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Case study of narcissistic personality disorder
Narcissistic personality disorder research paper
Case study of narcissistic personality disorder
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A Study of Narcissism
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Spanning back to the era of ancient Greek mythology, narcissism is currently recognized as an “infatuation and obsession with one’s self to the exclusion of all others”, and as the egocentric pursuit of one’s gratification, dominance and ambition” (Vaknin 1). This egocentric disorder is named after the ancient Greek myth of Narcissus- a man so enchanted by his own reflection that he pined away before it. The origin of narcissism as an acknowledged psychosis is deeply rooted in the mythological source of its very namesake. Narcissus’ obsession with image shows his self-idolization, but also hints toward an insecurity regarding identity and self worth (Alford 3). According to Ovid’s classic account, Narcissus is quoted saying:
“Am I the lover or beloved? Then why make love?
Since I am what I long for, then my riches are
So great they make me poor.” (Ovid 464)
Parallel in character to Narcissus, those diagnosed with his disorder are consumed by an exaggerated drive for supremacy and control. Characteristic also is a predilection toward entitlement. Narcissists tend to the notion that one is worthy of great admiration and esteem, regardless of his or her accomplishments (Vaknin 5).
Present psychology diagnoses this sort of self-fascination as a distinctive mental health illness - Narcissistic Personality Disorder, or NPD as documented in the fourth edition of the Diagnostic and Statistics Manuel (1994). Common characteristics of an individual afflicted by the disorder include: feelings of grandiosity, desiring a state of unequalled brilliance, the need for constant affirmation, and the “interpersonal exploitation”(DSM 1994) of others for self- achievement. Narcissism is usually seen as an infatuation with self so acute that the welfare of others is ignored. This is due to the narcissistic opinion that people exterior to the ‘self’ simply serve to mirror one’s own importance.
As analyzed by Freud, the story of Narcissus and its resulting condition can be divided into two categories: “regressive” versus “progressive” (Alford 35). Freud interprets narcissistic behavior as neither sick nor healthy, but indicative of the normal human condition.
Christopher Hamlin, “Edwin Chadwick, ‘Mutton Medicine’, and the Fever Question,” Bulletin of the History of Medicine 70 (1996): 233-265.
A narcissist is one who believes “he or she is ‘special’ and unique and can only be understood by, or should associate with, other special” people. They exploit others for their own advantage, lack empathy, and are “preoccupied with fantasies” or ideals that can be unrealistic. They believe they are the “primary importance in everybody’s life”. (“Narcissistic Personality”) Henry James’ theme in his short story, “The Beast in the Jungle”, is about a man, who is so egotistical and self-absorbed that he misses what life has to offer him, in particular, love, because of the narcissistic behavior he is doomed to live a life of loneliness and misery.
Globally the leading reason for mortality and morbidity rate is stroke. Nearly twenty million individuals can suffer from stroke annually and around five million individuals won't survive [1]. The developing countries account for a median of 85% of worldwide deaths from stroke [2]. Stroke ends up in practical impairments with a median rate of two hundredth survivors who need institutional care once an amount of three months and 15%-30% are going to be disabled for good [3].
There are many causes of strokes and risk factors that can increase likelihood of stroke. Causes include conditions such as atherosclerosis, also known as plaque build...
It goes without saying that everyone’s health is important and should be taken care carefully. Everyone has heard of strokes before but many people do not really know its meaning, types, and the number of individuals of that dies due to this issue. According to Centers for Disease Control and Prevention (2015), strokes kills an average of 130,000 people a year and it is one of the most common deaths that happen in the United States. An average of 800,000 of people die from cardiovascular disease and strokes and it is also a reason of long-term disability (Centers of Disease Control and Prevention, 2015). Strokes, which can also be called cerebrovascular accident or CVA happen when the blood supply to the brain is interrupted or the blood vessel going towards the brain burst. Then part of the brain dies or become seriously injured because the brain cells do not receive oxygen and they eventually die. People’s lifestyle may also impact seriously on their health and increase the possibility of having a stroke. Some of the risk that can severely increase the cause of stroke would be high blood pressure, heart disease, diabetes, cigarette smoking, as well as strokes that
Strokes are not only the leading cause of mentally disabling adults, but they are also the third most common reason for deaths worldwide (Jarvis, 2012). In general, a stroke, also called a “cerebrovascular accident,” occurs when blood flow of the vascular system is blocked from reaching parts of the brain (Jarvis, 2012). There are two types of stroke, an ischemic stroke or a hemorrhagic stroke, and they differ in the way they affect the vascular system. An ischemic stroke is the most common type of stroke, accounting for 80 percent of all strokes, and it is due to a thrombus or embolus blocking blood vessels supplying the brain (Durukan & Tatlisumak, 2007). A hemorrhagic stroke is less common, but is caused by the rupturing of a blood vessel in the brain and causes bleeding (Jarvis, 2012).
Charles, T. (n.d.). A Response to HJ McCloskey’s “On Being An Atheist”. Retrieved from Carry your cross: http://charlestinsley.wordpress.com/2012/12/17/a-response-to-hj-mccloskeys-on-being-an-atheist/
The case that we will be looking at throughout this paper is that of ‘Joe’ (name changed to so that he/she may remain anonymous. Joe has what is diagnosed by clinicians as narcissistic personality disorder. According to the DSM – IV –TR, this is characterized by ‘a pervasive pattern of grandiosity (in fantasy or behavior), need for admiration and lack of empathy, beginning by early adult and present in a variety of contexts.’ The DSM lists nine criteria and Joe must exhibit 5 or more of them to be diagnosed with narcissistic personality disorder. The first one is Joe has a grandiose sense of self-importance. He is always assuring himself that his needs come before anyone else’s and that he should be recognized for all of his achievements, large or small, in his life. The second characteristic that Joe displays is being preoccupied with fantasies of unlimited success, power, and beauty. He believes that he is the most attractive male of all of his peers and strives to attract as many women as he can and to have a sexual relationship with all of them. He sees no flaws in himself and cannot begin to understand why every woman is not attracted to him. The third characteristic that Joe displays of narcissistic personality disorder is that he lives with a sense of entitlement. He believes that everyone should think the way that he does and the he has the answer to ever problem. The fourth characteristic seen in Joe is that he lacks empathy, showing now sense of understanding towards other’s sorrow. Lastly, Joe is
Narcissistic Personality Disorder is a mental disorder that is considered to be an impairment in personality functioning, the presence of pathological traits, lack of empathy for others and a need for admiration. This type of personality disorder has some related disorders such as antisocial behaviors, interpersonal exploitation and envy. According to Luo, Cai, & Song (2014), “Narcissism refers to a kind of abundant self-love, characterized by a series of characteristic including self-desire for admiration, fantasies of superiority, hypersensitivity to criticism, exploitation of people, and lack of empathy for others” (p. 1). There have been ongoing discussions on how this type of behavior is processed in the brain. It is not clearly known
Strokes are the most common cause of disability and leading cause of death in the United States. Estimates of the number of stroke survivors in the United States exceed 3 million, and nearly 150,000 Americans died from stroke in 1995. The frequency with which strokes occur and the devastating effects they can have on survivors and their families make provision of general information about prevention and management an essential element of public health education. Previous researchers have found that between 14% and 40% of adults cannot name a single risk factor associated with stroke. This is reason for concern among the medical community.
When one speaks of narcissism, often the image of a self-absorbed and self-aggrandizing, but overly sensitive person comes to mind. Some features of a narcissistic personality may make it seem like having confidence, however, it crosses the border from healthy confidence to putting yourself on a pedestal. According to the Diagnostic and Statistical Manual of Mental Disorders (DSM-V) people who suffer from the pathological form of narcissism, Narcissistic Personality Disorder (NPD), possess an exaggerated sense of importance, believe they are superior or special, expect special treatment, and/or set goals based on obtaining approval from others. The criteria for NPD includes a sense of entitlement, lack of empathy, and a need for personal gain
The book talks about narcissistic personality disorder which is mistakenly regarded as a big ego or inflated self-esteem. The latter entails a big psychological condition that affects negativity in marriages and work environment as the victims own self sense of self. According to the book, the victims have self-confidence and shows arrogant behaviors. This is caused by low-esteem and sense of insecurity. The author has been licensed and has nationally creditably on social work for more than 20 years.
Americans are faced with health complications such as stroke each and every day. Stroke, also called “brain attack” is the third leading cause of deaths in the United States, killing more women each year than breast cancer. According to World Health Organization, fifteen million people suffer from stroke worldwide each year and about 700,000 in the United States. Among the people, it can be inferred that there is a poor public awareness of stroke. There are also many myths about stroke and one of them states that stroke is not preventable. It is also said that strokes cannot be treated, can only strike the elderly and its recovery happens for a few months post-stroke. When in reality, about 80% of strokes are preventable, it requires critical emergency treatment, can happen to anyone of any age, and occurs in the brain. It is also imperative to know that its recovery can continue throughout life.
Peering at an individual and seeing two polar opposite idealistic ways can be troubling. How may one see oneself in such a terrible way, but appear to view oneself as if they love oneself a bit too much? Being narcissistic is being extremely egocentric and being exceedingly self-absorbed, and self-hate is narcissism’s polar opposite, not liking oneself at all. The appearance of narcissism is purely an expression of self-hate.
Robbins & Judge (2009) describe narcissism as an individual “who has a grandiose sense of self-importance, requires excessive admiration, has a sense of entitlement, and is arrogant.” Poet Tony Hoagland brought up a valid observation in the textbook about the American culture