If I read this correctly (from the wiki article),
Quote:
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—at the expense of ... internal complexity and individual suffering," which reduces its clinical utility.[30]
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then it appears those in the mental health field are acknowledging that they may have misjudged those with NPD, because they didn't take into consideration how painful it can be to live with NPD.
Here is what the wiki article references.. again, I can only supply the abstract.
Quote:
Current Psychiatry Reports
February 2010, Volume 12, Issue 1, pp 68-75
Date: 08 Jan 2010
Narcissistic Personality Disorder: A Current Review
Abstract
The diagnosis of narcissistic personality disorder in the DSM-IV has been criticized foremost for its limitations in capturing the range and complexity of narcissistic pathology. The attention to the narcissistic individual’s external, symptomatic, or social interpersonal patterns—at the expense of his or her internal complexity and individual suffering—has also added to the diagnosis’ low clinical utility and limited guidance for treatment. Recent studies and reviews have pointed to the need for change in the diagnostic approach to and formulation of narcissism. This review focuses specifically on studies of features that add to the identification, understanding, and treatment of patients with pathological narcissistic functioning and narcissistic personality disorder. They have been integrated into a regulatory model that includes the functions and fluctuations of internal control, self-esteem, perfectionism with accompanying self-criticism, shame, and empathic ability and functioning.
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I see this as a very good thing!