Replies

Narcissistic personality disorder is characterized by dramatic, emotional behavior, in the same category as antisocial and borderline personality disorders.

Narcissistic personality disorder symptoms may include:

Believing that you’re better than others
Fantasizing about power, success and attractiveness
Exaggerating your achievements or talents
Expecting constant praise and admiration
Believing that you’re special and acting accordingly
Failing to recognize other people’s emotions and feelings
Expecting others to go along with your ideas and plans
Taking advantage of others
Expressing disdain for those you feel are inferior
Being jealous of others
Believing that others are jealous of you
Trouble keeping healthy relationships
Setting unrealistic goals
Being easily hurt and rejected
Having a fragile self-esteem
Appearing as tough-minded or unemotional
Although some features of narcissistic personality disorder may seem like having confidence or strong self-esteem, it’s not the same. Narcissistic personality disorder crosses the border of healthy confidence and self-esteem into thinking so highly of yourself that you put yourself on a pedestal. In contrast, people who have healthy confidence and self-esteem don’t value themselves more than they value others.

When you have narcissistic personality disorder, you may come across as conceited, boastful or pretentious. You often monopolize conversations. You may belittle or look down on people you perceive as inferior. You may have a sense of entitlement. And when you don’t receive the special treatment to which you feel entitled, you may become very impatient or angry. You may insist on having “the best” of everything — the best car, athletic club, medical care or social circles, for instance.

But underneath all this behavior often lies a fragile self-esteem. You have trouble handling anything that may be perceived as criticism. You may have a sense of secret shame and humiliation. And in order to make yourself feel better, you may react with rage or contempt and efforts to belittle the other person to make yourself appear better.

When to see a doctor
When you have narcissistic personality disorder, you may not want to think that anything could be wrong — doing so wouldn’t fit with your self-image of power and perfection. But by definition, narcissistic personality disorder causes problems in many areas of your life, such as relationships, work, school or your financial affairs. You may be generally unhappy and confused by a mix of seemingly contradictory emotions. Others may not enjoy being around you, and you may find your relationships unfulfilling.

If you notice any of these problems in your life, consider reaching out to a trusted health care provider or mental health provider. Getting the right treatment can help make your life more rewarding and enjoyable.

The Narcissist does not cater at all to his own needs. Contrary to his reputation, the Narcissist does not “love” himself in any true sense of this loaded word.

The narcissist feeds off other people who hurl back at him an image that he projects to them. This is their sole function in his world : to reflect his False Self, to admire him, to applaud his actions, even to detest and fear him - in a word, to assure him that he exists by giving him constant attention.

Otherwise, the narcissist feels that they have no right to tax his time, energy, or emotions.

WHAT IS NPD (Narcissistic Personality Disorder)?

The Narcissistic Personality Disorder (NPD) has been recognized as a seperate mental health disorder in the third edition of the Diagnostic and Statistics Manual (DSM) in 1980. Its diagnostic criteria and their interpretation have undergone a major revision in the DSM III-R (1987) and were substantially revamped in the DSM IV in 1994. The European ICD-10 basically contains identical language.

An all-pervasive pattern of grandiosity (in fantasy or behaviour), need for admiration or adulation and lack of empathy, usually beginning by early adulthood and present in various contexts. Five (or more) of the following criteria must be met:

Feels grandiose and self-importance (e.g., exaggerates achievements and talents to the point of lying, demands to be recognized as superior without commensurate achievements)
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
Firmaly 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)
Requires excessive admiration, adulation, attention and affirmation -or, failing that, wishes to be feared and to be notorious (narcissistic supply).
Feels entitled. Expects unreasonable or special and favourable priority treatment. Demands automatic and full compliance with his or her expectations
Is “interpersonally exploitative”, i.e., uses others to achieve his or her own ends
Devoid of empathy. Is unable or unwilling to identify with or acknowledge the feelings and needs of others
Constantly envious of others or believes that they feel the same about him or her
Arrogant, haughty behaviours or attitudes coupled with rage when frustrated, contradicted, or confronted.
The language in the criteria above is based on or summarized from:

American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders, fourth edition (DSM IV). Washington, DC: American Psychiatric Association.

Sam Vaknin. (1999). Malignant Self Love - Narcissism Revisited, first edition. Prague and Skopje: Narcissus Publication. (”Malignant Self Love - Narcissism Revisited” http://www.geocities.com/vaksam/faq1.html )

More Data About Pathological Narcissists

Most narcissists (75%) are men.
NPD (=the Narcissistic Personality Disorder) is one of a “family” of personality disorders (formerly known as “Cluster B”). Other members: Borderline PD, Antisocial PD and Histrionic PD.
NPD is often diagnosed with other mental health disorders (”co-morbidity”) - or with substance abuse, or impulsive and reckless behaviours (”dual diagnosis”).
NPD is new (1980) mental health category in the Diagnostic and Statistics Manual (DSM).
There is only scant research regarding narcissism. But what there is has not demonstrated any ethnic, social, cultural, economic, genetic, or professional predilection to NPD.
It is estimated that 0.7-1% of the general population suffer from NPD.
Pathological narcissism was first described in detail by Freud. Other major contributors are: Klein, Horney, Kohut, Kernberg, Millon, Roningstam, Gunderson, Hare.
The onset of narcissism is in infancy, childhood and early adolescence. It is commonly attributed to childhood abuse and trauma inflicted by parents, authority figures, or even peers.
There is a whole range of narcissistic reactions - from the mild, reactive and transient to the permanent personality disorder.
Narcissists are either “Cerebral” (derive their narcissistic supply from their intelligence or academic achievements) - or “Somatic” (derive their narcissistic supply from their physique, exercise, physical or sexual prowess and “conquests”).
Narcissists are either “Classic” - see definition below - or they are “Compensatory”, or “Inverted” - see definitions here: “The Inverted Narcissist” - http://www.geocities.com/vaksam/faq66.html
NPD is treated in talk therapy (psychodynamic or cognitive-behavioural). The prognosis for an adult narcissist is poor, though his adaptation to life and to others can improve with treatment. Medication is applied to side-effects and behaviours (such as mood or affect disorders and obsession-compulsion) - usually with some success.
To learn more, go here:

Malignant Self Love - Narcissism Revisited (link: http://www.geocities.com/vaksam/faq1.html )

Narcissistic Personality Disorder (link: http://www.suite101.com/welcome.cfm/npd )