“ . . . But chances are you’ve encountered a narcissist, and they looked nothing like Trump, Musk or Modi. Up to 6 percent of the U.S. population, mostly men, is estimated to have had narcissistic personality disorder during some period of their lives. And the condition manifests in confoundingly different ways. People with narcissism “may be grandiose or self-loathing, extraverted or socially isolated, captains of industry or unable to maintain steady employment, model citizens or prone to antisocial activities,” according to a review paper on diagnosing the disorder.
Clinicians note several dimensions on which narcissists vary. They may function extremely well, with successful careers and vibrant social lives, or very poorly. They may (or may not) have other disorders, ranging from depression to sociopathy. And although most people are familiar with the “grandiose” version of narcissism—as displayed by an arrogant and pompous person who craves attention—the disorder also comes in a “vulnerable” or “covert” form, where individuals suffer from internal distress and fluctuations in self-esteem. What these seeming opposites have in common is an extreme preoccupation with themselves.
Most psychologists who treat patients say that grandiosity and vulnerability coexist in the same individual, showing up in different situations. Among academic psychologists, however, many contend that these two traits do not always overlap. This debate has raged for decades without resolution, most likely because of a conundrum: vulnerability is almost always present in a therapist’s office, but individuals high in grandiosity are unlikely to show up for treatment. Psychologist Mary Trump deduces, from family history and close observation, that her uncle, Donald Trump, meets the criteria for narcissistic as well as, probably, antisocial personality disorder, at the extreme end of which is sociopathy. But “coming up with an accurate and comprehensive diagnosis would require a full battery of psychological and neuropsychological tests that he’ll never sit for,” she notes in her book on the former president.
Now, brain science is contributing to a better understanding of narcissism. It’s unlikely to resolve the debate, but preliminary studies are coming down on the side of the clinicians: Vulnerability indeed seems to be the hidden underside of grandiosity…” Read the Complete Article by clicking on the icon below.
