Nicole M. Cain

TL;DR: The Pathological Narcissism Inventory is a 52-item self-report measure assessing 7 dimensions of pathological narcissism spanning problems with narcissistic grandiosity and narcissistic vulnerability and exhibited significant associations with parasuicidal behavior, suicide attempts, homicidal ideation, and several aspects of psychotherapy utilization.

TL;DR: It is concluded that the construct of pathological narcissism is at a crossroads and recommendations for diagnostic assessment, clinical conceptualization, and future research that could lead to a more integrated understanding of narcissistic personality and narcissistic personality pathology are provided.

TL;DR: This article provides case examples derived from psychotherapies with narcissistic patients to demonstrate how narcissistic grandiosity and narcissistic vulnerability concurrently present in patients who seek treatment.

TL;DR: Results indicated that grandiosity, but not vulnerability, was negatively related to the use of adjunctive services and positively predicted client-initiated termination of psychotherapy, highlighting the clinical utility of assessing pathological narcissism in a real-world psychotherapeutic context.

TL;DR: These findings support the relevance of interpersonal pathoplasticity in depressive course and that this heterogeneity has clinical significance, and are the first to use LPA and circular profiles to examine interpersonal heterogeneity within a diagnostic group.