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12b - Beyond Nucleus Diagnostic Conceptualizations: Commentary on Narcissistic and Histrionic Personality Disorders

from Part III - Individual Disorders and Clusters

Published online by Cambridge University Press:  24 February 2020

By
Elsa Ronningstam  and
Tiffany Russell
Edited by
Carl W. Lejuez  and
Kim L. Gratz
Carl W. Lejuez
Affiliation:
University of Kansas
Kim L. Gratz
Affiliation:
University of Toledo, Ohio
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Summary

Narcissistic personality function is influenced by several different factors beyond the nucleus diagnostic conceptualization of NPD. A dimensional approach as outlined in DSM 5 Section III AMPD can demonstrate the clinical complexity of NPD, in particular the co-occurrence and fluctuations between grandiose and vulnerable core features, and the stability versus oscillation between high competent and low impaired functioning. There is also a significant value in the integration of different modalities of research on narcissism and NPD across multiple areas in psychology and psychiatry with longstanding clinical and psychoanalytic accounts. This commentary also addresses some additional factors that affect narcissistic personality functioning, i.e., sense of agency and control, aggression and violence, fear and trauma, and suicide.

Keywords

narcissistic personality disordersense of agencyaggressionviolencefeartraumasuicide
Type
Chapter
Information
The Cambridge Handbook of Personality Disorders , pp. 296 - 299
Publisher: Cambridge University Press
Print publication year: 2020

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References

Baumeister, R. F., Catanese, K. R., & Wallace, H. M. (2002). Conquest by force: A narcissistic reactance theory of rape and sexual coercion. Review of General Psychology, 6(1), 92–135.CrossRefGoogle Scholar
Bélanger, J. J., Lafrenière, M.-A. K., Vallerand, R. J., & Kruglanski, A. W. (2013). Driven by fear: The effect of success and failure information on passionate individuals’ performance. Journal of Personality and Social Psychology, 104(1), 180–195.Google Scholar
Benton, S. A. (2009). Understanding the High-Functioning Alcoholic. Plymouth: Rowman & Littlefield.Google Scholar
Bushman, B. J., Bonacci, A. M., van Dijk, M., & Baumeister, R. F. (2003). Narcissism, sexual refusal, and aggression: Testing a narcissistic reactance model of sexual coercion. Journal of Personality and Social Psychology, 84(5), 1027–1040.Google Scholar
Ellison, W. D., Levy, K. N., Cain, N. M., Ansell, E. B., & Pincus, A. L. (2013). The impact of pathological narcissism on psychotherapy utilization, initial symptom severity, and early treatment symptom change: A naturalistic investigation. Journal of Personality Assessment, 95(3), 291–300.Google Scholar
Fonagy, P., Gergely, G., Jurist, E., & Target, M. (2002). Affect Regulation, Mentalization and the Development of the Self. New York: Other Press.Google Scholar
Gamache, D., Savard, C., Lemelin., S, Côté, A., & Villeneuve, É. (2018). Premature termination of psychotherapy in patients with borderline personality disorder: A cluster-analytic study. Journal of Nervous and Mental Disease, 206(4), 231–238.CrossRefGoogle ScholarPubMed
Ginot, E. (2012). Self-narratives and dysregulated affective states: The neuropsychological links between self-narratives, attachment, affect, and cognition. Psychoanalytic Psychology,  29(1), 59–80.CrossRefGoogle Scholar
Hare, R. D. (1991). The Hare Psychopathy Checklist–Revised. Toronto: Multi-Health Systems.Google Scholar
Jones, D. N., & Figueredo, A. J. (2013). The core of darkness: Uncovering the heart of the dark triad. European Journal of Personality, 27(6), 521–531.Google Scholar
Kacel, E. L., Ennis, N., & Pereira, D. B. (2017). Narcissistic personality disorder in clinical health psychology practice: Case studies of comorbid psychological distress and life-limiting illness. Behavioral Medicine, 43(3), 156–164.Google Scholar
Kernberg, O. (1992). Aggression in Personality Disorders and Perversions. New Haven, CT: Yale University Press.Google Scholar
Kernberg, O. F. (2007). The almost untreatable narcissistic patient. Journal of the American Psychoanalytic Association, 55(2), 503–539.Google Scholar
Kohut, H. (1972). Thoughts on narcissism and narcissistic rage. The Psychoanalytic Study of the Child, 27, 360–400.CrossRefGoogle Scholar
Krueger, R. F., Derringer, J., Markon, K. E., Watson, D., & Skodol, A. E. (2012). Initial construction of a maladaptive personality trait model and inventory for DSM-5. Psychological Medicine, 42(9), 1879–1890.CrossRefGoogle ScholarPubMed
LeBreton, J. M., Baysinger, M. A., Abbey, A., & Jacques-Tiura, A. J. (2013). The relative importance of psychopathy-related traits in predicting impersonal sex and hostile masculinity. Personality and Individual Differences, 55(7), 817–822.CrossRefGoogle ScholarPubMed
Links, P. S., & Prakash, A. (2013). Strategic issues in the psychotherapy of patients with narcissistic pathology. Journal of Contemporary Psychotherapy, 44, 97–107.CrossRefGoogle Scholar
Maldonado, J. L. (2006). Vicissitudes in adult life resulting from traumatic experiences in adolescence. International Journal of Psychoanalysis, 87, 1239–1257.Google Scholar
Miller, J. D., Dir, A., Gentile, B., Wilson, L., Pryor, L. R., & Campbell, W. K. (2010). Searching for a vulnerable dark triad: Comparing factor 2 psychopathy, vulnerable narcissism, and borderline personality disorder. Journal of Personality, 78, 1529–1564.Google Scholar
Paulhus, D. L., & Williams, K. M. (2002). The dark triad of personality: Narcissism, Machiavellianism, and psychopathy. Journal of Research in Personality, 36, 556–563.CrossRefGoogle Scholar
Rhodewalt, F., & Morf, C. C. (1998). On self-aggrandizement and anger: A temporal analysis of narcissism and affective reactions to success and failure. Journal of Personality and Social Psychology, 74, 672–685.Google Scholar
Ronningstam, E. (2014). Beyond the diagnostic traits: A collaborative exploratory diagnostic process for dimensions and underpinnings of narcissistic personality disorder. Personality Disorders: Theory, Research, and Treatment, 5, 434–438.Google Scholar
Ronningstam, E. (2017). Intersect between self-esteem and emotion regulation in narcissistic personality disorder: Implications for alliance building and treatment. Borderline Personality Disorder and Emotion Dysregulation, 4, 1–13.Google Scholar
Ronningstam, E., & Baskin-Sommers, A. (2013). Fear and decision-making in narcissistic personality disorder: A link between psychoanalysis and neuroscience. Dialogues in Clinical Neuroscience, 15, 191–201.Google Scholar
Ronningstam, E., Weinberg, I., Goldblatt, M, Schechter, M., & Herbstman, B. (2018). Suicide and self-regulation in narcissistic personality disorder. Psychodynamic Psychiatry, 46, 491–510.CrossRefGoogle Scholar
Ronningstam, E., Weinberg, I., & Maltsberger, J. (2008). Eleven deaths of Mr. K: Contributing factors to suicide in narcissistic personalities. Psychiatry: Interpersonal and Biological Processes, 71, 169–182.CrossRefGoogle Scholar
Russell, T. D., Doan, C. M., & King, A. R. (2017). Sexually violent women: The PID-5, everyday sadism, and adversarial sexual attitudes predict female sexual aggression and coercion against male victims. Personality and Individual Differences, 111, 242–249.CrossRefGoogle Scholar
Russell, T. D., & King, A. R. (2017). Distrustful, conventional, entitled, and dysregulated: PID-5 personality facets predict hostile masculinity and sexual violence in community men. Journal of Interpersonal Violence, https://doi.org/10.1177/0886260517689887Google Scholar
Simon, R. I. (2002). Distinguishing trauma-associated narcissistic symptoms from posttraumatic stress disorder: A diagnostic challenge. Harvard Review of Psychiatry, 10, 28–36.Google Scholar
Stormberg, D., Ronningstam, E., Gunderson, J., & Tohen, M. (1998). Brief communication: Pathological narcissism in bipolar patients. Journal of Personality Disorders, 12, 179–185.Google Scholar
Wright, A. G. C., Pincus, A. L., Thomas, K. M., Hopwood, C. J., Markon, K. E., & Krueger, R. F. (2013). Conceptions of narcissism and the DSM-5 pathological personality traits. Assessment, 20, 339–352.Google Scholar
Zeigler-Hill, V., Enjaian, B., & Essa, L. (2013). The role of narcissistic personality features in sexual aggression. Journal of Social and Clinical Psychology, 32, 186–199.CrossRefGoogle Scholar

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