Symposium

Narcissistic Traits and Narcissistic Personality Disorder in Borderline Personality Disorder

Sunday, March 25
3:30 PM - 5:00 PM
Location: Salon 3

49 outpatients positive on Revised-Diagnostic Interview for Borderlines (DIB-R) were administered the  Structured Clinical Interview for DSM-IV Dissociative Disorders and self-report: SCID I&II, Dissociative Experiences Scale, Multidimensional Inventory of Dissociation (MID), Dimensional Assessment of Personality Pathology-Basic Questionnaire (DAPP-BQ), and measures of trauma and severity.


Both the number of self-reported Narcissistic Traits (NT) and Narcissistic Personality Disorder on the SCID-II were related: (1) inversely to past substance abuse diagnoses and number of SCID-II personality disorders; (2) strongly to MID validity scales: abandonment, attention-seeking, factitious-behaviors, manipulativeness, BPD-index; (3) inversely to lifetime self-injuries with no-intent-to-die and suicide-attempts with intent-to-die; (4) to DAPP-BQ callousness personality dimension and (5) not related to DIB-R, trauma nor dissociation scales.


NT also correlated with DAPP-BQ dimensions of cognitive distortion, affective-lability, and suspiciousness.


DAPP-BQ Narcissism personality dimension was related: (1) inversely to DIB-R impulsivity; (2) weakly inversely to PTSD; (3) strongly to physical abuse and weakly to physical neglect, emotional neglect, and total abuse; (4) inversely to SCID-D amnesia; (5) very strongly to MID validity but not dissociation scales; and (6) to DAPP-BQ submissive, stimulus seeking and rejection dimensions.


Dimensional versus categorical “narcissism” correlates with different trauma, dissociation and severity factors. Narcissism in BPD indicates a uniquely pathological subgroup. 

Marilyn Korzekwa

Associate Professor, part-time
McMaster University
Stoney Creek, Ontario

Marilyn Korzekwa, MD, FRCPC, completed medicine at the University of Toronto in 1982 and psychiatry at McMaster University in Hamilton, Ontario, Canada in 1986, where she is an associate professor (part-time). Her 17 publications include first author on 6 papers about Borderline Personality Disorder (BPD), and 5 papers about dissociation in BPD, collaborating with Paul Dell. She has completed both levels of training in DBT, EMDR and Lifespan Integration. She is a fellow of the ISSTD and has been a member since 1992.

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