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Psychiatry5 papers

Narcissistic personality disorder

Last edited: 4/10/2026

Overview

Narcissistic personality disorder (NPD) is characterized by traits such as narcissism, mania, and grandiosity 1. While often discussed in the context of psychopathology, these traits can also be present in individuals who have achieved significant societal success 1.

Diagnosis

  • Key diagnostic criteria include grandiosity, a need for admiration, and a lack of empathy 1.
  • Psychoanalytic literature discusses these traits as aspects of psychopathology 1.

    • Management

  • Psychoanalytic approaches may be used, though analysts may be inclined to overly pathologize these qualities 1.

    • Special Populations

  • No information available in the provided abstracts.

    • Key Recommendations

  • Be aware that traits like narcissism, mania, and grandiosity can be present in individuals with significant societal achievements and may not always represent psychopathology 1.
  • Psychoanalysts should be mindful of potential envy influencing their assessment of patients with wealth and power, which could lead to over-pathologizing these traits 1.

    • References

    1 Hirsch I. Narcissism, mania and analysts' envy. American journal of psychoanalysis 2011. link

    Original source

    1. [1]
      Narcissism, mania and analysts' envy. — Hirsch I American journal of psychoanalysis (2011)
    2. [2]
      Narcissistic dimensions of expert witness practice. — Gutheil TG, Simon RI The journal of the American Academy of Psychiatry and the Law (2005)
    3. [3]
      Envy and admiration. — Sandell R The International journal of psycho-analysis (1993)
    4. [4]
      Self-naming. — Horowitz MJ International journal of psychoanalytic psychotherapy (1982)
    5. [5]
      The organization of the self-representation and its influence on pathology. — Eisnitz AJ The Psychoanalytic quarterly (1980)
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