Conceptions of Narcissism and the DSM-5 Pathological Personality Traits

Aidan G.C. Wright, Aaron L. Pincus, Katherine M. Thomas, Christopher J. Hopwood, Kristian E. Markon, Robert F. Krueger

Research output: Contribution to journalArticlepeer-review

119 Scopus citations


The Diagnostic and Statistical Manual of Mental Disorders-Fifth Edition (DSM-5) features two conceptions of Narcissistic Personality Disorder (NPD), one based on the retained DSM-IV's categorical diagnosis and the other based on a model that blends impairments in personality functioning with a specific trait profile intended to recapture DSM-IV NPD. Nevertheless, the broader literature contains a richer array of potential conceptualizations of narcissism, including distinguishable perspectives from psychiatric nosology, clinical observation and theory, and social/personality psychology. This raises questions about the most advantageous pattern of traits to use to reflect various conceptions of narcissistic pathology via the Personality Inventory for the DSM-5 (PID-5). In this study, we examine the associations of the Personality Disorder Questionnaire-Narcissistic Personality Disorder scale, Narcissistic Personality Inventory-16, and the Pathological Narcissism Inventory and the PID-5 dimensions and facets in a large sample (N = 1,653) of undergraduate student participants. Results point to strong associations with PID-5 Antagonism scales across narcissism measures, consistent with the DSM-5's proposed representation of NPD. However, additional notable associations emerged with PID-5 Negative Affectivity and Psychoticism scales when considering more clinically relevant narcissism measures.

Original languageEnglish (US)
Pages (from-to)339-352
Number of pages14
Issue number3
StatePublished - Jun 2013

All Science Journal Classification (ASJC) codes

  • Clinical Psychology
  • Applied Psychology


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