Narcissistic grandiosity and narcissistic vulnerability in psychotherapy

Aaron L. Pincus, Aidan G.C. Wright, Nicole M. Cain

Research output: Contribution to journalArticle

86 Scopus citations

Abstract

This article briefly summarizes the empirical and clinical literature underlying a contemporary clinical model of pathological narcissism. Unlike the DSM Narcissistic Personality Disorder (NPD), this clinical model identifies and differentiates between two phenotypic themes of dysfunction - narcissistic grandiosity and narcissistic vulnerability - that can be expressed both overtly and covertly in patients' ways of thinking, feeling, behaving, and participating in treatment. Clinical recognition that narcissistic patients can and often do present for psychotherapy in vulnerable states of depression, anxiety, shame, and even suicidality increases the likelihood of accurate diagnosis and effective treatment planning. This article provides case examples derived from psychotherapies with narcissistic patients to demonstrate how narcissistic grandiosity and narcissistic vulnerability concurrently present in patients who seek treatment.

Original languageEnglish (US)
Pages (from-to)439-443
Number of pages5
JournalPersonality Disorders: Theory, Research, and Treatment
Volume5
Issue number4
DOIs
StatePublished - Jan 1 2014

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All Science Journal Classification (ASJC) codes

  • Clinical Psychology
  • Psychiatry and Mental health

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