Sharing a Diagnosis of Narcissistic Personality: a Challenging Decision with Associated Risks and Benefits

Purpose of Review This paper aims to examine diagnostic sharing of narcissistic personality from multiple vantage points and to describe strategies that might help clinicians in patient management. Recent Findings In recent years, clinicians increasingly have been motivated to discuss with patients...

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Bibliographic Details
Published in:Current behavioral neuroscience reports 2019-12, Vol.6 (4), p.133-140
Main Authors: Hersh, Richard G., McCommon, Benjamin, Golkin, Emma G.
Format: Article
Language:English
Subjects:
Behavioral Therapy
Cancer therapies
Clinical significance
Debates
Dementia
Disclosure
Epidemiology
Medical diagnosis
Medicine
Medicine & Public Health
Mental disorders
Narcissism
Neurobiology
Neurology
Neurosciences
Patients
Pediatrics
Personality and Impulse Control Disorders (R Lee
Personality disorders
Physicians
Psychiatry
Psychotherapy
Schizophrenia
Section Editor
Stigma
Topical Collection on Personality and Impulse Control Disorders
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Summary:Purpose of Review This paper aims to examine diagnostic sharing of narcissistic personality from multiple vantage points and to describe strategies that might help clinicians in patient management. Recent Findings In recent years, clinicians increasingly have been motivated to discuss with patients the diagnosis of borderline personality disorder (BPD), an intervention bolstered by the emergence of empirically validated treatments for BPD and by advocacy organizations calling for diagnostic sharing. Despite these advances, clinical experience suggests that the diagnosis of narcissistic personality, including narcissistic personality disorder (NPD) or clinically significant narcissistic traits, is rarely shared with patients. We review emerging information about diagnostic classification and assessment, epidemiology, heritability, neurobiology, prognosis, and the utility of evidence-based treatments, which may facilitate a conversation on diagnosis (as demonstrated in multiple clinical scenarios provided as examples). Summary Diagnostic sharing has become a central element in the informed consent process. Understanding the risks and benefits of sharing a diagnosis of narcissistic personality is essential for clinical practice.
ISSN:2196-2979
2196-2979
DOI:10.1007/s40473-019-00193-2