Last reviewed: November 14, 2010.
Narcissistic personality disorder is a condition in which people have an inflated sense of self-importance and an extreme preoccupation with themselves.
Causes, incidence, and risk factors
The causes of this disorder are unknown. An overly sensitive personality and parenting problems may affect the development of this disorder.
Symptoms
A person with narcissistic personality disorder may: * React to criticism with rage, shame, or humiliation * Take advantage of other people to achieve his or her own goals * Have excessive feelings of self-importance * Exaggerate achievements and talents * Be preoccupied with fantasies of success, power, beauty, intelligence, …show more content…
Expectations (prognosis)
The outcome depends on the severity of the disorder.
Complications
* Alcohol or other drug dependence * Relationship, work, and family problems
References
1. Blais MA, Smallwood P, Groves JE, Rivas-Vazquez RA. Personality and personality disorders. In: Stern TA, Rosenbaum JF, Fava M, Biederman J, Rauch SL, eds. Massachusetts General Hospital Clinical Psychiatry. 1st ed. Philadellphia, Pa: Mosby Elsevier;2008:chap 39
DSM-IV-TR 301.81
The Diagnostic and Statistical Manual of Mental Disorders fourth edition, DSM IV-TR, a widely used manual for diagnosing mental disorders, defines narcissistic personality disorder (in Axis II Cluster B) as:[1]
A pervasive pattern of grandiosity (in fantasy or behavior), need for admiration, and lack of empathy, beginning by early adulthood and present in a variety of contexts, as indicated by five (or more) of the following: 1. Has a grandiose sense of self-importance (e.g., exaggerates achievements and talents, expects to be recognized as superior without commensurate achievements) 2. Is preoccupied with fantasies of unlimited success, power, brilliance, beauty, or ideal …show more content…
Narcissistic personality disorder can be diagnosed 1) according to DSM criteria; 2) according to a pattern of intrapsychic affects, defenses, and object relationships; and 3) according to the forms of transference that develop in therapy. Clearly, the linear model of first formulating a diagnosis and then planning and implementing a treatment cannot always be followed with patients with narcissistic personality disorder because the diagnosis may become apparent only after a period of psychotherapy or an extended