Task 5 Personality disorders Flashcards
DSM 5 Narcissism
- pattern of grandiosity (in fantasy or behavior), need for admiration, lack of empathy, beginning by early adulthood , present in variety of contexts
- > indicated by five (or more):
1) grandiose sense of self-importance
2) fantasies of unlimited success, power, brilliance, beauty, ideal love
3) belief one is special and unique , only understood by high status people
4) requires excessive admiration
5) Sense of entitlement
6) interpersonally exploitative
7) lacks empathy
8) often envious of other / believes others are envious
9) arrogant, haughty behaviors/attitudes
love style narcissists
- ludus
- > game playing
- attention to extradyadic others
- aversion to partner dependence
what does a narcissist seek in a relationship?
- status and self-esteem
- > rating themselves as superior to partner
self love (Narcissism vs self esteem )
- narcissism: bad for loving others
- self esteem: more positive
Role of self esteem and love/relationship
High:
- > less likely to experience manic love
- > Eros ( physical passion, escalating romantic involvement)
- > experience love more passionate
Low:
- love more intensely
- more likely to report unrequited love
- Mania (painful obsession with love object)
Article: social rejection and aggression
- Narcissists:
- > more anger, fewer internalized emotions
- > more likely to blast their rejecters with longer and louder bursts of white noise
- > more willing to use displaced aggression ( opportunity was given to aggress against innocent third party)
-> ‘independence’ of N. may just reflect deep need for social acceptance/dominance
Prevalence
- 1 to 2.2p
- in clinical population: more frequently diagnosed in men
cognitive theory
- people develop unrealistically positive assumptions about self-worth
- > result of indulgence (Nachsicht) and overevaluation by significant others during childhood
-others develop belief that they are unique/exceptional as defense against rejection by important people in their life
psychodynamic theories
?
biological basis NPD
- deficits in PF grey matter volume > affects emotion regulation and empathic processing
- > contributes to self referential processing bias
- sympathetic activation and negative reactions to happy stimuli
- indifference to fearful and sad stimuli
Alexithymia
-inability to identify and describe feelings and differentiate feelings from bodily sensations