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The hallmarks of narcissistic personality disorder (NPD) are grandiosity, a lack of empathy for other people, and a need for admiration. People with this condition are frequently described as arrogant, self-centered, manipulative, and demanding. They may also have grandiose fantasies and may be convinced that they deserve special treatment. These characteristics typically begin in early adulthood and must be consistently evident in multiple contexts, such as work and in relationships.

Nội dung chính
    What are the characteristics of a person with narcissistic personality disorder?What are 5 of the main symptoms of narcissism?What are the nine characteristics of narcissistic personality disorder?What are the 4 types of narcissism?

People with NPD often try to associate with other people they believe are unique or gifted in some way, which can enhance their own self-esteem. They tend to seek excessive admiration and attention and have difficulty tolerating criticism or defeat.

Although NPD is a difficult disorder to treat, therapy can help those with the condition develop their sense of self and their relationships.

NPD refers to the diagnosable mental disorder, while the term "narcissism" is a trait that ranges in degree from person to person.

References

Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition

U.S. National Library of Medicine

Caligor, E., Levy, K. N., & Yeomans, F. E. (2015). Narcissistic personality disorder: diagnostic and clinical challenges. American Journal of Psychiatry, 172(5), 415-422.

Kacel, E. L., Ennis, N., & Pereira, D. B. (2022). Narcissistic Personality Disorder in Clinical Health Psychology Practice: Case Studies of Comorbid Psychological Distress and Life-Limiting Illness. Behavioral Medicine, 43(3), 156-164

Last updated: 01/06/2022

A personality disorder affects how a person feels, thinks, acts, and relates to others. A high sense of self-importance can mask low self-esteem in a person with a narcissistic personality disorder.

Someone with narcissistic personality disorder (NPD) may have an excessive concern with prestige and power and a lack of empathy for others.

To others, a person with NPD may seem to:

    act selfishly be manipulative and demandinghave difficulty empathizing or considering others’ needs or feelingsbe arrogant

These behaviors often stem from a need to cover up deep feelings of insecurity.

Health professionals group personality disorders into different clusters. NPD is a cluster B personality disorder. People with cluster B disorders find it hard to manage emotions and may have unpredictable behavior.

NPD gets its name from a Greek myth in which a hunter named Narcissus saw his reflection in a pool of water and fell in love with it.

A person with NPD may have an idealized self-image and an unrealistic sense of superiority. These traits can mask a lack of self-confidence and a deep sense of insecurity. A person with NPD may be unaware that they have a disorder.

The following are key features of NPD:

    a need for admirationa pattern of grandiositya lack of empathy for others

Research suggests that NPD affects between 0.5–5% of people in community samples in the United States. Across the whole population of the U.S., NPD may affect between 1–15% of people.

How people with NPD see themselves can be very different from how others see them.

Features of the condition that may be noticeable to others include:

    craving attention and admirationhaving fragile self-esteem and feeling disappointed when admiration is not forthcominghaving an excessive feeling of superiorityexaggerating intimacy with others, especially those with wealth or VIP statusoverestimating achievements and talentsundervaluing the achievements of othershaving a preoccupation with success, power, brilliance, beauty, or ideal lovebelieving in their uniqueness and that only “special” people can understand ithaving a sense of entitlementtaking advantage of others to achieve their own goalsbeing unable or unwilling to identify with the feelings or needs of othersfeeling jealous and believing that others are jealous of them behaving in a way that seems arrogant or haughty to othersshowing great charm but quickly becoming irritated or angrytalking length about their concerns but lacking interest in the concerns of othersshowing aggression when faced with a threat to their ego

Other features may have a less obvious link with narcissism, such as:

    a sense of shame, humiliation, and emptiness when disappointedunwillingness to try something for fear of defeat difficulty maintaining relationshipsa sense of alienation or emotional disconnect from othershigh achievement due to overconfidence but poor performance in the face of defeat or criticismsuspiciousnesssocial withdrawaldifficulty managing emotions

In some cases, other disorders such as depression and anxiety can accompany NPD.

Diagnosing NPD can be challenging, as it is one of several types of personality disorders, and some features may overlap. A person may also have NPD alongside another condition that affects their mood and behaviors.

In addition, a person with NPD may not recognize that problems in their life stem from their behavior and may blame others instead.

Someone with NPD may be highly sensitive to perceived criticisms or slights, making it difficult for others to talk with them about their behavior and how it can be harmful.

To diagnose NPD, a clinician needs to find least five of the following criteria from the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition:

    a grandiose sense of self-importancea preoccupation with fantasies of unlimited success, power, brilliance, beauty, or ideal lovea belief that they are unique and can only be understood by, or should only associate with, other special or high-status people or institutionsa need for excessive admirationan increased sense of entitlementa tendency to take advantage of others to achieve their own endsa lack of empathy and unwillingness to recognize or identify with the feelings and needs of othersenvy of others and the belief that others are envious of themarrogant, haughty behaviors or attitudes

NPD is a spectrum disorder, and the symptoms can range from mild to severe.

When diagnosing NPD, there are two subtypes health professionals look for:

    The grandiose subtype: This includes overt grandiosity, aggression, and boldness.The vulnerable subtype: This involves hypersensitivity and defensiveness, which may be easier to miss during a diagnosis.

There is no standard treatment for NPD. However, certain therapies may help a person manage the condition and replace negative behavioral patterns with more positive ones.

Medications may help certain symptoms if NPD occurs with another disorder, such as depression or anxiety.

Currently, the most useful treatment method seems to be psychotherapy. This can help a person:

    create a more realistic self-imagebecome more aware of the conditionunderstand what underlies their behaviormanage their emotions more effectivelylearn to take responsibility for their actionslearn to build healthier relationshipsbuild up their self-esteemadjust their expectations of themselves and othersunderstand the impact of their behavior on others

Cognitive behavioral therapy (CBT), family therapy, or group therapy are other types of psychotherapy that may also help.

CBT aims to identify unhealthy or harmful beliefs and behaviors and replace them with healthy, more adaptive ones. Family or couples therapy can help the loved ones of a person with NPD. Sessions may involve improving communication, dealing with any relationship issues, and problem-solving.

If people with NPD may be risk of suicide, people will need to seek help from a health professional straight away.

While the causes of personality disorders are unclear, they may involve a combination of genetic and environmental factors. During childhood, the following may increase the risk of developing NPD:

    excessive praise or criticismunpredictable care or neglecttraumaabuserejection fragile ego

Uncontrolled stress and low self-esteem may also play a part in NPD.

According to research, complications of NPD may come from co-existing health conditions, such as mood disorders or substance use disorders.

People with NPD and substance use disorder may display significantly more aggression and hostility, which may create more challenges during treatment.

It is also common for people with NPD to have other personality disorders. People with NPD may have a higher risk of completing suicide than those with other personality disorders.

NPD may also cause relationship problems or difficulties work, school, or during everyday life.

It is not possible to prevent any genetic predisposition to NPD. In childhood, it may be possible to prevent certain risk factors of NPD, such as:

    excessive praise or criticism from parents or caregiversabuse or traumarejection

Building healthy self-esteem and learning positive ways of dealing with stress may also help.

NPD can be challenging for a person and their loved ones. However, treatment and support can improve the quality of life for everyone involved.

Anyone who suspects that they have NPD can benefit from seeing a psychotherapist. There are various ways to find a suitable therapist online, including this tool from the American Psychological Association.

For someone in any relationship with a person who has NPD, the following may help:

    prioritize their own mental and physical well-beingset clear boundariestalk with a healthcare professional if in need of supportconnect with others in a similar position by finding a local or online support group

Counseling services are also available for people who have experienced trauma in a relationship with a person who has NPD.

Narcissistic personality disorder (NPD) is a mental health condition characterized by a high sense of self-importance and a lack of empathy for others.

Diagnosing NPD can be challenging as some symptoms overlap with other personality disorders. People with NPD often feel a sense of superiority over others, can be grandiose, and need excessive admiration.

There is no standard treatment for NPD. However, talking therapy may help people to break negative thinking and behavioral patterns. Support is also available for family and loved ones of people with NPD.

What are the characteristics of a person with narcissistic personality disorder?

Narcissistic personality disorder — one of several types of personality disorders — is a mental condition in which people have an inflated sense of their own importance, a deep need for excessive attention and admiration, troubled relationships, and a lack of empathy for others.

What are 5 of the main symptoms of narcissism?

Signs of Narcissism. Sense of Entitlement. A common sign of people with narcissism is the belief that they are superior to others and deserve special treatment. ... . Manipulative Behavior. Another common trait of narcissism is manipulative or controlling behavior. ... . Need for Admiration. ... . Lack of Empathy..

What are the nine characteristics of narcissistic personality disorder?

Someone is diagnosed with NPD if they meet least 5 of the 9 traits below: Grandiose sense of self-importance. Sense of entitlement. Preoccupation with fantasies of unlimited success, power, brilliance, beauty, or ideal love.

What are the 4 types of narcissism?

Experts work with five main types of narcissism: overt, covert, communal, antagonistic, and malignant narcissism. Tải thêm tài liệu liên quan đến nội dung bài viết Which of the following features are typical of individuals with narcissistic personality disorder?

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