The fear of what goes up must come down: A case report of vulnerable narcissism.

Covert Narcissistic personality Paraphilia Pathological narcissism Vulnerable

Journal

Asian journal of psychiatry
ISSN: 1876-2026
Titre abrégé: Asian J Psychiatr
Pays: Netherlands
ID NLM: 101517820

Informations de publication

Date de publication:
Dec 2020
Historique:
received: 16 04 2020
accepted: 17 04 2020
pubmed: 6 7 2020
medline: 22 6 2021
entrez: 6 7 2020
Statut: ppublish

Résumé

Pathological narcissism or narcissistic personality disorder is commonly characterized by an exaggerated sense of self-importance, condescending attitude, need for excessive admiration, diminished empathy and exploitativeness. In contrast to these overt attributes, there is a different presentation of pathological narcissism which is underrecognized, as one's preoccupation with hypervigilant, self-effacement and proneness to shame in the context of covert grandiose fantasies. This report illustrates a patient who had this subtype of vulnerable narcissism, and how his defence had been activated to preserve own self agency during a session with the doctor by revealing his paraphilic fantasy.

Identifiants

pubmed: 32623189
pii: S1876-2018(20)30228-8
doi: 10.1016/j.ajp.2020.102117
pii:
doi:

Types de publication

Case Reports Letter

Langues

eng

Sous-ensembles de citation

IM

Pagination

102117

Informations de copyright

Copyright © 2020 Elsevier B.V. All rights reserved.

Auteurs

Seng Choi Chong (SC)

Department of Psychiatry, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang, Selangor 43400, Malaysia. Electronic address: sengchoi@upm.edu.my.

Jin Kiat Ang (JK)

Department of Psychiatry, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang, Selangor 43400, Malaysia. Electronic address: jinkiat@upm.edu.my.

Hazleana Hashim (H)

Department of Psychiatry, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang, Selangor 43400, Malaysia. Electronic address: hazleanahashim1904@gmail.com.

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Classifications MeSH