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.