Table of Contents:

  1. Introduction
  2. Features of NPD
  3. Greenberg on NPD
    1. Greenberg's subtypes
      1. The Exhibitionist Narcissistic
      2. The Toxic Narcissistic
      3. The Covert Narcissistic
    2. Mnemonic: SPECIAL GOD
  4. Narcissistic personality style vs disorder
  5. Resources & FAQs

Narcissistic Personality Disorder

Narcissistic personality disorder (NPD) prototypic description:

Narcissists have a grandiose sense of self-importance, specialness and uniqueness that leads them to feel entitled and privileged. They expect and need admiration and respect from others to fuel their self-esteem. They lack empathy, so they have difficulty recognising the needs, concerns, or feelings of others. Criticism, rejection and failure leads to massive feelings of shame which is often redirected into anger.

Features of NPD

  • Triggering Event(s): Self-evaluation, either by themselves or others
  • Behavioral Style: Self-centred, egotistical, self-assured; dominates conversations; seeks approval and attention; impatient, arrogant, hypersensitive
  • Interpersonal Style: Exploitative; self-indulgent; charming, pleasant & endearing; lacks empathy; irresponsible; jealous; needs approval and admiration
  • Cognitive Style: Focuses on feelings rather than facts; compulsive lying (to themselves as well as others); inflexible, impatient, persistent; superiority; unrealistic goals of success, power, ideal love
  • Affective Style: Presents as self-confident and nonchalant; when criticised or rejected (”narcissistic injury”) they experience extreme shame which is often redirected into anger ("narcissistic rage”/shame redirect); splitting; lacks empathy and so has difficulty with commitments
  • Temperament: Active and responsive; has special talents and developed language early
  • Attachment Style: Fearful-dismissing
  • Parental Injunction: “Grow up and be wonderful, for me”
  • Self-View: Special, unique and entitled; relies on others for self-esteem
  • World-View: Life is full of opportunities; they expect admiration and respect
  • Maladaptive Schemas: Entitlement; defectiveness; emotional deprivation; insufficient self-control; unrelenting standards
  • Optimal Diagnostic Criterion: Grandiose sense of self-importance
  • Defining Strategy & Belief: Competitive; they are above the rules.

Greenberg summarises NPD's need for admiration in this post: “Narcissists are like a car with a leaky gas tank; they need to be refuelled frequently or they stop running” - i.e., people with NPD need admiration for their self-esteem, or they crash and spiral.

Subtypes: Overt, Covert, Malignant (Sperry); Exhibitionist; Toxic; Covert (Greenberg); Amorus; Compensatory; Unprincipled; Elitist (Millon)

Often comorbid with: depression, eating disorders, substance abuse, HPD, BPD, AsPD, PPD

Often confused with: HPD, AsPD, BPD, OCPD, StPD, AvPD, PPD, bipolar disorders, depression

Greenberg on NPD

Subtypes

The Exhibitionist Narcissist

  • Openly display grandiose self-importance
  • Expect special treatment
  • Fantasies of success and power
  • Indifferent to others’ feelings and well-being
  • Exploitative
  • If humiliated or shamed they react with extreme rage
  • Subtypes:
    • The “Gucci” Narcissist: uses fashion and high status items and people to boost their self-esteem
    • The “Resume” Narcissist: chooses jobs, hobbies, friends etc. based on how they will look to other people, not on what they actually want or need
    • The Martyr: ‘noble sufferers’, uses their suffering to feel special and get sympathy and attention
    • The Superman: needs to feel & be seen as heroic & selfless, avoids any situations where they could be seen as weak or inferior
    • The Supermom: “a variation of the Superman, only more home centred”; takes credit for their family’s successes
    • The Saint: “perfect version of the Superman defense”; similar to the Martyr; neglects themselves to help others
  • Summary:
    • Major issues:
      • Always trying to enhance and stabilse their self-esteem and avoid shame/depression spirals
      • Often alienate those around them due to their grandiosity
      • Overly sensitive to criticism and feeling misunderstood, reacts with anger
    • Main goals:
      • Gain high status
      • Maintain feeling special and perfect
      • Gain admiration and recognition
      • Avoid humiliation and exposure as a ‘fraud’
    • Difficult times:
      • Having to work as equals with those who they see as inferior
      • Loss of status; rejection
      • Aging, feeling less than perfect
      • Having to apologise or admit their mistakes
    • Major defenses:
      • Grandiosity
      • Devaluing others
      • Associate with idealised/high status people or things
    • Secret fear:
      • That they are intrinsically worthless and defective and will be publicly exposed as a fraud (creating humiliation, vulnerability and rejection)
    • Greatest insult:
      • Being called average
    • Contribution to the world:
      • Start many organisations, political parties, movements
      • Devote enormous amounts of time and energy into causes if it puts them in the spotlight
      • Many are entertainers, sponsors, financial backers
    • Interpersonal gestalt: (The primary focus for the Exhibitionist Narcissist during social interactions)
      • Details that enforce or reject their sense of being special or perfect
      • Highly sensitive to cues that relate to possible rejection or humiliation
    • Motto:
      • “If I can’t be the best, it isn’t worth doing.”

The Toxic Narcissist

  • “Failed Exhibitionist Narcissists”; want to be admired but lack the means, so they deal with their self-hatred by making others feel worse than they do
  • Deals with their sense of inferiority by trying to destroy others’ sense of competence, and lashing out in envy
  • Usually have been so shamed and humiliated in childhood that they don’t feel safe with anyone
  • Assume that everyone wants to attack and dominate so they must do it first, and better, so that it can’t happen to them (again)
  • Highly competitive
  • Usually sadistic
  • Focus on others’ faults instead of their own
  • Some alternate between Exhibitionist Narcissists when they’re feeling confident and Toxic Narcissists when they feel insecure
  • Subtypes:
    • The Abusive Spouse: when feeling humiliated, dominates others; quick to point out others’ flaws
    • The Abusive Parent: feel inferior instead of proud of their family’s successes, so to avoid that they belittle and intimidate; attacks and devalues their family’s achievements
    • The Boss from Hell: when feeling self-hatred they demean and attack others; like creating drama and uproar to feel powerful; sadistic: “the greater your humiliation, the better they feel”
  • Summary:
    • Major issues:
      • Self-hatred; deep sense of inadequacy
      • Fear of failure
      • Resentful of others’ success
      • Resist introspection and reflection and blame others
      • They “make enemies wherever they go”; inspire fear and avoidance of them
    • Main goals:
      • Humiliate and dominate others before they can do it to them
      • Diminish others to feel less inferior
    • Difficult times:
      • When they want something they can’t have, especially if someone else has it
    • Major defenses:
      • Grandiosity
      • Devaluing others
      • Cruelty
    • Secret fear:
      • Other people will devalue, humiliate and dominate them
      • Exposure as weak, inferior, worthless
    • Contribution to the world:
      • Add “spice” to our daily lives
    • Interpersonal gestalt: (The primary focus for the Toxic Narcissist during social interactions)
      • Other people’s flaws
      • Things to be envious of
      • Potentially humiliating or devaluing details
    • Motto:
      • “Do onto others before they can do onto you.”

The Covert Narcissist

  • Want to be as open and direct as exhibitionist narcissists but are too afraid of rejection
  • Usually have experienced rejection and humiliation in childhood which makes them conflicted about attention (scared of it but craves and needs it)
  • Their dilemma is “how do I feel special without opening myself up for attack and humiliation”
  • Usually attach themselves to an idealised person, organisation or idea in order to share in their admiration
  • Vulnerable to criticism; if shamed they devalue and may discard people
  • Subtypes:
    • The Perfect Secretary to the Great Man: makes serving the idealised person (IP) their entire life and feels special by their association with them; ‘acts of service’ as their way of being admired
    • The Faithful Servant: their sense of status is directly related to the status of their IP; they identify with their IP’s successes and are elevated by whatever elevates their IP
    • The Cheerleader’s Best Friend: the “admiring shadow”, wants to learn how to be confident and popular by being close to their IP
    • The Student in Search of a Mentor: “perpetually unprepared to take the ultimate responsibility for decisions”, seeks out a more experienced mentor with authority; may try to get their mentor to make daily or even major life decisions for them
    • The Admirer: had an Exhibitionist Narcissist caregiver and learnt to act as a mirror in order to get approval; this carries over in adulthood to their IP; if their IP tries to correct their perception of them as perfect, the Admirer sees it as modesty and “become even more convinced of [their IP’s] specialness”
  • Summary:
    • Major issues:
      • Manage self-esteem by attaching themselves to respected causes or people so they are special by association
      • Lives for approval
      • Direct compliments or praise makes them uncomfortable
      • Trouble saying no to their IP, even at their own expense
      • Feel overlooked and resentful but are reluctant to complain, so act out with manipulation and passive-aggressiveness
    • Main goals:
      • Please others
      • Find a mentor / an IP or cause
      • Avoid being the centre of attention
      • Gain approval and sense of being special by association
    • Difficult times:
      • When they’re forced to be in the spotlight
      • When they have to assert themselves openly
    • Major defenses:
      • Avoid being the centre of attention
      • Use “self-object merger”* to enhance self-esteem
    • Secret fear:
      • Being humiliated or attacked for being assertive or standing out
    • Contribution to the world:
      • Do most of the work, behind the scenes
    • Interpersonal gestalt: (The primary focus for the Covert Narcissist during social interactions)
      • Acutely aware of other people’s specialness and their approval
      • Anything that would put them in the spotlight or feeling exposed and vulnerable (so they can avoid it)
    • Motto:
      • “Let’s talk about you”

* Self-object merger is when someone merges their sense of self with another person or an object to manage their self-esteem or soothe themselves.

Mnemonic: SPECIAL GOD

S: Status, sensitivity & shame

  • Preoccupied with status and hierarchies and where they and others fall into them
  • Sensitive to criticism and rejection
  • Very vulnerable to feelings of shame

P: Perfect

  • Needs to see themselves and those they admire as superior
  • “To a Narcissist, superiority and goodness are synonymous”

E: Entitlement & envy

  • Expects to be treated better / as more special / high status than others
  • Jealous and envious of people who have something they want (possessions, status, wealth, etc.) as it draws attention away from them

C: Cold & calculating

  • Rarely feels any warmth towards people except those who are idealised as their superiors
  • Warmth is either an act or because of admiration (giving (to idealised people) or receiving)/li>

I: Idealising & mirroring transferences

  • Attempts to gain positive self-image through seeing themselves as loved, appreciated, and respected by someone who they respect and love
  • Expects others to be totally in tune with them and their wants, needs, thoughts, feelings, etc.

A: Admiration, attention & acknowledgement

  • Needs to have admiration, attention, acknowledgement constantly because they are unable to internalise praise and admiration to form a positive self-image
  • Without it they feel depressed, empty, humiliated, angry & inadequate

L: Low self-esteem

  • Continuously trying to shore up extremely fragile self worth, which is very vulnerable as it’s dependent on others
  • Always looking for ways to make themselves feel more important

GOD: Grandiose Omnipotent Defense

  • Uses sense of specialness and grandiosity as a defense against vulnerability and humiliation, which often involves putting other people down
  • Fears being dominated and humiliated so tries to be the dominant person

Narcissistic Personality Style vs Disorder

Style Disorder
Sensitive to criticism, but can take it. Hypersensitive to criticism, which results in shame that is often redirected into anger.
Good at reading people, make good leaders by using others' skills to everyone's advantage. Exploitative, uses others' skills to meet their own needs and wants.
Good at selling themselves; confident. Has a grandiose sense of self.
Competitive & ambitious. Idealise people and believe only those superior people are worthy of their time.
Aims for success. Fantasies of success, power, brilliance, beauty, or ideal love.
Confident and self-assured. Feels entitled, expects special treatment.
Appreciates attention and admiration. Requires attention and admiration or their self-esteem fails.
Courageous, bold, tough; will stand up to people and defend themselves. Reckless regarding their own and others’ safety.
Very self-aware, and has acceptable awareness of others' needs and wants. Lacks empathy.
Expects respect. Often jealous and envious.

Resources & FAQs