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Cited by 87Personality Disorders and PsychopathologyPersonality Traits and PsychologyPsychopathy, Forensic Psychiatry, Sexual Offending

Disturbed emotion recognition in patients with narcissistic personality disorder

Marissen, Marlies A.E., Deen, Mathijs L., Franken, Ingmar H.A.·2012·Psychiatry Research
DOI 10.1016/j.psychres.2011.12.042
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Abstract

Although theoretically the lack of empathy is a supposed key symptom of narcissistic personality disorder (NPD), empirical studies examining empathy in NPD are scarce. In the present study it was examined whether patients with NPD differ from healthy controls and a psychiatric control group in their empathic abilities. In order to examine this question, 20 patients with NPD, 20 patients with a personality disorder in the Cluster C spectrum and 20 healthy control participants were presented with a questionnaire and a facial recognition task designed to measure empathic abilities. It was found that patients with NPD did not differ from the two control groups on a self-report questionnaire indicating that patients regard themselves as sensitive to the feelings of others. On the contrary, it was found NPD patients generally performed worse on a facial emotion recognition task compared to both control groups. In addition to this general deficit in emotion recognition, patients with NPD showed a specific deficit for emotions representing fear and disgust. These results provide the first empirical evidence for impaired emotion recognition in patients with NPD.

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Crossref · 10.1016/j.psychres.2011.12.042

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  • NPD is associated with a combination of difficulty recognizing emotional facial expressions, especially fear and disgust, along with hypervigilance toward negative and neutral emotions and a propensity to react with anger.

    “NPD is associated with a combination of difficulty recognizing emotional facial expressions, especially fear and disgust (34), along with hypervigilance toward negative and neutral emotions and a propensity to react with anger (35).”

    From Narcissistic Personality Disorder: Progress in Understanding and Treatment (2022) · cites this paper as [34]

  • Patients with NPD have difficulties with recognition of the emotions of others.

    “Marissen and colleagues [40] found that patients with NPD have difficulties with recognition of the emotions of others, an ability which is usually considered indicative of cognitive empathy.”

    From Symptom severity and mindreading in narcissistic personality disorder. (2018) · cites this paper as [40]

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Authors
Marissen, M. A. E., Deen, M. L., & Franken, I. H. A.
Affiliations
  • PsyQ (NL)
  • Erasmus University Rotterdam (NL)
Corresponding author
Marissen, Marlies A.E.
ORCID
Venue
Psychiatry Research
Publisher
Elsevier BV
Published
2012-07
Volume
198
Issue
2
Pages
269-273
ISSN
0165-1781 (ISSN-L)
DOI
10.1016/j.psychres.2011.12.042
OpenAlex
W2040337583
Cited by
87
References
32
Citations by year
2026: 5 · 2025: 2 · 2024: 2 · 2023: 8 · 2022: 10 · 2021: 7 · 2020: 8 · 2019: 3 · 2018: 4 · 2017: 10 · 2016: 7 · 2015: 3 · 2014: 6 · 2013: 9 · 2012: 2
FWCI
7.26
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Psychiatry Research (publishedVersion)
  • PubMed (publishedVersion)
  • EUR Research Repository (Erasmus University Rotterdam) (submittedVersion)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
  • Social Sciences › Psychology › Clinical Psychology › Personality Traits and Psychology
  • Social Sciences › Psychology › Clinical Psychology › Psychopathy, Forensic Psychiatry, Sexual Offending
Keywords
narcissistic personality disorder, emotion recognition, facial emotion recognition, empathy, fear, disgust, cluster C personality disorders, self-reported empathy
MeSH terms
Adolescent, Adult, Aged, Emotions, Empathy, Facial Expression, Humans, Male, Middle Aged, Personality Disorders, Photic Stimulation, Psychiatric Status Rating Scales, Psychomotor Performance, Case-Control Studies, Recognition, Psychology, Self Report

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