Distinguishing Trauma-Associated Narcissistic Symptoms from Posttraumatic Stress Disorder: A Diagnostic Challenge
Abstract
Individuals with trauma-associated narcissistic symptoms (referred to in this paper by the acronym TANS for simplicity) display a discrete cluster of psychological symptoms that can closely mimic those of PTSD. In TANS, the underlying vulnerability to traumatic stress usually stems from a narcissistic personality disorder or narcissistic personality traits. However, narcissistic symptoms associated with an external traumatic event may be reflexively and erroneously attributed to PTSD, no matter how small or insignificant the traumatic stressor. Mistaking TANS for PTSD usually results in treatment failure. In litigation, distinguishing between TANS and PTSD assists the trier of fact in determining causation and assessing damages.
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The relationship between trauma and narcissism has been documented and the term 'trauma-associated narcissistic symptoms' has been proposed.
“The relationship between trauma and narcissism has been documented [58, 65–67] and the term ‘trauma-associated narcissistic symptoms’ has been proposed to identify such features [68].”
From Living with pathological narcissism: a qualitative study (2020) · cites this paper as [68]
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References 19 · Cited by 45
- Authors
- Simon, R. I.
- Affiliations
- Georgetown University (US)
- Corresponding author
- Simon, Robert I.
- ORCID
- Simon, Robert I.
- Venue
- Harvard Review of Psychiatry
- Published
- 2002-01
- Volume
- 10
- Issue
- 1
- Pages
- 28-36
- ISSN
- 1067-3229 (ISSN-L)
- 1465-7309
- OpenAlex
- W2014948846
- Cited by
- 45
- References
- 19
- Citations by year
- 2023: 2 · 2022: 1 · 2020: 5 · 2019: 2 · 2018: 3 · 2017: 1 · 2016: 2 · 2015: 3 · 2014: 2 · 2013: 3
- FWCI
- 0.88
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Harvard Review of Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Social Sciences › Psychology › Clinical Psychology › Psychoanalysis and Psychopathology Research
- Keywords
- post-traumatic stress disorder, narcissistic personality disorder, narcissistic personality traits, differential diagnosis, misdiagnosis, traumatic stress, damage assessment, trier of fact
- MeSH terms
- Adult, Diagnosis, Differential, Diagnostic Errors, Employment, Humans, Life Change Events, Male, Personality Disorders, Stress Disorders, Post-Traumatic
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