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12b - Beyond Nucleus Diagnostic Conceptualizations: Commentary on Narcissistic and Histrionic Personality Disorders

from Part III - Individual Disorders and Clusters

Published online by Cambridge University Press:  24 February 2020

By
Elsa Ronningstam  and
Tiffany Russell
Edited by
Carl W. Lejuez  and
Kim L. Gratz
Carl W. Lejuez
Affiliation:
University of Kansas
Kim L. Gratz
Affiliation:
University of Toledo, Ohio
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Summary

Narcissistic personality function is influenced by several different factors beyond the nucleus diagnostic conceptualization of NPD. A dimensional approach as outlined in DSM 5 Section III AMPD can demonstrate the clinical complexity of NPD, in particular the co-occurrence and fluctuations between grandiose and vulnerable core features, and the stability versus oscillation between high competent and low impaired functioning. There is also a significant value in the integration of different modalities of research on narcissism and NPD across multiple areas in psychology and psychiatry with longstanding clinical and psychoanalytic accounts. This commentary also addresses some additional factors that affect narcissistic personality functioning, i.e., sense of agency and control, aggression and violence, fear and trauma, and suicide.

Keywords

narcissistic personality disordersense of agencyaggressionviolencefeartraumasuicide
Type
Chapter
Information
The Cambridge Handbook of Personality Disorders , pp. 296 - 299
Publisher: Cambridge University Press
Print publication year: 2020

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