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12 - Narcissistic and Histrionic Personality Disorders

from Part III - Individual Disorders and Clusters

Published online by Cambridge University Press:  24 February 2020

By
Sindes Dawood ,
Leila Z. Wu ,
Chloe F. Bliton  and
Aaron L. Pincus
Edited by
Carl W. Lejuez  and
Kim L. Gratz
Carl W. Lejuez
Affiliation:
University of Kansas
Kim L. Gratz
Affiliation:
University of Toledo, Ohio
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Summary

This chapter reviews Narcissistic and Histrionic Personality Disorders (NPD, HPD) from three current perspectives. The categorical approach is exemplified in the DSM-5 Section II chapter on personality disorders. The categorical/dimensional hybrid approach is characterized by the DSM-5 Section III Alternative Model for Personality Disorders. Finally, both personality disorders are also conceptualized by purely dimensional and multidimensional models (e.g., pathological narcissism, histrionism). Integrative, interdisciplinary research and theory on NPD and pathological narcissism is expanding rapidly, providing novel clinical insights into classification, etiology, maintenance, patient presentation, and treatment. The clinical science of narcissism is robust, and its future appears quite promising. In contrast, contemporary research and theory on HPD and histrionism is scant and declining. Some have called for its elimination as a diagnostic entity. If the current trend of waning empirical and clinical interest persists, it is unlikely that HPD will be retained in future revisions of the DSM and other personality disorder classification systems.

Keywords

DSM-5narcissistic personality disorderhistrionic personality disordernarcissismhistrionismalternative model for personality disordersclassificationpersonality
Type
Chapter
Information
The Cambridge Handbook of Personality Disorders , pp. 277 - 291
Publisher: Cambridge University Press
Print publication year: 2020

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