Скачать или смотреть What is the Difference Between Pathological Narcissism and Narcissistic Personality Disorder?

This video answers the question: What is the difference between pathological narcissism and narcissistic personality disorder. When we talk about narcissistic personality disorder and compare it to pathological narcissism, it's important to understand that narcissistic personality disorder (NPD) is a diagnosis listed in the Diagnostic and Statistical Manual (DSM). It's a diagnosis a client could receive if they demonstrated certain symptoms and, of course, this diagnosis can only be given by a licensed and qualified clinician. Pathological narcissism is a construct and we use pathological narcissism in research, but it's not a diagnosis, rather it's on a continuum. NPD as it's described in the DSM, has nine symptom criteria: grandiose sense of self-importance, fantasies of unlimited power or success (a lot of times I just think of this really as exaggerated fantasies as they're not always unlimited), this idea of being special or unique and that only certain special or unique people would understand somebody, a need for excessive admiration, a sense of entitlement, exploiting other individuals interpersonally, having a lack of empathy, having envy for other people and believing other people envy you, and being arrogant, haughty, pretentious, or supercilious. The symptom criteria for NPD differ from the definition of pathological narcissism. With pathological narcissism, we see a number of qualities that aren't captured in the symptom criteria for NPD and also with pathological narcissism two types of narcissism are appreciated at the same time: grandiose and vulnerable. With grandiose narcissism, we see a lot of overlap with the symptom criteria of NPD. There are characteristics like being arrogant or exploiting others interpersonally. We don't see hardly any over at all with vulnerable narcissism. We see characteristics like mood lability, being shy, being self-critical, having fragile self-esteem, having feelings of inadequacy, perfectionism, and hypersensitivity. As we compare NPD with pathological narcissism, we see that NPD does focus on grandiose narcissism and pathological narcissism covers both grandiose and vulnerable narcissism. If we look at the associated features for NPD in the DSM, we do see a discussion of this idea of being self-critical and of having social withdrawal, so some of the elements of vulnerable narcissism are captured there in the associated features. If you consider the dimensional model in the DSM, this is listed as the alternative model for personality disorders, we do see that some of the other characteristics associated with vulnerable narcissism are captured, but it's still not complete.

Dawood, S., & Pincus, A. L. (2018). Pathological narcissism and the severity, variability, and instability of depressive symptoms. Personality Disorders: Theory, Research, And Treatment, 9(2), 144-154. doi:10.1037/per0000239