EC Psychology And Psychiatry

Narcissistic Personality Disorder (NPD) is a mental health condition that involves excessive self-importance, unrealistic fantasies, and constant admiration-seeking. The origins of NPD are unclear, but some possible factors are genetics, childhood, personality, and culture. NPD can be divided into 2 subtypes: grandiose and vulnerable. Grandiose narcissists display arrogance, dominance, and aggression, while vulnerable narcissists show insecurity, sensitivity, and defensiveness. NPD individuals often struggle with interpersonal and functional problems. NPD can negatively affect the person who has it and those who interact with it. NPD individuals may have low self-esteem, mental health issues, substance abuse, and suicidal thoughts. They may also act violently or abusively when they feel threatened. However, some NPD individuals may also have some positive traits, such as creativity, charisma, and leadership. NPD is diagnosed by the DSM-5 criteria, which require at least 5 out of 9 symptoms. The diagnosis of NPD is based on the requirements outlined in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5). However, diagnosing NPD can be challenging because many NPD individuals do not seek help or acknowledge their problems. The primary treatment is psychotherapy, aimed at addressing underlying insecurities, improving self-awareness, and promoting healthier interpersonal skills. This therapy can help NPD individuals become more realistic and empathetic. Medication may also help with some symptoms or disorders related to NPD. This research aims to investigate, summarize, and simplify NPD's causes, consequences, and cures.

 Keywords: Countertransference; Grandiosity; Mental Health Condition; Narcissism; Schema-Focused Therapy; Self-Centeredness; Suicide; Transference-Focused Psychotherapy; Violent Crime

1. Campbell WK and Baumeister RF. “Narcissistic personality disorder”. In: Practitioner’s Guide to Evidence-Based Psychotherapy. Springer US (2006): 423-431. https://www.mayoclinic.org/diseases-conditions/narcissistic-personality-disorder/symptoms-causes/syc-20366662
2. Historical and Clinical Roots of Narcissistic Personality Psychology Today (2023). https://www.psychologytoday.com/intl/blog/personality-quotient/201911/historical-and-clinical-roots-narcissistic-personality
3. Yakeley J. “Current understanding of narcissism and narcissistic personality disorder”. BJPsych Advances5 (2018): 305-315. https://www.cambridge.org/core/journals/bjpsych-advances/article/current-understanding-of-narcissism-and-narcissistic-personality-disorder/4AA8B04FB352F8E00AA7988B63EBE973
4. Grenyer BFS. “Historical overview of pathological narcissism”. In: Understanding and Treating Pathological Narcissism. American Psychological Association (2013): 15-26. https://psycnet.apa.org/record/2012-22247-001
5. Freud S. “On Narcissism: An Introduction”. White Press (2014). https://www.sakkyndig.com/psykologi/artvit/freud1925.pdf
6. Akhtar S. “Narcissistic personality disorder. Descriptive features and differential diagnosis”. Psychiatric Clinics of North America3 (1989): 505-529. https://www.sciencedirect.com/science/article/abs/pii/S0193953X18304118
7. Ronningstam E. “Narcissistic personality disorder”. In: Encyclopedia of Mental Health. Elsevier (2016): 182-186. https://www.mayoclinic.org/diseases-conditions/narcissistic-personality-disorder/symptoms-causes/syc-20366662
8. Kendra Cherry M. “The History of Narcissistic Personality Disorder”. Verywell Mind (2023). https://www.verywellmind.com/the-history-of-narcissistic-personality-disorder-2795569
9. Cain NM., et al. “Narcissism at the crossroads: phenotypic description of pathological narcissism across clinical theory, social/personality psychology, and psychiatric diagnosis”. Clinical Psychology Review4 (2008): 638-656. https://pubmed.ncbi.nlm.nih.gov/18029072/
10. Miller JD., et al. “Narcissistic personality disorder: relations with distress and functional impairment”. Comprehensive Psychiatry2 (2007): 170-177. https://pubmed.ncbi.nlm.nih.gov/17292708/
11. Ronningstam E. “A Brief Overview of Identifying, Diagnosing and Treating Narcissistic Personality Disorder”. Unpublished Manuscript (2022).
12. Raypole C. “What Are the Symptoms of Narcissistic Personality Disorder?” Psych Central (2017).
13. Narcissistic personality disorder. Mayo Clinic (2023). https://www.mayoclinic.org/diseases-conditions/narcissistic-personality-disorder/symptoms-causes/syc-20366662
14. Reiss D and Marino L. “Mirror self-recognition in the bottlenose dolphin: a case of cognitive convergence”. Proceedings of the National Academy of Sciences of the United States of America10 (2001): 5937-5942. https://www.pnas.org/doi/10.1073/pnas.101086398
15. Sandel AA., et al. “Adolescent male chimpanzees do not form a dominance hierarchy with their peers”. Primates1 (2017): 39-49. https://pubmed.ncbi.nlm.nih.gov/27379650/
16. Ronningstam EI Weinberg. “Narcissistic Personality Disorder: Progress in Recognition and Treatment”. FOCUS The Journal of Lifelong Learning in Psychiatry2 (2013): 167-177. https://focus.psychiatryonline.org/doi/10.1176/appi.focus.11.2.167
17. Caligor E., et al. “Narcissistic personality disorder: diagnostic and clinical challenges”. The American Journal of Psychiatry5 (2015): 415-422. https://ajp.psychiatryonline.org/doi/10.1176/appi.ajp.2014.14060723
18. Ronningstam E. “Narcissistic Personality Disorder: The Diagnostic Process”. (Widiger TA, edition.). Oxford University Press (2012). https://academic.oup.com/edited-volume/36316/chapter-abstract/318658673?redirectedFrom=fulltext
19. Hasin DS and Grant BF. “The National Epidemiologic Survey on Alcohol and Related Conditions (NESARC) Waves 1 and 2: review and summary of findings”. Social Psychiatry and Psychiatric Epidemiology11 (2015): 1609-1640. https://pubmed.ncbi.nlm.nih.gov/26210739/
20. Being G. “Narcissistic Personality Disorder Statistics”. Grace Being (2023). https://grace-being.com/love-relationships/narcissistic-personality-disorder-statistics/
21. Stinson FS., et al. “Prevalence, correlates, disability, and comorbidity of DSM-IV narcissistic personality disorder: results from the wave 2 national epidemiologic survey on alcohol and related conditions”. The Journal of Clinical Psychiatry (2008). https://pubmed.ncbi.nlm.nih.gov/18557663/
22. Mitra P and Fluyau D. Narcissistic Personality Disorder (2023). https://www.mayoclinic.org/diseases-conditions/narcissistic-personality-disorder/symptoms-causes/syc-20366662
23. Gescher DM., et al. “Epigenetics in personality disorders: Today’s insights”. Frontiers in Psychiatry 9 (2018): 579. https://www.frontiersin.org/articles/10.3389/fpsyt.2018.00579/full
24. Baskin-Sommers A., et al. “Empathy in narcissistic personality disorder: from clinical and empirical perspectives”. Personality Disorder3 (2014): 323-333. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4415495/
25. Stone J. “Narcissistic Personality Disorder: An Unbiased Psychological Study of Donald Trump”. Createspace Independent Publishing Platform (2018).
26. The Effects of Narcissistic Personality Disorder. Mental Health Matters Cofe (2023).
27. Eddy CM. “Self-serving social strategies: A systematic review of social cognition in narcissism”. Current Psychology (2021). https://link.springer.com/article/10.1007/s12144-021-01661-3
28. Williams L. “Being A Narcissist Has Benefits, According To A New Study”. Bustle (2018). https://www.bustle.com/p/being-a-narcissist-has-benefits-according-to-a-new-study-9582651
29. Benefit of narcissism. The Tribune India (2019). https://www.tribuneindia.com/news/archive/lifestyle/benefit-of-narcissism-853873
30. Ronningstam E. “Narcissistic personality disorder: a current review”. Current Psychiatry Reports1 (2010): 68-75. https://pubmed.ncbi.nlm.nih.gov/20425313/
31. Advantages of being Narcissistic. Psychologymatters. Asia (2023). https://www.psychologymatters.asia/psychology_news/4874/advantages-of-being-narcissistic.html
32. Kacel EL., et al. “Narcissistic personality disorder in clinical health psychology practice: Case studies of comorbid psychological distress and life-limiting illness”. The Journal of Behavioral Medicine3 (2017): 156-164. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5819598/
33. Zimmermanm RL and Chelminski I. “The prevalence of DSMIV personality disorders in psychiatric outpatients”. The American Journal of Psychiatry 162 (2005): 1911-1918. https://pubmed.ncbi.nlm.nih.gov/16199838/
34. Levy KN., et al. “Narcissistic pathology: Empirical approaches”. Psychiatric Annals4 (2009): 203-213. https://psycnet.apa.org/record/2009-06013-005
35. Levy KN., et al. “Narcissistic personality disorder”. In: Personality Disorders: Toward the DSM-V. SAGE Publications, Inc (2007): 233-278. https://www.mayoclinic.org/diseases-conditions/narcissistic-personality-disorder/symptoms-causes/syc-20366662
36. Ronningstam E. “Narcissistic personality disorder in DSM-V--in support of retaining a significant diagnosis”. Journal of Personality Disorders2 (2011): 248-259. https://pubmed.ncbi.nlm.nih.gov/21466253/
37. Schulze L., et al. “Gray matter abnormalities in patients with narcissistic personality disorder”. Journal of Psychiatric Research10 (2013): 1363-1369. https://pubmed.ncbi.nlm.nih.gov/23777939/
38. Nenadić I., et al. “Narcissistic personality traits and prefrontal brain structure”. Scientific Reports1 (2021): 15707. https://www.nature.com/articles/s41598-021-94920-z
39. Ma G., et al. “Genetic and neuroimaging features of personality disorders: State of the art”. Neuroscience Bulletin3 (2016): 286-306. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5563771/
40. Salvador J., et al. “Endocrine Disorders and Psychiatric Manifestations”. In: Endocrinology. Springer International Publishing (2021): 311-345. https://link.springer.com/referenceworkentry/10.1007/978-3-319-68729-2_12
41. Dubey P., et al. “A systematic review and meta-analysis of the association between maternal polycystic ovary syndrome and neuropsychiatric disorders in children”. Translational Psychiatry1 (2021): 569. https://www.nature.com/articles/s41398-021-01699-8
42. Lee RJ., et al. “Narcissistic and borderline personality disorders: Relationship with oxidative stress”. Journal of Personality Disorders 34 (2020): 6-24. https://pubmed.ncbi.nlm.nih.gov/32186978/
43. Liguori I., et al. “Oxidative stress, aging, and diseases”. Clinical Interventions in Aging 13 (2018): 757-772. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5927356/
44. Coleman D., et al. “Narcissistic Personality Disorder and suicidal behavior in mood disorders”. Journal of Psychiatric Research 85 (2017): 24-28. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5191918/
45. Links PS. “Understanding and Treating Pathological Narcissism. (Ogrodniczuk JS, edition.)”. American Psychological Association (2013). https://psycnet.apa.org/record/2012-22247-000
46. Gabbard GO. “Narcissism and suicide risk”. Annals of General Psychiatry1 (2022). https://annals-general-psychiatry.biomedcentral.com/articles/10.1186/s12991-022-00380-8
47. Blasco-Fontecilla H., et al. “Specific features of suicidal behavior in patients with narcissistic personality disorder”. The Journal of Clinical Psychiatry11 (2009): 1583-1587. https://www.psychiatrist.com/jcp/specific-features-suicidal-behavior-patients-narcissistic/
48. Ullrich S., et al. “Delusions, anger, and serious violence: New findings from the MacArthur violence risk assessment study”. Schizophrenia Bulletin5 (2014): 1174-1181. https://pubmed.ncbi.nlm.nih.gov/24048345/
49. Samenow SE. “The Narcissist as a “Criminal”. Psychology Today (2023). https://www.psychologytoday.com/intl/blog/inside-the-criminal-mind/202002/the-narcissist-criminal
50. Logan C. “Personality, Personality Disorder and Violence: An Evidence Based Approach. (McMurran M, Howard R, editions.)”. John Wiley and Sons Ltd (2009). https://psycnet.apa.org/record/2009-08376-000
51. Warren JI., et al. “Personality disorders and violence among female prison inmates”. Journal of the American Academy of Psychiatry and the Law4 (2002): 502-509. https://pubmed.ncbi.nlm.nih.gov/12539904/
52. Tanzilli A., et al. “Countertransference when working with narcissistic personality disorder: An empirical investigation”. Psychotherapy2 (2017): 184-194. https://pubmed.ncbi.nlm.nih.gov/28581327/
53. Helping patients with narcissistic personality disorder. MDLinx (2023). https://www.mdlinx.com/article/helping-patients-with-narcissistic-personality-disorder/4fzcFB0KSmBgITWNGCFuz
54. Betan E., et al. “Countertransference phenomena and personality pathology in clinical practice: an empirical investigation”. The American Journal of Psychiatry5 (2005): 890-898. https://pubmed.ncbi.nlm.nih.gov/15863790/
55. Carsky M. “Managing countertransference in the treatment of personality disorders”. Psychodynamic Psychiatry2 (2021): 339-360. https://pubmed.ncbi.nlm.nih.gov/34061647/
56. Tanzilli A., et al. “Clinician emotional response toward narcissistic patients: A preliminary report”. Research in Psychotherapy: Psychopathology, Process and Outcome 18.1 (2015). https://psycnet.apa.org/record/2016-20132-001
57. Greenberg J and Mitchell S. “Object Relations in Psychoanalytic Theory”. Harvard University Press (1983). https://www.jstor.org/stable/j.ctvjk2xv6
58. Sharie Stines P. Are Attachment Issues at the Root of Narcissistic Personality? (2023). https://www.goodtherapy.org/blog/are-attachment-issues-at-the-root-of-narcissistic-personality-01032020
59. Diamond D and Meehan KB. “Attachment and object relations in patients with narcissistic personality disorder: implications for therapeutic process and outcome: Attachment and NPD”. Journal of Clinical Psychology 69.11 (2013): 1148-1159. https://pubmed.ncbi.nlm.nih.gov/23996275/
60. Caligor E and Stern BL. “Diagnosis, classification, and assessment of narcissistic personality disorder within the framework of object relations theory”. Journal of Personality Disorders 34 (2020): 104-121. https://pubmed.ncbi.nlm.nih.gov/32186989/
61. Pincus AL and Lukowitsky MR. “Pathological narcissism and narcissistic personality disorder”. The Annual Review of Clinical Psychology 1 (2010): 421-446. https://pubmed.ncbi.nlm.nih.gov/20001728/
62. Zanarini MC., et al. “The Diagnostic Interview for DSM-IV Personality Disorders (DIPD-IV)”. McLean Hospital (1996). https://www.cambridge.org/core/books/abs/cambridge-handbook-of-personality-disorders/categorical-assessment-of-personality-disorders-considerations-of-reliability-and-validity/843CD9DE051A6BF4E059E424954FCFDC
63. Vater A., et al. “Does a narcissism epidemic exist in modern western societies? Comparing narcissism and self-esteem in East and West Germany”. PLoS One 1 (2018): e0188287. https://pubmed.ncbi.nlm.nih.gov/29364885/
64. Narcissistic Personality Disorder DSM-5 301.81 (F60.81). Theravive (2023). https://www.theravive.com/therapedia/narcissistic-personality-disorder-dsm--5-301.81-(f60.81)
65. Pietrangelo A., et al. “How to handle a Narcissist: 9 tips”. Healthline (2019).
66. Farnsworth C. “How to deal with a narcissist”. Medicalnewstoday (2023).
67. Yvette Brazier BS. “Narcissistic personality disorder: Symptoms, diagnosis, and treatment”. Medicalnewstoday (2020). https://my.clevelandclinic.org/health/diseases/9742-narcissistic-personality-disorder
68. Lebow HI. “How to Live with Narcissistic Behaviors at Home”. Psych Central (2012). https://psychcentral.com/disorders/how-to-live-with-a-narcissist
69. Melinda Smith MA and Robinson L. “Narcissistic personality disorder – HelpGuide”. Org (2023). https://www.helpguide.org/articles/mental-disorders/narcissistic-personality-disorder.htm
70. Pugle M. “What Is a Covert Narcissist? Signs and Causes”. Verywell Health (2023).
71. Bandoim L. “Narcissistic Personality Disorder (NPD): Traits, Causes, Treatment”. Verywell Health (2023). https://www.healthline.com/health/narcissistic-personality-disorder
72. Kerr M. “What You Need to Know About Narcissistic Personality Disorder (NPD)”. Healthline (2020).
73. Kristin Currin-Sheehan TP. “Can Depression Occur in Narcissism?” Psych Central (2021). https://psychcentral.com/depression/narcissism-and-depression
74. Davenport B. “Does A Narcissist Have Any Self-Awareness About Their Narcissism? Your Questions Answered”. Live Bold and Bloom (2022).
75. Wurst SN., et al. “Narcissism and romantic relationships: The differential impact of narcissistic admiration and rivalry”. Journal of Personality and Social Psychology 2 (2017): 280-306. https://pubmed.ncbi.nlm.nih.gov/27560609/
76. Hilsenroth M., et al. “The effects of DSM-IV cluster B personality disorder symptoms on the termination and continuation of psychotherapy”. Psychother 35 (1998): 163-176. https://psycnet.apa.org/record/1998-11146-003
77. Gillette H. “Can Narcissism Be Cured?” Psych Central (2019). https://psychcentral.com/disorders/narcissistic-personality-disorder/narcissism-cure
78. Gluck S. “Narcissistic Personality Disorder Treatment”. Healthyplace (2023).
79. Teusch L., et al. “Effects of client-centered psychotherapy for personality disorders alone and in combination with psychopharmacological treatment: An empirical follow up study”. Psychotherapy and Psychosomatics 6 (2001): 328-336. https://pubmed.ncbi.nlm.nih.gov/11598432/
80. Larkin JF., et al. “Evaluating three treatments for borderline personality disorder: a multiwave study”. American Journal of Psychiatry 164 (2007): 1-8. https://pubmed.ncbi.nlm.nih.gov/17541052/
81. Giesson-Bloo J., et al. “Randomised trial of schema focused therapy v. transference focused therapy”. Archives of General Psychiatry 63 (2006): 649-658. https://pubmed.ncbi.nlm.nih.gov/16754838/
82. Dimaggio G and Attinà G. “Metacognitive interpersonal therapy for narcissistic personality disorders with perfectionistic features: the case of Leonardo”. Journal of Clinical Psychology 68 (2012): 922-934. https://www.researchgate.net/publication/228063377_Metacognitive_Interpersonal_Therapy_for_Narcissistic_Personality_Disorder_and_Associated_Perfectionism
83. Reed-Knight B and Fischer SW. “Treatment of narcissistic personality disorder symptoms in a dialectical behaviour therapy framework: a discussion and case example”. In: The Handbook of Narcissism and Narcissistic Personality Disorder: Theoretical Approaches, Empirical Findings, and Treatments. John Wiley and Sons (2011): 466-475. https://onlinelibrary.wiley.com/doi/abs/10.1002/9781118093108.ch42
84. Allen JG. “Handbook of mentalizing in mental health practice, second edition”. Journal of Clinical Psychology 2 (2020): 160-161.
85. Rossouw TI. “The use of mentalization-based treatment for adolescents (MBT-A) with a young woman with mixed personality disorder and tendencies to self-harm: Mbt-a”. Journal of Clinical Psychology 2 (2015): 178-187. https://pubmed.ncbi.nlm.nih.gov/25604636/
86. West M. “Narcissistic personality disorder treatment”. Medicalnewstoday (2023).
87. Schuman-Olivier Z., et al. “Mindfulness and behavior change”. Harvard Review of Psychiatry 6 (2020): 371-394. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7647439/
88. Martin L. “Yoga exercises: Benefits, how to get started, and more”. Medicalnewstoday (2021). https://www.medicalnewstoday.com/articles/yoga-exercises
89. Büssing A., et al. “Effects of yoga on mental and physical health: a summary of reviews”. Evidence-Based Complementary and Alternative Medicine 2012): 165410. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3447533/
90. Salters-Pedneault K. “Grounding Exercises for Borderline Personality Disorder”. Verywell Mind (2023). https://www.verywellmind.com/grounding-exercises-425376
91. Haeyen S., et al. “Benefits of art therapy in people diagnosed with Personality Disorders: A quantitative survey”. Frontiers in Psychology 11 (2020): 686. https://www.frontiersin.org/articles/10.3389/fpsyg.2020.00686/full
92. Art Therapy Resources. “Using Art Therapy for Clients with Personality Disorders”. Art Therapy Resources (2023). https://www.google.com/url?sa=t&rct=j&q=&esrc=s&source=web&cd=&cad=rja&uact=8&ved=2ahUKEwiPy_GduYaCAxXbRmwGHYJOD2sQFnoECBIQAQ&url=https%3A%2F%2Farttherapyresources.com.au%2Fart-therapy-personality%2F&usg=AOvVaw0gaEHWZ4nuUeFjrtd71195&opi=89978449
93. Home Remedies and Herbs for Paranoid Personality Disorder. Cures Decoded (2023).
94. Collingwood J. “Natural and Herbal Supplements for Common Mental Disorders”. Psych Central (2016). https://psychcentral.com/lib/natural-and-herbal-supplements-for-common-mental-disorders
95. Weinberg I and Ronningstam E. “Dos and don’ts in treatments of patients with narcissistic personality disorder”. Journal of Personality Disorders 34 (2020): 122-142. https://pubmed.ncbi.nlm.nih.gov/32186986/
96. Ma G., et al. “Genetic and neuroimaging features of personality disorders: State of the art”. Neuroscience Bulletin 3 (2016): 286-306. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5563771/
97. Narcissistic Personality Disorder Medication. Medscape (2021). https://emedicine.medscape.com/article/1519417-medication?form=fpf
98. Zalman H., et al. “Alliance challenges in the trtreatingcissistic patient: the case of Alex”. Research in Psychotherapy: Psychopathology, Process and Outcome 22.2 (2019).
99. Clarke IE., et al. “The many faces of narcissism: Narcissism factors and their predictive utility”. Personality and Individual Differences 81 (2015): 90-95. https://www.sciencedirect.com/science/article/abs/pii/S0191886914006539
100. American Behavioral Clinics. “Is Narcissistic Personality Disorder Inherited or Developed Over Time?” American Behavioral Clinics (2023). https://americanbehavioralclinics.com/is-narcissistic-personality-order-inherited-or-developed-over-time/
101. Bartosch J. “Study shows Narcissistic Personality Disorder may have a biological component”. Uchicagomedicine (2023). https://www.uchicagomedicine.org/forefront/research-and-discoveries-articles/study-shows-narcissistic-personality-disorder-may-have-a-biological-component