Narcissistic Personality Disorder

Narcissistic Personality Disorder is a personality disorder where individuals have a grandiose sense of their own importance but are also extremely sensitive to criticism. They have little ability to empathize with others, and they are more concerned about appearance than substance. It is characterized by arrogance, grandiosity, a need for admiration, and a tendency to exploit others. Patients with this condition often have a sense of excessive entitlement and may demand special treatment.

Epidemiology
Prognosis
Comorbidity
Risk Factors

A pervasive pattern of grandiosity (in fantasy or behavior), need for admiration, and lack of empathy, beginning by early adulthood and present in a variety of contexts, as indicated by 5 (or more) of the following:

  1. Has a grandiose sense of self-importance (e.g. - exaggerates achievements and talents, expects to be recognized as superior without commensurate achievements)
  2. Is preoccupied with fantasies of unlimited success, power, brilliance, beauty, or ideal love
  3. Believes that he or she is “special” and unique and can only be understood by, or should associate with, other special or high-status people (or institutions)
  4. Requires excessive admiration
  5. Has a sense of entitlement (i.e. - unreasonable expectations of especially favourable treatment or automatic compliance with his or her expectations)
  6. Is interpersonally exploitative (i.e. - takes advantage of others to achieve his or her own ends)
  7. Lacks empathy: is unwilling to recognize or identify with the feelings and needs of others
  8. Is often envious of others or believes that others are envious of him or her
  9. Shows arrogant, haughty behaviors or attitudes.

Personality Disorder Guidelines

Guideline Location Year PDF Website
World Federation of Societies of Biological Psychiatry (WFSBP) International 2009 - Link
Research