Task 5 Personality disorders

Question 1

DSM 5 Narcissism

Answer 1

• 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

Question 2

love style narcissists

Answer 2

• ludus
• > game playing
• attention to extradyadic others
• aversion to partner dependence

Question 3

what does a narcissist seek in a relationship?

Answer 3

• status and self-esteem

- > rating themselves as superior to partner

Question 4

self love (Narcissism vs self esteem )

Answer 4

• narcissism: bad for loving others

- self esteem: more positive

Question 5

Role of self esteem and love/relationship

Answer 5

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)

Question 6

Article: social rejection and aggression

Answer 6

• 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

Question 7

Prevalence

Answer 7

• 1 to 2.2p

- in clinical population: more frequently diagnosed in men

Question 8

cognitive theory

Answer 8

• 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

Question 9

psychodynamic theories

Answer 9

?

Question 10

biological basis NPD

Answer 10

• 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

Question 11

Alexithymia

Answer 11

-inability to identify and describe feelings and differentiate feelings from bodily sensations