Lecture Handout
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zadanliranCompare the classic narcissist to the covert narcissist is this table (Cooper and
Akhtar, 1989):
Arrogant/Overt Shy/Covert
Self-Concept
Interpersonal
Relationships
Social
Adaptation
Grandiosity;
preoccupation with
fantasies of
outstanding success;
undue sense of
uniqueness; feelings
of entitlement;
seeming selfsufficiency
Inferiority;
morose selfdoubts; marked
propensity
toward feeling
ashamed;
fragility;
relentless search
for glory and
power; marked
sensitivity to
criticism and
realistic setbacks
Numerous but
Inability to
shallow relationships; genuinely
intense need for
depend on
tribute from others; others and trust
scorn for others, often them; chronic
masked by
envy of
pseudohumility; lack others talents,
of empathy; inability possessions, and
to genuinely
capacity for deep
participate in group object relations;
activities; valuing of lack of regard for
children over spouse generational
in family life
boundaries;
disregard for
otherstime;
refusal to answer
letters
Socially charming;
Nagging
often successful;
aimlessness;
consistent hard work shallow
done mainly to seek vocational
admiration
commitment;
(pseudodilettante-like
attitude; multiple
sublimation);
intense ambition;
preoccupation with
appearances
Ethics,
Standards,
and
Ideals
Love
and
Sexuality
Cognitive
Style
but superficial
interests; chronic
boredom;
aesthetic taste
often ill-informed
and imitative
Caricatured modesty; Readiness to
pretended contempt shift values to
for money in real life; gain favor;
idiosyncratically and pathological
unevenly moral;
lying;
apparent enthusiasm materialistic
for sociopolitical
lifestyle;
affairs
delinquent
tendencies;
inordinate ethnic
and moral
relativism;
irreverence
toward authority
Marital instability; cold Inability to
and greedy
remain in love;
seductiveness;
impaired
extramarital affairs
capacity for
and promiscuity;
viewing the
uninhibited sexual life romantic partner
as a separate
individual with
his or her own
interests, rights,
and values;
inability to
genuinely
comprehend the
incest taboo;
occasional
sexual
perversions
Impressively
Knowledge often
knowledgeable;
limited to trivia
decisive and
(headline
opinionated; often
intelligence);
strikingly articulate; forgetful of
egocentric perception details,
of reality; love of
especially
language; fondness names; impaired
for shortcuts to
in the capacity
acquisition of
for learning new
knowledge
skills; tendency
to change
meanings of
reality when
facing a threat to
self-esteem;
language and
speaking used
for regulating
self-esteem
Glenn O. Gabbard in "Psychodynamic Psychiatry in Clinical Practice" [The DSMIV-TR Edition. Comments on Cluster B Personality Disorders Narcissistic.
American Psychiatric Press, Inc., 2000] we find this:
"what definitive criteria can be used to differentiate healthy from pathological
narcissism? The time honoured criteria of psychological health to love and to
work are only partly useful in answering this question."
"An individual's work history may provide little help in making the distinction.
Highly disturbed narcissistic individuals may find extraordinary success in
certain professions, such as big business, the arts, politics, the entertainment
industry, athletics and televangelism field. In some cases, however, narcissistic
pathology may be reflected in a superficial quality to one's professional interests,
as though achievement in and acclaim are more important than mastery of the
field itself.
Pathological forms of narcissism are more easily identified by the quality of the
individual's relationships.
One tragedy affecting these people is their inability to love. Healthy
interpersonal relationships can be recognised by qualities such as empathy and
concern for the feelings of others, a genuine interest in the ideas of others, the
ability to tolerate ambivalence in long-term relationships without giving up, and
a capacity to acknowledge one's own contribution to interpersonal conflicts.
People who are characterised by these qualities may at times use others to gratify
their own needs, but the tendency occurs in the broader context of sensitive
interpersonal relatedness rather than as a pervasive style of dealing with other
people. One the other hand, the person with a Narcissistic Personality Disorder
approaches people as objects to be used up and discarded according to his or her
needs, without regard for their feelings.
People are not viewed as having a separate existence or as having needs of their
own. The individual with a Narcissistic Personality Disorder frequently ends a
relationship after a short time, usually when the other person begins to make
demands stemming from for his or her own needs. Most importantly, such
relationships clearly do not 'work' in terms of the narcissist's ability to maintain
his or her own sense of self-esteem."
"These criteria [the DSM-IV-TR's] identify a certain kind of narcissistic
patient specifically, the arrogant, boastful, 'noisy' individual who demands to
be in the spotlight. However, they fail to characterise the shy, quietly grandiose,
narcissistic individual whose extreme sensitivity to slights leads to an assiduous
avoidance of the spotlight."
