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      Malignant Self-Regard : A Self-Structure Enhancing the Understanding of Masochistic, Depressive, and Vulnerably Narcissistic Personalities

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      Publication date (Print):
      Journal: Harvard Review of Psychiatry
      Publisher: Ovid Technologies (Wolters Kluwer Health)

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          Abstract

          Several personality disorders have been prominent in the clinical literature but have been inadequately recognized in the diagnostic manuals. This group includes masochistic, self-defeating, depressive, and vulnerably narcissistic personality disorders. The theoretical and empirical relationship of these disorders is reviewed. It is proposed that the construct of malignant self-regard may account for the similarities among them. The construct describes these personality types as being fundamentally related through problematic manifestations of self-structure. The article discusses the diagnostic value of such a construct and the implications of a psychodynamically informed framework for classifying personality pathology.

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          The Dark Triad of personality: Narcissism, Machiavellianism, and psychopathy

          Delroy Paulhus, Kevin M Williams (2002)
          Article 0 comments Cited 951 times – based on 0 reviews     Review now
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            Pathological narcissism and narcissistic personality disorder.

            Aaron Pincus, Mark Lukowitsky (2010)
            We review the literature on pathological narcissism and narcissistic personality disorder (NPD) and describe a significant criterion problem related to four inconsistencies in phenotypic descriptions and taxonomic models across clinical theory, research, and practice; psychiatric diagnosis; and social/personality psychology. This impedes scientific synthesis, weakens narcissism's nomological net, and contributes to a discrepancy between low prevalence rates of NPD and higher rates of practitioner-diagnosed pathological narcissism, along with an enormous clinical literature on narcissistic disturbances. Criterion issues must be resolved, including clarification of the nature of normal and pathological narcissism, incorporation of the two broad phenotypic themes of narcissistic grandiosity and narcissistic vulnerability into revised diagnostic criteria and assessment instruments, elimination of references to overt and covert narcissism that reify these modes of expression as distinct narcissistic types, and determination of the appropriate structure for pathological narcissism. Implications for the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders and the science of personality disorders are presented.
            Article 0 comments Cited 147 times – based on 0 reviews     Review now
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              Proposed changes in personality and personality disorder assessment and diagnosis for DSM-5 Part I: Description and rationale.

              Roel Verheul, Neil J. Oldham, D Bender … (2010)
              A major reconceptualization of personality psychopathology has been proposed for DSM-5 that identifies core impairments in personality functioning, pathological personality traits, and prominent pathological personality types. A comprehensive personality assessment consists of four components: levels of personality functioning, personality disorder types, pathological personality trait domains and facets, and general criteria for personality disorder. This four-part assessment focuses attention on identifying personality psychopathology with increasing degrees of specificity, based on a clinician's available time, information, and expertise. In Part I of this two-part article, we describe the components of the new model and present brief theoretical and empirical rationales for each. In Part II, we will illustrate the clinical application of the model with vignettes of patients with varying degrees of personality psychopathology, to show how assessments might be conducted and diagnoses reached.
              Article 0 comments Cited 51 times – based on 0 reviews     Review now
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                Author and article information

                Journal
                Title: Harvard Review of Psychiatry
                Abbreviated Title: Harvard Review of Psychiatry
                Publisher: Ovid Technologies (Wolters Kluwer Health)
                ISSN (Print): 1067-3229
                Publication date Created: 2014
                Publication date (Print): 2014
                Volume: 22
                Issue: 5
                Pages: 295-305
                Article
                DOI: 10.1097/HRP.0000000000000019
                PubMed ID: 25126762
                SO-VID: a2facaec-521d-4a83-a565-2bfda9784f4a
                Copyright © © 2014
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