Insight is crucial for narcissistic personality disorder | Letters

Readers respond to an article about people who have been diagnosed with narcissistic personality disorderThe subjects of Lucy Knight’s excellent article about narcissistic personality disorder (NPD) have a common redeeming feature: insight (‘You are constantly told you are evil’: inside the lives of diagnosed narcissists, 15 October). They understand their problem and how it affects others, and they have the humanity and capacity to address it.A tenet of psychiatry is that we all have personality traits, including narcissism, on a spectrum in which they become disorders when they adversely affect us or those around us. The dangerous ones are at the extremes, where there is little or no insight, and the characteristics become bizarre and chaotic. Continue reading...

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