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Nov 25, 2010, 04:43 PM
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Member Since: Nov 2008
Location: Sunny East Coast Florida!
Posts: 6,873
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Narcissistic Personality Disorder (NPD) Definition
Written by Sam Vaknin     Nov 02, 2008 A + A - RESET From healthyplace.com
What is Narcissism?
A pattern of traits and behaviors which signify infatuation and obsession with one's self to the exclusion of all others and the egotistic and ruthless pursuit of one's gratification, dominance and ambition.
Most narcissists (75%) are men.
NPD is one of a "family" of personality disorders (formerly known as "Cluster B").
Other members: Borderline PD, Antisocial PD and Histrionic PD.
NPD is often diagnosed with other mental health disorders ("co-morbidity") - or with substance abuse, or impulsive and reckless behaviors ("dual diagnosis").
NPD is new (1980) mental health category in the Diagnostic and Statistics Manual (DSM).
There is only scant research regarding narcissism. But what there is has not demonstrated any ethnic, social, cultural, economic, genetic, or professional predilection to NPD.
It is estimated that 0.7-1% of the general population suffer from NPD.
Pathological narcissism was first described in detail by Freud. Other major contributors are: Klein, Horney, Kohut, Kernberg, Millon, Roningstam, Gunderson, Hare.
The onset of narcissism is in infancy, childhood and early adolescence. It is commonly attributed to childhood abuse and trauma inflicted by parents, authority figures, or even peers.
There is a whole range of narcissistic reactions - from the mild, reactive and transient to the permanent personality disorder.
Narcissists are either "Cerebral" (derive their narcissistic supply from their intelligence or academic achievements) - or "Somatic" (derive their narcissistic supply from their physique, exercise, physical or sexual prowess and "conquests").
Narcissists are either "Classic" - see definition below - or they are "Compensatory", or "Inverted" - see definitions here: "The Inverted Narcissist".
NPD is treated in talk therapy (psychodynamic or cognitive-behavioral). The prognosis for an adult narcissist is poor, though his adaptation to life and to others can improve with treatment. Medication is applied to side-effects and behaviors (such as mood or affect disorders and obsession-compulsion) - usually with some success.
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