DSM Criteria
A pervasive pattern of grandiosity (in fantasy or behavior), need for admiration, and lack of empathy, beginning by early adulthood and present in a variety of contexts, as indicated by five (or more) of the following:[1]
has a grandiose sense of self-importance
is preoccupied with fantasies of unlimited success, power, brilliance, beauty, or ideal love
believes that he or she is "special" and unique
requires excessive admiration
has a sense of entitlement
is interpersonally exploitative
lacks empathy
is often envious of others or believes others are envious of him or her
shows arrogant, haughty behaviors or attitudes
caused by
Hypothetical causes
The etiology of this disorder is unknown according to Groopman and Cooper. However, they list the following factors identified by various researchers as possible factors.[3]
An oversensitive temperament at birth
Overindulgence and overvaluation by parents
Valued by parents as a means to regulate their own self-esteem
Excessive admiration that is never balanced with realistic feedback
Unpredictable or unreliable caregiving from parents
Severe emotional abuse in childhood
Being praised for perceived exceptional looks or talents by adults
"Excessive praise for good behaviors or excessive criticism for poor behaviors in childhood"
Some narcissistic traits are common and a normal developmental phase. When these traits are compounded by a failure of the interpersonal environment and continue into adulthood they may intensify to the point where NPD is diagnosed. It has been suggested that NPD may be exacerbated by the onset of aging and the physical, mental, and occupational restrictions it imposes as can most personality traits.
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