Journal of Psychiatry

A continuum paradigm of psychopathology: Narcissism as the core construct of mental illness

5^th International Conference on Depression, Anxiety and Stress Management

November 05-06, 2018 Bangkok, Thailand

Nasri Jacir, Amjed Abojdei and Natasha Abaza

Ahliya University, Bahrain

Posters & Accepted Abstracts: J Psychiatry

Abstract:

Recommendations for DSM-V (2013) (Diagnostic and Statistical Manual of Mental Disorders) include complementing the current standard categorical approach with a dimensional approach. The study proposes that the author???s development of the Narcissistic Spectrum Personality Questionnaire (NSPQ) based on Lowen???s (1985) definition of narcissism as the denial of the true self may potentially provide the framework for designing a measurement tool to assess psychiatric disorders on a continuum. The scale was not designed to assess extremes of narcissism where Narcissistic Personality Disorder (NPD-DSMIV) lies, rather, the scale attempted to develop a quantification of continuous narcissism. It was aimed to expand the definition of narcissism using self-psychology constructs inherent in the original mythological conceptualization. The NSPQ was given to a random outpatient clinic population. The sample included 112 patients referred to the clinic located in Amman, Jordan for initial assessment. The sample distribution according to their diagnosis were as follows, Psychotic (6.3%), ADHD (18.8%) anxiety disorders (46.4%) and affective only or mixed affective and anxiety disorders (28.6%). Results found internal validity for the NSPQ supported by corrected item total correlation as well as item difficulties according to one model item responsetheory. The construct validity was further supported by Confirmatory Factor Analysis (CFA) and empirically validated by the three proposed sub-factors (self-denial, guilt, self-destructiveness) into the main construct (narcissism). Data revealed a trend towards supplementing axis I disorders where the NSPQ traversed across various axis I diagnosis in a linear and statistically significant differentiating pattern as revealed by the ANOVA result. The overall result of this research supports the concept of a continuum model that may be used in supplementing the current diagnostic categories of the DSM.

Biography :

E-mail: nasrijacirclinic@gmail.com