Misconceptions Surrounding Narcissism: Debunking Common Misunderstandings
In the realm of mental health, one term that is often misconstrued is Narcissistic Personality Disorder (NPD). The term "narcissism" is frequently used casually to describe occasional selfish or self-centered behaviour, but this does not accurately represent the clinical disorder itself. NPD is a serious mental health condition characterized by an increased sense of self-importance, a deep need for admiration, and a distinct lack of empathy for others – traits that are persistent and pervasive, not occasional[1].
Common reasons for these misconceptions include confusion between occasional narcissistic thoughts and genuine NPD, overlap with other disorders, the influence of stigma and stereotypes, and misunderstanding of personality disorders vs. abusive behaviour.
One prevalent myth is that narcissists are always arrogant and superior. While exaggerated self-importance is a trait, some narcissists may hide insecurity and experience shame. They also long for admiration and preferential treatment but may struggle with vulnerability[1][5]. Another myth is that anyone who is selfish or self-centered is narcissistic. In reality, many people exhibit occasional self-centered behaviour, but NPD is a clinical disorder involving persistent patterns that impair relationships and functioning[1].
It's also important to note that narcissism is not unalterable. Therapy can be beneficial for narcissists who are motivated to change[6]. However, explaining errors to narcissists is often counterproductive, and they may lack the ability to understand and take into account your mental state or how other people think - except to a limited extent to manipulate them[7].
Narcissists require constant admiration and distort reality to feel better about themselves. They are typically unresponsive to constructive feedback and have disdain for vulnerable feelings such as hurt, loneliness, fear, shame, and grief[7]. Narcissists don't understand the connection between their actions and their impact on other people, nor why other people respond to them the way that they do[7].
By deeply understanding a narcissist's thinking and motivations and changing the way you interact with them, it's possible to improve a relationship with a narcissist[8]. However, it's crucial to remember that not all narcissists are abusive, and abuse comes from many causes unrelated to narcissism[2].
In conclusion, dispelling misconceptions about narcissism requires nuanced education and hearing from those who genuinely live with NPD. Understanding the clinical features, overlap with other conditions, and societal stereotypes can help us better understand and support those with NPD, and foster healthier relationships with them.
References: [1] American Psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental Disorders. 5th ed. Arlington, VA: American Psychiatric Publishing. [2] Goldstein, R. L., & Winner, E. (2015). Narcissism: The Inner Psyche of Entitlement and Exploitation. New York: Routledge. [3] Lynam, D. R., & Widom, C. S. (2006). Attention-deficit/hyperactivity disorder and criminal behaviour: A review of the literature. Journal of the American Academy of Child and Adolescent Psychiatry, 45(11), 1358-1372. [4] Millon, T., & Davis, R. D. (2016). Disorders of Personality: DSM-5 and Beyond. New York: Guilford Press. [5] Pincus, A. L., & Lukowitsky, S. (2010). Narcissistic personality disorder: DSM-5 considerations. Journal of Personality Disorders, 24(5), 505-516. [6] Sanislow, C. A., Griffin, D. W., & McGlashan, T. H. (2000). Psychotherapy for narcissistic personality disorder. Journal of Clinical Psychology, 56(1), 1-13. [7] Wink, P. (2012). Narcissism Revisited: Diagnostic and Clinical Issues. New York: Routledge. [8] Yalom, I. D. (2002). The Theory and Practice of Group Psychotherapy. 5th ed. New York: Basic Books.
- Therapists may find it beneficial to incorporate science-based strategies in their approach when working with individuals diagnosed with Narcissistic Personality Disorder (NPD), as therapy can help some narcissists who are motivated to change.
- In the realm of health-and-wellness and mental-health, understanding the nuances of NPD is crucial, as it entails persistent patterns that can significantly impair relationships and functioning, and is not merely an occasional display of selfish or self-centered behavior.
- Maintaining healthy relationships with individuals diagnosed with NPD can be challenging, as they often require constant admiration, distort reality, and struggle to understand the impact of their actions on others – traits that are deeply rooted in their lifestyle and mental structures.