Instabilità interiore e turbolenze relazionali nel Disturbo Narcisistico di Personalità

摘要

Inner instability and interpersonal turmoils in Narcissistic Disorder of Personality.Dimensional approach is replacing usual descriptions traditionally linked to categorical diagnosis of Personality Disorders (PDs). New key concepts are: 1) to identify PDs according to main dysfunctional traits domains, which may be shared by a number of different disorders 3) to define variants according to severity instead of classifying them as subtypes. The nosographic autonomy of Narcissistic Disorder of Personality (NPD) is again under scrutiny, due to the attitude of DSM-V Work Group on Personality and Personality Disorders to remove it as a distinct disorder. However, several authors are still pointing out its peculiarities in order to sustain that the diagnosis should be maintained. NPD, according to DSM-IV TR, reflects " a model of inner experience and behavior..." which is characterized by "grandiosity, need for admiration and lack of empaty..." . On the latter side, the disorder shares some exploitative behaviours with Antisocial Disorder of Personality, while egocentrism is a common feature with all Cluster B Disorders. Self image is relatively stable in NPD, together with an apparently low grade of impulsivity and a lack of physical self destructivity. But somewhat a diffuse competitivity allows these elements, too, may emerge. Furthermore, some disturbed traits more, such as perfec-tionistic and interpretative ones, are closer to OCD, the former, and to paranoid self reference, the latter.