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Narcissistic Personality Disorder Case Study

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Former Republican Presidential Nominee, Dr. Ben Carson is a 64 year old male with a preliminary diagnosis of Narcissistic Personality Disorder with indicators for Post Traumatic Stress Disorder, Generalized Anxiety Disorder and Manic Disorder. His history and current presentation of was examined through personal interviews and writings as well as observations. A 60-item online mental health assessment was also utilized to determine the presence of a disorder. Research was reviewed which explored the relation between history, success and the development of narcissistic behaviors and subsequently Narcissistic Personality Disorder. The possible comorbidity associated with this diagnosis was also explored. It was theorized that, Dr. Ben Carson’s …show more content…

Carson possessed was to be anticipated. The 60-item online assessment tool provided information validating consideration for three additional and possible mental health disorders. Ben has experienced symptoms across multiple criterion for a potential positive PTSD diagnosis. Growing up as a troubled youth in the inner-city of Detroit placed Ben in a position to witness many tragic events happening to those around him. He has been a participant in violent events, particularly when he stabbed a classmate. Ben is also placed in a position for repeated exposure to traumatic events through his profession within the medical field (American Psychiatric Association, …show more content…

Ben Carson has a campaign history of making unorthodox, remorseless and grandiose statements that could be constituted as pseudoscientific, seemingly fabricated and potentially offensive. Within the medical community, Dr. Carson is revered as a brilliant mind, an innovator and a revolutionary to say the least. In his past, he has been commended for taking on medical cases that were thought to be “risky” or hopeless. He has also revived surgical methods that were previously abandoned. Being unorthodox and having grandiose thought patterning had yielded enormous success for Dr. Carson. An associated level of confidence is to be expected but at some point during his formative time, Dr. Carson’s functioning shifted to maladaptive behaviors and thoughts of superiority and grandiosity. Earlier research highlighted the difficulty associated with diagnosing narcissistic personality disorders, as its presentation may not be evident at first glance. After further investigation regarding the motivation behind Dr. Carson’s public missteps, the presence of Narcissistic Personality Disorder and subsequent secondary disorders have strong supporting evidence. After being criticized by a friend, Ben stabbed. Following an argument over his appearance, Ben picked up a hammer and attempted to strike his mother. Growing up in a difficult financial situation along with lacking parental involvement, the development of a defense

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The main condition being Narcissistic Personality Disorder (NPD) is described as a patterned disorder of grandiosity, an excessive need for attention, lack of empathy, and entitlement. The psychodynamics of NPD is dysfunctional self-regulation, emotional regulation, and interpersonal NPD symptoms include believing oneself is the most important aspect, fantasizing about having control, greedy for attention, exploitative, envious, arrogant or having attitude, and feeling a sense of privilege. To relate to NPD, Sigmund Freud’s human psyche study provides reasoning behind the disorder and how it relates to Jack’s savage behavior. He states that the majority of individuals' mental processes are unconscious and fall into the hands of the superego, ego, and id. Id, the pleasure principle, ego, the governing agency, and superego, moral censoring agency, all contribute to individuals to make behavioral decisions. Freud’s psychoanalytic theory explains that these three components of the mind control human behavior.

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Post-traumatic stress disorder is a debilitating condition that is blatantly displayed in multiple characters of The Things They Carried, by

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Dimmesdale is Wack, Man When considering the term “narcissism,” one often conjures up the image of a conceited, self-absorbed person who excessively praises their own perfection. However, narcissism as a psychological disorder is much deeper. According to licensed mental health counselor Michael Samsel, narcissism is best described as “organizing one 's life around the goal of being superior.” And yet, “superiority is not just about learning to do one or more things well, it is about hiding any evidence of imperfection in other areas” (Samsel).

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The majority misinterpret Narcissism and vanity as false confidence in a subject. However, many individuals struggle with a disorder directly related to this inability to admit that one is wrong. Narcissistic Personality Disorder, as defined by the Mayo clinic in their article “Narcissistic Personality Disorder”, is ”a mental health condition in which people have an unreasonably high sense of their own importance”(Narcissistic Personality Disorder). This definition serves as a great representation of narcissism because of the use of the word unreasonably. It is important to remember that vanity is different from confidence in the sense that those affected will overexaggerate their achievements in an attempt to justify their aplomb.

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“Knowledge is power,” Francis Bacon once said. The more one knows, the more one is able to control and change the world. Novels, such as Jane Austen’s Northanger Abbey and Mary Shelley’s Frankenstein, illustrate how knowledge gives one power. In Northanger Abbey, Austen tells the story of an unlikely heroine, Catherine Morland, who is obsessed with gothic novels. She travels with Mr. and Mrs. Allen to Bath, a resort and marriage market in England.

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In Fallon’s published journal titled “They Psychopath Inside” describes how Fallon discovered he had the genetic makeup of a psychopath, and yet, is a successful scientist and a family man. Fallon first discovered his hidden psychopathy in 2006, it was not until 2010 were he took his psychopathic traits seriously. Growing up he had a fantastic relationship with his parents and siblings. Fallon states that “Although I made pipe bombs as a kid, and did some joy riding in stolen cars and broke into some liquor cabinets as an early teen, we always returned every piece of stolen property” (Fallon, 2013). In addition, Fallon describes how he was tested, and scored high on the traits associated with positive behavior within aggressive narcissism.

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He was very unstable and showed his neglect for other people’s rights through the years 1978-1991. Next in cluster “B” is narcissistic personality disorder, this is characterized by a lack of empathy for others, an excessive need for admiration from others, and an unrealistic sense of superiority. Persons with this disorder easily put themselves before others and they often believe that they are worth more than those which they meet. A famous figure that was said to have this disorder was Adolf Hitler. Hitler became obsessed later in life with the perfect Aryan race.

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Diagnosis: A narcissist is classified by these core traits: Lack of empathy, constantly looking down on others, and finding pleasure in hurting others. Of these core traits Mr. Trump exhibits two which are the lack of empathy and constantly looking down on others both of these traits have been observed when he made his comments regarding Mexicans, Syrian refugees and women another example of lack of empathy was when he mocked disabled news reporter Serge Kovaleski. The mocking of that reporter also shows that Donald Trump is a bully however it does not prove that he is sadistic therefore of the 3 core traits of NPD he only truly exhibits lack of empathy and low views of other people while seeing himself as a grandiose powerful wealthy man that should be respected. Other traits of NPD that Donald Trump exhibits are manipulation for his own gain, a sense of grandiosity, constant need for attention which might explain his sporadic behavior and comments, and constant lying, however

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He was determined to have posttraumatic stress disorder in light of the fact that he showed the accompanying side effects; bad dreams and flashbacks, evasion, diminished responsiveness, and blame from his parents

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(Grafeman et al. 92). Those who have narcissistic tendencies tend to appear as though they are warm, charismatic, or even charming, as part of their initial relationships, but lack the empathy to sustain any type of relationship past a given point. For people with higher levels of narcissism, there is a strong desire to maintain a positive concept of self, and will often engage in ego-boosting activities to prove their worth. According to Grafeman et al. , it is “this constant pursuit of proving one’s competency to the self and others that is thought to frequently contribute to relational problems” (92).

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As previously described, Andrew clearly meets criteria A. for PTSD, with multiple and many exposures to traumatic experiences. Andrew evidently also meets criteria B. as he experiences intrusive symptoms associated with the traumatic event. For Andrew, all intrusive symptoms listed in the DSM are experienced. Intrusive symptoms include recurrent, involuntary, and distressing memories, distressing dreams such as nightmares, dissociative reactions such as flashbacks, intense prolonged psychological distress at exposure to cues that symbolize or resemble an aspect of the traumatic event(s), and marked physiological reactions to resemblances of the traumatic event(s).

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Diagnoses: Nick meets the criteria for a diagnosis in at least two categories, and those categories are Narcissistic Personality Disorder (American Psychiatric Association, 2013, p. 669) and Delusional Disorder, grandiose type (American Psychiatric Association, 2013, p. 90). Based on the evidence provided, Nick qualifies for both disorders, however, Narcissistic Personality Disorder would be the main

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In the article “Understanding Teens with a narcissistic personality disorder” by Karmen Smith, a licensed therapist, the article goes into different ways that narcissistic personality disorder can develop. It also goes into signs of narcissistic personality disorder and how to deal with it. Through the many possible causes that cause narcissism, “Teens may also develop this mental health condition as a result of trauma. Experiencing severe loss or extreme trauma early in life might cause teens to develop an identity around their traumatic experiences. They may believe that they’re entitled to special treatment because of what they’ve experienced” (Smith).

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In which according to today’s DSM 5 would be Will Hunting’s diagnosis. On the bases of Will Hunting’s child abuse it is more likely than not for Will to experience a trauma-related disorder as opposed to other abnormal disorders. With the trauma of the child abuse clearly affecting Will Hunting far into his adulthood, exceeds far beyond the three month period for eligibility to a PTSD diagnosis. All with a three month period, Will Hunting express distress through his behavior as well as a standstill in his personal and social life. Besides the symptom of reliving the experience, Will Hunting shows symptoms of hyperarousal.

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