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Narcissism negatively impacts relationships. Narcissism is proliferating, effecting more lives and at the heart of so much emotional and spiritual pain and suffering." -- A.J. Mahari

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What is Narcissistic Personality Disorder?

Narcissistic Personality Disorder (NPD) is not only a fairly painful way to live for those who have NPD but it can be devastating to those who are family members, loved ones, or relationship partners.


DSM-IV divides personality disorders into three clusters based on symptom similarities.[1] This clustering categorizes the narcissistic personality disorder as a cluster B personality disorder, those personality disorders having in common an excessive sense of self importance. Also in that cluster are the borderline personality disorder, the histrionic personality disorder and the antisocial personality disorder.

The ICD-10 (International Classification of Mental and Behavioural Disorders, published by the World Health Organisation in Geneva 1992) regards narcissistic personality disorder (NPD) as "a personality disorder that fits none of the specific rubrics". It relegates it to the category known as "Other specific personality disorders", which also includes the eccentric, "haltlose", immature, passive-aggressive, and psychoneurotic personality disorders.

DSM criteria

A pervasive pattern of grandiosity (in fantasy or behavior), need for admiration, and lack of empathy, beginning by early adulthood and present in a variety of contexts, as indicated by five (or more) of the following:

  • has a grandiose sense of self-importance
  • is preoccupied with fantasies of unlimited success, power, brilliance, beauty, or ideal love
  • believes that he or she is "special" and unique
  • requires excessive admiration
  • has a sense of entitlement
  • is interpersonally exploitative
  • lacks empathy
  • is often envious of others or believes others are envious of him or her
  • shows arrogant, haughty behaviors or attitudes


ICD-10 criteria

While the ICD-10 does not specifically define the characteristics of this personality disorder, it is classified in the category "Other Specific Personality Disorders".

ICD-10 states that narcissistic personality disorder is "a personality disorder that fits none of the specific rubrics F60.0-F60.7". That is, this personality disorder does not meet the diagnostic criteria for any of the following:

  • F60.0 Paranoid personality disorder
  • F60.1 Schizoid personality disorder
  • F60.2 Dissocial personality disorder
  • F60.3 Emotionally unstable (borderline) personality disorder
  • F60.4 Histrionic personality disorder
  • F60.5 Anankastic (obsessive-compulsive) personality disorder
  • F60.6 Anxious (avoidant) personality disorder
  • F60.7 Dependent personality disorder


Narcissistic personality disorder (NPD) is isolating, disenfranchising, painful, and formidable for those diagnosed with it and often those who are in a relationship with them. Distinctions need to be made among those who have NPD because not each and every person with NPD is the same. Even with similar core issues, the way in which one's individual narcissism manifests itself in his or her relationships varies.


Source: Wikipedia



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Last up-dated July 10, 2009
































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