Narcissistic Personality Disorder in DSM-5

The criteria for personality disorders in Section II of DSM-5 have not changed from those in DSM-IV. Therefore, the diagnosis of Section II narcissistic personality disorder (NPD) will perpetuate all of the well-enumerated shortcomings associated with the diagnosis since DSM-III. In this article, we...

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Bibliographic Details
Published in:Personality disorders 2014-10, Vol.5 (4), p.422-427
Main Authors: Skodol, Andrew E., Bender, Donna S., Morey, Leslie C.
Format: Article
Language:English
Subjects:
Diagnostic and Statistical Manual
Diagnostic and Statistical Manual of Mental Disorders
Human
Humans
Models, Psychological
Narcissism
Narcissistic Personality Disorder
Personality
Personality Disorders
Personality Disorders - diagnosis
Personality Disorders - psychology
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Summary:The criteria for personality disorders in Section II of DSM-5 have not changed from those in DSM-IV. Therefore, the diagnosis of Section II narcissistic personality disorder (NPD) will perpetuate all of the well-enumerated shortcomings associated with the diagnosis since DSM-III. In this article, we will briefly review problems associated with Section II NPD and then discuss the evolution of a new model of personality disorder and the place in the model of pathological narcissism and NPD. The new model was intended to be the official approach to the diagnosis of personality pathology in DSM-5, but was ultimately placed as an alternative in Section III for further study. The new model is a categorical-dimensional hybrid based on the assessment of core elements of personality functioning and of pathological personality traits. The specific criteria for NPD were intended to rectify some of the shortcomings of the DSM-IV representation by acknowledging both grandiose and vulnerable aspects, overt and covert presentations, and the dimensionality of narcissism. In addition, criteria were assigned and diagnostic thresholds set based on empirical data. The Section III representation of narcissistic phenomena using dimensions of self and interpersonal functioning and relevant traits offers a significant improvement over Section II NPD.
ISSN:1949-2715
1949-2723
DOI:10.1037/per0000023