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Identifying narcissistic personality disorders in preadolescents
1Borderline Conditions Program, Douglas Hospital, Montreal, Quebec.
Abstract
Objective:
To establish whether consensus exists among 3 diagnostic systems that outline criteria for narcissistic personality disorders (NPDs) in children (Kernberg), in adolescents (Bleiberg), and in adults primarily (DSM-IV) and to identify age-related criteria for preadolescents.
Method:
A comparative analysis was used to determine the rate of concordance for the 9 DSM-IV criteria for NPD.
Results:
There is a high concordance among the 3 systems for DSM criteria, suggesting that NPD can be identified among preadolescents.
Conclusions:
Preliminary ways of adapting DMS-IV criteria for NPD in this age group are discussed.