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Managing trauma exposure and developing resilience in the midst of COVID-19
Published in J. Michael Ryan, COVID-19, 2020
Johanna Soet Buzolits, Ann Abbey, Kate Kittredge, Ann E. C. Smith
A sense of persecution was exhibited in those who reacted to others’ pain and suffering in a defensive or combative way. Guilt was felt by individuals who were able to work from home while millions of others filed for unemployment. Anger and cynicism were expressed on both sides of the spectrum – toward the government by those who opposed restrictions related to COVID-19 and toward those not taking precautions by those following the rules. Grandiosity is an inflated sense of importance related to one’s work or role, which can lead to neglect of self while serving others. This manifested through essential and frontline workers serving others while ignoring physical, mental, and emotional needs of themselves and loved ones.
Attack of Nerves
Published in Paul Ian Steinberg, Psychoanalysis in Medicine, 2020
The gifted child (the future physician) responds by attempting to help her mother by devoting herself to her mother’s needs at the expense of developing an adequate awareness of her own needs, of learning how to fulfill them, and of pursuing her own interests (Miller, 1981). The grandiosity of this child in believing that she can fulfill her mother’s needs (hoping that her mother then will have more to offer her) may be the best adaptation she could find in childhood, but extracts a heavy toll as the child grows older and continues to focus on the environment for gratification, rather than developing a growing awareness of herself. This grandiosity can be understood as a grandiose defense against the sense of helplessness that a child might naturally experience when her needs were unmet and she undertook to take care of her mother. When the individual is a physician candidate in an oral examination setting, grandiosity and omnipotence are qualities that may jeopardize chances of success. To some extent, examination anxiety may be considered a “normal” phenomenon, that, if not overwhelming, may actually be adaptive, helping the candidate both prepare for the examination and focus on it during the examination. Additionally, this anxiety can help to curtail the grandiosity described above. A candidate is more likely to pass an oral examination if she is properly prepared, and does not behave in an arrogant manner.
Fixed-False Beliefs
Published in Ragy R. Girgis, Gary Brucato, Jeffrey A. Lieberman, Understanding and Caring for People with Schizophrenia, 2020
Ragy R. Girgis, Gary Brucato, Jeffrey A. Lieberman
Joy’s condition waxed and waned for many years. Her feelings of superiority and grandiosity generally never totally remitted regardless of how Joy’s other symptoms responded to treatment, though were more substantial at times, while her hallucinations and other delusions tended to remit with treatment. She initially tried haloperidol and chlorpromazine, followed by risperidone and ziprasidone. She eventually settled on 300mg of quetiapine.
Narcissistic grandiosity and risky health behaviors in college students
Published in Journal of American College Health, 2022
Sulamunn R. M. Coleman, Michael J. Bernstein, Jacob A. Benfield, Joshua M. Smyth
Grandiosity is a primary dimension of narcissism that encompasses related but theoretically distinct traits. Examples of grandiose traits include “leadership/authority” (i.e., a preoccupation with success, social status, and drive for associated recognition and admiration), “grandiose exhibitionism,” (i.e., a tendency to show off and to like being the center of attention), and “entitlement/exploitativeness,” (i.e., manipulative tendencies and a general willingness to take advantage of others to meet entitled expectations).14–16 A 2015 meta-analysis demonstrated that men tended to be higher than women in grandiosity, particularly in leadership/authority and entitlement/exploitativeness.16 As research suggests college men and women tend to engage in risky health behaviors at different rates17–20 it is important to examine whether grandiosity differentially associates with health behaviors for men and women to potentially inform prevention and treatment efforts.
Narcissism and Reactions to a Self-Esteem Insult: An Experiment Using Predictions from Self-Report and the Rorschach Task
Published in Journal of Personality Assessment, 2021
Emanuela S. Gritti, Gregory J. Meyer, Robert F. Bornstein, David P. Marino, Jodi di Marco
Diagnostic criteria for NPD (APA, 2013) focus primarily on grandiosity and entitlement, which overlooks the covert themes of vulnerable self-esteem emphasized by clinical theories (Kernberg, 1975; Kohut, 1977). In part, this is because self-reported narcissistic grandiosity and vulnerability are essentially uncorrelated and have distinct associations with external criteria (e.g., Krizan & Herlache, 2018; Miller et al., 2017). Although self- and informant ratings converge for the agentic and extroverted manifestations of grandiosity, they converge much less for the neuroticism-infused features of vulnerability (e.g., Oltmanns et al., 2018). Thus, people who report grandiosity tend not to also report vulnerability, even though informants might recognize it in them. In addition, self-reported grandiosity is associated with heightened sensitivity to self-esteem threat in experimental paradigms (Rhodewalt & Morf, 1998; Ronningstam, 2011), supporting the clinical view that narcissism encompasses the coexistence of painful feelings of inadequacy with externalized self-aggrandizing behavior (e.g., Grubbs & Exline, Grubbs & Exline, 2016).
Deprived and Grandiose Explanations for Psychological Entitlement: Implications for Theory and Measurement
Published in Journal of Personality Assessment, 2020
William Hart, Gregory K. Tortoriello, Kyle Richardson
Nonetheless, not all findings were anticipated. PES–G was unrelated to self-esteem, albeit the relation was in the anticipated direction. Yet, grandiosity (superiority) is distinguishable from self-esteem (i.e., feelings of self-adequacy; Rosenberg, 1965). People high in PES–G might not be striving for feelings of self-adequacy but feelings of superiority. This is addressed in Study 2 by measuring different routes to narcissistic self-esteem maintenance. Another unanticipated set of findings were the null relations between PES–G or PES–V and extraversion. However, extraversion is a multifaceted trait dimension, and the extraversion facets likely have nonuniform relations to the PES entitlement constructs (e.g., friendliness, outgoingness, and dominance), which can produce a null effect on the higher order construct. In Study 2, we more directly assess an interpersonal orientation that is directed toward asserting dominance and status. Also, although the PES–G’s and PES–V’s unique stem-and-leaf administrative approach seemed effective at tapping distinct entitlement forms, Study 2 aimed to gather further support of its utility.