Narcissistic Personality Disorder – Prevalence and Comorbidity

Narcissistic Character Problem – Frequency and Comorbidity

Exactly what is the Distinction between Healthy Narcissism as well as the Pathological Kind?
In my publication “Malignant Self Love – Narcissism Revisited”, I specify pathological narcissism as:

“( A) life-long pattern of qualities and also habits which indicate infatuation and also fixation with one’s self to the exemption of all others as well as the egotistic and ruthless interest of one’s satisfaction, dominance and passion.”

Luckily for us, we are all narcissists to some extent. Yet healthy narcissism is adaptive, adaptable, empathic, creates elation and also pleasure (happiness), and help us to function. Pathological vanity is maladaptive, inflexible, persisting, and creates substantial distress, and practical impairment.

Prevalence and also Age and Sex Attributes

According to the DSM IV-TR, Egotistical Personality Disorder (NPD) is diagnosed in between 2% and 16% of the population in professional settings (between 0.5-1% of the basic population). The DSM-IV-TR proceeds to tell us that a lot of narcissists (50-75% of all individuals) are guys.

We should meticulously compare the narcissistic characteristics of teens – vanity is an indispensable component of their healthy and balanced personal advancement – and also the full-fledge condition. Teenage years is about self-definition, differentiation, splitting up from one’s parents, as well as individuation. These inevitably involve conceited assertiveness which is not to be conflated or confused with Narcissistic Character Disorder (NPD).

” The life time prevalence price of NPD is approximately 0.5-1 percent; nonetheless, the estimated occurrence in scientific settings is roughly 2-16 percent. Practically 75 percent of people diagnosed with NPD are male (APA, DSM IV-TR 2000).”.

From the Abstract of Psychotherapeutic Evaluation as well as Treatment of Conceited Personality Disorder By Robert C. Schwartz, Ph.D., DAPA as well as Shannon D. Smith, Ph.D., DAPA (American Psychotherapy Organization, Write-up # 3004 Annals July/August 2002).

Nonetheless, as the narcissist ages as well as endures the unpreventable attendant physical, psychological, as well as work limitations, Egotistical Personality Problem (NPD) is exacerbated.

Researches have not demonstrated any ethnic, social, cultural, financial, hereditary, or expert proneness or vulnerability to the Conceited Personality Problem (NPD).

Still, Robert Milman recommended a problem that he classified “Gotten Situational Narcissism”. He observed a short-term as well as reactive type of the Egotistical Personality Problem (NPD) in particular scenarios, such as under continuous public analysis and also exposure.

Comorbidity and also Differential Medical diagnoses.

Conceited Individuality Disorder (NPD) is commonly detected with various other mental health and wellness conditions (” co-morbidity”), such as state of mind conditions, eating disorders, and substance-related disorders. Individuals with Conceited Character Disorder (NPD) are frequently abusive and vulnerable to spontaneous and reckless practices (” twin medical diagnosis”).

The comorbidity of Egotistical Individuality Condition (NPD) with various other individuality disorders, such as the Histrionic, Borderline, Paranoid, as well as Antisocial Character Disorders, is high.

Conceited Individuality Disorder (NPD) is frequently misdiagnosed as Bipolar Disorder (the manic phase), Asperger’s Condition, or Generalized Anxiety Disorder – and the other way around.

Though the individual styles of people with Collection B character problems appear like each various other, they also considerably vary. The narcissist is magnificent, the histrionic coquettish, the antisocial (psychopath) callous, as well as the borderline desperate.

From my book, “Deadly Self Love – Narcissism Revisited”:.

” As opposed to clients with the Borderline Personality Disorder, the self-image of the narcissist is steady, he or she are less impulsive as well as much less self-defeating or self-destructive and less worried with abandonment issues (not as clinging).

As opposed to the histrionic patient, the narcissist is achievements-orientated and proud of his or her ownerships as well as success. Narcissists also rarely show their feelings as histrionics do as well as they hold the level of sensitivities and requirements of others in contempt.

According to the DSM-IV-TR, both narcissists and also psychotics are “tough-minded, glib, surface, exploitative, and also unempathic”. However narcissists are much less impulsive, much less aggressive, and less dishonest. Psychos rarely look for egotistical supply. In contrast to psychos, few narcissists are wrongdoers.

Individuals dealing with the array of obsessive-compulsive disorders are devoted to perfection and also believe that only they are capable of attaining it. Yet, instead of narcissists, they are self-critical and much more knowledgeable about their very own shortages, defects, and imperfections.”.


Goldman, Howard H., Evaluation of General Psychiatry, fourth edition, 1995. Prentice-Hall International, London.

Gelder, Michael, Gath, Dennis, Mayou, Richard, Cowen, Philip (eds.), Oxford Book of Psychiatry, third version, 1996, reprinted 2000. Oxford University Press, Oxford.

Vaknin, Sam, Deadly Self Love – Narcissism Revisited, seventh revised impact, 1999-2006. Narcissus Publications, Prague and Skopje.

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