Debates on the Narcissism Conundrum

Alarcón, Renato D.; Sarabia, Silvana

doi:10.1097/nmd.0b013e31823e6795

Cited by 12 publications

(5 citation statements)

References 89 publications

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“…Narcissistic traits have been studied both in social or personality psychology as well as clinical contexts, especially with reference to narcissistic personality disorder (NaPD) 4 – 6 . While the case has been made that clinical research on narcissistic personality disorder might benefit from data obtained in non-clinical studies of narcissistic traits 7 , the relation between the conceptualisations in these two different lines of research is by no means clear and a matter of ongoing debates and research 3 , 6 , 8 .…”

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confidence: 99%

Narcissistic personality traits and prefrontal brain structure

Nenadić

Lorenz

Gaser

2021

Sci Rep

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Narcissistic traits have been linked to structural and functional brain networks, including the insular cortex, however, with inconsistent findings. In this study, we tested the hypothesis that subclinical narcissism is associated with variations in regional brain volumes in insular and prefrontal areas. We studied 103 clinically healthy subjects, who were assessed for narcissistic traits using the Narcissistic Personality Inventory (NPI, 40-item version) and received high-resolution structural magnetic resonance imaging. Voxel-based morphometry was used to analyse MRI scans and multiple regression models were used for statistical analysis, with threshold-free cluster enhancement (TFCE). We found significant (p < 0.05, family-wise error FWE corrected) positive correlations of NPI scores with grey matter in multiple prefrontal cortical areas (including the medial and ventromedial, anterior/rostral dorsolateral prefrontal and orbitofrontal cortices, subgenual and mid-anterior cingulate cortices, insula, and bilateral caudate nuclei). We did not observe reliable links to particular facets of NPI-narcissism. Our findings provide novel evidence for an association of narcissistic traits with variations in prefrontal and insular brain structure, which also overlap with previous functional studies of narcissism-related phenotypes including self-enhancement and social dominance. However, further studies are needed to clarify differential associations to entitlement vs. vulnerable facets of narcissism.

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Narcissistic personality traits and prefrontal brain structure

Nenadić

Lorenz

Gaser

2021

Sci Rep

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“…(pp. 303-304) In addition to these four PDs, antisocial PD was included by the DSM-5 Work group, and, late into its work, narcissistic PD was retained after initially being proposed for elimination (alarcon & sarabia, 2012;Pincus, 2011;ronningstam, 2013). nonetheless, the ClPs seems to have had had a significant influence on the DSM-5 PPDWg (Blashfield & reynolds, 2012).…”

Section: Determining the Need For Labels And Which Labels To Choosementioning

confidence: 99%

The value of retaining personality disorder diagnoses.

Silk¹

2015

Personality Disorders: Toward Theoretical and Empirical Integration in Diagnosis and Assessment.

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Merriam-Webster's Collegiate Dictionary (2003) defines diagnosis as both "the art or act of identifying a disease from its signs and symptoms" and "a concise technical description of a taxon" (p. 344), whereas Dorland's Illustrated Medical Dictionary (1965) states that diagnosis is "the art of distinguishing one disease from another" as well as "the determination of the nature of a case of disease" (p. 411). Dorland's definition further differentiates diagnosis into clinical diagnosis, which is what clinical psychology and psychiatry often simply refer to as "diagnosis based on the symptoms shown during life, irrespective of the morbid changes producing them" (p. 412). In other words, it is the act or art of identifying a disease. the process or steps that are gone through in identifying a taxon (the name given to a group within a formal system or nomenclature) are also seen as part of diagnosis. thus, although diagnosis is often thought of as the specific taxon that is ultimately arrived at, diagnosis, by the definitions above, also includes the manner in which the diagnosis is the Value of retaInIng PersonalIty DIsorDer DIagnoses Kenneth r. sIlK

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“…NPD did not exist before the DSM-111 in 1980, hardly encouraging belief in its scientific status. 35 It is also a psychoanalytic concept, going back to Freud and at odds with other diagnoses which are theory-free. A good example of its misuse and lack of validity is the way psychiatrists and psychologists went public to accuse Donald Trump of 'malignant narcissism' (in the process ignoring the Goldwater Rule).…”

Section: Sushruta J Health Policymentioning

confidence: 99%

Forensic Psychiatry in the Quisling, Hamsun and Breivik Trials

Kaplan

2024

Sus

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The 2011 trial of Andreas Breivik for the mass murder of 69 Norwegian adolescents (plus eight people in an earlier bombing) was dominated by intense debate about his sanity, both in the court and public arenas. Similar controversies arose in two previous high-profile cases: the 1945 trial of the Norwegian collaborator Vidkun Quisling and the 1946 trial of the Nobel Prize winner Kurt Hamsun. Quisling, Hamsun and Breivik were all required to have psychiatric assessment. The findings were intensely disputed. The first assessments produced results the public found unacceptable. After a lengthy and controversial examination, Hamsun was exempted from a criminal trial but had to face a civil procedure in which he lost most of his savings. The public reaction in Breivik’s case went the other way: that he could be exempt from punishment by psychiatric illness caused such fury that legal protocol was overturned, and he was assessed again, this time producing a finding that all found satisfactory. Psychiatric issues in the three trials reviewed show remarkable symmetry, although also with some differences. Issues raised at these trials are the role of public pressure, the conflict between the belief that the perpetrators had to be mad to do what they did and the desire that they not escape due to punishment by psychiatric confinement and the recurrent problem in forensic assessment of assessing extreme overvalue beliefs. The forensic aspects at the trial of Peter Sutcliffe show that these issues were not unique to the Norwegian legal system.

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Debates on the Narcissism Conundrum

Cited by 12 publications

References 89 publications

Narcissistic personality traits and prefrontal brain structure

Narcissistic personality traits and prefrontal brain structure

The value of retaining personality disorder diagnoses.

Forensic Psychiatry in the Quisling, Hamsun and Breivik Trials

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