Narcissistic Personality Disorder - Diagnostic Criteria

 

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The Narcissistic Personality Disorder (NPD) is not a new psychological construct. In previous centuries it was called "egotism" or "megalomania". It is an extreme form of pathological narcissism.

The Narcissistic Personality Disorder (NPD) is one of the four personality disorders in Cluster B (dramatic, emotional, or erratic). It was first described in the DSM III-TR (Diagnostic and Statistical Manual) in 1980. The ICD-10 (International Classification of Diseases), published by the World Health Organisation in Geneva [1992], does not include the Narcissistic Personality Disorder (NPD). It regards it as "a personality disorder that fits none of the specific rubrics" and puts it together with other bizarre dysfunctions such as, "haltlose", immature, passive-aggressive, and psychoneurotic personality disorders and types in a catchall category: "Other Specific Personality Disorders".

The Diagnostic and Statistical Manual of Mental Disorders, fourth edition, Text Revision (DSM-IV-TR) [2000], published by the American Psychiatric Association, based in Washington D.C., USA, provides the diagnostic criteria for the Narcissistic Personality Disorder (NPD) (301.81) on page 717.

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The DSM-IV-TR defines Narcissistic Personality Disorder (NPD) as "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", such as family life and work.

Five or more of the DSM's nine diagnostic criteria must be met for a diagnosis of Narcissistic Personality Disorder (NPD) to be rendered.

[In the text below, I have proposed modifications to the language of these criteria to incorporate current knowledge about this disorder. My modifications appear in bold italics.]

[My amendments do not constitute a part of the text of the DSM-IV-TR, nor is the American Psychiatric Association (APA) associated with them in any way.]

Proposed Amended Criteria for the Narcissistic Personality Disorder

Read Notes from the therapy of a Narcissistic Patient


Many additional Frequently Asked Questions (FAQs) about Personality Disorders - click HERE!


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