 1,006). Interindividual differences in intro-/extraversion mask the common core of grandiose and vulnerable narcissism. The association between both aspects increases at high levels (upper 10%) of grandiose narcissism, which suggests a possible transition to clinically relevant (pathological) narcissism.

Self-viewing is associated with negative affect rather than reward in highly narcissistic men: an fMRI study

Subclinical narcissism is a personality trait with two faces: According to social-cognitive theories it is associated with grandiosity and feelings of superiority, whereas psychodynamic theories emphasize vulnerable aspects like fluctuating self-esteem and emotional conflicts. The psychodynamic view, however, is commonly not supported by self-report studies on subclinical narcissism. Personality neuroscience might help to better understand the phenomenon of narcissism beyond the limits of self-report research. While social-cognitive theory would predict that self-relevant processing should be accompanied by brain activity in reward-related areas in narcissistic individuals, psychodynamic theory would suggest that it should be accompanied by activation in regions pointing to negative affect or emotional conflict. In this study, extreme groups of high and low narcissistic individuals performed a visual self-recognition paradigm during fMRI. Viewing one's own face (as compared to faces of friends and strangers) was accompanied by greater activation of the dorsal and ventral anterior cingulate cortex (ACC) in highly narcissistic men. These results suggest that highly narcissistic men experience greater negative affect or emotional conflict during self-relevant processing and point to vulnerable aspects of subclinical narcissism that might not be apparent in self-report research.

The ambiguity of pride

This work aims to account for the complexity of pride, while also trying to clear some ambiguities that in our view result from unwarranted assumptions about its two facets—“authentic” versus “hubristic” pride. We propose a model of pride in terms of its cognitive and motivational components; distinguish two kinds of pride proper: pride1, referring to achievement-based pride and pride2, concerning one’s stable qualities and dispositions; and identify the goals they are likely to elicit. We also argue that for pride to be felt, it is insufficient and even unnecessary that one’s self-evaluations should concern socially valued accomplishments. We suggest that hubris is distinguishable from both kinds of pride proper because, unlike the latter, it is qualified by the goal of superiority over others, and we consider its implications in terms of social attitudes. We also discuss whether hubris is a form of “false” pride.

The Narcissism Spectrum Model: A Synthetic View of Narcissistic Personality

The narcissism spectrum model synthesizes extensive personality, social-psychological, and clinical evidence, building on existing knowledge about narcissistic grandiosity and vulnerability to reveal a view of narcissism that respects its clinical origins, embraces the diversity and complexity of its expression, and reflects extensive scientific evidence about the continuity between normal and abnormal personality expression. Critically, the proposed model addresses three key, inter-related problems that have plagued narcissism scholarship for more than a century. These problems can be summarized as follows: (a) What are the key features of narcissism? (b) How are they organized and related to each other? and (c) Why are they organized that way, that is, what accounts for their relationships? By conceptualizing narcissistic traits as manifested in transactional processes between individuals and their social environments, the model enables integration of existing theories of narcissism and thus provides a compelling perspective for future examination of narcissism and its developmental pathways.