Clinical Phenomenology of Narcissistic Pathology
Abstract
CME Educational Objectives: 1. Summarize frequent states of mind noted in narcissistic personality disorder (NPD). 2. Describe case formulations in terms of how states of mind relate to particular recurrent self-conceptualizations. 3. Interpret the defensive maneuver of sliding meanings so as to externalize blame.
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Most narcissistic patients present with some degree of fluctuation between grandiose and vulnerable self-esteem states.
“There is however growing consensus, that most narcissistic patients present with some degree of fluctuation between grandiose and vulnerable self-esteem states [23, 35, 66, 35, 73].”
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 [35]
There is limited and mixed empirical evidence supporting the specific association between pathological narcissism, identity disturbance, and interpersonal dysfunction.
“there is both limited and mixed empirical findings that support the specific association between pathological narcissism, identity disturbance, and interpersonal dysfunction.”
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 [35]
A grandiose but unstable self-representation is believed to nurture exploitative interactions aimed at obtaining admiring responses from others, the lack of which may in turn foster rage and aggression.
“Similarly, a grandiose but unstable self-representation is believed to nurture exploitative interactions aimed at obtaining admiring responses from others, the lack of which may in turn foster rage and aggression [35, 49].”
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 [35]
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Self-citationNarcissistic Rage in Leaders: the Intersection of Individual Dynamics and Group Process
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Pathological narcissism and narcissistic personality disorder
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Narcissistic Grandiosity and Narcissistic Vulnerability
Pincus, A. L., & Roche, M. J. (2011) · The Handbook of Narcissism and Narcissistic Personality Disorder · doi:10.1002/9781118093108.ch4 · Cited by 217 · see citing works
Narcissistic Personality Disorder in DSM-V—In Support of Retaining a Significant Diagnosis
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“[35, 43, 49, 61]), there is both limited and mixed empirical findings that support the specific association between pathological narcissism, identity disturbance, and interpersonal dysfunction.”
- Authors
- Horowitz, M.
- Corresponding author
- Horowitz, Mardi
- ORCID
- Horowitz, Mardi
- Venue
- Psychiatric Annals
- Publisher
- SLACK, Inc.
- Published
- 2009-03
- Volume
- 39
- Issue
- 3
- Pages
- 124-128
- ISSN
- 0048-5713 (ISSN-L)
- 1938-2456
- OpenAlex
- W1991809661
- Cited by
- 39
- References
- 10
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 1 · 2023: 4 · 2022: 2 · 2021: 1 · 2020: 1 · 2018: 2 · 2017: 2 · 2016: 2 · 2015: 1 · 2014: 3 · 2013: 5 · 2012: 2
- FWCI
- 4.25
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychiatric Annals (publishedVersion)
- 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
- narcissistic personality disorder, clinical phenomenology, mental states, self-conceptualization, case formulation
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