Initial construction and validation of the Pathological Narcissism Inventory.
Abstract
The construct of narcissism is inconsistently defined across clinical theory, social-personality psychology, and psychiatric diagnosis. Two problems were identified that impede integration of research and clinical findings regarding narcissistic personality pathology: (a) ambiguity regarding the assessment of pathological narcissism vs. normal narcissism and (b) insufficient scope of existing narcissism measures. Four studies are presented documenting the initial derivation and validation of the Pathological Narcissism Inventory (PNI). The PNI is a 52-item self-report measure assessing 7 dimensions of pathological narcissism spanning problems with narcissistic grandiosity (Entitlement Rage, Exploitativeness, Grandiose Fantasy, Self-sacrificing Self-enhancement) and narcissistic vulnerability (Contingent Self-esteem, Hiding the Self, Devaluing). The PNI structure was validated via confirmatory factor analysis. The PNI correlated negatively with self-esteem and empathy, and positively with shame, interpersonal distress, aggression, and borderline personality organization. Grandiose PNI scales were associated with vindictive, domineering, intrusive, and overly-nurturant interpersonal problems, and vulnerable PNI scales were associated with cold, socially avoidant, and exploitable interpersonal problems. In a small clinical sample, PNI scales exhibited significant associations with parasuicidal behavior, suicide attempts, homicidal ideation, and several aspects of psychotherapy utilization.
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Significant associations between narcissistic features and identity instability have been established, with narcissism being linked with inflated but unstable representations of self.
“More recently, significant associations between narcissistic features and identity instability have also been established, with narcissism being linked with inflated but unstable representations of self [19, 22, 65, 71].”
From “It’s not you, it’s me”: identity disturbance as the main contributor to interpersonal problems in pathological narcissism (2023) · cites this paper as [65]
The PNI captures narcissistic vulnerability in three factors: contingent self-esteem, devaluing, and hiding the self.
“Pincus, Ansell [13] developed the Pathological Narcissism Inventory (PNI) to capture this narcissistic vulnerability in three factors.”
From Living with pathological narcissism: a qualitative study (2020) · cites this paper as [13]
In narcissistic personality disorder, hypersensitivity to the evaluations of others and fluctuation in self-esteem between grandiose and depleted states are associated with an increased risk of both suicidal and non-suicidal self-injury.
“In narcissistic personality disorder, there is frequently a hypersensitivity to the evaluations of others and a fluctuation in the self-esteem between grandiose and depleted states, depending on life circumstances [16, 17]; these are personality features associated with an increased risk of both suicidal and non-suicidal self-injury [18, 19].”
From Euthanasia and assisted suicide in patients with personality disorders: a review of current practice and challenges (2020) · cites this paper as [18]
Grandiose and vulnerable aspects are intrinsically correlated in the PNI.
“For instance, grandiose and vulnerable aspects are intrinsically correlated in the PNI (Pincus et al., 2009)”
From The Relationship between Grandiose and Vulnerable (Hypersensitive) Narcissism (2017) · cites this paper as Pincus et al., 2009
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- Authors
- Pincus, A. L., Ansell, E. B., Pimentel, C. A., Cain, N. M., Wright, A. G. C., & Levy, K. N.
- Affiliations
- Pennsylvania State University (US)
- Yale University (US)
- Venue
- Psychological Assessment
- Published
- 2009-09
- Volume
- 21
- Issue
- 3
- Pages
- 365-379
- ISSN
- 1040-3590 (ISSN-L)
- 1939-134X
- OpenAlex
- W2049518862
- Cited by
- 1,334
- References
- 100
- Citations by year
- 2026: 89 · 2025: 84 · 2024: 92 · 2023: 86 · 2022: 86 · 2021: 107 · 2020: 136 · 2019: 98 · 2018: 117 · 2017: 72 · 2016: 87 · 2015: 70 · 2014: 49 · 2013: 48 · 2012: 41
- FWCI
- 38.99
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychological Assessment (publishedVersion)
- PubMed (publishedVersion)
- Rutgers University Community Repository (Rutgers University) (submittedVersion)
- Funders
- Pennsylvania State University
- Topics
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Social Sciences › Psychology › Clinical Psychology › Personality Traits and Psychology
- Social Sciences › Psychology › Clinical Psychology › Psychoanalysis and Psychopathology Research
- Keywords
- Pathological Narcissism Inventory, pathological narcissism, narcissistic personality disorder, narcissistic grandiosity, narcissistic vulnerability, self-esteem, empathy, shame, aggression, borderline personality organization, parasuicide, suicide attempts, homicidal ideation, psychotherapy utilization, self-report measure development
- MeSH terms
- Adult, Aggression, Empathy, Female, Humans, Interpersonal Relations, Male, Narcissism, Personality Disorders, Personality Inventory, Psychotherapy, Self-Assessment, Self Concept, Self Disclosure, Shame, Social Behavior, Students, Reproducibility of Results, Principal Component Analysis, Young Adult
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