Grandiose and Vulnerable Narcissism: A Nomological Network Analysis

[Narcissism-Normal, pathological, grandiose, vulnerable?]

Personality psychology subdivides the narcissism of healthy persons into the grandiose and the vulnerable types (2 factor model), which can be further described in a more differentiated way with the three personality factors extroversion, intolerance/antagonism and neuroticism (3 factor model). The grandiose and the vulnerable types of narcissism can also be found in narcissistically disturbed patients. The narcissistic personality disorder (NPD), which in DSM‑5 is exclusively characterized by the grandiose features also shows vulnerable features; however, these are hidden behind the grandiose features. Grandiose narcissism is relatively rare in the clinical routine. So far vulnerable narcissism could not be diagnosed in DSM‑5 or ICD-10; however, in the future this will be demonstrable in ICD-11 by the dimensional concept of personality disorder even if it does not exist as an official diagnosis in ICD-11.

The Influence of Childhood Emotional Abuse and Neglect on Love Addiction: The Indirect Effect of Vulnerable Narcissism Among Female and Male Emerging Adults

Childhood maltreatment is a key precursor to vulnerable narcissism since it likely lead to a narcissistic injury that triggers defenses against rage and abandonment. In later life, this pattern may contribute to a maladaptive model of love relationships. The present study explored the association between different types of childhood maltreatment (i.e., emotional, physical, and sexual abuse; physical and emotional neglect) and love addiction via vulnerable narcissism in a community sample of 505 cisgender emerging adults (M = 24.90, SD = 2.67; 76.6% assigned female at birth (AFAB); 68.5% heterosexual) residing in Italy. Data collection relied on self-report questionnaires administered online through the Qualtrics platform, and study hypotheses were tested using structural equation modeling. The results showed that childhood emotional abuse and emotional neglect directly influenced love addiction, while physical and sexual abuse, as well as physical neglect, showed no significant effects. Greater childhood emotional abuse and neglect were associated with increased vulnerable narcissism, leading to higher levels of love addiction. Gender differences emerged, with the indirect effect of vulnerable narcissism on the relationship between emotional neglect and love addiction significant only for AFAB. The findings emphasize the risk of love addiction in emerging adults with a history of childhood emotional abuse and neglect, highlighting the importance of addressing childhood emotional maltreatment and vulnerable narcissistic personality traits in interventions to treat this condition.

Signaling High Sensitivity to Influence Others: Initial Evidence for the Roles of Reinforcement Sensitivity, Sensory Processing Sensitivity, and the Dark Triad

Signaling high sensitivity to others may help individuals with heightened sensitivity to stimuli to craft their social relations to a preferred activation level ("assertive signaling of specific needs" hypothesis). Signaling sensitivity could be also a deceptive strategy helping to extract resources or obtain the desired treatment ("deceptive signaling" hypothesis). The study presents the construction of the measure of signaling high sensitivity to influence others and an initial test of both hypotheses. Two hundred and one participants ranging in age from 18 to 67 (M = 25.6; SD = 7.03) reported on their reinforcement sensitivity (behavioral approach and inhibition system), sensory processing sensitivity, and the Dark Triad. Signaling high sensitivity to influence others was weakly, but significantly, associated with behavioral inhibition system sensitivity, which was consistent with the "assertive signaling of specific needs" hypothesis. The behavioral approach system was positively correlated with signaling high sensitivity, which indicated that this influence strategy could be treated as an assertive self-presentational strategy helping in achieving social rewards for individuals with high reward responsiveness. Narcissism and psychopathy accounted for an additional amount of variance in signaling high sensitivity over and beyond reinforcement sensitivity. This was consistent with the "deceptive signaling" hypothesis. Signaling high sensitivity could be regarded as a strategy to achieve social goals using deception rather than as an expression of sensitive personality.

Vulnerable Narcissism and Emotion Dysregulation as Mediators in the Link between Childhood Emotional Abuse and Binge Watching

Individuals who have faced childhood emotional abuse (CEA) may develop vulnerable narcissistic tendencies and experience difficulties in regulating their emotions. These psychological vulnerabilities can contribute to the adoption of binge watching as a maladaptive coping mechanism. The present study aimed to investigate the potential mediating role of vulnerable narcissism and emotion dysregulation in the relationship between CEA and binge watching. Additionally, this study examined whether this model was gender-invariant. A sample of 1082 emerging adults, aged 18 to 25 (50% women), completed self-report questionnaires. The results revealed significant direct and indirect relationships among all the variables of interest, and the model was found to be invariant across genders. Notably, both men and women who experienced CEA and exhibited higher levels of vulnerable narcissism and emotion dysregulation reported engaging in higher levels of binge watching. These findings highlight the importance of the early identification of CEA, the implementation of targeted interventions, and the provision of trauma-informed care to address the negative consequences of CEA and mitigate the development of binge-watching behaviors. Moreover, the results emphasize the need for tailored prevention and intervention programs that address vulnerable narcissism and emotion dysregulation as potential pathways to inform effective therapeutic strategies.

Procrastination, Perfectionism, Narcissistic Vulnerability, and Psychological Well-Being in Young Adults: An Italian Study

Procrastination is generally regarded as a dysfunctional tendency to postpone tasks, due to its consequences on performance and psychological well-being. Previous research has indicated that it is linked to perfectionism and narcissism, but with mixed results. The present study explored the interaction between procrastination, perceived parental expectations, multidimensional perfectionism, and narcissism in a sample of 548 Italian young adults aged 18-35 years (M = 23.9; SD = 4.3). Participants completed an online survey consisting of a sociodemographic questionnaire and psychometric measures assessing the constructs of interest. The results showed that: (a) procrastination was positively correlated with socially prescribed perfectionism only, which, in turn, was positively correlated with perceived parental expectations and criticism, and both narcissistic grandiosity and vulnerability; (b) perceived parental expectations and criticism and narcissistic vulnerability had a positive effect on socially prescribed perfectionism, while procrastination had a negative one; and (c) narcissistic vulnerability mediated the relationship between socially prescribed perfectionism and procrastination. Taken together, the findings contribute to a better understanding of the link between procrastination, perfectionism, and narcissism in young adults, and highlight the relevance of contemporary parenting styles and the current sociocultural background for understanding dilatory behaviors.

Narcissistic personality disorder in the ICD-11: Severity and trait profiles of grandiosity and vulnerability

Modern diagnostic and classification frameworks such as the ICD-11 and DSM-5-AMPD have adopted a dimensional approach to diagnosing personality disorder using a dual "severity" and "trait" model. As narcissistic personality has historically struggled to be adequately captured in dominant diagnostic systems, this study investigated the utility of the new ICD-11 framework in capturing diverse narcissistic expressions. Participants were mental health clinicians (N = 180, 67% female, age = 38.9), who completed ratings of ICD-11 personality severity, trait domains and a clinical reflection for two hypothetical case vignettes reflecting either prototypical "grandiose" or "vulnerable" narcissism. The majority of clinicians (82%) endorsed a diagnosis of personality disorder for both grandiose and vulnerable vignettes. Discriminant elements of personality impairment included rigid, unrealistically positive self-view, low empathy and high conflict with others for grandiosity, and incoherent identity, low self-esteem and hypervigilant, avoidant relations with others for vulnerability. Regarding trait profile, grandiose narcissism was predominately dissocial whereas vulnerable narcissism was primarily associated with negative affectivity and detachment. Qualitative responses highlight distinct clinical themes for each presentation. These findings suggest that clinicians using the ICD-11 framework are able to identify common core elements of personality dysfunction in grandiose and vulnerable narcissism while also recognizing their distinctive differences.

The dark side of mental toughness: a meta-analysis of the relationship between the dark triad traits and mental toughness

Introduction

This meta-analysis investigates the relationships between the Dark Triad personality traits (narcissism, Machiavellianism, and psychopathy) and mental toughness. Previous research has shown mixed results regarding the influence of these traits on mental toughness. The objective of this meta-analysis is to synthesize existing literature and provide a comprehensive understanding of how Dark Triad traits correlate with mental toughness.

Methods

A comprehensive literature search was conducted in 7 databases, Data were extracted by correlation and analyzed using a random-effects model.

Results

The results yielding 27 effect sizes with a total of 12,378 participants, revealed a significant moderate positive association between narcissism and mental toughness (r = 0.327, p < 0.001), suggesting that individuals with higher levels of narcissism tend to exhibit greater mental toughness. However, no significant associations were found between Machiavellianism (r = 0.023, p = 0.719) or psychopathy (r = -0.022, p = 0.625) and mental toughness.

Discussion

The findings contribute to a more nuanced understanding of the Dark Triad traits and their differential associations with adaptive psychological constructs, highlighting the unique role of narcissism in mental toughness. This meta-analysis provides valuable insights for future research and practical applications in fostering adaptive aspects of narcissism while mitigating its potential maladaptive consequences.

Identification of the Core Characteristics of Vulnerable/Hypersensitive Narcissism and its Association with the Dark Triad in a Large International Sample: A Network Analysis Study

The current paper aimed to investigate the network structure and centrality indexes of hypersensitive narcissism using the hypersensitive Narcissism Scale (HSN). Additionally, we aimed to explore its relationships with dark triad personality aspects. A globally diverse sample of "53,981" participants (47.9% non-United States responders) completed the HSN and Dark Triad Dirty Dozen scale (DTD). We estimated the network structure across genders to determine the core characteristics of hypersensitive narcissism. Additionally, bridge and central nodes (characteristics) were identified. All analyses were performed using R-Studio programming software. The network comparison test indicated significant differences in the network structures between males and females (Network-Invariance: 0.0489, P < 0.01; Global Strength Invariance: 0.101, P < 0.01). In the network of HSN for male participants, characteristics with the highest strength centrality were "Highly affected by criticism" (HSN.2, strength = 1.08) and "Self-absorbed in personal pursuits" (HSN.8, strength = 1.28). For female participants, "Self-absorbed in personal pursuits" (HSN.8, strength = 1.32) and "privately annoyed by others' needs" (HSN.10, strength = 1.21) were the highest central characteristics. The assessment of bridge strength indicated that nodes HSN.2 (Highly sensitive to criticism), scoring 0.42, and DTD.1 (Tendency to manipulate for gain, a component of Machiavellianism), scoring 0.428, showed the highest bridge strength values. The current study identified core characteristics of hypersensitive narcissism and its correlation with dark triad personality, revealing gender-specific patterns and bridging symptoms between the two constructs. These findings showed that focusing on these core characteristics may be advantageous in treating individuals exhibiting elevated levels of narcissism.

Showing True Colours: EMA Case Descriptions of Narcissistic States

Traditionally, narcissistic characteristics are considered relatively stable, although clinical accounts and recent research show that additional narcissistic states are variable and fluctuate in actuality. Narcissism research tends to focus on cross-sectional, group-based, trait approaches. Momentary ecological assessments allow one to discover individuals' true colors by observing narcissistic experiences while they unfold in real-time and real-world settings. Within momentary ecological assessments, inspecting single cases enables insight into individual dynamics and presentations. Consequently, this research collected grandiose and vulnerable narcissistic trait and state data 10 times a day for 6 days. Based on the highest trait scores, two individual cases are presented per category: predominantly grandiose narcissistic, predominantly vulnerable narcissistic, and combined narcissistic. Overall, the descriptions provide evidence for the dynamics within and between grandiose and vulnerable narcissistic states. Further, broad patterns for each narcissistic dimension were uncovered, in which the grandiose subdimension experienced mainly grandiosity, and the vulnerable and combined subdimensions experienced both grandiosity and vulnerability. Out of the three, the combined subdimension experienced the highest instability and levels of daily vulnerability. However, each individual case showed unique fluctuation patterns that highlight the importance of personalized, real-life assessments in research and clinical care.

Narcissism and Intimate Partner Violence: A Systematic Review and Meta-Analysis

This review aimed to examine the relationship between intimate partner violence (IPV) perpetration and trait narcissism, and whether the strength of this relationship differs depending on narcissism type (grandiose or vulnerable), the type of violence perpetrated, or the perpetrator's gender. Scopus, Medline, PsycInfo, and Academic Search Complete databases were searched on August 11, 2022. Studies were included if they were in English, measured IPV perpetration and trait narcissism, and examined the relationship between trait narcissism and IPV perpetration. Studies were excluded if they were review papers, conference extracts, book chapters, or if the data was not specific to trait narcissism. The AXIS tool was used to assess the quality and risk of bias of the studies. Twenty-two studies (N = 11,520 participants) were included in the random effects meta-analysis revealing a significant, weak, positive relationship between trait narcissism and IPV perpetration, r = .15. Subgroup analyses revealed physical IPV perpetration was not significantly related to trait narcissism while cyber and psychological IPV perpetration were significantly, positively, weakly related to trait narcissism. No significant difference in the strength of the relationship with IPV perpetration was found between males and females. The relationship between trait narcissism and IPV perpetration was significantly greater for vulnerable narcissism than grandiose narcissism. Overall, the quality of the included studies was high, and risk of bias was low. All measures were self-report and underreporting could be present given both narcissistic traits and IPV perpetration are considered socially undesirable. Future research examining these relationships should specify IPV and narcissism types.

Shame in social interaction: Descriptions of experiences of shame by participants with high or low levels of narcissistic traits

In this study, we investigate how personal experiences about shameful events are described in face-to-face social interaction, and how these stories differ between participants who have either high or low levels of narcissistic personality traits. The dataset consists of 22 dyadic conversations where the participants describe events where they felt ashamed of themselves. We found the narratives to vary in terms of five dimensions. With narcissistic individuals, the default narrative tended to exhibit a cluster of characteristics that gather at one end of these dimensions: (1) weak expressions of shame; (2) located in the story-world; (3) low level of reflexivity as well as; (4) responsibility of the described event; and (5) a general level of description. We discuss the findings in relation to sociological and psychological theories of shame and suggest that individuals with narcissistic personality traits are more inclined to use suppressive conversational practices in their treatment of shame, thus providing a "window" to these interactional practices.

Do Narcissist Phubs or Get Phubbed? Analyzing the Role of Motivational Systems

Phubbing is a common sight, but it is not merely a technological faux pas. The present study aims to explore phubbing (phubbing others and getting phubbed) through the lens of two types of personalities (grandiose and vulnerable narcissism). Moreover, the study also aimed to evaluate the indirect role of motivational systems (BAS/BIS) between these two sets of variables. The sample of the study comprised 525 Indian college students. Data were analyzed through Hayes Process Macro (Hayes) in SPSS (Version 26). Vulnerable narcissism was found to be positively related to phubbing others and getting phubbed. Grandiose narcissism was found to be related to phubbing others but not to getting phubbed. BAS and BIS were significantly and positively related to phubbing and getting phubbed. BAS indirectly affected the relationship between two kinds of narcissism (vulnerable and grandiose) and phubbing (phubbing others and getting phubbed); however, BIS failed to influence the relationship between narcissism and phubbing. The results of the present study challenge the notion that all phubbing behaviors are truly deviant as narcissistic personality played an important role in phubbing behavior. The study also highlighted the importance of rewards and punishment on phubbing behaviors, and therefore there is a need to focus on BAS and BIS while dealing with phubbing behaviors.

Narcissism and alcohol use: The mediating role of drinking motives among college students

Objective: The current study examined associations between grandiose and vulnerable subclinical narcissistic traits and alcohol use among college students and whether drinking motives mediated these associations.

Methods and Participants: Young adult college students who reported past month alcohol use were invited to complete self-report online surveys (N = 406; 81% female; Mage = 20.13, SD = 1.69; 10% Hispanic; 85% White).

Results: Results from path analysis using structural equation modeling indicated that there were no direct associations between grandiose or vulnerable subclinical narcissistic traits and alcohol use. However, several drinking motives mediated these associations. Specifically, the association between grandiose traits and alcohol use was mediated by enhancement and social motives. Similarly, the association between vulnerable traits and alcohol use was mediated by enhancement, social and coping motives.

Conclusions: Findings highlight a potential mechanism by which personality traits may contribute to a health risk behavior among young people.

Narcissus reflected: Grey and white matter features joint contribution to the default mode network in predicting narcissistic personality traits

Despite the clinical significance of narcissistic personality, its neural bases have not been clarified yet, primarily because of methodological limitations of the previous studies, such as the low sample size, the use of univariate techniques and the focus on only one brain modality. In this study, we employed for the first time a combination of unsupervised and supervised machine learning methods, to identify the joint contributions of grey matter (GM) and white matter (WM) to narcissistic personality traits (NPT). After preprocessing, the brain scans of 135 participants were decomposed into eight independent networks of covarying GM and WM via parallel ICA. Subsequently, stepwise regression and Random Forest were used to predict NPT. We hypothesized that a fronto-temporo parietal network, mainly related to the default mode network, may be involved in NPT and associated WM regions. Results demonstrated a distributed network that included GM alterations in fronto-temporal regions, the insula and the cingulate cortex, along with WM alterations in cerebellar and thalamic regions. To assess the specificity of our findings, we also examined whether the brain network predicting narcissism could also predict other personality traits (i.e., histrionic, paranoid and avoidant personalities). Notably, this network did not predict such personality traits. Additionally, a supervised machine learning model (Random Forest) was used to extract a predictive model for generalization to new cases. Results confirmed that the same network could predict new cases. These findings hold promise for advancing our understanding of personality traits and potentially uncovering brain biomarkers associated with narcissism.

The Unified Narcissism Scale-Revised: Expanding Measurement and Understanding of Narcissism Across Cultures

The study of narcissism has been hindered by conceptual, theoretical, and measurement in-consistencies. In this article, we report two studies that tested a novel unified conceptualization and theoretical approach to narcissism using the Unified Narcissism Scale-Revised. Study 1 revised the recently developed Unified Narcissism Scale to construct a preliminary 40-item measure in a sample of 395 American participants (Mage = 41). We confirmed the five-factor first-order model, the two-factor second-order model, and the one-factor third-order model. Study 2 considered the cross-cultural performance of the revised scale in the Chinese language in China (N = 326, Mage = 25.5 years) and in the English language in Sri Lanka (N = 354 Mage = 28.7 years) and constructed a final 35-item measure. In conducting these studies, we have demonstrated the cross-cultural importance of entitlement and self-esteem to the conceptualization of narcissism and suggest that the negative relationship between narcissism and agreeableness may be culture-specific to Western samples (as evidenced by the absence of this relationship in non-Western samples). In this article, we have constructed a measure of narcissism that has refined our understanding of the construct and created a tool to capture this understanding.

Measuring the "Dark" Triad: Comparing the Five-Factor Model Antagonistic Triad Measure to Other Commonly Used Self-Report Instruments

The "Dark" Triad (DT) refers to three personality constructs with ties to socially aversive behaviors: psychopathy, narcissism, and Machiavellianism. These constructs are commonly assessed via omnibus self-report inventories such as the Short Dark Triad (SD3) or the Dirty Dozen. Alternatively, researchers wishing to measure "dark" traits can compile stand-alone measures of each construct. Recently, the Five Factor Model Antagonistic Triad Measure (FFM ATM) was developed, which measures the DT from the perspective of the widely used Five Factor Model of personality. Initial validation studies indicated that the FFM ATM addresses common concerns with other omnibus inventories (e.g., allows for multifaceted examination of DT constructs). The current study tested the FFM ATM in relation to these other methods of measuring the DT (i.e., omnibus inventories and combinations of single-construct measures). Across three tests of validity (i.e., nomological network analysis, intraclass correlations, and incremental validity analyses), the FFM ATM showed favorable results and outperformed other measures of the DT.

Linking grandiose and vulnerable narcissism to managerial work performance, through the lens of core personality traits and social desirability

While grandiose narcissism is well-studied, vulnerable narcissism remains largely unexplored in the workplace context. Our study aimed to compare grandiose and vulnerable narcissism among managers and people from the general population. Within the managerial sample, our objective was to examine how these traits diverge concerning core personality traits and socially desirable responses. Furthermore, we endeavored to explore their associations with individual managerial performance, encompassing task performance, contextual performance, and counterproductive work behavior (CWB). Involving a pool of managerial participants (N = 344), we found that compared to the general population, managers exhibited higher levels of grandiose narcissism and lower levels of vulnerable narcissism. While both narcissistic variants had a minimal correlation (r = .02) with each other, they differentially predicted work performance. Notably, grandiose narcissism did not significantly predict any work performance dimension, whereas vulnerable narcissism, along with neuroticism, predicted higher CWB and lower task performance. Conscientiousness emerged as the strongest predictor of task performance. This study suggests that organizations might not benefit from managers with vulnerable narcissism. Understanding these distinct narcissistic variants offers insights into their impacts on managerial performance in work settings.

Structure of resilience: A Machiavellian contribution or 'paddle your own canoe'

According to biobehavioral synchronicity model, empathy-a fundamental requirement for reciprocal and prosocial behavior-is at the core of rebound from stress, an essential feature of resilience. However, there are also reports on antagonistic traits-characterized by empathic deficit-bolstering immunity to stress. In the literature there is also inconclusive evidence regarding gender-related differences in resilience. In separate female and male subsamples we analyzed the network constellation entailing resilience (assessed as rebound from stress), empathic (cognitive empathy, affective resonance, and affective dissonance) and antagonistic personality traits (Machiavellianism, grandiose- and vulnerable narcissism). For both genders, Machiavellian agency instigated by narcissistic admiration occupied the central position in the network indicating that personality's resources for proactivity and control are essential for successful rebound. Empathy, and in particular its affective component, occupied only a peripheral position in the network. Machiavellian antagonism in men and grandiose narcissism in females bridged prosocial mechanism of resilience with antagonistic nodes of the network. In the female subsample both types of malign narcissism (rivalry and vulnerable narcissism) directly thwarted rebound. This process was not detected in the male subsample network dominated by antagonism. That is, gender-related differences were associated with the avoidance strategies rather than with the proactive strategies. Thus, resilience assessed as rebounding from stress primarily involves personality resources which modulate proactive- and prosocial- but not necessarily reciprocal behavior.

Momentary assessment of the relations between narcissistic traits, interpersonal behaviors, and aggression

INTRODUCTION

This study explores the associations among narcissistic traits, interpersonal behaviors, and aggression using repeated, situation-based measurement. We examine narcissism's relations with aggression across three levels of its theorized hierarchy (level 1: narcissism; level 2: grandiose vs. vulnerable narcissism; level 3: antagonism, agentic extraversion, and narcissistic neuroticism).

METHODS

Using an experience-sampling approach, the current study examined the effects of narcissism and its finer-grained components on daily affective experiences and aggressive behaviors in the context of interpersonal interactions. Data were collected from 477 undergraduate students who were instructed to complete four prompts a day for ten consecutive days.

RESULTS

Narcissism at the global construct level positively predicted multiple indices of episodic aggression (i.e., aggressive temper, aggressive urge, verbal aggression). At the dual-dimension level, grandiose narcissism specifically predicted aggression, and then at the trifurcated level, interpersonal antagonism predicted aggression by itself and in interaction with event-level negative affect. Negative affect consistently exhibited both within- and between-person effects on aggression.

CONCLUSION

In real-life social interactions, narcissism dimensions differentially affect the way individuals experience social interactions and process negative affect, and thus in both research and clinical practice, narcissism is best assessed as a heterogeneous, multidimensional construct.

Dark Triad personality traits and realistic and symbolic COVID-19 threat: The role of conspiracy mentality

The COVID-19 pandemic has profoundly altered global social dynamics through extensive containment measures. Understanding how individuals perceive the virus, distinguishing between realistic and symbolic threats, and considering the influence of personality traits is essential for effective public health messaging and interventions. This study explores the linkage between personality traits and perceived COVID-19 threats, mediated by conspiracy mentality, across diverse international contexts. Online survey data were collected in June 2021 from 13,645 participants across seven European countries, the US, and Colombia. The study explores how individuals with different Dark Triad traits perceive the threat of COVID-19, and whether conspiracy mentality mediates these perceptions. The findings reveal distinct associations. Machiavellianism and narcissism were linked to lower perceived COVID-19 threat, while psychopathy was associated with greater perceived threat. Additionally, individuals with higher conspiracy mentality endorsed greater perceived threat related to COVID-19. This study highlights the influence of Dark Triad personality traits on how individuals perceive the threats posed by COVID-19, with conspiracy mentality mediating this relationship. Understanding these associations provides valuable insights into psychological factors affecting COVID-19 perception, informing future research and public health strategies.

I understand your pain but I do not feel it: lower affective empathy in response to others' social pain in narcissism

Introduction

While the relationship between narcissism and empathy has been well-researched, studies have paid less attention to empathic accuracy, i.e., appreciating the precise strength of another person's emotions, and self-other distinction, in terms of the disparity between affective ratings for self and other in response to emotive stimuli. Furthermore, empathic responses may vary depending on whether the pain is physical or social.

Methods

We investigated empathic accuracy, affective empathy, and the distinction between pain, emotion and intensity ratings for self and other, in high (n = 44) and low (n = 43) narcissism groups (HNG and LNG, respectively) selected from 611 students, in response to both types of pain. Participants watched six videos where targets expressed genuine experiences of physical and social pain, and rated the perceived affect and pain experienced by the person in the video and their own empathic emotional responses.

Results and discussion

The HNG displayed lower affective empathy and empathic accuracy than the LNG for both pain types. Within the HNG there was higher empathic accuracy for social vs. physical pain, despite reduced affective empathy for social pain, in contrast to the LNG. In addition to this paradox, the HNG demonstrated greater differences between ratings for the self and for target others than the LNG, suggesting that narcissism is associated with higher self-other distinction in response to viewing other people describing social pain.

Personality and motivation of physical activity in adolescent girls: effects of perceived parental support and social physical anxiety

In the present study, we investigated the relationship between personality and motivation for physical activity while introducing perceived parental support and social physical anxiety in adolescent girls (N = 318, Mage: 16.19 ± 0.51 years). The present study was a retrospective correlational study that was conducted to analyze of a path model. Dark triad traits: Machiavellianism, narcissism, and psychopathy, student's motivation for physical activity, social physique anxiety, and participants' perceptions of parents' behaviors were measured. The findings indicated that psychopathy and Machiavellianism were directly and indirectly associated with motivation for physical activity, but Narcissism could only directly predict the motivation for physical activity. Also, need-thwarting (the most), need-supportive and social physical anxiety could predict motivation for physical activity. This model of the result suggests that among adolescent girls, dark triad personality could, directly and indirectly, predict motivation with need-supportive and need-thwarting and also social physical anxiety. It seems that the sense of importance and more attention to oneself in adolescent girls, which exists in the narcissistic personality, can directly lead to more motivation for physical activity. Also, the duplicitous ways of Machiavellian people in pursuing their motives were confirmed in this research.

Individual differences in spite predict costly third-party punishment

OBJECTIVE

Spiteful behaviors are those aimed at inflicting harm on another person while also incurring a cost to the self. Although spite sometimes reflects destructive and socially undesirable behaviors including aggression, the current work sought to examine a potentially socially beneficial aspect of spite: engagement in costly punishment for selfish behavior.

METHOD

Four studies used a costly third-party punishment task and measured individual differences in spite, narcissism, Machiavellianism, psychopathy, and motivations for engaging in punishment.

RESULTS

Trait spite was positively associated with costly punishment of selfish behavior. That association was independent of other dark personality traits (narcissism, Machiavellianism, psychopathy) and was statistically mediated by a desire for retribution. One of the studies also provided evidence that trait spite was associated with costly punishment of even generous behavior; however, rather than a desire for retribution, that association was mediated by a desire to threaten the person being punished.

CONCLUSION

Punishing selfishness and other forms of wrongdoing plays an essential role in cooperative group living. The current work provides new insight into the role spiteful motivations might play in this crucial social behavior.

Pathological narcissism and relationship obsessive-compulsive disorder (ROCD) symptoms: Exploring the role of vulnerable narcissism

OBJECTIVE

Relationship obsessive-compulsive disorder (ROCD) symptoms, which include obsessive preoccupation, doubts, and compulsive behaviors focusing on the suitability of the relationship and/or partner, have been receiving increasing clinical, theoretical, and empirical attention. This clinical variant of OCD is associated with significant functional, personal, and dyadic consequences. ROCD symptoms have also been linked to several cognitive vulnerability factors, such as maladaptive relationship catastrophization. However, little is known about the connection between ROCD symptoms and specific personality traits. In this study, we examine whether vulnerable narcissistic personality traits may constitute a general vulnerability factor for ROCD symptoms. Specifically, we assess whether partner value self-contingencies moderate the association between vulnerable narcissistic traits and obsessive preoccupation with a romantic partner's perceived flaws.

METHOD

A total of 310 individuals self-reporting ROCD symptoms completed questionnaires assessing narcissistic personality traits, ROCD symptoms and cognitions, and partner value self-contingencies.

RESULTS

Vulnerable narcissistic traits were uniquely associated with ROCD symptoms over and above ROCD-related cognitions. Self-worth contingent on the partner's perceived value partially mediated the effect of vulnerable narcissistic traits on ROCD symptoms.

CONCLUSION

Results supported the role of vulnerable narcissistic traits and domain-relevant self-vulnerabilities on obsessive preoccupation with romantic partners' perceived flaws. Further research is needed to explore the susceptibility of vulnerable individuals to the development and maintenance of ROCD symptoms.

Predicting narcissistic personality traits from brain and psychological features: A supervised machine learning approach

Narcissism is a multifaceted construct often linked to pathological conditions whose neural correlates are still poorly understood. Previous studies have reported inconsistent findings related to the neural underpinnings of narcissism, probably due to methodological limitations such as the low number of participants or the use of mass univariate methods. The present study aimed to overcome the previous methodological limitations and to build a predictive model of narcissistic traits based on neural and psychological features. In this respect, two machine learning-based methods (Kernel Ridge Regression and Support Vector Regression) were used to predict narcissistic traits from brain structural organization and from other relevant normal and abnormal personality features. Results showed that a circuit including the lateral and middle frontal gyri, the angular gyrus, Rolandic operculum, and Heschl's gyrus successfully predicted narcissistic personality traits (p < 0.003). Moreover, narcissistic traits were predicted by normal (openness, agreeableness, conscientiousness) and abnormal (borderline, antisocial, insecure, addicted, negativistic, machiavellianism) personality traits. This study is the first to predict narcissistic personality traits via a supervised machine learning approach. As such, these results may expand the possibility of deriving personality traits from neural and psychological features.

The association between victims' vulnerable and grandiose narcissism and grudge holding

Two nonexperimental studies were conducted to test how and why transgression victims' narcissism influences their grudge holding, using undergraduate students and a community sample of adults, respectively. Study 1 tested the association between victims' vulnerable narcissism and grudge holding, including emotional persistence, perceived longevity, and disdain toward the transgressor. It also tested the extent to which victims' grandiose narcissism moderated the association. Study 2 was conducted to replicate Study 1 and test whether victims' rumination about the transgression mediated the moderated association. Overall, those with higher degrees of grandiosity showed a positive relation between vulnerable narcissism and reported emotional persistence (Studies 1 and 2) and perceived longevity (Study 2). Finally, rumination explained the moderated relation (Study 2).

Cognitive Empathy and the Dark Triad: A Literature Review

This literature review aims to analyze studies published by researchers on the topic of the relationship between the psychological constructs of the Dark Triad and Cognitive Empathy. This study hypothesizes how having good cognitive empathic skills could benefit people who demonstrate Dark Triad traits, as this could facilitate the implementation of manipulative strategies. Through the process of identifying studies via databases and registers, 23 studies were included in this literature review, and the results and theories brought forward by the researchers find more agreement regarding the individual components of the Dark Triad than the whole construct: narcissism seems to have, for the most part, relatively small and typical positive correlations (more than 50% of correlations), Machiavellianism has relatively small and typical negative relationships (about 80% of correlations), and psychopathy has relatively large negative relationships (about 90% of correlations). This study conveys that Machiavellians and psychopaths, having reduced empathic abilities, use manipulation techniques that do not have to do with empathy (for example seduction, intimidation etc.), while narcissists would be, among these three dimensions, those most likely to understand others' states of mind and thus be able to use this knowledge to their advantage-although there are doubts about the veracity of the statements and answers given by narcissists in the tests administered to them. This literature review could be a valid aid to professionals dealing with people who exhibit Dark Triad traits; understanding how those exhibiting Dark Triad traits manage their empathic abilities, the areas in which the various dimensions show deficits or not, and how they act to implement their manipulative and controlling tactics could aid in the development of more effective helping strategies to be utilized in therapy settings.

Narcissism in Romantic Relationships: Using Communal Activation to Promote Relationship Enhancing Attitudes

Background: People with elevated vulnerable narcissism (VN) or grandiose narcissism (GN) trait levels tend to experience greater difficulties in their romantic relationships than their counterparts with lower levels of VN or GN. Although there are no evidence-based approaches to alter the interpersonal behavior of persons with VN or GN traits, experimental research shows that it is possible to produce relationship-enhancing attitudes in people with GN traits through communal activation (CA). Objective: We examined whether a CA manipulation in the context of relationship education improves attitudes that promote romantic relationship health, and whether VN and GN would moderate these associations. Method: Participants (Nwomen =148, Nmen = 71) watched psychoeducational videos on relationships and were randomly assigned to either answer questions about the videos' content (control group) or to complete CA exercises (experimental group) in addition to questionnaires to measure empathy, criticism, commitment, desire for closeness, and communication (positive interaction, demand/withdraw communication, criticize/defend communication) before and after the experimental manipulation. Results: There was a main effect of condition, such that, relative to the control group, fewer improvements in perceived demand/withdraw communication were observed in the experimental condition. VN, but not GN, moderated the link between condition and commitment, demand/withdraw and criticize/defend communication, such that elevated VN levels predicted the most improvement in commitment, demand/withdraw and criticize/defend communication in the experimental condition. Discussion: We conclude with recommendations to adopt ego-enhancing reinforcement for communal behaviors with clients who endorse GN traits and considering less personally relevant CA exercises with clients who endorse VN traits.

Parent Grandiose Narcissism and Child Socio-Emotional Well Being: The Role of Parenting

Previous research has highlighted how parent narcissism relates to parenting broadly. However, research has not examined how facets of grandiose narcissism are associated with parenting tactics, nor how these facets may indirectly affect child development. The current study assesses parenting tactics as intervening variables in associations between facets of grandiose narcissism and child internalizing/externalizing. Participants were 457 parents of a child between six and 18. Parents completed a survey assessing grandiose narcissism, positive and negative parenting tactics, and reported on child internalizing/externalizing behaviors. Higher parent grandiosity and entitlement/exploitation were associated with more negative parenting tactics and less positive parenting tactics. Negative parenting tactics intervened in relations between these facets of grandiose narcissism and child internalizing and externalizing. Conversely, higher levels of leadership/authority were related to more positive parenting tactics. Results suggest that deficits in parenting may be a mechanism for how parent grandiose narcissism relates to child mental health.

Understanding pathways from narcissistic grandiosity to psychotic-like experiences: Insights from the network analysis

It has been shown that narcissistic grandiosity and psychotic-like experiences (PLEs) may share the common psychological mechanisms, including impairments of metacognition, social cognition, cognitive biases, emotion regulation through fantasizing and dissociation. However, it remains unknown as to whether these mechanisms are associated with the occurrence of PLEs in people with narcissistic grandiosity. Therefore, in the present study, we approached a network analysis in order to investigate pathways from narcissistic grandiosity to PLEs taking into consideration the mediating effect of common psychological mechanisms. The study was based on a non-clinical sample of 1647 individuals, aged 18-35 years. Data were collected through self-reports administered in the online survey. There were no direct connections between narcissistic grandiosity and PLEs. However, four pathways connecting narcissistic grandiosity and PLEs through the effect of one mediating psychological mechanism were identified. These mechanisms covered external attribution biases, the need to control thoughts, social cognition, and emotion regulation through fantasizing. Among them, the shortest pathway led through the effects of external attribution biases. Age, gender, education and lifetime history of psychiatric treatment were included as covariates in a network analysis. Findings from this study indicate that higher levels of external attributions, the need to control thoughts, impairments of social cognition, and emotion regulation strategies based on fantasizing might be associated with the development of PLEs in people showing narcissistic grandiosity. These observations indicate potential targets for therapeutic approaches that aim to reduce the risk of developing comorbid psychopathology in people with grandiose narcissism traits.

The Self-Concept and Identity Measure in Patients with Personality Disorders: A Psychometric Evaluation and Associations With Identity Processes, Core Domains of Self-Functioning, and Personality Disorder Symptoms

As developmental and clinical research on identity has largely developed in disconnect, scholars recommend adopting a developmental psychopathology perspective on identity, which considers adaptive and pathological identity functioning. Such a perspective has also been introduced in the Diagnostic and Statistical Manual of Mental Disorders (5th ed.; DSM-5) Alternative Model for Personality Disorders (AMPD), which suggests that all personality disorders (PDs) are marked by moderate to extreme deficits in self-functioning (i.e., identity and self-direction). The present study aims to validate the Dutch Self-Concept and Identity Measure (SCIM), a 27-item self-report questionnaire that assesses consolidated identity, disturbed identity, and lack of identity, in 153 psychiatric inpatients with PDs (75.2% female; Mage = 31.73). We investigated the factor structure and reliability of the SCIM, and examined associations of SCIM scales with typical identity processes, AMPD domains of self-functioning, and symptoms of all PDs. Results indicated that a 23-item Dutch SCIM produced valid and reliable scores among patients with PDs. Furthermore, SCIM scales were significantly and differentially related to identity commitment processes, ruminative identity exploration, domains of self-functioning, and symptoms of all PDs. Moreover, findings indicated that PDs varied regarding the severity of identity impairment.

A Person-Centered Approach to Emotional Security: Latent Profile Analysis of the Dark Triad and Psychological Symptoms

Few studies have examined emotional security utilizing a person-centered approach. Therefore, in the present study, we conceptualized a multidimensional construct that includes psychological symptoms (i.e., depression, anxiety, and stress) and the dark triad traits (i.e., Machiavellianism, narcissism, and psychopathy). Applying latent profile analysis (LPA) allows the exploration of the interaction of emotional security with the dark triad traits and psychological symptoms in the sample at the level of sub-classes. Depression, stress, anxiety, Machiavellianism, narcissism, and psychopathy were determined as profile indicators. Moreover, satisfaction with life and the psychological well-being of the sub-classes were predicted. Data were gathered from 558 participants (418 females, %74.9) with an average age of 22.44 years). LPA indicated four distinct profiles: 'High emotional security and low psychological symptoms, and dark triad traits' (22%), 'Low emotional security and high psychological symptoms, dark triad traits' (5%), 'Low emotional security and moderate dark triad traits' (28%), 'Moderate emotional security, psychological symptoms, and dark triad traits' (45%). Mixture modeling approach-based research provides a complementary view of the previous psychopathology literature. The findings could help practitioners target at-risk university students with low emotional security, low psychological well-being, and low life satisfaction and design programs to aid them in alleviating the psychological symptoms and the dark triad traits.

A Narcissism/Vanity Distinction? Reassessing Vanity Using a Modern Model of Narcissism Based on Pride, Empathy, and Social Behaviors

The primary purpose of this study is to evaluate the role of vanity in its longstanding theoretical association with narcissism. This is particularly germane, as the conceptualization and measurement of narcissism have evolved in recent years. This is observed in the development of spectrum and/or dimensional models of narcissism, concomitant with the conceptual developments of vanity that have emerged since its original inclusion in the Narcissism Personality Inventory. Specifically, our research question evaluated whether vanity remains as traditionally construed, i.e., as a facet of narcissism, or is better conceptualized as a distinct construct separated from the earlier models of narcissism and therefore provide novel implications in understanding personality and social behavior. Based on the traits of pride, empathy, and several social behavior variables, it was hypothesized that a differentiation between narcissism and vanity would be observed. The participants were 441 undergraduate students from a large public midwestern university who participated in a self-report online survey. Correlation and regression analyses were conducted. The results revealed that the characterization of vanity is limited to pride and an absence of empathy and social behavior. Findings reaffirm behavior patterns of grandiose and vulnerable narcissism regarding selflessness, image management, and sensitivity to others. The core motivations of vanity are explicated as based on social comparison theory to assess one's subjective and/or objective value though it is not characterized as a "social" trait or by social behavior, in contrast to how narcissism is characterized. Based on our findings and an improved understanding of the narcissism model, we conclude that vanity is more closely related to the grandiose dimension of narcissism and discuss how the underlying motivations of vanity improve our understanding of grandiose narcissism. We discuss the implications that these findings provide to the developing, modern conceptualizations of narcissism and affirm and expand our understanding of vanity in personality.

Two-Wave Stability of Grandiose and Vulnerable Narcissism During Adolescence: The Mediating Role of Empathy

ABSTRACT

Literature suggests that narcissistic traits may affect socio-affective development from early adolescence. Two interrelated narcissistic domains have been identified, i.e. , narcissistic grandiosity (NG) and narcissistic vulnerability (NV). This study aims to prospectively assess NG and NV during adolescence and to investigate the mediating role of empathy on the stability of narcissistic traits. One-hundred fifty-six adolescents (47.5% females) participated in a longitudinal prospective study. NG, NV, and empathy were assessed at baseline and 24-month follow-up. Compared with NG traits, NV showed a mean-level increasing pattern, albeit with a small effect size. Different empathy domains mediated the developmental trajectories of NG and NV. Specifically, the "fantasy" empathy domain partially mediated the stability of NG, whereas the "personal distress" domain partially mediated the mild increase of NV. The findings suggest that grandiose fantasies and negative activation to others' distress are crucial factors in shaping developmental trajectories of narcissistic traits during adolescence.

Hurting the Grandiose Self: Examining Presence, Frequency, and Functions of Nonsuicidal Self-Injury in Pathological Narcissism

The present study examines whether dimensions of pathological narcissism are associated with the presence, frequency, and function of nonsuicidal self-injury (NSSI). Adults (N = 252) completed questionnaires assessing narcissistic grandiosity, narcissistic vulnerability, fluctuation between these narcissistic states, and borderline personality disorder (BPD) symptoms. Those with a history of NSSI (n = 105) also reported the method, frequency, and function of their NSSI engagement. When controlling for co-occurring BPD symptoms, there were very few associations between vulnerability, grandiosity, and narcissistic fluctuation and NSSI presence and frequency. However, a clear pattern emerged regarding NSSI functions. Although vulnerability and narcissistic fluctuation were not associated with any functions of NSSI when co-occurring BPD symptoms were controlled for, grandiosity was positively associated with all interpersonal functions of NSSI (e.g., peer bonding, revenge) and negatively associated with the intrapersonal function of affect regulation. These results suggest a unique relationship between narcissistic grandiosity and NSSI that may inform clinical intervention.

The relationship between the Dark Triad and bullying among Chinese adolescents: the role of social exclusion and sense of control

Introduction

Abundant evidence has proved the association between the Dark Triad and bullying. However, the underlying mechanisms of this relationship are still not fully understood. Based on the temporal need-threat model, three studies were designed to explore the mediating role of social exclusion and sense of control in this research.

Methods

In study 1 we recruited 571 Chinese adolescents (M_age = 14.53, SD = 0.716) to participate in a cross-sectional study. And two experiments were respectively designed in Study 2 (N = 88) and Study 3 (N = 102) to verify the effects of real and cyber social exclusion on adolescent bullying behavior.

Results

Study 1 showed that social exclusion and sense of control would play the serial mediating role in the relationship between the Dark Triad and bullying (except social exclusion as a mediator between the Dark Triad and cyberbullying). Study 2 and 3 showed that adolescents with high Dark Triad show lower sense of control and more bullying behavior after experiencing social exclusion.

Discussion

These findings extend the research on the Dark Triad and bullying by providing a solid empirical foundation and intervention strategies to avoid bullying so that the problem can be rationally and scientifically approached.

Narcissistic susceptibility to conspiracy beliefs exaggerated by education, reduced by cognitive reflection

Conspiracy theories are alternate viewpoints of provided explanations; sensational stories revolving around small groups exerting control for nefarious reasons. Recent events and research have outlined myriad negative social and personal outcomes for those who endorse them. Prior research suggests several predictors of susceptibility to conspiracy theories, including narcissistic personality traits (grandiosity, need for uniqueness), cognitive processes (critical thinking, confirmation bias) and lack of education. The aim of the current paper was to explore how facets of narcissism predict susceptibility to conspiracy theories. It was expected that narcissism would be a positive predictor, but education and cognitive reflection would act as protective factors, reducing this effect. Study one utilized an international survey (N = 323) to investigate the role of education as a protective tool in the relationship between narcissistic traits and conspiratorial beliefs. Support was found for the hypotheses that individuals with higher levels of grandiosity, vulnerable narcissism, a strive for uniqueness, and a strive for supremacy predicted higher levels of conspiracy endorsement. Higher education and STEM education were associated with lower levels of conspiracy endorsement, however all significant moderations indicated that for narcissistic individuals, education increased their likelihood of adopting conspiracy beliefs, contrary to expectation. To investigate this further, study two analyzed a large-scale publicly available dataset (N = 51,404) to assess the relationship between narcissism, critical thinking skills (specifically cognitive reflection) and conspiracy beliefs pertaining to the COVID-19 pandemic. As expected, analysis found narcissism and poor cognitive reflection (intuitive thinking) as predictors of conspiracy beliefs. Higher levels of cognitive reflection were found to be protective, moderating and reducing the impact of narcissism on endorsement of conspiracy theories. The findings suggest that cognitive reflection, but not education protect against narcissistic conspiracy belief. Moreover, that cognitive reflection may have a lessened effect against conspiracy theories adopted for social or ideological reasons. These findings improve understanding of both the role and limitations of education/critical thinking skills as protective factors against conspiracy theory endorsement.

Agentic and communal narcissism in predicting different types of lies in romantic relationships

Several studies have investigated a potential positive association between agentic narcissism and general dishonesty, revealing both supportive and contradicting evidence. Few have focused on dishonesty within romantic relationships, a phenomenon that occurs in almost all partnerships. With the present research, we first aimed to extend existing literature on narcissism by including its two complementary facets (i.e., agentic and communal narcissism). Second, we aimed to improve the understanding of narcissists' lying behavior in the context of partnerships by distinguishing between two different types of lies (i.e., self-centered and other-oriented lies). We hypothesized that both, people higher in agentic and communal narcissism, will report increased dishonesty toward their romantic partners (Hypothesis 1). Given the self-benefit function of self-centered lies and given that agentic narcissists aim to fulfill their relationship-based motives by agentic means, we predict agentic narcissism (compared with communal narcissism) will be a stronger predictor for self-centered lies (Hypothesis 1a). Given the other-benefiting function of other-oriented lies and given that communal narcissists aim to fulfill their motive of self-enhancement by communal means, we predict that communal narcissism (compared with agentic narcissism) will be a stronger predictor for other-oriented lies (Hypothesis 1b). In two preregistered online studies (N = 298: N = 256) we showed that people higher in agentic narcissism believed to be good liars, but this does not lead to higher self-reported frequencies of other-oriented and self-centered lies within romantic relationships historically; communal narcissism was also not related to self-reported deception. Limitations and directions for future research are discussed.

G-FORCE: the effectiveness of group psychotherapy for Cluster-C personality disorders: protocol of a pragmatic RCT comparing psychodynamic and two forms of schema group therapy

BACKGROUND

Cluster-C personality disorders (PDs), characterized by a high level of fear and anxiety, are related to high levels of distress, societal dysfunctioning and chronicity of various mental health disorders. Evidence for the optimal treatment is extremely scarce. Nevertheless, the need to treat these patients is eminent. In clinical practice, group therapy is one of the frequently offered approaches, with two important frameworks: schema therapy and psychodynamic therapy. These two frameworks suggest different mechanisms of change, but until now, this has not yet been explored. The purpose of the present G-FORCE trial is to find evidence on the differential (cost)effectiveness of two forms of schema group therapy and psychodynamic group therapy in the routine clinical setting of an outpatient clinic and to investigate the underlying working mechanisms and predictors of outcome of these therapies.

METHODS

In this mono-centre pragmatic randomized clinical trial, 290 patients with Cluster-C PDs or other specified PD with predominantly Cluster-C traits, will be randomized to one of three treatment conditions: group schema therapy for Cluster-C (GST-C, 1 year), schema-focused group therapy (SFGT, 1.5 year) or psychodynamic group therapy (PG, 2 years). Randomization will be pre-stratified on the type of PD. Change in severity of PD (APD-IV) over 24 months will be the primary outcome measure. Secondary outcome measures are personality functioning, psychiatric symptoms and quality of life. Potential predictors and mediators are selected and measured repeatedly. Also, a cost-effectiveness study will be performed, primarily based on a societal perspective, using both clinical effects and quality-adjusted life years. The time-points of assessment are at baseline, start of treatment and after 1, 3, 6, 9, 12, 18, 24 and 36 months.

DISCUSSION

This study is designed to evaluate the effectiveness and cost-effectiveness of three formats of group psychotherapy for Cluster-C PDs. Additionally, predictors, procedure and process variables are analysed to investigate the working mechanisms of the therapies. This is the first large RCT on group therapy for Cluster-C PDs and will contribute improving the care of this neglected patient group. The absence of a control group can be considered as a limitation.

TRIAL REGISTRATION

CCMO, NL72826.029.20 . Registered on 31 August 2020, first participant included on 18 October 2020.

Individual psychotherapy for cluster-C personality disorders: protocol of a pragmatic RCT comparing short-term psychodynamic supportive psychotherapy, affect phobia therapy and schema therapy (I-FORCE)

BACKGROUND

Cluster-C personality disorders (PDs) are highly prevalent in clinical practice and are associated with unfavourable outcome and chronicity of all common mental health disorders (e.g. depression and anxiety disorders). Although several forms of individual psychotherapy are commonly offered in clinical practice for this population, evidence for differential effectiveness of different forms of psychotherapy is lacking. Also, very little is known about the underlying working mechanisms of these psychotherapies. Finding evidence on the differential (cost)-effectiveness for this group of patients and the working mechanisms of change is important to improve the quality of care for this vulnerable group of patients.

OBJECTIVE

In this study, we will compare the differential (cost)-effectiveness of three individual psychotherapies: short-term psychodynamic supportive psychotherapy (SPSP), affect phobia therapy (APT) and schema therapy (ST). Although these psychotherapies are commonly used in clinical practice, evidence for the Cluster-C PDs is limited. Additionally, we will investigate predictive factors, non-specific and therapy-specific mediators.

METHODS

This is a mono-centre randomized clinical trial with three parallel groups: (1) SPSP, (2) APT, (3) ST. Randomization on patient level will be pre-stratified according to type of PD. The total study population to be included consists of 264 patients with Cluster-C PDs or other specified PD with mainly Cluster-C traits, aged 18-65 years, seeking treatment at NPI, a Dutch mental health care institute specialized in PDs. SPSP, APT and ST (50 sessions per treatment) are offered twice a week in sessions of 50 min for the first 4 to 5 months. After that, session frequency decreases to once a week. All treatments have a maximum duration of 1 year. Change in the severity of the PD (ADP-IV) will be the primary outcome measure. Secondary outcome measures are personality functioning, psychiatric symptoms and quality of life. Several potential mediators, predictors and moderators of outcome are also assessed. The effectiveness study is complemented with a cost-effectiveness/utility study, using both clinical effects and quality-adjusted life-years, and primarily based on a societal approach. Assessments will take place at baseline, start of treatment and at 1, 3, 6, 9, 12, 18, 24 and 36 months.

DISCUSSION

This is the first study comparing psychodynamic treatment to schema therapy for Cluster-C PDs. The naturalistic design enhances the clinical validity of the outcome. A limitation is the lack of a control group for ethical reasons.

TRIAL REGISTRATION

NL72823.029.20 [Registry ID: CCMO]. Registered on 31 August 2020. First participant included on 23 October 2020.

Validation of the Five-Factor Model Antagonistic Triad Measure

The personality constructs psychopathy, narcissism, and Machiavellianism, collectively described as the Dark Triad (DT), all reference socially aversive behavioral tendencies. Each construct is theorized to have features that differentiate it from others. Unfortunately, existing measures of the DT suffer from several problems. The present study compared newly developed measures of psychopathy (Super-Short Form of the Elemental Psychopathy Assessment), narcissism (Super-Short Form of the Five-Factor Narcissism Inventory), and Machiavellianism (Super-Short Form of the Five-Factor Machiavellianism Inventory [FFMI-SSF] based on the Five-Factor Model of personality)-collectively referred to as the Five-Factor Model Antagonistic Triad Measure-to existing DT inventories using a sample of undergraduate students (N = 516). As predicted, FFMI-SSF showed better divergence from measures of psychopathy and better convergence with the expert Five-Factor Model (FFM) Machiavellianism profile than did existing Machiavellianism measures. Results also demonstrated that the factors within each FFM assessment manifested differentiated correlational profiles, underscoring the utility of the multifaceted assessment of these three constructs. In addition, the use of the FFM as the basis for the new DT measures provides a pathway for the integration of DT research into the larger field of basic and clinical personality science.

A Small Price to Pay: National Narcissism Predicts Readiness to Sacrifice In-Group Members to Defend the In-Group's Image

Collective narcissism is a belief in one's in-group greatness that is underappreciated by others. Across three studies conducted in the context of the coronavirus disease 2019 (COVID-19) pandemic, we found that collective narcissism, measured with respect to the national group, was related to support of policies that protect the national image at the expense of in-group members' health. In Study 1, British national narcissism was related to opposing cooperation with the European Union (EU) on medical equipment. In Study 2, American national narcissism predicted opposition to COVID-19 testing to downplay the number of cases. In Study 3, American national narcissism was related to support for releasing an untested COVID-19 vaccine, to beat other countries to the punch. These relationships were mediated by concern about the country's reputation. Our studies shed light on collective narcissism as a group-based ego-enhancement strategy in which a strong image of the group is prioritized over members' well-being.