2012
DOI: 10.1002/jclp.21893
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Subtypes, Dimensions, Levels, and Mental States in Narcissism and Narcissistic Personality Disorder

Abstract: Various conceptualizations of subtypes, levels, and dimensions of narcissism and narcissistic personality disorder (NPD) are considered with a particular focus on overt grandiose presentations and covert vulnerable presentations. Evidence supporting this distinction and clinical vignettes to illustrate it are presented as well as their implications for clinical work with NPD patients. The research and clinical evidence points to the conclusion that these broad categorical subtypes are better conceptualized as … Show more

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Cited by 80 publications
(75 citation statements)
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References 12 publications
(12 reference statements)
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“…If any shame coping strategies are used, they are bound to be adaptive, preserving positive self-esteem. This finding fits well with the clinical notion of many authors that the subject with strong narcissistic traits is unconsciously defending against threatening experiences of high self-esteem [45,46]. Our study replicates Barry et al's [30] finding that grandiose narcissism and high self-esteem partially overlap, but that they also can be differentiated on the basis of adaptive and maladaptive narcissism.…”
Section: Discussionsupporting
confidence: 92%
“…If any shame coping strategies are used, they are bound to be adaptive, preserving positive self-esteem. This finding fits well with the clinical notion of many authors that the subject with strong narcissistic traits is unconsciously defending against threatening experiences of high self-esteem [45,46]. Our study replicates Barry et al's [30] finding that grandiose narcissism and high self-esteem partially overlap, but that they also can be differentiated on the basis of adaptive and maladaptive narcissism.…”
Section: Discussionsupporting
confidence: 92%
“…They have a serious lack of emotional investment in their relations. Although from the outside they can be seen as part of a large network, they are not interested in keeping their friends and relations for a long time (45,46). All these data can explain the prediction of NTT3 by NPD and the positive correlation between NTT3 and NPD.…”
Section: Relation Between Nttm Types and Personality Disorder Categoriesmentioning
confidence: 99%
“…In an attempt to further understand the formidable challenges these patients pose, clinicians and, increasingly, clinical researchers have focused on the diverse and often contradictory clinical presentations, internal complexity, and subjective distress of individuals with narcissistic personality disorder (NPD; Levy, Reynoso, Wasserman, & Clarkin, 2007;Ronningstam, 2010Ronningstam, , 2011Levy, 2012). The plethora of theories and treatment approaches to narcissistic pathology (Kohut, 1971(Kohut, , 1977Kernberg, 1975Kernberg, , 1984Kernberg, , 1997Kernberg, , 2007Bach, 1985) that reflect the diverse presentations of NPD have been downplayed in the current DSM-IV criteria, which privileges overt grandiosity without taking into account the ways this symptom may be expressed covertly in fantasy or may mask internal distress and suffering.…”
Section: Introductionmentioning
confidence: 99%