Narcissistic Personality Disorder

Narcissistic Personality Disorder involves arrogant behavior, a lack of empathy for other people, and a need for admiration-all of which must be consistently evident at work and in relationships. People who are narcissistic are frequently described as cocky, self-centered, manipulative, and demanding. Narcissists may concentrate on unlikely personal outcomes (e.g., fame) and may be convinced that they deserve special treatment. Related Personality Disorders: Antisocial, Borderline, Histrionic. Narcissism is a less extreme version of Narcissistic Personality Disorder. Narcissism involves cockiness, manipulativeness, selfishness, power motives, and vanity-a love of mirrors. Related personality traits include: Psychopathy, Machiavellianism.


Narcissists tend to have high self-esteem. However, narcissism is not the same thing as self-esteem; people who have high self-esteem are often humble, whereas narcissists rarely are. It was once thought that narcissists have high self-esteem on the surface, but deep down they are insecure. However, the latest evidence indicates that narcissists are actually secure or grandiose at both levels. Onlookers may infer that insecurity is there because narcissists tend to be defensive when their self-esteem is threatened (e.g., being ridiculed); narcissists can be aggressive. The sometimes dangerous lifestyle may more generally reflect sensation-seeking or impulsivity (e.g., risky sex, bold financial decisions).

 

Narcissistic Personality Disorder. Last reviewed 12/31/1969
  • American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Revised.
  • Center for Substance Abuse Treatment. Assessment and Treatment of Patients with Coexisting Mental Illness and Alcohol and Other Drug Abuse. Treatment Improvement Protocol (TIP) Series, No.9.
  • National Institutes of Health - National Library of Medicine
  • Brad Bushman, W. Keith Campbell, Del Paulhus, Richard W. Robins