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issistic Personality Disorder - Who is a Malignant Narcissist?
by: Sam Vaknin, Ph.D.
QUESTION Number 1 - Who is a Narcissist?
Dear Dr. Vaknin,
I read the excerpts you placed on your web site with great interest.
I wanted to ask:
Isn't your definition of malignant narcissism too wide? Having read it, I think that it fits my neighbours, friends, and family to a "t". Everyone seems to be a narcissist to me now!
Yours is an understandable reaction. All of us have narcissistic TRAITS. Some of us even develop a narcissistic PERSONALITY. Moreover, narcissism is a SPECTRUM of behaviours - from the healthy to the utterly pathological (known as the Narcissistic Personality Disorder, or NPD).
But the "malignant" narcissist consistently manifests at least 5 of these 9 criteria.
The DSM IV uses this language:
"An all-pervasive pattern of grandiosity (in fantasy or behaviour), need for admiration or adulation and lack of empathy, usually beginning by early adulthood and present in various contexts."
So, what matters is that these characteristics, often found in healthy people, appear:
Here are the 9 criteria. Having 5 of these 9 "qualifies" you as a narcissist...
The language in the criteria above is based on or summarized from:
American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders, fourth edition (DSM IV). Washington, DC: American Psychiatric Association.
Sam Vaknin. (1999, 2001). Malignant Self Love - Narcissism Revisited, second, revised printing Prague and Skopje: Narcissus Publication. ("Malignant Self Love - Narcissism Revisited" http://www.geocities.com/vaksam/faq1.html)
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