Lecture 21: Narcissistic Personality Disorder

Question 2

Narcissistic Personality Disorder

Answer 2

A pervasive pattern of grandiosity (in fantasy or behavior), need for admiration, and lack of empathy, beginning by early adulthood

Question 3

Healthy narcissism

Answer 3

Capacity to maintain positive self regard through achievement, affirmation of others, and self-enhancement

Question 4

Grandiose narcissism (“inflated” narcissism) is characterized by (7)

Answer 4

1. Entitlement
2. Unrealistically positive self-image
3. Typically experienced by others as arrogance
4. Fantasies of unlimited skill, power, knowledge
5. Attitudes of superiority to others
6. Exploitation of others
7. Exhibitionism

Question 5

People with grandiose narcissism often have
1) High/low agreeableness
2) High/low extraversion

Answer 5

1. Low agreeableness
2. High extraversion

Question 6

People with grandiose narcissism often have a _______ attachment style

Answer 6

Dismissive

Question 7

Dismissive attachment style is characterized by (2)

Answer 7

1. Positive view of self
2. Negative view of others

Question 8

People with grandiose narcissism are more/less likely to seek treatment than people with vulnerable narcissism

Answer 8

LESS LIKELY

Question 9

Vulnerable narcissism (“deflated” narcissism) is characterized by (4)

Answer 9

1. Lowered self-esteem
2. Envy
3. Resentment
4. Heightened sensitivity to criticism

Question 10

People with vulnerable narcissism often have
1) Low/High Neuroticism
2) Low/High Agreeableness

Answer 10

1. High neuroticism
2. Low agreeableness

Question 11

People with vulnerable narcissism often have an _____ or ______ attachment style

Answer 11

Anxious/fearful

Question 12

Anxious and fearful attachment style is characterized by (2)

Answer 12

1. Negative view of self
2. Positive OR negative view of others

Question 13

People with a vulnerable narcissism personality are more/less likely to seek treatment than people with grandiose narcissism

Answer 13

MORE LIKELY

Question 14

Defense mechanisms of people with NPD

Answer 14

1. Idealization
2. Devaluation

Question 15

Idealization

Answer 15

An unrealistically positive representations of a person as “all good”

Question 16

Devaluation

Answer 16

An unrealistically negative representation of a person as “all bad”

Question 17

People with narcissistic personality disorder typically have adaptive deficits in (3)

Answer 17

1. Representations
2. Regulation
3. Relationships

Question 18

Adaptive deficits in representations of ____ in NPD (2)

Answer 18

1. Representations of self eg. Self-concept is often idealized
2. Representations of others eg. Others are often idealized or devalued

Question 19

Adaptive deficits in regulation of ______ in NPD (3)

Answer 19

1. Thoughts eg. Preoccupation with status-related thoughts
2. Emotions eg. Anger, envy, shame
3. Behaviors eg. Reactive aggressive

Question 20

Adaptive deficits of relationships with _____ in NPD (2)

Answer 20

1. With strangers: may be interpersonally exploitive
2. With families: may be interpersonally neglectful

Question 21

Etiology of NPD (3)

Answer 21

1. Genetic risks
2. Developmental risks
3. Cultural risks

Question 22

Genetic risks of NPD

Answer 22

Heritability estimates range between 45%-80%

Question 23

Developmental risks of NPD: Parents/caregivers who exploit their child by excessively using them to _________ ______ ____ ____ ______

Answer 23

Augment their own self esteem

Question 24

In cases where parents/caregivers exploit their child by excessively using them to augment their own self esteem, they often make (3) excessively dependent on the child’s achievements

Answer 24

1. Attention
2. Approval
3. Affection

Question 25

Result of mistreatment from parents is child receives the message that they have little ______ _____ and therefore end up believing that their value is contingent on ____ ____ ____ rather than _____ ____ ____

Answer 25

Little intrinsic value What they do > who they are

Question 26

Some cultures are more preoccupied with status than others eg. The _____ is a highly narcissistic culture where status and achievement are frequently pursued to a pathological degree

Answer 26

US

Question 27

Treatment of NPD (2)

Answer 27

1. Medication for co-morbidities eg. Anxieties/depression 2. Insight oriented therapy

Question 28

(Insight-oriented therapy) Characterological transformation is difficult for NPD patients but possible provided that it is _________. It requires _______ and ____-term_______ to the differentiation of the “true self” from the “false self”

Answer 28

Motivated Consistent and long-term commitment

Question 29

True self

Answer 29

1. Self-concept 2. Self Image 3. Self esteeem That are reality based with a realistic mixture of good/bad desirable and undesirable

Question 30

False self

Answer 30

1. Self concept 2. Self image 3. Self esteem That are fantasy-based with unrealistic idealization of self/select others, and sometimes and unrealistic devaluation of select others

Question 31

Once true and false selves are differentiated, people with NPD can develop their true self through:

Answer 31

Real relationships with others! Starting with 1. Therapist 2. Friends 3. Family 4. Romantic partners

Question 32

After differentiation true and false selves and developing true self through social relationships there is a decrease in (2)

Answer 32

1. Negative emotions eg. Anger, envy, and shame 2. Behaviors eg. Reactive aggressive, compulsive status seeking