Narcissistic Personality Research Articles

Personality disorders among a sample of Egyptian patients with major depressive disorder and their association with suicide

BackgroundDepression is a prevalent psychiatric disorder that can arise at any age and is often present as a co-occurring illness in different illnesses. There is a high comorbidity rate between major depressive disorder and personality disorders (PDs). The current study aimed to investigate the significant impact of personality disorders on depression severity, functional impairment, and suicidal tendencies in individuals with depression.MethodsThe researchers conducted a cross-sectional observational study involving 120 patients, with an age range from 18 to 56 years of both genders, recruited from Okasha’s Institute of Psychiatry in Cairo, Egypt. Their major depressive disorder diagnosis was verified through the use of the Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-I). Participants underwent evaluations using the SCID-II to evaluate personality disorders, the Hamilton Depression-Rating Scale (HAM-D) to assess the severity of depression, the Columbia Suicide Severity Rating Scale (C-SSRS) to investigate suicidal ideation, and the Global Assessment of Functioning Scale (GAF) to determine functional level.ResultsBorderline personality disorder and narcissistic personality disorder were the predominant personality disorders in the sample, with prevalence rates of 55.8% and 40.8%, respectively. Sixty-six percent of the participants reported experiencing suicidal thoughts at some point in their lifetime, whereas only 17.5% had actually attempted suicide. Borderline personality disorder showed a strong correlation with more severe depression (P value 0.043), a decline in functioning (P value 0.001), the existence of suicidal thoughts (P value 0.001), and a past of suicide attempts (P value 0.038).ConclusionsPersonality disorders are highly prevalent in patients with depression, borderline PD, and narcissistic PD were the most common PDs. Borderline PD showed a significant effect on depression severity. PDs, mainly borderline, avoidant, depressive, and narcissistic PDs contribute to more impairment of functioning of the MDD patients. There is a significant effect of the presence of co-morbid personality disorder on suicidal thoughts and suicidal attempts, mainly depressive and borderline PDs.

Which leadership style do more narcissistic subordinates prefer in supervisors?

Subordinates in Western cultures generally prefer supervisors with a democratic rather than autocratic leadership style. It is unclear, however, whether more narcissistic subordinates share or challenge this prodemocratic default attitude. On the one hand, more narcissistic individuals strive for power and thus may favor a democratic supervisor, who grants them power through participation. On the other hand, similarity attracts and, thus, more narcissistic subordinates may favor an autocratic supervisor, who exhibits the same leadership style that they would adopt in a leadership position. Four studies (Ntotal = 1284) tested these competing hypotheses with two narcissism dimensions: admiration and rivalry. Participants indicated the leadership style they generally prefer in a supervisor (Study 1), rated their own supervisor's leadership style (Study 2a: individual ratings; Study 2b: team ratings), and evaluated profiles of democratic and autocratic supervisors (Study 3). We found a significantly weaker prodemocratic default attitude among more narcissistic subordinates: Subordinates' narcissism was negatively related to endorsement of democratic supervisors and positively related to endorsement of autocratic supervisors. Those relations were mostly driven by narcissistic rivalry rather than narcissistic admiration. The results help clarify the narcissistic personality and, in particular, how more narcissistic subordinates prefer to be led.

The Effect of Individual Counseling Self-Control Techniques on Narcissistic Students Using Tik-tok Social Media

This research aims to determine the effect of individual counseling self-control techniques on the narcissism of students who use social media tik-tok. The research method used in this research is a quantitative method. The subjects of this research were 4 students in class The instrument used was the narcissistic personality scale for students using social media Tik-Tok, which consisted of 35 valid and reliable question items. The data analysis technique used in this research is the Wilcoxon analysis technique with α = 0.05. The results of this research show that before (pre-test) the individual counseling self-control technique was carried out it was 108.6 and after the individual counseling self-control technique was carried out it was 60.5. Based on the Wilcoxon test results, we get J_count > J_tabel where 5 > 0. So it can be said There is "the influence of individual counseling on self-control techniques on the narcissism of students who use social media Tik-Tok students.

Narcissistic personality disorder: an opinionated review of the efficacy of psychotherapy

Narcissistic personality disorder: an opinionated review of the efficacy of psychotherapy

The mediating role of Narcissism in the relationship between self-esteem and aggression of university students in Sagaing Township, Myanmar

The world is competitive in every possible way, especially in the education sector, so university students tend to seek success in their academic field and try to get attention within their social circle often at any cost or effort. This leads to the presence of narcissistic personalities among the university population, stemming from underlying low self-esteem and contributing to aggression. This study aimed to investigate the mediating role of narcissism in the relationship between self-esteem and aggression among university students in Sagaing. The sample comprised 1058 undergraduate students with 519 females and 539 males from undergraduate classes. Rosenberg (1965)’s self-esteem scale, the Narcissistic Personality Inventory by Raskin and Terry (1988) and the aggression questionnaire by Buss and Warren (2000) were used as the data gathering instruments. The findings revealed that self-esteem exhibits both a direct negative effect on aggression and an indirect positive effect mediated by narcissism. Interestingly, while high self-esteem typically acts as a deterrent to aggression, its mediation by narcissism can increase aggressive tendencies. This suggests a suppressor effect, termed competitive mediation, where the positive relationship between self-esteem and aggression is reversed when narcissism serves as a suppressor variable. As this suppressor effect is enticing for the researchers, further studies should explore the moderating factors in the relationship between self-esteem, narcissism and aggression. The study’s findings are expected to provide the foundational insights for the education policy makers to develop prevention programs for narcissism and aggression, promote professional development of educators, integrate curriculum components that address self-esteem, and implement counselling programs in educational settings.

Do Narcissist Phubs or Get Phubbed? Analyzing the Role of Motivational Systems

Phubbing is a common sight, but it is not merely a technological faux pas. The present study aims to explore phubbing (phubbing others and getting phubbed) through the lens of two types of personalities (grandiose and vulnerable narcissism). Moreover, the study also aimed to evaluate the indirect role of motivational systems (BAS/BIS) between these two sets of variables. The sample of the study comprised 525 Indian college students. Data were analyzed through Hayes Process Macro (Hayes) in SPSS (Version 26). Vulnerable narcissism was found to be positively related to phubbing others and getting phubbed. Grandiose narcissism was found to be related to phubbing others but not to getting phubbed. BAS and BIS were significantly and positively related to phubbing and getting phubbed. BAS indirectly affected the relationship between two kinds of narcissism (vulnerable and grandiose) and phubbing (phubbing others and getting phubbed); however, BIS failed to influence the relationship between narcissism and phubbing. The results of the present study challenge the notion that all phubbing behaviors are truly deviant as narcissistic personality played an important role in phubbing behavior. The study also highlighted the importance of rewards and punishment on phubbing behaviors, and therefore there is a need to focus on BAS and BIS while dealing with phubbing behaviors.

Treating Narcissistic Disorders in General Psychiatry: Practical Application of Transference-Focused Psychotherapy Principles.

Patients with primary or co-occurring narcissistic disorders are seen routinely in general psychiatry settings. Contemporary trends in training and practice have impacted psychiatrists' skills and confidence in identifying and treating these disorders, which can range from relatively benign to high-acuity presentations. The goal of this article is to introduce key principles derived from transference-focused psychotherapy (TFP) for use by clinicians in general practice in their work with patients with narcissistic disorders, even when those clinicians do not routinely provide individual psychotherapy. Practical application of TFP principles in work with patients with narcissistic disorders in general psychiatry are proposed, including in diagnostic evaluation, family engagement, prescribing, and safety assessment and risk management calculus. Many psychiatrists whose practices are focused primarily on psychopharmacology, or a "medical model," may not appreciate fully the impact of pathological narcissism in their work. Clinicians who may benefit from familiarity with TFP principles in work with patients with narcissistic disorders include the approximately one-half of U.S. psychiatrists who do not offer psychotherapy in their practice.

병리적 자기애와 관계중독의 관계

Objectives The purpose of this study was to investigate the relationship between pathological narcissism and re-lationship addiction in university students and to look at the sequential mediating effects of distress tolerance and emptiness. Methods For this study, 330 data were analyzed by surveying university students nationwide through a pro-fessional survey institution. The data were analyzed using SPSS Statistics 20.0 and the SPSS PROCESS Macro for descriptive statistics, reliability analysis, and correlation analysis among variables. Additionally, the dual mediation effect was examined, and the significance of the indirect effects was verified using boot-strapping method. Results First, the results show that pathological narcissism, relationship addiction, and emptiness were sig-nificantly positively correlated with each other, and distress tolerance was negatively correlated with all variables. Second, distress tolerance and emptiness mediate the relationship between pathological narcissism and relation-ship addiction, respectively. Third, the sequential mediating effect of distress tolerance and emptiness was sig-nificant in the relationship between pathological narcissism and relationship addiction. Conclusions These results suggest that the higher the pathological narcissism, the lower the distress tolerance, the better the feeling of emptiness, and thus, the more likely it is to fall into relationship addiction. Therefore, it provides information on what interventions can be effective for clients who suffer from relationship addiction problems due to pathological narcissism.

The Relationship Between Object Relations and Relationship Satisfaction, Marital Adjustment, and Sexual Satisfaction: The Mediating Role of Narcissistic and Borderline Personality Traits

The aim of this study was to elucidate the psychological dynamics of marital relationships, which are among the most significant structures of society. The purpose of research was to examine the mediating roles of borderline and narcissistic personality traits in the relationship between object relations and marital adjustment, relationship satisfaction, and sexual satisfaction. The study group consisted of adult individuals aged 18 and older. Of the total 809 participants, 407 (50.3%) are female and 402 (49.7%) are male, all of whom are married. 320 participants are in the 18-30 age range, 318 are in the 31-45 age range, and 171 are 45 years old and above. Marriage Adjustment Scale, Relationship Satisfaction Scale (RSS), Golombok-Rust Sexual Satisfaction Scale (GRSS) Female-Male Form, Bell Object Relations and Reality Testing Inventory (BORRTI), Borderline Personality Inventory, and Narcissistic Personality Inventory were used as data collection instruments in the study. The data were analyzed using SPSS 27 program. Pearson Correlation Test and Process Macro 4.2 analysis methods were used. According to the research findings, a negative relationship was found between object relations and relationship satisfaction, marital adjustment, and sexual satisfaction. A positive relationship was identified between object relations and borderline and narcissistic personality traits. Furthermore, negative relationships were found between borderline and narcissistic personality traits and marital adjustment, sexual satisfaction, and relationship satisfaction. Finally, the mediation analyses conducted within the framework of the main purpose of the research, determined that object relations significantly predicted relationship satisfaction, sexual satisfaction, and marital adjustment, borderline and narcissistic personality traits partially mediated this relationship. Thus, the proposed model was supported.

Clinical features of auto-aggressive behavior in borderline personality disorder: a review of current research

Borderline personality disorder (BPD) is a common psychiatric disorder characterized by severe auto-aggression (AA) in the form of suicide attempts (SA) and non-suicidal self-injury (NSSI). The purpose of this review was to describe the current knowledge about the clinical features of self-harming behavior in borderline personality disorder. Materials and methods: The eLibrary, PubMed, CNKI, and Google Scholar databases were searched for articles on the relevant search query for the last 11 years. As a result, 28 articles were selected and summarized (a total of 7,284 BPD patients and 134 controls were included). Results: Suicidal attempts occur in 75 % of BPD patients, and NSSIs — in 90 %. AA behavior varies with age: adolescents tend to NSSIs, while adults more often undertake SAs. Depending on the type of clinical dynamics, AA in BPD may be impulsive, demonstrative, associated with comorbid addiction, or occur in the context of depersonalization. Among BPD symptoms, feelings of chronic emptiness, avoidance of abandonment, emotional instability, and identity disturbance are most commonly associated with auto-aggression. Risk factors for self-harming behavior in BPD include traumatic childhood events, especially physical and sexual abuse, and stress caused by microsocial conflict. Men with BPD and AA more often have comorbid narcissistic, antisocial, paranoid, and schizotypal personality disorders, as well as substance use disorders. Women with borderline personality disorder and AA tend to suffer more from addictive and obsessive-compulsive personality disorders, as well as eating disorders, particularly bulimia nervosa. In conclusion, self-harming behavior in BPD has many clinical features and can manifest in different forms. It is always necessary to study the predominant clinical manifestations, risk factors, and comorbid disorders to be able to assess the severity of AA.

SENSITIZING INTERNATIONAL MEDICAL GRADUATES TO IDENTIFY NARCISSIST PERSONALIY DISORDER

Narcissistic personality disorder is a complex personality disorder that was first conceptualized by Sigmund Freud in 1914.Narcissistic personality disorder is characterized by a persistent sense of self-importance, grandiosity, and admiration of oneself.

Narcissistic personality disorder in the ICD-11: Severity and trait profiles of grandiosity and vulnerability.

Modern diagnostic and classification frameworks such as the ICD-11 and DSM-5-AMPD have adopted a dimensional approach to diagnosing personality disorder using a dual "severity" and "trait" model. As narcissistic personality has historically struggled to be adequately captured in dominant diagnostic systems, this study investigated the utility of the new ICD-11 framework in capturing diverse narcissistic expressions. Participants were mental health clinicians (N = 180, 67% female, age = 38.9), who completed ratings of ICD-11 personality severity, trait domains and a clinical reflection for two hypothetical case vignettes reflecting either prototypical "grandiose" or "vulnerable" narcissism. The majority of clinicians (82%) endorsed a diagnosis of personality disorder for both grandiose and vulnerable vignettes. Discriminant elements of personality impairment included rigid, unrealistically positive self-view, low empathy and high conflict with others for grandiosity, and incoherent identity, low self-esteem and hypervigilant, avoidant relations with others for vulnerability. Regarding trait profile, grandiose narcissism was predominately dissocial whereas vulnerable narcissism was primarily associated with negative affectivity and detachment. Qualitative responses highlight distinct clinical themes for each presentation. These findings suggest that clinicians using the ICD-11 framework are able to identify common core elements of personality dysfunction in grandiose and vulnerable narcissism while also recognizing their distinctive differences.

The assessment of pathways towards suicide in adolescent patients: A PDM-2-oriented approach.

Increasing evidence has supported the mutual relationship between suicidal motivations and personality pathology, especially in adolescence. Distinctive aspects of personality functioning can explain the tendency to resort to suicidal ideation and behaviours, which, in turn, may play a specific role in exacerbating severe impairments in self-regulation mechanisms that underlie personality pathology. This study illustrates, through two clinical cases, the clinical utility of using the Psychodynamic Diagnostic Manual - Second Edition (PDM-2) to better understand distinct pathways of suicidal processes. Two adolescents, named Luis and Gael, who attempted suicide multiple times were assessed using the Psychodiagnostic Chart Adolescent (PDC-A) of the PDM-2 to evaluate their mental functioning, emerging personality styles or syndromes, and symptom patterns. They were interviewed using the Motivational Interview for Suicidality in Adolescence (MIS-A) to identify the motivations underpinning their suicidal behaviour. The results showed that Luis presented a narcissistic personality characterized by the need to deny his vulnerabilities through suicidal fantasies as a form of escape, while Gael presented a borderline personality characterized by the use of suicide attempts to express her inner and unspeakable pain. The study seems to support the reciprocal interconnections between personality functioning and suicidal motivations that should be better identified to plan tailored and more effective interventions.

Narcissism and romantic relationship functioning: The mediating role of the desire for power

AbstractWe investigated the potential role played by the desire for power in the connections between narcissistic personality traits and indicators of romantic relationship functioning. In Study 1, we discovered that antagonistic narcissism had indirect connections with indicators of romantic relationship functioning via the desire for power. In Study 2, we observed actor associations in romantic couples. More specifically, antagonistic narcissism exhibited indirect links with romantic relationship functioning through the desire for power for both men and women. Additionally, partner associations emerged from these analyses. For women and men, their antagonistic narcissism had an indirect association with the romantic relationship functioning of their partners through their own desire for power. Furthermore, the antagonistic narcissism of women was associated with the romantic relationship functioning of both themselves and their male partners, mediated by the desire for power as reported by their male partners. The associations that emerged for the other narcissistic personality traits were somewhat weak and inconsistent across these studies. In our discussion, we explore how the concept of the desire for power can offer insights into understanding the complex dynamics often observed in romantic relationships characterized by certain aspects of narcissism.

Pathological narcissism's impact on psychodynamic group therapy for perfectionism.

Several decades of theory suggest that pathological narcissism (PN) may limit psychotherapy success, but empirical evidence for such theories is limited and mixed. In addition, it has been proposed that individuals with high levels of PN may benefit more from supportive compared to interpretive psychodynamic therapies, but no studies thus far have investigated this question empirically. As such, our study aimed to extend past research by investigating (a) whether higher levels of pretreatment PN predict poorer treatment outcome and (b) whether the type of psychodynamic therapy (supportive or interpretive therapy) moderates these findings, in a sample of patients undergoing group psychodynamic psychotherapy for perfectionism. The sample was drawn from the University of British Columbia Perfectionism Treatment Study II (Hewitt et al., 2023) and consisted of 80 treatment-seeking adults with elevated perfectionism. Contrary to expectations, multilevel and multiple regression analyses showed that pretreatment PN did not significantly predict posttreatment changes in symptom severity, life satisfaction, or work and social impairment. We also did not find that either grandiose or vulnerable narcissism predicted likelihood of patient dropout. Finally, treatment type did not moderate the relationship between pretreatment PN and treatment outcome, suggesting that, contrary to our hypotheses, PN does not impact treatment outcome regardless of the interpretive nature of the psychodynamic group therapy. These results, taken together with past findings, suggest that PN may not be associated with poorer psychotherapy outcomes in certain contexts, such as in the case of supportive or interpretive psychodynamic group psychotherapy for perfectionism. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Looking in the mirror held up by North Carolina slave narratives: White folks confronting the psychosocial legacy of slavery

AbstractU.S. citizens are debating whether slavery and white supremacy are core constituents of the United States, whether white children should be troubled by learning the brutalities of slavery and life under Jim Crow laws, and whether racial reparations are due to African Americans for the centuries of economic, political, and social oppression they have endured. While many white folks prefer to ignore or demean calls for reparations, others have turned to reparative genealogy. They are inquiring deeply into their ancestors' relationships to chattel slavery and white supremacy, committed to reckoning with their own and their ancestors' racial debts. They seek to develop what sociologist W. E. Du Bois called “double consciousness.” In order to protect themselves, African Americans had to try and see through the eyes of white people, as well as their own. But white folks too rarely attempt to see themselves through the eyes of Black people. During slavery, how were whites seen by Blacks? Philosopher George Yancy urges white people to engage in the work of developing double consciousness so they can see, as most people of color do, the pernicious white and class advantages that haunt us. My ancestors were enslavers in North Carolina. I turned to slave narratives from Black North Carolinians to distill what they observed about white people. Their descriptions point to individual and cultural pathologies: dehumanizing, pathological narcissism, authoritarian character, greed, cruelty, sadism, the policing of racial borders, paranoia, absence of deserved shame and moral injury. These understandings underline some of the psychosocial tasks before us as white people.

A study on the double-edged sword effect of inclusive leadership on employees' work behaviour-dual path perspective of cognition and affection.

In order to cope with the volatile social environment and organisational change, more and more scholars call on leaders to stimulate subordinate effectiveness to a greater extent with inclusive behaviour. Existing studies focus on the positive impact of inclusive leadership, but ignore its potential negative impact. This study integrates Cognition-affection Personality System Theory to explore the double-edged sword mechanism of inclusive leadership on subordinates' work behaviour. Through the data analysis of 518 paired questionnaires collected in three stages, the results are as follows: Inclusive leadership has a positive impact on subordinates' psychological entitlement and state gratitude; Psychological entitlement and state gratitude play mediation roles not only between inclusive leadership and work withdrawal behaviour, but also between inclusive leadership and active behaviour; Subordinate narcissistic personality moderates the positive effect of inclusive leadership on psychological entitlement and state gratitude, and then moderates the indirect effect of inclusive leadership on subordinate work withdrawal behaviour and proactive behaviour through psychological entitlement and state gratitude. The above results expand the research on the action mechanism and boundary conditions of inclusive leadership in Chinese organisational context, and provide practical guidance for organisational managers to effectively conduct inclusive leadership.

Association between pathological narcissism and emotion regulation: The role of self-mentalizing?

Pathological narcissism (PN) is a common psychopathological issue leading to maladaptive strategies to cope with self-esteem threats, including self-enhancement and exploitation (grandiose strategies) or internalized shame, depression, and social withdrawal (vulnerable strategies). Mentalizing is a key process for regulating self and other representations and their associated emotions. Patients with PN further struggle with emotion dysregulation (ED), which during development is intertwined with the growing capacity to mentalize. We seek to contribute to emerging empirical data documenting the associations between PN and ED and between PN and mentalizing, and to provide information on the nature of their mutual relationships. In the present study, we assessed PN, ED, and three mentalizing dimensions (mentalizing self, other, and motivation to mentalize) in 183 patients consulting in our outpatient unit specialized in ED. We found that narcissistic vulnerability was negatively associated with self-mentalizing and positively associated with overall ED, both even after adjustment for borderline and attention deficit hyperactivity disorder (ADHD) symptoms. However, the association with ED was not maintained after further adjustment for self-mentalizing or overall-mentalizing, which suggests that mentalizing may play a mediating role in this relationship. On the other hand, narcissistic grandiosity was positively associated with other-mentalizing and ED and negatively associated with self-mentalizing in bivariate analyses, but these last two associations were not maintained after adjustment for comorbid borderline and/or ADHD symptomatology. This study provides new information on the link between PN and ED and on key mentalizing dimensions meaningfully relating to PN, notably through a potential role of self-mentalizing processes between PN and ED.

Reflection of the narcissistic characteristics of the owner on the business

The report examines key concepts of narcissism in the works of Andre Green and Karen Horney . Based on clinical experience, the author proposes to connect the characteristics of a narcissistic personality and their reflection on the business that this person owns.

Therapy of pathological narcissism in clinical practice

This report presents a case of therapy for narcissistic disorder based on various approa ches to the treatment of narcissism described in the psychoanalytic literature, as well as the personal clinical experience of the psychoanalyst with the rationale for the interventions used