All elements are equal, but some elements are more equal than other: Narcissistic Personality Disorder In the DSM-5, section III

Schalkwijk, F.W. . (Frans), Dekker, J (Jack), Ingenhoven, T van (Theo)

 

Submission type

Oral only

Scheduled

Parallel Session V: Administratiezaal, 09-06-2018, 09:00 - 10:30

Kernwoorden

Narcissism, alternative model, diagnosis, treatment

Onderzoeksgebied

Personality disorders

Introductie

With the publication of the alternative model for personality disorders in the DSM-5 a challenge has been created to integrate clinical wisdom, theoretical understanding and empirical knowledge into one hybrid model. In this article, the authors focus on doing so for the Narcissistic Personality Disorder (NPD).

Resultaten

The existing clinical and empirical theories on narcissism seem to converge into a shared view that narcissism is best characterized by the combination of three psychodynamic properties: dysfunctional self-regulation, dysfunctional emotion regulation and interpersonal difficulties. These elements can be seen in both vulnerable and in grandiose narcissism, and expressed covertly or overtly by the same patient. In the alternative DSM-5 model for NPD, a different stance seems to be taken.

Conclusie

NPD is seen in impairments in personality functioning cover problems with respect to identity, goal setting, impaired empathy and lack of intimacy. Accompanying pathological personality traits refer to grandiosity and attention seeking. In this article the empirically-derived and theory-driven models behind the diagnostic criteria of NPD will be brought together.

Auteurs