Narcissistic Personality Disorder (NPD) is a Cluster B personality disorder[1] in which a person is excessively preoccupied with personal adequacy, power, prestige and vanity,
mentally unable to see the destructive damage they are causing to themselves and to others in the process.
Symptoms
People who are diagnosed with a narcissistic personality
disorder are characterized by exaggerated feelings of self-importance. They have a sense of entitlement and demonstrate grandiosity in their beliefs and behavior. They have a strong need for admiration, but lack feelings of empathy.
B. Pathological personality traits in the following domain:
1.Antagonism, characterized by:
a. Grandiosity: Feelings of entitlement, either overt or covert; self-centeredness; firmly holding to the belief that one is better than others;
condescending toward others.
b. Attention seeking: Excessive attempts to attract and be the focus of the attention of others; admiration seeking.
Symptoms of this disorder, as defined by the DSM-IV-TR, include:[1]
Expects to be recognized as superior and special, without superior accomplishments
Expects constant attention, admiration and positive reinforcement from others
Envies others and believes others envy him/her
Is preoccupied with thoughts and fantasies of great success, enormous attractiveness, power, intelligence
Lacks the ability to empathize with the feelings or desires of others
Is arrogant in attitudes and behavior
Has expectations of special treatment that are unrealistic
Treatment
It is unusual for people to seek therapy for NPD. This is partly due to the NPD sufferers’ not believing they have a problem. Most, if not all, are unable to see the destructive damage they are causing to themselves and to others and usually only seek treatment at the insistence of relatives and friends.
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