By: Sam Vaknin (Submitted to Wikipedia by the copyright holder)
A pattern of traits and behaviors which signify infatuation and obsession with one's self to the exclusion of all others and the egotistic and ruthless pursuit of one's gratification, dominance and ambition.
Most narcissists (75%) are men.
The Narcissistic Personality Disorder (NPD) is one of a "family" of personality disorders (formerly known as "Cluster B").
Other members: Borderline PD, Antisocial PD and Histrionic PD.
NPD is often diagnosed with other mental health disorders ("co-morbidity") - or with substance abuse, or impulsive and reckless behaviors ("dual diagnosis").
NPD is new (1980) mental health category in the Diagnostic and Statistics Manual (DSM).
There is only scant research regarding pathological narcissism. But what there is has not demonstrated any ethnic, social, cultural, economic, genetic, or professional predilection to NPD.
It is estimated that 0.7-1% of the general population suffer from NPD.
The onset of narcissism is in infancy, childhood and early adolescence. It is commonly attributed to childhood abuse and trauma inflicted by parents, authority figures, or even peers.
There is a whole range of narcissistic reactions - from the mild, reactive and transient to the permanent personality disorder.
Narcissists are either "Cerebral" (derive their narcissistic supply from their intelligence or academic achievements) - or "Somatic" (derive their narcissistic supply from their physique, exercise, physical or sexual prowess and "conquests").
Narcissists are either "Classic" or they are "Compensatory", or Inverted narcissists
NPD is treated in talk therapy[?] (psychodynamic or cognitive-behavioral). The prognosis for an adult narcissist is poor, though his adaptation to life and to others can improve with treatment. Medication is applied to side-effects and behaviors (such as mood or affect disorders[?] and obsession-compulsion) - usually with some success.
An all-pervasive pattern of grandiosity (in fantasy or behaviour), need for admiration or adulation and lack of empathy, usually beginning by early adulthood and present in various contexts. Five (or more) of the following criteria must be met:
The criteria above are based on or summarized from:
American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders, fourth edition (DSM IV). Washington, DC: American Psychiatric Association.
Sam Vaknin. (2003). Malignant Self Love - Narcissism Revisited, fourth, revised, printing. Prague and Skopje: Narcissus Publication.
Malignant Self Love - Narcissism Revisited
HealthyPlace Narcissistic Personality Disorder Community
Narcissistic Personality Disorder Suite101 Topic
The Suite101 Emotional and Verbal Abuse Web site
Spousal and Domestic Abuse on Suite101
Archives of the Narcissistic Abuse Study List