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Pathological narcissism and psychosocial functioning.

Samantha C Dashineau1, Elizabeth A Edershile2, Leonard J Simms3

  • 1Department of Psychology, Villanova University.

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This summary is machine-generated.

Pathological narcissism, characterized by grandiosity and vulnerability, impacts functioning. Vulnerability affects all areas, while grandiosity may offer some protection, particularly in interpersonal relationships.

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Area of Science:

  • Psychology
  • Clinical Psychology
  • Psychopathology

Background:

  • Pathological narcissism is characterized by maladaptive self-regulation, with key features of narcissistic grandiosity and narcissistic vulnerability.
  • Narcissism is linked to long-term functional impairments, especially in interpersonal domains.
  • The distinct effects of grandiosity and vulnerability on various functioning domains are understudied, particularly in large clinical populations.

Purpose of the Study:

  • To investigate the differential impact of narcissistic grandiosity and vulnerability on diverse domains of functioning.
  • To examine these relationships within a substantial sample of psychiatric outpatients.
  • To inform conceptualization, prognosis, and treatment strategies for pathological narcissism.

Main Methods:

  • Examined the relationship between narcissism (grandiosity and vulnerability) and multiple domains of dysfunction.
  • Utilized a sample of 288 current or recent psychiatric outpatients.
  • Employed statistical analyses to differentiate the predictive power of grandiosity and vulnerability after accounting for shared variance.

Main Results:

  • Narcissistic grandiosity was associated with specific interpersonal functioning deficits.
  • Narcissistic vulnerability was linked to dysfunction across all examined domains.
  • After controlling for shared variance, vulnerability remained a predictor of all dysfunction, while grandiosity showed a modest protective effect.

Conclusions:

  • Narcissistic vulnerability is a pervasive predictor of dysfunction in psychiatric outpatients.
  • Narcissistic grandiosity's role is more specific, primarily impacting interpersonal functioning and potentially offering some protection.
  • Findings highlight the importance of differentiating between grandiosity and vulnerability for understanding and treating pathological narcissism.