8. A Culture of Narcissism Flashcards

1
Q

What were the historical conceptualizations of narcissism?

A

Havelock Ellis: auto-eroticism (love directed towards one’s self)

Ernst Jones: God complex

Freud: we are born with narcissism
- (as toddlers) primary narcissism and self-absorption was a natural developmental phase (this disappears as we grow)
- secondary narcissism and self-love absorption (ego libido and object libido)

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2
Q

Define narcissism

A

Grandiose self view: inflated self-importance
- excessive need for admiration
- lack of empathy and intimacy
- sense of entitlement
- using others for self-validation

Is associated with greater self-esteem, life satisfaction, but also violence and aggression

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3
Q

What are the different types of narcissism?

A

Overt vs covert narcissists - both self-absorbed and arrogant

Overt: grandiosity / exhibitionism
- higher reported happiness, self-esteem
Covert: hypersensitivity / vulnerability
- lower happiness and self-esteem

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4
Q

What are some findings on subclinical narcissism:

A
  • measured by the narcissistic personality inventory
  • Men have more trait narcissism than women
  • self-perceived superiority on ‘super hero’ traits like intelligence, emotional stability, but not morality, agreeableness, conscientiousness
  • narcissists self-enhance agentic characteristics (intelligence, power) but not communal ones (agreeableness, honesty)
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5
Q

What is subclinical narcissism associated with? (+)

A
  • higher self-esteem and confidence
  • higher psychological health, wellbeing, life satisfaction
  • lower depression, anxiety, loneliness
  • judged as more charming
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6
Q

What is narcissism (sub-clinical) associated with? (-)

A

related to provoked aggression (Rasmussen 2016 meta-analysis)
–> when someone with narcissism felt rejected, the more aggression they exhibited
- all forms of narcissism associated with all forms of aggression (strongest under provocation) (Kjaervik and Bushman)

The outward manifestation of narcissism covers up a hidden fragility

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7
Q

What are some theories underpinning subclinical narcissism

A
  • Grandiose but vulnerable self-concept and low insight
    -> high explicit self-esteem but hidden sense of worthlessness
    -> ego threat activates concepts of worthlessness

Narcissism & dissociation: dissociation between an unconscious sense of inadequacy and a conscious feeling of superiority (low implicit self-esteem, high explicit self-esteem)

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8
Q

Is there a rise in narcissism?

A

Christopher Lasch:
- social invasion of the self (people are losing community values and are getting more absorbed in themselves)
- related this to permissive parenting (parents allowing children to get away with more)
- also associated with individualism

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9
Q

Do we have a rise in narcissism? Twenge et al’s cross temporal meta-analysis

A

30% increase in NPI scores between uni students in 1979 compared to 2006

We also have the difference of teenagers endorsing the item ‘i am an important person’ –> 1950s 12% agreed, late 80s 80% agreed

Teenagers are also more confident, assertive, entitled and more miserable

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10
Q

What are some possible causes of a cultural shift in narcissism?

A
  • parenting culture and emphasis on ‘self-esteem’ over accomplishments
  • social media and self-promotion (social comparison on social media)
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11
Q

How does narcissism track around the world?

A

Foster, Campbell, Twenge (2003)
Narcissism scores:
US > Europe > Canada > Asia > Middle East
- higher individualism associated with higher narcissism

the effect size is trivial however

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12
Q

What did the narcissism assessment in China find?

A

Narcissism is greater in
- younger > older
- Higher SES > lower SES
- persons from only child families
- urban areas
- individualistic values predicted narcissism

Also found a decrease in narcissism

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13
Q

Outline narcissistic personality disorder

A

Clinical narcissism
- pervasive pattern of grandiosity, need for admiration, lack of empathy that begins by early adulthood (present in a variety of contexts)

Maladaptive: involves impairment or distress

  • 50-75% male

Prevalence = 6%

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14
Q

What are the diagnostic criteria of narcissistic personality disorder

A

pervasive pattern of grandiosity, need for admiration, lack of empathy, beginning by early adulthood in a variety of contexts - indicated by 5+
- grandiose sense of self-importance
- preoccupied with fantasies of power
- believes they are special / unique, can only be understood by special people
- excessive admiration
- sense of entitlement
- exploitative
- lacks empathy
- envious of others
- arrogant

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15
Q

What are the 2 pathological narcissism dimensions

A

grandiosity: overvalued, entitled self-image, exploitative exhibitionist behaviours; absorption in idealized fantasies; and other maladaptive self-enhancement, etc

vulnerability: characterised by a depleted, enfeebled self-image’ angry, shameful and depressed affects; self-criticalisty and suicidality; interpersonal hypersensitivity and social withdrawal

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16
Q

NPD and vulnerable self-esteem review (Lambe)

A

NPD associated with 3-11 fold increase in violence
strong predictor of more severe violence (homicide)

exposure to imperfection and failure associated with high suicide risk
higher lethality comapred to other PDS

17
Q

NPI and PNI scales - and self-esteem

A

NPI (subclinical) - positive relationship with self-esteem

PNI: negative relationship

18
Q

What are the challenges of treating NPD?

A
  • lack of RCTs, systematic treatment reviews
  • mentalization based; transference focussed; schemas focussed therapies (work by imagining what other people are thinking / feeling)
  • highly co-ocurring with substance use disorder, depression, anorexia
  • highly co-occurring with antisocial, histrionic, borderline and paranoid pds

Poorest treatment success when co-occurring with antisocial PD

high dropout rates