Narcissistic personality disorder

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Narcissistic personality disorder (NPD)

is a long-term pattern of abnormal behavior characterized by

– exaggerated feelings of self-importance,
– an excessive need for admiration,
– a lack of understanding of others’ feelings.
– often spend a lot of time thinking about achieving power or success,
– often thinking about their appearance;

– often take advantage of the people around them;
– begins by early adulthood,
– and occurs across a variety of situations;

According to the DSM-5, individuals with NPD have most or all of the following symptoms, typically without commensurate qualities or accomplishments:

  1. Grandiosity with expectations of superior treatment from others
  2. Fixated on fantasies of power, success, intelligence, attractiveness, etc.
  3. Self-perception of being unique, superior and associated with high-status people and institutions
  4. Needing constant admiration from others
  5. Sense of entitlement to special treatment and to obedience from others
  6. Exploitative of others to achieve personal gain
  7. Unwilling to empathize with others’ feelings, wishes, or needs
  8. Intensely jealous of others and the belief that others are equally jealous of them
  9. Pompous and arrogant demeanor

People with NPD tend to

  • exaggerate their skills and accomplishments
  • as well as their level of intimacy with people they consider to be high-status;
  • monopolize conversations
  • become impatient or disdainful when others talk about themselves;
  • may purposefully or unknowingly disparage or devalue the other person by overemphasizing their own success;
  • when they are aware that their statements have hurt someone else, they tend to react with contempt and to view it as a sign of weakness;
  • when their own ego is wounded by a real or perceived criticism, their anger can be disproportionate to situation, 
  • but typically, their actions and responses are deliberate and calculated. 
  • despite occasional flare-ups of insecurity, their self-image is primarily stable (i.e., overinflated);

To the extent that people are pathologically narcissistic, they can be

  • controlling,
  • blaming,
  • self-absorbed,
  • intolerant of others’ views,
  • unaware of others’ needs,
  • unaware of the effects of their behavior on others,
  • and insistent that others see them as they wish to be seen;
  • use various strategies to protect the self at the expense of others;
  • devalue,
  • derogate,
  • insult others and
  • often respond to threatening feedback with anger and hostility. 
  • fragile ego
  • hypersensitive to perceived criticism or defeat,
  • they are prone to feelings of shame, humiliation and worthlessness over minor or even imagined incidents;
  • usually mask feelings from others with
    • feigned humility,
    • isolating socially
    • may react with outbursts of rage,
    • defiance,
    • or by seeking revenge.

The merging of the “inflated self-concept” and the “actual self” is seen in the inherent grandiosity of narcissistic personality disorder. Also inherent in this process are the defense mechanisms of denial,idealization and devaluation.[13]

Source: Narcissistic Personality Disorder

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