Influence of Cultural and Contextual Factors on the Presentation, Risk Factors, and Treatment of Narcissistic Personality Disorder

Abstract

Background: In spite of personality disorder is a common topic in the field of psychology and psychiatry, there are still very few studies few studies focusing on cultural and contextual factors of Narcissistic personality disorder (NPD).Method: By reviewing the literature about three countries UK, US and China, the precent study sort out the sociocultural and contextual differences of prevalence, presentation, risk factors and treatment of Narcissistic Personality Disorder (NPD).Result: Contextual and cultural factors have great impact on wide range of NPD’s different aspects. For the prevalence rate of three countries, comparing the highest percentage of three data, UK’s NPD prevalence rate is greater than US, and China has the less NPD prevalence rate. Concerning the presentation of NPD, female and male patients present variously. There is no data responding three countries’ patients’ NPD presentation. With regard of different risk factors, biology, psychotherapy and sociocultural are three of the most essential ones. Eventually, the NPD treatments of three different countries shows significant variety, including Chinese treatments related to traditional medicine, British mentalisation-based treatment and most widely used treatment in America--dialectical behavior therapy.