What Is Narcissistic Personality Disorder? Lay Theories of Narcissism — Oak Academic Publishing
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What Is Narcissistic Personality Disorder? Lay Theories of Narcissism
Research Department of Clinical, Educational and Health Psychology, University College London, London, UK
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1Research Department of Clinical, Educational and Health Psychology, University College London, London, UK 2Norwegian Business School (BI), Olso, Norway
1 Research Department of Clinical, Educational and Health Psychology, University College London, London, UK
2 1Research Department of Clinical, Educational and Health Psychology, University College London, London, UK 2Norwegian Business School (BI), Olso, Norway
There are various studies on mental health literacy which examine lay people’s knowledge and understanding of various mental disorders. Many are interested in beliefs about cause, manifestation and cure as well as the relationship between those beliefs. This study examines lay beliefs regarding the manifestations, aetiology and treatment of Narcissistic Personality Disorder (NPD), and their determinants using a questionnaire divided into three parts. Participants (N = 201) answered 45 attitudinal statements designed for this study regarding NPD. They consisted of 18 manifestation items, 15 aetiology items and 12 treatment items referring to NPD. They also completed the Narcissistic Personality Inventory. Each section of the questionnaire was factor analysed to determine the structure of those beliefs. Factors derived from a principle component analysis of lay beliefs demonstrate poor knowledge of NPD. Factors derived from the manifestations, aetiology and treatment section were modestly and coherently correlated. No demographic factors correlated with all aspects of mental health literacy and lay theories. People are surprisingly misinformed about NPD. They believed that narcissists manifested superficiality and social problems, business abilities and fragility. No distinction was made between biological and psychological causes or genetics and early negative events. Inability to identify NPD may account for many reports of sub-clinical narcissism being associated with leadership derailment.
KeywordsNarcissismMental Health LiteracyAetiologyTreatment
Adler, G. (1986). Psychotherapy of the Narcissistic Personality Disorder Patient. American Journal of Psychiatry, 143, 430-436.
American Psychiatric Association (1994). Diagnostic and Statistical Manual of Mental Disorders (4th ed.). Washington DC: American Psychiatric Association.
Ames, D. R., Rose, P., & Anderson, C. P. (2006). The NPI-16 as a Short Measure of Narcissism. Journal of Research in Personality, 40, 440-450. http://dx.doi.org/10.1016/j.jrp.2005.03.002
Cain, N. M., Pincus, A. L., & Ansell, E. B. (2008). Narcissism at the Crossroads: Phenotypic Description of Pathological Narcissism across Clinical Theory, Social/Personality Psychology, and Psychiatric Diagnosis. Clinical Psychology Review, 28, 638-656. http://dx.doi.org/10.1016/j.cpr.2007.09.006
Campbell, W. K., & Miller, J. D. (2011). The Handbook of Narcissism and Narcissistic Personality Disorder: Theoretical Approaches, Empirical Findings and Treatments. New Jersey: John Wiley and Sons.
Cattell, R. B. (1966). The Scree Test for the Number of Factors. Multivariate Behavioural Research, 1, 245-276. http://dx.doi.org/10.1207/s15327906mbr0102_10
Comrey, A. L., & Lee, H. B. (1992). A First Course in Factor Analysis. New Jersey: Lawrence Erlbaum Associates.
Cooper, A. M., & Ronningstam, E. (1992). Narcissistic Personality Disorder. In A. Tasman, & M. Riba (Eds.), Disorders of Narcissism: Diagnostic, Clinical, and Empirical Implications (pp. 53-74). Washington DC: American Psychiatric Press.
Costa Jr., P. T., & McCrae, R. R. (1994). Set Like Plaster? Evidence for the Stability of Adult Personality. In T. Heatherton, & J. Weinberger (Eds.), Can Personality Change? (pp. 21-40). Washington DC: American Psychological Association. http://dx.doi.org/10.1037/10143-002
DeWall, C. N., Buffardi, L. E., Bonser, I., & Campbell, W. K. (2011). Narcissism and Implicit Attention Seeking: Evidence from Linguistic Analyses of Social Networking and Online Presentation. Personality and Individual Differences, 51, 57-62. http://dx.doi.org/10.1016/j.paid.2011.03.011
Dickinson, K. A., & Pincus, A. L. (2003). Interpersonal Analysis of Grandiose and Vulnerable Narcissism. Journal of Personality Disorder, 17, 188-207. http://dx.doi.org/10.1521/pedi.17.3.188.22146
Dunn, J., & Plomin, R. (1990). Separate Lives: Why Siblings Are so Different. New York: Basic Books.
Fisher, L. J., & Goldney, R. D. (2003). Differences in Community Mental Health Literacy in Older and Younger Australians. International Journal of Geriatric Psychiatry, 18, 33-40. http://dx.doi.org/10.1002/gps.769
Furnham, A., Abajian, N., & McClelland, A. (2011). Psychiatric Literacy and Personality Disorders. Psychiatry Research, 189, 110-114. http://dx.doi.org/10.1016/j.psychres.2011.02.024
Furnham, A., Daoud, J., & Swami, V. (2009). How to Spot a Psychopath. Social Psychiatry and Psychiatric Epidemiology, 44, 464-472. http://dx.doi.org/10.1007/s00127-008-0459-1
Furnham, A., Kirby, V., & McClelland, A. (2011). Non Experts Understanding of Three Major Personality Disorders. Personality and Mental Health, 5, 43-56. http://dx.doi.org/10.1002/pmh.150
Harman, M. J., & Waldo, M. (2004). Relationship Enhancement Family Therapy with Narcissistic Personality Disorder. In M. MacFarland (Ed.), Family Treatment of Personality Disorders (pp. 335-359). Philadelphia: Haworth Press.
Kernberg, O. F. (1975). Borderline Conditions and Pathological Narcissism. New York: Aronson.
Kernberg, O. F. (2010). Narcissistic Personality Disorder. In J. F. Clarkin, P. Fonagy, & G. O. Gabbard (Eds.), Psychodynamic Therapy for Personality Disorders. A Clinical Handbook (pp. 257-287). Arlington: American Psychiatric Publishing.
Kline, P. (1986). Handbook of Test Construction. London: Routledge and Kegan Paul.
Koerner, K., Kohlenberg, R. J., & Parker, C. R. (1996). Diagnosis of Personality Disorder: A Radical Behavioural Alternative. Journal of Consulting and Clinical Psychology, 64, 1169-1176. http://dx.doi.org/10.1037/0022-006X.64.6.1169
Kohut, H. (1971). An Analysis of the Self: A Systematic Approach to the Psychoanalytic Treatment of Narcissistic Personality Disorder. Chicago: University of Chicago Press.
Kohut, H. (1977). The Restoration of the Self. Madinson: International Universities Press.
Lasch, C. (1978). The Culture of Narcissism: American Life in an Age of Diminishing Expectations. New York: Norton.
Lauber, C., Carlos, N., & Wulf, R. (2005). Lay Beliefs about Treatment for People with Mental Illness and Their Implications for Antistigma Strategies. Canadian Journal of Psychiatry, 50, 745-752.
Link, B. G., Phelan, J. C., Bresnaham, M., Stueve, A., & Pescosolido, B. A. (1999). Public Conceptions of Mental Illness: Labels, Causes, Dangerousness, and Social Distance. American Journal of Public Health, 89, 1328-1333. http://dx.doi.org/10.2105/AJPH.89.9.1328
Miller, J. D., Hoffman, B. J., Gaughan, E. T., Gentile, B., Maples, J., & Campbell, K. W. (2011). Grandiose and Vulnerable Narcissism: A Nomological Network Analysis. Journal of Personality, 79, 1013-1042. http://dx.doi.org/10.1111/j.1467-6494.2010.00711.x
Miller, J. D., Widiger, T. A., & Campbell, W. K. (2010). Narcissistic Personality Disorder and the DSM-5. Journal of Abnormal Psychology, 119, 640-649. http://dx.doi.org/10.1037/a0019529
Oldham, J. M., & Morris, L. B. (1995). New Personality Self Portrait. New York: Bantam Book.
Otway, L. J., & Vignoles, V. L. (2006). Narcissism and Childhood Recollections: A Quantitative Test of Psychoanalytic Predictions. Personality and Social Psychology Bulletin, 32, 104-116. http://dx.doi.org/10.1177/0146167205279907
Paris, J. (1996). Social Factors in the Personality Disorders: A Biopsychosocial Approach to Aetiology and Treatment. New York: Cambridge University Press. http://dx.doi.org/10.1017/CBO9780511722165
Pincus, A. L., & Lukowitsky, M. R. (2010). Pathological Narcissism and Narcissistic Personality Disorder. Annual Review of Clinical Psychology, 6, 421-446. http://dx.doi.org/10.1146/annurev.clinpsy.121208.131215
Ritter, K., Dziobek, I., Preisler, S., Ruter, A., Vater, A., Fydrich, T., Lammers, C. H., Heekeran, H. R., & Roepke, S. (2011). Lack of Empathy in Patients with Narcissistic Personality Disorder. Psychiatry Research, 187, 241-247. http://dx.doi.org/10.1016/j.psychres.2010.09.013
Ronningstam, E. (2011). Narcissistic Personality Disorder in DSM-V—In Support of Retaining a Significant Diagnosis. Journal of Personality Disorders, 25, 248-259. http://dx.doi.org/10.1521/pedi.2011.25.2.248
Ronningstam, E., & Gunderson, J. (1991). Differentiating Borderline Personality Disorder from Narcissistic Personality Disorder. Journal of Personality Disorder, 5, 225-232. http://dx.doi.org/10.1521/pedi.1991.5.3.225
Ronningstam, E., & Gunderson, J. G. (1990). Identifying Criteria for Narcissistic Personality Disorder. American Journal of Psychiatry, 147, 918-922.
Rose, P. (2001). The Happy and Unhappy Faces of Narcissism. Personality and Individual Differences, 33, 379-391. http://dx.doi.org/10.1016/S0191-8869(01)00162-3
Rothbart, M. K. (1991). Temperament: A Developmental Framework. Explorations in Temperament. New York: Plenum Press.
Rutter, M., & Quinton, D. (1984). Long-Term Follow-Up of Women Institutionalized in Childhood: Factors Promoting Good Functioning in Adult Life. British Journal of Developmental Psychology, 18, 225-234.
Stinson, F. S., Dawson, D. A., Goldstein, R. B., Chou, S. P., Huang, B., Smith, S. M. et al. (2008). Prevalence, Correlates, Disability, and Comorbidity of DSM-IV Narcissistic Personality Disorder: Results from the Wave 2 National Epidemiologic Survey on Alcohol and Related Conditions. Journal of Clinical Psychiatry, 69, 1033-1045. http://dx.doi.org/10.4088/JCP.v69n0701
Tabachnick, B. G., & Fidell, L. S. (2001). Using Multivariate Statistics (4th ed.). New York: HarperCollins.
Thomaes, S., & Bushman, B. J. (2011). Mirror Mirror on the Wall, Who’s the Most Aggressive of Them All? Narcissism, Self-Esteem, and Aggression. Self Views and Aggression, 1-25.
Thompson, A. E., Hunt, C., & Issakidis, C. (2004). Why Wait? Reasons for Delay and Prompts to Seek Help for Mental Health Problems in an Australian Clinical Sample. Social Psychiatry and Psychiatric Epidemiology, 39, 810-817.
Turner, R. M. (1994). Borderline, Narcissistic, and Histrionic Personality Disorders. In M. Hersen, & R. T. Ammerman (Eds.), Handbook for Prescriptive Treatments for Adults (pp. 393-420). New York: Plenum.
Twenge, J., & Campbell, K. (2009). The Narcissism Epidemic Living in the Age of Entitlement. New York: Free Press.
Wang, J. L., Adair, C., Fick, G., Lai, D., Perry, B., Jorm, A. F., & Addington, D. (2007). Depression Literacy in Alberta: Findings from a General Population Sample. Canadian Journal of Psychiatry, 52, 442-449.
Widiger, T. A., Simonsen, E., Krueger, R., Livesley, W. J., & Verheul, R. (2009). Personality Disorder Research Agenda for the DSM-V. Journal of Personality Disorders, 19, 315-338. http://dx.doi.org/10.1521/pedi.2005.19.3.315
Wink, P. (1991). Two Faces of Narcissism. Journal of Personality and Social Psychology, 61, 590-597. http://dx.doi.org/10.1037/0022-3514.61.4.590