Comprehensive Psychiatry
Volume 49, Issue 2 , Pages 141-145 , March 2008

An examination of the factor structure of Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, narcissistic personality disorder criteria: one or two factors?

  • Joshua D. Miller

      Affiliations

    • Department of Psychology, University of Georgia, Athens, GA 30602, USA
    • Corresponding Author InformationCorresponding author. Department of Psychology, University of Georgia, Athens, GA 30602-3013. Tel.: +1 706 542 1173; fax: +1 706 542 8048.
    • ,
  • Brian J. Hoffman

      Affiliations

    • Department of Psychology, University of Georgia, Athens, GA 30602, USA
    • ,
  • W. Keith Campbell

      Affiliations

    • Department of Psychology, University of Georgia, Athens, GA 30602, USA
    • ,
  • Paul A. Pilkonis

      Affiliations

    • Western Psychiatric Institute and Clinic, University of Pittsburgh Medical Center, Pittsburgh, PA, USA

References 

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  2. Freud S. Libidinal types. Standard edition of the psychological works of Sigmund Freud, vol 21. 1931;
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  7. Morf CC, Rhodewalt F. Unraveling the paradoxes of narcissism: a dynamic self-regulatory processing model. Psychol Inq. 2001;12:177–196
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  9. Miller JD, Campbell W. Comparing clinical and social-personality conceptualizations of narcissism. J Pers [in press].
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  13. Fossati A, Beauchaine TP, Grazioli F, Carretta I, Cortinovis F, Maffei C. A latent structure analysis of Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Narcissistic Personality Disorder criteria. Compr Psychiatry. 2005;46:361–367
  14. Pilkonis PA, Heape CL, Proietti JM, Clark SW, McDavid JD, Pitts TE. The reliability and validity of two structured diagnostic interviews for personality disorders. Arch Gen Psychiatry. 1995;52:1025–1033
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  21. Miller JD, Campbell WK, Pilkonis PA, Morse JQ. Assessment procedures for narcissistic personality disorder: a comparison of the Personality Diagnostic Questionnaire-4+ and best estimate clinical judgments. [Manuscript under review].
  22. Otway LJ, Vignoles VL. Narcissism and childhood recollections: a quantitative test of psychoanalytic predictions. Pers Soc Psychol Bull. 2006;32:104–116
  23. Miller JD, Campbell WK, Pilkonis PA. Narcissistic personality disorder: relations with distress and functional impairment. Compr Psychiatry. 2007;48:170–177
  24. Zimmerman M, Rothschild L, Chelminski I. The prevalence of DSM-IV personality disorders in psychiatric outpatients. Am J Psychiatry 2005;162:1911-8.
  25. Torgersen S. Epidemiology. In:  Oldham JM,  Skodol AE,  Bender DS editor. Textbook of personality disorders. Washington, DC: American Psychiatric Publishing Inc; 2005;p. 129–141
  26. Spitzer RL. Psychiatric diagnosis: are clinicians still necessary. Compr Psychiatry. 1983;24:399–411
  27. Samuel DB, Widiger TA. Clinicians' personality descriptions of prototypic personality disorders. J Pers Disord. 2004;18:286–308
  28. Lynam DR, Widiger TA. Using the five-factor model to represent the DSM-IV personality disorders: an expert consensus approach. J Abnorm Psychol. 2001;110:401–412

☆ This study was supported by grant MH56888—both its original version titled “Screening for Personality Disorders” and a competing continuation titled “Interpersonal Functioning in Borderline Personality” (PI: P. Pilkonis).

PII: S0010-440X(07)00124-1

doi: 10.1016/j.comppsych.2007.08.012

Comprehensive Psychiatry
Volume 49, Issue 2 , Pages 141-145 , March 2008

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