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Grandiose and Vulnerable Narcissism

Green, A. ORCID: 0000-0002-4683-0793 & Day, N. (2023). Grandiose and Vulnerable Narcissism. In: Bach, B. (Ed.), ICD-11 Personality Disorders: Assessment and Treatment. . Oxford, UK: Oxford University Press.


Pathological narcissism encompasses prototypical features of grandiose and vulnerable narcissism presentations which are differently associated with personality functioning and trait domain specifiers in males and females. This chapter begins with a historical review of the concept of narcissism and its evolution, from being seen as a myth to being considered an official clinical designation in the psychiatric nomenclature. It then proceeds to review the transition from categorical to dimensional models in conceptualising Narcissistic Personality Disorder (NPD), followed by an illustration of how grandiose and vulnerable expressions in males and females are captured in the new ICD-11 model of personality disorders. This is achieved through the use of preliminary research data (Day et al., in preparation; Green et al., in preparation) and six brief case descriptions, each of which contain relevant treatment considerations for clinical practice.

Publication Type: Book Section
Additional Information: Reproduced by permission of Oxford University Press. For permission to re-use this material, please visit
Publisher Keywords: Narcissistic Personality Disorder, ICD-11, pathological narcissism, personality severity, personality traits
Subjects: B Philosophy. Psychology. Religion > BF Psychology
H Social Sciences > HN Social history and conditions. Social problems. Social reform
R Medicine > RC Internal medicine > RC0321 Neuroscience. Biological psychiatry. Neuropsychiatry
Departments: School of Health & Psychological Sciences
School of Health & Psychological Sciences > Psychology
SWORD Depositor:
[thumbnail of GREEN DAY - NARCISSIM Accepted_final (002).pdf] Text - Accepted Version
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