04-11-2010, 08:46 AM
The Narcissistic Personality Disorder (NPD, 301.81) has been recognized as a separate mental health disorder since the third edition of the Diagnostic and Statistics Manual (DSM), 1980.
It is described as an all-pervasive pattern of grandiosity (in fantasy or behavior), need for admiration or adulation and lack of empathy. It usually begins by early adulthood and is present in various contexts. Five (or more) of the following criteria must be met (all quotes are from Dr. Sam Vakninââ¬â¢s Malignant Self Love: Narcissism Revisited):
1. Feels grandiose and self-importance (e.g., exaggerates achievements and talents to the point of lying, demands to be recognized as superior with[size=out commensurate achievements);]
ââ¬ÅThe narcissist is prone to magical thinking. He thinks about himself in terms of ââ¬Ëbeing chosenââ¬â¢ or of ââ¬Ëhaving a destinyââ¬â¢. ââ¬Â¦He believes that his life is of such momentous importance, that it is micro-managed by God. ââ¬Â¦In short, narcissism and religion go well together, because religion allows the narcissist to feel unique.ââ¬Â
ââ¬ÅGod is everything the narcissist ever wants to be: omniscient, omnipresent, admired, much discussed, and awe inspiring. God is the narcissistââ¬â¢s wet dream, his ultimate grandiose fantasy.ââ¬Â
2. Is obsessed with fantasies of unlimited success, fame, fearsome power or omnipotence, unequalled brilliance (the cerebral narcissist), bodily beauty or sexual performance (the somatic narcissist), or ideal, everlasting, all-conquering love or passion;
ââ¬ÅThe narcissist is haunted by the feeling that he is possessed of a mission, of a destiny, that he is a part of fate, of history. He is convinced that his uniqueness is purposeful, that he is meant to lead, chart new ways, to innovate to modernize, to reform, to set precedents, to create. Every act is significant, every writing of momentous consequences, every thought of revolutionary calibre. He feels part of a grand design, a world plan and the frame of affiliation, the group, of which he is a member, must be commensurately grand.ââ¬Â
3. Firmly convinced that he or she is unique and, being special, can only be understood by, should only be treated by, or associate with, other special or unique, or high-status people (or institutions);
ââ¬ÅThe narcissist despises the very people who sustain his Ego boundaries and functions. He cannot respect people so expressly and clearly inferior to him, yet he can never associate with evidently on his level or superior to him, the risk of narcissistic injury in such associations being too great.ââ¬Â
4. Requires excessive admiration, adulation, attention and affirmation ââ¬â or, failing that, wishes to be feared and to be notorious (Narcissistic Supply);
ââ¬ÅA common error is to think that ââ¬Ënarcissistic supplyââ¬â¢ consists only of admiration, adulation and positive feedback. Actually, being feared, or derided is also supply. The main element is ATTENTION.ââ¬Â
ââ¬ÅHe feeds of other people, who hurl back at him an image that he projects to them. This is their sole function in his world: to reflect, to admire, to admire, to applaud, to detest ââ¬â in a word, to assure him that he exists.ââ¬Â
ââ¬ÅIn short: the group must magnify the narcissist, echo and amplify his life, his views, his knowledge, his historyââ¬Â¦Ã¢â¬Â
5. Feels entitled. Expects unreasonable or special and favorable priority treatment. Demands automatic and full compliance with his or her expectations;
ââ¬ÅHe considers his very existence as sufficiently nourishing and sustaining (of others). He feels entitled to the best others can offer without investing in maintaining relationships or in catering to the well-being of his ââ¬Ësuppliersââ¬â¢.ââ¬Â
6. Is ââ¬Åinterpersonally exploitativeââ¬Â, i.e., uses others to achieve his or her own ends;
ââ¬ÅHe will not hesitate to put peopleââ¬â¢s lives or fortunes at risk. He will preserve his sense of infallibility in the face of his mistakes and misjudgments by distorting the facts, by evoking mitigating or attenuating circumstances, by repressing the memories, or simply lying.ââ¬Â
7. Devoid of empathy. Is unable or unwilling to identify with or acknowledge the feelings and needs of others;
ââ¬ÅBut the narcissist does not care. Unable to empathize, he does not fully experience the outcomes of his deeds and decision. For him, humans are dispensable, rechargeable, reusable. They are there to fulfill a function: to supply him with Narcissistic Supply (adoration, admiration, approval, affirmation, etc.). They do not have an existence apart from the carrying out of their duty.ââ¬Â
8. Constantly envious of others or believes that they feel the same about him or her;
ââ¬ÅFirst there is pathological envy. The narcissist is constantly envious of other people: their successes, their property, their character, their education, their children, their ideas, the fact that they can feel, their good mood, their past, their present, their spouses, their mistresses or lovers, their location.ââ¬Â
9. Arrogant, haughty behaviors or attitudes coupled with rage when frustrated, contradicted, or confronted.
ââ¬ÅThat which has cosmic implications calls for cosmic reactions. A person with an inflated sense of self-import, reacts in an exaggerated manner to threats, greatly inflated by his imagination and by the application of his personal myth.ââ¬Â
ââ¬ÅNarcissists live in a state of constant rage, repressed aggression, envy and hatred. They firmly believe that everyone is like them. As a result, they are paranoid, suspicious, scared and erratic.ââ¬Â[size=
Conclusion:]
ââ¬ÅNPD is a pernicious, vile and tortuous disease, which affects not only the narcissist. It affects and forever changes people who are in daily contact with the narcissist.ââ¬Â
ââ¬ÅSooner, or later, everyone around the narcissist is bound to become his victim. People are sucked, voluntarily or involuntarily, into the turbulence that constitutes his life, into the black hole that is his personality, into the whirlwind which makes up his interpersonal relationships. Different people are hurt by different aspects of the narcissistââ¬â¢s life and psychological make-up. Some trust him and rely on him, only to be bitterly disappointed. Others love him and discover that he cannot reciprocate. Yet others are forced to live vicariously, through him.ââ¬Â
It is described as an all-pervasive pattern of grandiosity (in fantasy or behavior), need for admiration or adulation and lack of empathy. It usually begins by early adulthood and is present in various contexts. Five (or more) of the following criteria must be met (all quotes are from Dr. Sam Vakninââ¬â¢s Malignant Self Love: Narcissism Revisited):
1. Feels grandiose and self-importance (e.g., exaggerates achievements and talents to the point of lying, demands to be recognized as superior with[size=out commensurate achievements);]
ââ¬ÅThe narcissist is prone to magical thinking. He thinks about himself in terms of ââ¬Ëbeing chosenââ¬â¢ or of ââ¬Ëhaving a destinyââ¬â¢. ââ¬Â¦He believes that his life is of such momentous importance, that it is micro-managed by God. ââ¬Â¦In short, narcissism and religion go well together, because religion allows the narcissist to feel unique.ââ¬Â
ââ¬ÅGod is everything the narcissist ever wants to be: omniscient, omnipresent, admired, much discussed, and awe inspiring. God is the narcissistââ¬â¢s wet dream, his ultimate grandiose fantasy.ââ¬Â
2. Is obsessed with fantasies of unlimited success, fame, fearsome power or omnipotence, unequalled brilliance (the cerebral narcissist), bodily beauty or sexual performance (the somatic narcissist), or ideal, everlasting, all-conquering love or passion;
ââ¬ÅThe narcissist is haunted by the feeling that he is possessed of a mission, of a destiny, that he is a part of fate, of history. He is convinced that his uniqueness is purposeful, that he is meant to lead, chart new ways, to innovate to modernize, to reform, to set precedents, to create. Every act is significant, every writing of momentous consequences, every thought of revolutionary calibre. He feels part of a grand design, a world plan and the frame of affiliation, the group, of which he is a member, must be commensurately grand.ââ¬Â
3. Firmly convinced that he or she is unique and, being special, can only be understood by, should only be treated by, or associate with, other special or unique, or high-status people (or institutions);
ââ¬ÅThe narcissist despises the very people who sustain his Ego boundaries and functions. He cannot respect people so expressly and clearly inferior to him, yet he can never associate with evidently on his level or superior to him, the risk of narcissistic injury in such associations being too great.ââ¬Â
4. Requires excessive admiration, adulation, attention and affirmation ââ¬â or, failing that, wishes to be feared and to be notorious (Narcissistic Supply);
ââ¬ÅA common error is to think that ââ¬Ënarcissistic supplyââ¬â¢ consists only of admiration, adulation and positive feedback. Actually, being feared, or derided is also supply. The main element is ATTENTION.ââ¬Â
ââ¬ÅHe feeds of other people, who hurl back at him an image that he projects to them. This is their sole function in his world: to reflect, to admire, to admire, to applaud, to detest ââ¬â in a word, to assure him that he exists.ââ¬Â
ââ¬ÅIn short: the group must magnify the narcissist, echo and amplify his life, his views, his knowledge, his historyââ¬Â¦Ã¢â¬Â
5. Feels entitled. Expects unreasonable or special and favorable priority treatment. Demands automatic and full compliance with his or her expectations;
ââ¬ÅHe considers his very existence as sufficiently nourishing and sustaining (of others). He feels entitled to the best others can offer without investing in maintaining relationships or in catering to the well-being of his ââ¬Ësuppliersââ¬â¢.ââ¬Â
6. Is ââ¬Åinterpersonally exploitativeââ¬Â, i.e., uses others to achieve his or her own ends;
ââ¬ÅHe will not hesitate to put peopleââ¬â¢s lives or fortunes at risk. He will preserve his sense of infallibility in the face of his mistakes and misjudgments by distorting the facts, by evoking mitigating or attenuating circumstances, by repressing the memories, or simply lying.ââ¬Â
7. Devoid of empathy. Is unable or unwilling to identify with or acknowledge the feelings and needs of others;
ââ¬ÅBut the narcissist does not care. Unable to empathize, he does not fully experience the outcomes of his deeds and decision. For him, humans are dispensable, rechargeable, reusable. They are there to fulfill a function: to supply him with Narcissistic Supply (adoration, admiration, approval, affirmation, etc.). They do not have an existence apart from the carrying out of their duty.ââ¬Â
8. Constantly envious of others or believes that they feel the same about him or her;
ââ¬ÅFirst there is pathological envy. The narcissist is constantly envious of other people: their successes, their property, their character, their education, their children, their ideas, the fact that they can feel, their good mood, their past, their present, their spouses, their mistresses or lovers, their location.ââ¬Â
9. Arrogant, haughty behaviors or attitudes coupled with rage when frustrated, contradicted, or confronted.
ââ¬ÅThat which has cosmic implications calls for cosmic reactions. A person with an inflated sense of self-import, reacts in an exaggerated manner to threats, greatly inflated by his imagination and by the application of his personal myth.ââ¬Â
ââ¬ÅNarcissists live in a state of constant rage, repressed aggression, envy and hatred. They firmly believe that everyone is like them. As a result, they are paranoid, suspicious, scared and erratic.ââ¬Â[size=
Conclusion:]
ââ¬ÅNPD is a pernicious, vile and tortuous disease, which affects not only the narcissist. It affects and forever changes people who are in daily contact with the narcissist.ââ¬Â
ââ¬ÅSooner, or later, everyone around the narcissist is bound to become his victim. People are sucked, voluntarily or involuntarily, into the turbulence that constitutes his life, into the black hole that is his personality, into the whirlwind which makes up his interpersonal relationships. Different people are hurt by different aspects of the narcissistââ¬â¢s life and psychological make-up. Some trust him and rely on him, only to be bitterly disappointed. Others love him and discover that he cannot reciprocate. Yet others are forced to live vicariously, through him.ââ¬Â