Narcissistic Personality Disorder Prevalence and ComorbidityIf you want to learn more, you may consider to visit:http://ev...
Narcissistic Personality Disorder Prevalence and Comorbidity"As opposed to patients with the Borderline Personality Disord...
of 2

Narcissistic Personality Disorder Prevalence and Comorbidity

Psychology is the study of human behaviour. It seeks to look at the motivational drives within an individual and offer an explanation to the behaviour that is demonstrated
Published on: Mar 3, 2016
Published in: News & Politics      Health & Medicine      

Transcripts - Narcissistic Personality Disorder Prevalence and Comorbidity

  • 1. Narcissistic Personality Disorder Prevalence and ComorbidityIf you want to learn more, you may consider to visit: is the Difference between Healthy Narcissism and the Pathological Kind?In my book "Malignant Self Love - Narcissism Revisited", I define pathological narcissism as:"(A) life-long pattern of traits and behaviors which signify infatuation and obsession with ones self to theexclusion of all others and the egotistic and ruthless pursuit of ones gratification, dominance and ambition."Luckily for us, we are all narcissists to some degree. But healthy narcissism is adaptive, flexible, empathic,causes elation and joy (happiness), and help us to function. Pathological narcissism is maladaptive, rigid,persisting, and causes significant distress, and functional impairment.Prevalence and Age and Gender FeaturesAccording to the DSM IV-TR, Narcissistic Personality Disorder (NPD) is diagnosed in between 2% and 16%of the population in clinical settings (between 0.5-1% of the general population). The DSM-IV-TR proceeds totell us that most narcissists (50-75% of all patients) are men.We must carefully distinguish between the narcissistic traits of adolescents - narcissism is an integral part oftheir healthy personal development - and the full-fledge disorder. Adolescence is about self-definition,differentiation, separation from ones parents, and individuation. These inevitably involve narcissisticassertiveness which is not to be conflated or confused with Narcissistic Personality Disorder (NPD)."The lifetime prevalence rate of NPD is approximately 0.5-1 percent; however, the estimated prevalence inclinical settings is approximately 2-16 percent. Almost 75 percent of individuals diagnosed with NPD are male(APA, DSM IV-TR 2000)."From the Abstract of Psychotherapeutic Assessment and Treatment of Narcissistic Personality Disorder ByRobert C. Schwartz,Ph.D., DAPA and Shannon D. Smith, Ph.D., DAPA (American PsychotherapyAssociation, Article #3004 Annals July/August 2002)However, as the narcissist grows old and suffers the inevitable attendant physical, mental, and occupationalrestrictions, Narcissistic Personality Disorder (NPD) is exacerbated.Studies have not demonstrated any ethnic, social, cultural, economic, genetic, or professional predilection orsusceptibility to the Narcissistic Personality Disorder (NPD).Still, Robert Milman suggested a condition that he labeled "Acquired Situational Narcissism". He observed atransient and reactive form of the Narcissistic Personality Disorder (NPD) in certain situations, such as underconstant public scrutiny and exposure.Comorbidity and Differential DiagnosesNarcissistic Personality Disorder (NPD) is often diagnosed with other mental health disorders ("co-morbidity"),such as mood disorders, eating disorders, and substance-related disorders. Patients with NarcissisticPersonality Disorder (NPD) are frequently abusive and prone to impulsive and reckless behaviours ("dualdiagnosis").The comorbidity of Narcissistic Personality Disorder (NPD) with other personality disorders, such as theHistrionic, Borderline, Paranoid, and Antisocial Personality Disorders, is high.Narcissistic Personality Disorder (NPD) is often misdiagnosed as Bipolar Disorder (the manic phase),Aspergers Disorder, or Generalized Anxiety Disorder - and vice versa.Though the personal styles of patients with Cluster B personality disorders resemble each other, they alsosubstantially differ. The narcissist is grandiose, the histrionic coquettish, the antisocial (psychopath) callous,and the borderline needy.From my book, "Malignant Self Love - Narcissism Revisited": Page 1
  • 2. Narcissistic Personality Disorder Prevalence and Comorbidity"As opposed to patients with the Borderline Personality Disorder, the self-image of the narcissist is stable, heor she are less impulsive and less self-defeating or self-destructive and less concerned with abandonmentissues (not as clinging).Contrary to the histrionic patient, the narcissist is achievements-orientated and proud of his or herpossessions and accomplishments. Narcissists also rarely display their emotions as histrionics do and theyhold the sensitivities and needs of others in contempt.According to the DSM-IV-TR, both narcissists and psychopaths are "tough-minded, glib, superficial,exploitative, and unempathic". But narcissists are less impulsive, less aggressive, and less deceitful.Psychopaths rarely seek narcissistic supply. As opposed to psychopaths, few narcissists are criminals.Patients suffering from the range of obsessive-compulsive disorders are committed to perfection and believethat only they are capable of attaining it. But, as opposed to narcissists, they are self-critical and far moreaware of their own deficiencies, flaws, and shortcomings."If you want to learn more, you may consider to visit: Page 2

Related Documents