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News for 31-Jan-26

Source: MedicineNet High Blood Pressure General
More Research Cites Salt's Potential Health Risks

Source: MedicineNet Diabetes General
Health Tip: Creating an Insulin Routine

Source: MedicineNet High Blood Pressure General
Sharp Drop in Blood Pressure After Rx May Be Risky for Some Heart Patients

Source: MedicineNet Diabetes General
Chemo More Damaging to Hearts of Diabetics: Study

Source: MedicineNet Diabetes General
Jardiance (empagliflozin)

Source: MedicineNet High Blood Pressure General
Study Finds Worrisome Heart Effects Among Some Football Players

Source: MedicineNet Diabetes General
Health Tip: Prepare for Travel With Diabetes

Source: MedicineNet High Blood Pressure General
Even Small Rise in Blood Pressure Can Harm Black Patients

Source: MedicineNet High Blood Pressure General
Bonus From Your Blood Pressure Med: Fewer Fractures?

Source: MedicineNet Diabetes General
glipizide and metformin (Metaglip has been discontinued in the US)

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issistic Personality Disorder - Who is a Malignant Narcissist?

 by: Sam Vaknin, Ph.D.

QUESTION Number 1 - Who is a Narcissist?

Dear Dr. Vaknin,

I read the excerpts you placed on your web site with great interest.

I wanted to ask:

Isn't your definition of malignant narcissism too wide? Having read it, I think that it fits my neighbours, friends, and family to a "t". Everyone seems to be a narcissist to me now!

HELP!

ANSWER

Yours is an understandable reaction. All of us have narcissistic TRAITS. Some of us even develop a narcissistic PERSONALITY. Moreover, narcissism is a SPECTRUM of behaviours - from the healthy to the utterly pathological (known as the Narcissistic Personality Disorder, or NPD).

But the "malignant" narcissist consistently manifests at least 5 of these 9 criteria.

The DSM IV uses this language:

"An all-pervasive pattern of grandiosity (in fantasy or behaviour), need for admiration or adulation and lack of empathy, usually beginning by early adulthood and present in various contexts."

So, what matters is that these characteristics, often found in healthy people, appear:

1. Jointly and not separately or intermittently

2. They are all-pervasive (invade, penetrate, and mould every aspect, nook, and cranny of the personality)

3. That grandiose fantasies are abundantly discernible

4. That grandiose (often ridiculous) behaviours are present

5. That there is an over-riding need for admiration and adulation ("narcissistic supply")

6. That the person lacks empathy (regards other people as two dimensional cartoon figures and abstractions, unable to "stand in their shoes")

7. That all these phenomena began, at the latest, in early adolescence

8. That the narcissistic behaviours pervade all the social and emotional interactions of the narcissist.

Here are the 9 criteria. Having 5 of these 9 "qualifies" you as a narcissist...

1. Feels grandiose and self-importance (e.g., exaggerates achievements and talents to the point of lying, demands to be recognized as superior without commensurate achievements)

2. Is obsessed with fantasies of unlimited success, fame, fearsome power or omnipotence, unequalled brilliance (the cerebral narcissist), bodily beauty or sexual performance (the somatic narcissist), or ideal, everlasting, all-conquering love or passion

3. Firmly convinced that he or she is unique and, being special, can only be understood by, should only be treated by, or associate with, other special or unique, or high-status people (or institutions)

4. Requires excessive admiration, adulation, attention and affirmation - or, failing that, wishes to be feared and to be notorious (narcissistic supply).

5. Feels entitled. Expects unreasonable or special and favourable priority treatment. Demands automatic and full compliance with his or her expectations

6. Is "interpersonally exploitative", i.e., uses others to achieve his or her own ends

7. Devoid of empathy. Is unable or unwilling to identify with or acknowledge the feelings and needs of others

8. Constantly envious of others or believes that they feel the same about him or her

9. Arrogant, haughty behaviours or attitudes coupled with rage when frustrated, contradicted, or confronted.

The language in the criteria above is based on or summarized from:

American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders, fourth edition (DSM IV). Washington, DC: American Psychiatric Association.

Sam Vaknin. (1999, 2001). Malignant Self Love - Narcissism Revisited, second, revised printing Prague and Skopje: Narcissus Publication. ("Malignant Self Love - Narcissism Revisited" http://www.geocities.com/vaksam/faq1.html)

About The Author Sam Vaknin is the author of "Malignant Self Love - Narcissism Revisited" and the editor of mental health categories in The Open Directory, Suite101, and searcheurope.com. His web site: http://samvak.tripod.com Frequently asked questions regarding narcissism: http://samvak.tripod.com/faq1.html Narcissistic Personality Disorder on Suite101: http://www.suite101.com/welcome.cfm/npd

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