Grandiose and Vulnerable Narcissism and the DSM–5 Pathological Personality Trait Model
Abstract
The Diagnostic and Statistical Manual of Personality Disorders (4th ed., American Psychiatric Association, 2000) personality disorders (PDs) that will be included in the DSM-5 will be diagnosed in an entirely different manner; the explicit criterion sets will be replaced with impairments in self and interpersonal functioning and personality traits from a 25-trait dimensional model of personality pathology. From a trait perspective, narcissistic personality disorder (NPD), the focus of this study, is assessed using 2 specific traits: grandiosity and attention seeking. Using a sample collected online from Amazon's Mechanical Turk (MTurk; N=306), we examined the relations among traits from a new measure of DSM-5's trait model--the Personality Inventory for DSM-5 (PID5; Krueger, Derringer, Markon, Watson, & Skodol, in press)--and grandiose and vulnerable narcissism. The 25 traits from PID5 captured a significant portion of the variance in grandiose and vulnerable factors, although the 2 specific facets designated for the assessment of NPD fared substantially better in the assessment of grandiose rather than vulnerable narcissism. These results are discussed in the context of improving the DSM-5's ability to capture both narcissism dimensions.
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Both grandiose and vulnerable manifestations of narcissism are characterized by entitlement-a belief that one is deserving of special benefits and attention.
“Both manifestations are characterized by entitlement—a belief that one is deserving of special benefits and attention (7).”
From Narcissistic Personality Disorder: Progress in Understanding and Treatment (2022) · cites this paper as [7]
Cites
Diagnostic and Statistical Manual of Mental Disorders
Williams, J. B. W., & First, M. B. (2013) · Oxford University Press eBooks · doi:10.1093/acrefore/9780199975839.013.104 · Cited by 109,841 · see citing works
Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision (DSM-IV-TR)
American Psychiatric Association (2000) · doi:10.1176/appi.books.9780890423349 · Cited by 11,069 · see citing works
Amazon's Mechanical Turk: A New Source of Inexpensive, Yet High-Quality, Data?
Buhrmester, M., Kwang, T., & Gosling, S. D. (2011) · Perspectives on Psychological Science · doi:10.1177/1745691610393980 · Cited by 9,996 · see citing works
A Rationale and Test for the Number of Factors in Factor Analysis
Horn, J. L. (1965) · Psychometrika · doi:10.1007/bf02289447 · Cited by 8,965 · see citing works
(1997) · American Psychiatric Press eBooks · Cited by 3,056 · see citing works
Raskin, R. N., & Terry, H. (1988) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.54.5.890 · Cited by 2,509 · see citing works
Determining the number of components from the matrix of partial correlations
Velicer, W. F. (1976) · Psychometrika · doi:10.1007/bf02293557 · Cited by 2,438 · see citing works
Raskin, R., & Terry, H. (1988) · Journal of Personality and Social Psychology · doi:10.1037//0022-3514.54.5.890 · Cited by 2,267 · see citing works
Unraveling the Paradoxes of Narcissism: A Dynamic Self-Regulatory Processing Model
Morf, C. C., & Rhodewalt, F. (2001) · Psychological Inquiry · doi:10.1207/s15327965pli1204_1 · Cited by 2,215 · see citing works
Initial construction of a maladaptive personality trait model and inventory for DSM-5
Krueger, R. F., Derringer, J., Markon, K. E., Watson, D., & Skodol, A. E. (2012) · Psychological Medicine · doi:10.1017/s0033291711002674 · Cited by 1,908 · see citing works
Initial construction and validation of the Pathological Narcissism Inventory.
Pincus, A. L., Ansell, E. B., Pimentel, C. A., Cain, N. M., Wright, A. G. C., & Levy, K. N. (2009) · Psychological Assessment · doi:10.1037/a0016530 · Cited by 1,334 · see citing works
Psychological Entitlement: Interpersonal Consequences and Validation of a Self-Report Measure
Campbell, W. K., Bonacci, A. M., Shelton, J. A., Exline, J. J., & Bushman, B. J. (2004) · Journal of Personality Assessment · doi:10.1207/s15327752jpa8301_04 · Cited by 1,279 · see citing works
Self-citationWink, P. (1991) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.61.4.590 · Cited by 1,107 · cited 2× · see citing works
“, abuse); attachment styles; personality traits from self-report, informant report, and thin-slice perspectives; psychopathology; self-esteem; engagement in externalizing behaviors; and utilization of clinical resources (Campbell & Miller, in press; Dickinson & Pincus, 2003; Miller, Dir, et al., 2010; Miller et al., 2…”
BackgroundPathological narcissism and narcissistic personality disorder
Pincus, A. L., & Lukowitsky, M. R. (2010) · Annual Review of Clinical Psychology · doi:10.1146/annurev.clinpsy.121208.131215 · Cited by 1,082 · cited 3× · see citing works
“As with the DSM–IV (Fossati et al., 2005; Miller et al., 2008 Pincus & Lukowitsky, 2010), the assessment of NPD in DSM–5 places greater attention and emphasis on the assessment and diagnosis of problems related to narcissistic grandiosity rather than narcissistic vulnerability.”
BackgroundMethodSamuel, D. B., & Widiger, T. A. (2008) · Clinical Psychology Review · doi:10.1016/j.cpr.2008.07.002 · Cited by 1,018 · see citing works
Grandiose and Vulnerable Narcissism: A Nomological Network Analysis: Variants of Narcissism
Miller, J. D., Hoffman, B. J., Gaughan, E. T., Gentile, B., Maples, J., & Keith Campbell, W. (2011) · Journal of Personality · doi:10.1111/j.1467-6494.2010.00711.x · Cited by 990 · see citing works
The five-factor model and personality disorder empirical literature: A meta-analytic review
Saulsman, L. M., & Page, A. C. (2004) · Clinical Psychology Review · doi:10.1016/j.cpr.2002.09.001 · Cited by 915 · see citing works
Journal of Abnormal Psychology.
Hunt, H. F., & Thetford, W. N. (1965) · American Psychologist · doi:10.1037/h0021467 · Cited by 898 · see citing works
Cain, N. M., Pincus, A. L., & Ansell, E. B. (2008) · Clinical Psychology Review · doi:10.1016/j.cpr.2007.09.006 · Cited by 876 · see citing works
What Does the Narcissistic Personality Inventory Really Measure?
Ackerman, R. A., Witt, E. A., Donnellan, M. B., Trzesniewski, K. H., Robins, R. W., & Kashy, D. A. (2010) · Assessment · doi:10.1177/1073191110382845 · Cited by 871 · see citing works
Assessing Hypersensitive Narcissism: A Reexamination of Murray's Narcism Scale
Hendin, H. M., & Cheek, J. M. (1997) · Journal of Research in Personality · doi:10.1006/jrpe.1997.2204 · Cited by 851 · see citing works
Interpersonal Analysis of Grandiose and Vulnerable Narcissism
Dickinson, K. A., & Pincus, A. L. (2003) · Journal of Personality Disorders · doi:10.1521/pedi.17.3.188.22146 · Cited by 759 · see citing works
Lynam, D. R., & Widiger, T. A. (2001) · Journal of Abnormal Psychology · doi:10.1037/0021-843x.110.3.401 · Cited by 688 · see citing works
Bender, D. S., Morey, L. C., & Skodol, A. E. (2011) · Journal of Personality Assessment · doi:10.1080/00223891.2011.583808 · Cited by 631 · see citing works
The Handbook of Narcissism and Narcissistic Personality Disorder
Campbell, W. K., & Miller, J. D. (2011) · Wiley eBooks · doi:10.1002/9781118093108 · Cited by 622 · see citing works
Self-citationMiller, J. D., Dir, A., Gentile, B., Wilson, L., Pryor, L. R., & Campbell, W. K. (2010) · Journal of Personality · doi:10.1111/j.1467-6494.2010.00660.x · Cited by 530 · see citing works
Personality disorders and the five-factor model of personality (2nd ed.).
(2002) · American Psychological Association eBooks · doi:10.1037/10423-000 · Cited by 414 · see citing works
The Five-Factor Narcissism Inventory: A Five-Factor Measure of Narcissistic Personality Traits
Glover, N., Miller, J. D., Lynam, D. R., Crego, C., & Widiger, T. A. (2012) · Journal of Personality Assessment · doi:10.1080/00223891.2012.670680 · Cited by 393 · see citing works
Self-citationDSM-5 personality traits and DSM–IV personality disorders.
Hopwood, C. J., Thomas, K. M., Markon, K. E., Wright, A. G. C., & Krueger, R. F. (2012) · Journal of Abnormal Psychology · doi:10.1037/a0026656 · Cited by 309 · see citing works
Refining the Construct of Narcissistic Personality Disorder: Diagnostic Criteria and Subtypes
Russ, E., Shedler, J., Bradley, R., & Westen, D. (2008) · American Journal of Psychiatry · doi:10.1176/appi.ajp.2008.07030376 · Cited by 272 · see citing works
Morey, L. C., Berghuis, H., Bender, D. S., Verheul, R., Krueger, R. F., & Skodol, A. E. (2011) · Journal of Personality Assessment · doi:10.1080/00223891.2011.577853 · Cited by 270 · see citing works
Personality Diagnostic Questionnaire-4+
HYLER, S. E. (1994) · PsycTESTS Dataset · doi:10.1037/t07759-000 · Cited by 233 · see citing works
Narcissistic Personality Disorder: Facing DSM-V
Ronningstam, E. (2009) · Psychiatric Annals · doi:10.3928/00485713-20090301-09 · Cited by 226 · cited 3× · see citing works
“…scholars on narcissism argue that narcissistic vulnerability is a fundamental part of the disorder (Morf & Rhodewalt, 2001; Pincus & Lukowitsky, 2010; Ronningstam, 2009), and (b) data exist to suggest that a fragile or vulnerable “cluster” of individuals with NPD can be found (i.e., Russ, Shedler,…”
BackgroundNarcissistic personality disorder and the DSM-V.
Miller, J. D., Widiger, T. A., & Campbell, W. K. (2010) · Journal of Abnormal Psychology · doi:10.1037/a0019529 · Cited by 225 · see citing works
Self-citationClinicians' Personality Descriptions of Prototypic Personality Disorders
Samuel, D. B., & Widiger, T. A. (2004) · Journal of Personality Disorders · doi:10.1521/pedi.18.3.286.35446 · Cited by 192 · see citing works
A Note on Some Measures of Profile Agreement
McCrae, R. R. (2008) · Journal of Personality Assessment · doi:10.1080/00223890701845104 · Cited by 187 · see citing works
Personality disorders and the five-factor model of personality (3rd ed.).
(2012) · American Psychological Association eBooks · doi:10.1037/13939-000 · Cited by 156 · see citing works
Miller, J. D., & Campbell, W. K. (2010) · Personality Disorders Theory Research and Treatment · doi:10.1037/a0018229 · Cited by 138 · see citing works
Self-citationMiller, J. D., & Maples, J. L. (2011) · doi:10.1002/9781118093108.ch7 · Cited by 132 · see citing works
Self-citationMiller, J. D., Price, J., & Campbell, W. K. (2011) · Assessment · doi:10.1177/1073191111429390 · Cited by 127 · see citing works
Self-citationFossati, A., Beauchaine, T. P., Grazioli, F., Carretta, I., Cortinovis, F., & Maffei, C. (2005) · Comprehensive Psychiatry · doi:10.1016/j.comppsych.2004.11.006 · Cited by 97 · see citing works
Campbell, W. K., & Miller, J. D. (2012) · Personality disorders and the five-factor model of personality (3rd ed.). · doi:10.1037/13939-009 · Cited by 89 · see citing works
Self-citationMiller, J. D., Hoffman, B. J., Campbell, W. K., & Pilkonis, P. A. (2008) · Comprehensive Psychiatry · doi:10.1016/j.comppsych.2007.08.012 · Cited by 74 · see citing works
Self-citationReview of Handbook of narcissism and narcissistic personality disorder.
Larochelle, S. (2012) · Canadian Psychology/Psychologie canadienne · doi:10.1037/a0026800 · Cited by 13 · see citing works
(1893) · BMJ · doi:10.1136/bmj.2.1705.542 · Cited by 6 · see citing works
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Miller, J. D., Lynam, D. R., Hyatt, C. S., & Campbell, W. K. (2017) · Annual Review of Clinical Psychology · doi:10.1146/annurev-clinpsy-032816-045244 · Cited by 572 · see citing works
Self-citationAl-Dajani, N., Gralnick, T. M., & Bagby, R. M. (2016) · Journal of Personality Assessment · doi:10.1080/00223891.2015.1107572 · Cited by 303 · see citing works
Narcissistic grandiosity and narcissistic vulnerability in psychotherapy.
Pincus, A. L., Cain, N. M., & Wright, A. G. C. (2014) · Personality Disorders: Theory, Research, and Treatment · doi:10.1037/per0000031 · Cited by 267 · see citing works
Krizan, Z., & Johar, O. (2015) · Journal of Personality and Social Psychology · doi:10.1037/pspp0000013 · Cited by 234 · see citing works
Moor, L., & Anderson, J. R. (2019) · Personality and Individual Differences · doi:10.1016/j.paid.2019.02.027 · Cited by 231 · see citing works
Mapping of Crowdsourcing in Health: Systematic Review
Créquit, P., Mansouri, G., Benchoufi, M., Vivot, A., & Ravaud, P. (2018) · Journal of Medical Internet Research · doi:10.2196/jmir.9330 · Cited by 135 · see citing works
Narcissistic personality disorder in DSM-5.
Skodol, A. E., Bender, D. S., & Morey, L. C. (2014) · Personality Disorders: Theory, Research, and Treatment · doi:10.1037/per0000023 · Cited by 83 · see citing works
Narcissistic Personality Disorder: Progress in Understanding and Treatment
Weinberg, I., & Ronningstam, E. (2022) · Focus · doi:10.1176/appi.focus.20220052 · Cited by 59 · see citing works
Predicting problematic alcohol use with the DSM–5 alternative model of personality pathology.
Creswell, K. G., Bachrach, R. L., Wright, A. G. C., Pinto, A., & Ansell, E. (2016) · Personality Disorders: Theory, Research, and Treatment · doi:10.1037/per0000131 · Cited by 56 · see citing works
Cheek, J., Kealy, D., Joyce, A., & Ogrodniczuk, J. (2018) · Archives of Psychiatry and Psychotherapy · doi:10.12740/app/90328 · Cited by 30 · see citing works
Hörz-Sagstetter, S., Diamond, D., Clarkin, J. F., Levy, K. N., Rentrop, M., Fischer-Kern, M., Cain, N. M., & Doering, S. (2018) · Journal of Personality Disorders · doi:10.1521/pedi_2017_31_306 · Cited by 28 · see citing works
Narcissistic Personality Disorder and the Structure of Common Mental Disorders
Eaton, N. R., Rodriguez-Seijas, C., Krueger, R. F., Campbell, W. K., Grant, B. F., & Hasin, D. S. (2017) · Journal of Personality Disorders · doi:10.1521/pedi_2016_30_260 · Cited by 25 · see citing works
Self-citationMäättä, M., & Uusiautti, S. (2020) · Early Child Development and Care · doi:10.1080/03004430.2018.1513924 · Cited by 17 · see citing works
Grandiose narcissism and performance in organizations: mediating role of subjective wellbeing
Sakkar Sudha, K., & Shahnawaz, M. G. (2020) · Leadership, Education, Personality: An Interdisciplinary Journal · doi:10.1365/s42681-020-00015-0 · Cited by 7 · see citing works
- Authors
- Miller, J. D., Gentile, B., Wilson, L., & Campbell, W. K.
- Affiliations
- University of Georgia (US)
- Venue
- Journal of Personality Assessment
- Publisher
- Informa UK Limited
- Published
- 2013-05
- Volume
- 95
- Issue
- 3
- Pages
- 284-290
- ISSN
- 0022-3891 (ISSN-L)
- 1532-7752
- OpenAlex
- W1997648925
- Cited by
- 145
- References
- 45
- Citations by year
- 2026: 5 · 2025: 11 · 2024: 7 · 2023: 6 · 2022: 7 · 2021: 12 · 2020: 10 · 2019: 11 · 2018: 11 · 2017: 12 · 2016: 18 · 2015: 15 · 2014: 11 · 2013: 8 · 2012: 1
- FWCI
- 12.67
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Personality Assessment (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Social Sciences › Psychology › Clinical Psychology › Personality Traits and Psychology
- Social Sciences › Psychology › Applied Psychology › Psychological Testing and Assessment
- Keywords
- grandiose narcissism, vulnerable narcissism, narcissistic personality disorder, DSM-5, personality disorders, PID-5, grandiosity, attention seeking
- MeSH terms
- Adult, Female, Humans, Male, Models, Psychological, Narcissism, Personality, Personality Disorders, Personality Inventory, Diagnostic and Statistical Manual of Mental Disorders, Self Report
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