(单词翻译:双击或拖选) What Is Narcissism1? Science Confronts a Widely Misunderstood Phenomenon Can you think of a narcissist2? Some people might picture Donald Trump3, perhaps, or Elon Musk4, both of whom are often labeled as such on social media. Or maybe India's prime minister, Narendra Modi, who once wore a pinstripe suit with his own name woven in minute gold letters on each stripe over and over again. But chances are you've encountered a narcissist, and they looked nothing like Trump, Musk or Modi. Up to 6 percent of the U.S. population, mostly men, is estimated to have had narcissistic5 personality disorder6 during some period of their lives. And the condition manifests in confoundingly different ways. People with narcissism “may be grandiose7 or self-loathing, extraverted or socially isolated8, captains of industry or unable to maintain steady employment, model citizens or prone9 to antisocial activities,” according to a review paper on diagnosing the disorder. Clinicians note several dimensions on which narcissists vary. They may function extremely well, with successful careers and vibrant10 social lives, or very poorly. They may (or may not) have other disorders11, ranging from depression to sociopathy. And although most people are familiar with the “grandiose” version of narcissism—as displayed by an arrogant12 and pompous13 person who craves14 attention—the disorder also comes in a “vulnerable” or “covert” form, where individuals suffer from internal distress15 and fluctuations16 in self-esteem. What these seeming opposites have in common is an extreme preoccupation with themselves. Most psychologists who treat patients say that grandiosity17 and vulnerability coexist in the same individual, showing up in different situations. Among academic psychologists, however, many contend that these two traits do not always overlap18. This debate has raged for decades without resolution, most likely because of a conundrum20: vulnerability is almost always present in a therapist's office, but individuals high in grandiosity are unlikely to show up for treatment. Psychologist Mary Trump deduces, from family history and close observation, that her uncle, Donald Trump, meets the criteria21 for narcissistic as well as, probably, antisocial personality disorder, at the extreme end of which is sociopathy. But “coming up with an accurate and comprehensive diagnosis22 would require a full battery of psychological and neuropsychological tests that he'll never sit for,” she notes in her book on the former president. Now brain science is contributing to a better understanding of narcissism. It's unlikely to resolve the debate, but preliminary studies are coming down on the side of the clinicians: vulnerability indeed seems to be the hidden underside of grandiosity. FANTASY OR REALITY? Tessa, a 25-year-old who now lives in California, has sometimes felt on top of the world. “I would wake up every day and go to college believing I was going to be a famous singer and that my life was going to be fantastic,” she recalls. “I thought I could just keep perfecting myself and that someday I would end up as this amazing person surrounded by this amazing life.” But she also hit severe emotional lows. One came when she realized that the fabulous23 life she imagined might never come to be. “It was one of the longest periods of depression I've ever gone through,” Tessa tells me. “I became so bitter, and I'm still working through it right now.” That dissonance between fantasy and reality has spilled into her relationships. When speaking to other people, she often finds herself bored—and in romantic partnerships24, especially, she feels disconnected from both her own and her partner's emotions. An ex-boyfriend, after breaking up, told her she'd been oblivious25 to the hurt she caused him by exploding in rage when he failed to meet her expectations. “I told him, ‘Your suffering felt like a cry in the wind—I didn't know you were feeling that way’ … all I could think about was how betrayed I felt,” she says. It upset her to see him connect with other people; she reacted by degrading his friends and trying to stop him from meeting them. And she hated him admiring other people because it made her question whether he'd continue to see her as admirable. Not being able to live the idealized versions of herself—which include visions of being surrounded by friends and fans who love and idolize her for her beauty and talent—leaves Tessa profoundly distressed26. “Sometimes I simultaneously27 feel above everything, above life itself, and also like a piece of trash on the side of the road,” she says. “I feel like I'm constantly trying to hide and cover things up. I'm constantly stressed and exhausted28. I'm also constantly trying to build an inner self so I don't have to feel that way anymore.” After her parents suggested therapy, Tessa was diagnosed with narcissistic personality disorder (NPD) in 2023. What makes narcissism particularly complex is that it may not always be dysfunctional. “Being socially dominant30, being achievement-striving and focused on improving one's own lot in life by themselves are not all that problematic and tend to be valued by Western cultures,” notes Aidan Wright, a psychologist at the University of Michigan. Elsa Ronningstam, a clinical psychologist at McLean Hospital in Massachusetts, says the relatively31functional29 variety of narcissism includes having, when things are going well, a positive view of oneself and a drive to preserve one's own well-being32, while still being able to maintain close relationships with others and tolerate divergences33 from an idealized version of oneself. Then there is “pathological” narcissism, characterized by an inability to maintain a steady sense of self-esteem. Those with this condition protect an inflated34 view of themselves at the expense of others and—when that view is threatened—experience anger, shame, envy and other negative emotions. They can go about living relatively normal lives and act out only in certain situations. Narcissistic personality disorder is a subtype of pathological narcissism in which someone has persistent35, long-term issues. It often occurs along with other conditions, such as depression, bipolar disorder, borderline personality or antisocial personality disorder. THE 21ST-CENTURY NARCISSUS In the ancient Greek tale of Narcissus, a young hunter, admired for his unmatched beauty, spurns36 many who love and pursue him. Among them is Echo, an unfortunate nymph—who, after pulling a trick on one of the gods, has lost her ability to speak except for words already spoken by another. Though initially37 entranced by a voice that mirrored his own, Narcissus ultimately rejects Echo's embrace. The god Nemesis38 then curses Narcissus, causing him to fall in love with his own reflection in a pool of water. Narcissus becomes hopelessly infatuated with his own image, which he believes to be another beautiful being, and becomes distraught when he finds it cannot reciprocate39 his affection. In some versions of the story, he wastes away before his own likeness40, dying of thirst and starvation. In the 1960s and 1970s psychoanalysts Heinz Kohut and Otto Kernberg sketched41 what's now known as the “mask model” of narcissism. It postulated42 that grandiose traits such as arrogance43 and assertiveness44conceal46 feelings of insecurity and low self-esteem. The 1980 edition of the Diagnostic and Statistical47 Manual of Mental Disorders (DSM), the main reference used by clinicians in the U.S., reflected this insight by including vulnerable features in its definition of NPD, although it emphasized the grandiose ones. But some psychiatrists48 contended that the vulnerability criteria overlapped50 too much with those of other personality disorders. Borderline personality disorder (BPD), in particular, shares with NPD characteristics of vulnerability such as difficulty managing emotions, sensitivity to criticism, and unstable51 relationships. Subsequent versions of the DSM therefore placed even more weight on grandiose features—such as an exaggerated sense of self-importance, a preoccupation with fantasies of unlimited52 success and power, an excessive need for admiration53 and a lack of empathy. In the early 2000s Aaron Pincus, a clinical psychologist at Pennsylvania State University, noticed that this focus on grandiosity did not accurately54 represent what he was seeing in narcissistic patients. “It was completely ignoring what typically drives patients to come to therapy, which is vulnerability and distress,” Pincus says. “That got me on a mission to get us more calibrated55 in the science.” In a 2008 review, Pincus and his colleagues discovered enormous variability in how mental health practitioners56 were conceptualizing NPD, with dozens of labels for the ways in which narcissism expressed itself. But there was also a common thread: descriptions of both grandiose and vulnerable ways in which the disorder showed up. Since then, researchers have found that both dimensions of narcissism are linked to what psychologists call “antagonism,” which includes selfishness, deceitfulness and callousness57. But grandiosity is associated with being assertive45 and attention seeking, whereas vulnerability tends to involve neuroticism58 and suffering from anxiety, depression and self-consciousness. Vulnerable narcissism also more often goes along with self-harm (which can include hairpulling, cutting, burning and related behaviors that are also found in people with BPD) and risk of suicide than the grandiose form. The two manifestations59 of narcissism are also linked to different kinds of problems in relationships. In grandiose states, people with NPD may be more vindictive60 and domineering toward others, whereas in vulnerable phases they may be more withdrawn61 and exploitable. SELF-ESTEEM JUICE Jacob Skidmore, a 23-year-old with NPD who runs accounts as The Nameless Narcissist on several social media platforms, says he often flips62 from feeling grandiose to vulnerable, sometimes multiple times a day. If he's getting positive attention from others or achieves his goals, he experiences grandiose “highs” when he feels confident and secure. “It's almost a euphoric feeling,” he says. But when these sources of ego63 boosts—something he refers to as “self-esteem juice”—dry up, he finds himself slipping into lows when an overwhelming feeling of shame might stop him from even leaving his home. “I'm afraid to go outside because I feel like the world is going to judge me or something, and it's painful,” Skidmore says. “It feels like I'm being stabbed in the chest.” The desire to fill up on self-esteem has driven many of Skidmore's more grandiose behaviors—whether it was making himself the de facto leader of multiple social groups where he referred to himself as “the Emperor” and punished those who angered him or forging relationships purely64 for the sake of boosting his self-esteem. Skidmore hasn't always presented himself in grandiose ways: when he was younger, he was much more outwardly sensitive and insecure. “I remember looking in the mirror and thinking about how disgusting I was and how much I hated myself,” he tells me. Clinicians' evaluations65, as well as studies in the wider population, support the idea that narcissists oscillate between these two states. In recent surveys, Wright and his graduate student Elizabeth Edershile asked hundreds of undergraduate students and community members to complete assessments66 that measured their levels of grandiosity and vulnerability multiple times a day over several days. They found that whereas vulnerability and grandiosity do not generally coexist in the same moment, people who are overall more grandiose also undergo periods of vulnerability—whereas those who are generally more vulnerable don't experience much grandiosity. Some studies suggest that the overlap may depend on the severity of the narcissism: clinical psychologist Emanuel Jauk of the Medical University of Graz in Austria and his colleagues found in surveys that vulnerability may be more likely to appear in highly grandiose individuals. Graphic67 shows where narcissistic grandiosity and vulnerability fall along spectra68 of various approach-oriented (bold) and avoidance-oriented (reactive) traits, from strongest possible negative to strongest possible positive correlation69. To Diana Diamond, a clinical psychologist at the City University of New York, such findings suggest that the mask model is too simple. “The picture is much more complex—vulnerability and grandiosity exist in dynamic relation to each other, and they fluctuate according to what the individual is encountering in life, the stage of their own development.” But Josh Miller70, a psychologist at the University of Georgia, and others entirely71 reject the idea that grandiose individuals are concealing72 a vulnerable side. Although grandiose people may sometimes feel vulnerable, that vulnerability isn't necessarily linked to insecurities, Miller argues. “I think they feel really angry because what they cherish more than anything is a sense of superiority and status—and when that's called into question, they're going to lash73 back,” he adds. Psychologist Donald Lynam of Purdue University agrees: “I think people can be jerks for lots of reasons—they could simply think they're better than others or be asserting status or dominance—it's an entirely different motivation, and I think that motivation has been neglected.” These differences in perspective may arise because different types of psychologists are studying different populations. In a 2017 study, researchers surveyed 23 clinical psychologists and 22 social and/or personality psychologists (who do not work with patients) and found that although both groups viewed grandiosity as an essential aspect of narcissism, clinical psychologists were slightly more likely to view vulnerability as being at its core. Most narcissists who seek help are generally more vulnerable, Miller notes: “These are wounded people who come in to seek treatment for their wounds.” To him, that means clinics might not be the best place to study narcissism—at least not its grandiose aspect. It's “a little bit like trying to learn about a lion's behavior in a zoo,” he says. The unwillingness74 to seek therapy is especially true of “malignant75 narcissists,” who, in addition to the usual characteristics, exhibit antisocial and psychopathic features such as lying chronically76 or enjoying inflicting77 pain or suffering on others. Marianne (whose name has been changed for privacy) recalls her father, a brilliant scientist whom her own therapist deemed a malignant narcissist after reading the voluminous letters he'd sent over the years. (He never sought therapy.) It was “all about constant punishment,” Marianne says. He implemented78stringent79 rules, such as putting a strict time limit on how long their family of five children could use the bathroom during long road trips. If, by the time he'd filled the tank, everyone hadn't returned to the car, he'd leave. On one occasion, Marianne was abandoned at a gas station when she couldn't make it back on time. “There was [hardly] a day without that kind of drama—one person being isolated, punished, humiliated80, being called out,” she remembers. “If you cried, he'd say you're being histrionic. He didn't associate that crying with his actions; he thought it was performative.” Her father also pitted her siblings81 and their mother against one another to prevent them from forging close connections—and he constantly looked for flaws in those around him. Marianne recalls dinner parties at home where her father spent hours trying to pinpoint82 weaknesses among the other husbands and to hurt couples' opinions of each other. When Marianne brought home boyfriends, her father challenged them and tried to prove that he was superior. And despite being a dazzling academic who easily charmed people when they first met, he got fired time and time again because of conflicts at the universities where he worked. “It was all about one-upmanship,” she says. “His impulse to destroy anything that was shiny, that was popular, that was loved—it overwhelmed everything else.” Malignant narcissists often pose the greatest challenge for therapists—and they may be particularly dangerous in leadership positions, Diamond notes. They can have deficient83 moral functioning while exerting an enormous amount of influence on followers84. “I think this is something that's going on right now, with the rise of authoritarianism85 worldwide,” she adds. AN ADVERSE86 CHILDHOOD? Research with identical and nonidentical twins suggests that narcissism may be at least partially87genetically88 heritable, but other studies indicate that dysfunctional parenting might also play a significant role. Grandiosity may derive89 from caregivers holding inflated views about their child's superiority, whereas vulnerability may originate in having a caregiver who was cold, neglectful, abusive or invalidating. Complicating90 matters, some studies find overvaluation also plays a role in vulnerable narcissism, whereas others fail to find a link between parenting and grandiosity. “Children who develop NPD may have felt seen and appreciated when they achieved or behaved in a certain way that satisfied a caregiver's expectations but ignored, dismissed or scolded when they failed to do so,” Ronningstam summarizes in her guide to the disorder. Skidmore attributes his own NPD to both genes91 and painful childhood experiences. “I've never met a narcissist who has not had trauma,” he says. “People just use love as this carrot on a stick [that] they hang above your head, and they tell you to behave or they'll take it away. And so I have this mindset of, ‘Well then, screw it! I don't need love. I can take admiration, achievements, my intelligence—you can't take those things away from me.’ Many researchers nonetheless say a lot more work is needed to determine what role, if any, parenting plays. Miller points out that most research to date of grandiosity, in particular, has found small effects. Further, the work was done retrospectively—asking people to recall their past experiences—rather than prospectively92 to see how early life experiences affect outcomes. There is another way to study what is going on with a narcissist, however: look inside. In a study published in 2015, researchers at the University of Michigan recruited 43 boys aged19 16 or 17 and asked them to fill out the Narcissism Personality Inventory93, a questionnaire that primarily measures grandiose traits. The teenagers then played Cyberball, a virtual ball-tossing game, while their brain activity was measured using functional magnetic resonance94 imaging (fMRI), a noninvasive neuroimaging method that enables researchers to observe the brain at work. Cyberball tests how well people deal with social exclusion95. Participants are told that they're playing with two other people, although they are actually playing with a computer. In some rounds, the virtual players include the human participant; in others, the virtual players begin by tossing the ball to everyone but later pass it just between themselves—cutting the participant out of the game. The teenagers with higher levels of grandiose narcissism turned out to have greater activity in the so-called social pain network than those with lower scores. This network is a collection of brain regions—including parts of the insula and the anterior96 cingulate cortex—that prior studies had found were associated with distress in the face of social exclusion. Interestingly, the researchers did not find differences in the boys' self-reports of distress. In another revealing fMRI study, Jauk and his Graz colleagues found that men (but not women) with higher levels of grandiose narcissism showed more activity in parts of the anterior cingulate cortex associated with negative emotions and social pain when viewing images of themselves compared with images of close friends or strangers. The bodies of narcissists bear evidence of elevated stress. Studies indicate that men with more narcissism have higher levels of the stress hormone97 cortisol than those with less narcissism. In a 2020 study, Royce Lee, a psychiatrist49 at the University of Chicago, and his colleagues reported that people with NPD—as well as those with BPD—have greater concentrations of molecules98 associated with oxidative stress (a stress response seen at the cellular99 level) in their blood. Such findings suggest that “vulnerability is always there but maybe not always expressed,” Jauk says. “And under particular circumstances, such as in the lab, you can observe signs of vulnerability at a physiological100 level, even if people say, ‘I don't have vulnerability.’” He adds, however, that these studies are far from the last word on the matter: many of them have a small number of subjects, and some have reported contradicting findings. Follow-up studies, ideally with a larger number of individuals, are needed to validate101 their results. The neuroscience of narcissism “is incredibly interesting, but at the same time, I'm very hesitant to interpret any of these results,” says Mitja Back, a psychologist at the University of Münster in Germany. TOWARD TREATMENTS To date, there have been no randomized clinical trials for treatments specific for narcissistic personality disorder. Clinicians have, however, begun to adapt psychotherapies that have proved to be effective in other related conditions, such as borderline personality disorder. Treatments currently used include “mentalization,” which aims to help individuals make sense of both their own and others' mental states, and “transference,” which focuses on enhancing a person's ability to self-reflect, take the perspective of others and regulate their emotions. But there is still a dire102 need for effective treatments. “People with pathological narcissism and narcissistic personality disorder have a reputation of not changing or dropping off from treatment,” Ronningstam says. “Instead of blaming that on them, the clinicians and researchers need to really further develop strategies that can be adjusted to the individual difference—and at the same time to focus on and promote change.” Since discovering she has NPD, Tessa has started a YouTube channel called SpiritNarc where she posts videos about her experiences and perspectives on narcissism. “I really want the world to understand [narcissism],” she says. “I'm so sick of the narrative103 that's going around—people see the outside behavior and say, ‘This means these people are awful.’” What these people don't see, she adds, is the suffering that lies below the surface. 点击收听单词发音 n.自我陶醉,自恋 参考例句: n.自我陶醉者 参考例句: n.王牌,法宝;v.打出王牌,吹喇叭 参考例句: 4musk n.麝香, 能发出麝香的各种各样的植物,香猫 参考例句: adj.自我陶醉的,自恋的,自我崇拜的 参考例句: n.紊乱,混乱;骚动,骚乱;疾病,失调 参考例句: adj.宏伟的,宏大的,堂皇的,铺张的 参考例句: adj.与世隔绝的 参考例句: adj.(to)易于…的,很可能…的;俯卧的 参考例句: 10vibrant adj.震颤的,响亮的,充满活力的,精力充沛的,(色彩)鲜明的 参考例句: n.混乱( disorder的名词复数 );凌乱;骚乱;(身心、机能)失调 参考例句: 12arrogant adj.傲慢的,自大的 参考例句: 13pompous adj.傲慢的,自大的;夸大的;豪华的 参考例句: 14craves 渴望,热望( crave的第三人称单数 ); 恳求,请求 参考例句: 15distress n.苦恼,痛苦,不舒适;不幸;vt.使悲痛 参考例句: 波动,涨落,起伏( fluctuation的名词复数 ) 参考例句: n. 宏伟, 堂皇, 铺张 参考例句: 18overlap v.重叠,与…交叠;n.重叠 参考例句: 19aged adj.年老的,陈年的 参考例句: n.谜语;难题 参考例句: 21criteria n.标准 参考例句: n.诊断,诊断结果,调查分析,判断 参考例句: 23fabulous adj.极好的;极为巨大的;寓言中的,传说中的 参考例句: n.伙伴关系( partnership的名词复数 );合伙人身份;合作关系 参考例句: adj.易忘的,遗忘的,忘却的,健忘的 参考例句: 痛苦的 参考例句: adv.同时发生地,同时进行地 参考例句: adj.极其疲惫的,精疲力尽的 参考例句: adj.为实用而设计的,具备功能的,起作用的 参考例句: 30dominant adj.支配的,统治的;占优势的;显性的;n.主因,要素,主要的人(或物);显性基因 参考例句: adv.比较...地,相对地 参考例句: n.安康,安乐,幸福 参考例句: n.分叉( divergence的名词复数 );分歧;背离;离题 参考例句: 34inflated adj.(价格)飞涨的;(通货)膨胀的;言过其实的;充了气的v.使充气(于轮胎、气球等)( inflate的过去式和过去分词 );(使)膨胀;(使)通货膨胀;物价上涨 参考例句: adj.坚持不懈的,执意的;持续的 参考例句: 36spurns v.一脚踢开,拒绝接受( spurn的第三人称单数 ) 参考例句: adv.最初,开始 参考例句: 38nemesis n.给以报应者,复仇者,难以对付的敌手 参考例句: v.往复运动;互换;回报,酬答 参考例句: 40likeness n.相像,相似(之处) 参考例句: 41sketched v.草拟(sketch的过去式与过去分词形式) 参考例句: v.假定,假设( postulate的过去式和过去分词 ) 参考例句: n.傲慢,自大 参考例句: n.过分自信 参考例句: adj.果断的,自信的,有冲劲的 参考例句: 46conceal v.隐藏,隐瞒,隐蔽 参考例句: adj.统计的,统计学的 参考例句: n.精神病专家,精神病医生( psychiatrist的名词复数 ) 参考例句: n.精神病专家;精神病医师 参考例句: _adj.重叠的v.部分重叠( overlap的过去式和过去分词 );(物体)部份重叠;交叠;(时间上)部份重叠 参考例句: 51unstable adj.不稳定的,易变的 参考例句: adj.无限的,不受控制的,无条件的 参考例句: n.钦佩,赞美,羡慕 参考例句: adv.准确地,精确地 参考例句: v.校准( calibrate的过去式和过去分词 );使标准化;使合标准;测量(枪的)口径 参考例句: n.习艺者,实习者( practitioner的名词复数 );从业者(尤指医师) 参考例句: 参考例句: n.神经过敏症 参考例句: n.表示,显示(manifestation的复数形式) 参考例句: adj.有报仇心的,怀恨的,惩罚的 参考例句: vt.收回;使退出;vi.撤退,退出 参考例句: 62flips 轻弹( flip的第三人称单数 ); 按(开关); 快速翻转; 急挥 参考例句: 63ego n.自我,自己,自尊 参考例句: 64purely adv.纯粹地,完全地 参考例句: 估价( evaluation的名词复数 ); 赋值; 估计价值; [医学]诊断 参考例句: n.评估( assessment的名词复数 );评价;(应偿付金额的)估定;(为征税对财产所作的)估价 参考例句: 67graphic adj.生动的,形象的,绘画的,文字的,图表的 参考例句: 68spectra n.光谱 参考例句: n.相互关系,相关,关连 参考例句: 70miller n.磨坊主 参考例句: 71entirely ad.全部地,完整地;完全地,彻底地 参考例句: v.隐藏,隐瞒,遮住( conceal的现在分词 ) 参考例句: 73lash v.系牢;鞭打;猛烈抨击;n.鞭打;眼睫毛 参考例句: n. 不愿意,不情愿 参考例句: adj.恶性的,致命的;恶意的,恶毒的 参考例句: ad.长期地 参考例句: 把…强加给,使承受,遭受( inflict的现在分词 ) 参考例句: v.实现( implement的过去式和过去分词 );执行;贯彻;使生效 参考例句: adj.严厉的;令人信服的;银根紧的 参考例句: 感到羞愧的 参考例句: 81siblings n.兄弟,姐妹( sibling的名词复数 ) 参考例句: 82pinpoint vt.准确地确定;用针标出…的精确位置 参考例句: adj.不足的,不充份的,有缺陷的 参考例句: 追随者( follower的名词复数 ); 用户; 契据的附面; 从动件 参考例句: 权力主义,独裁主义 参考例句: 86adverse adj.不利的;有害的;敌对的,不友好的 参考例句: adv.部分地,从某些方面讲 参考例句: adv.遗传上 参考例句: 89derive v.取得;导出;引申;来自;源自;出自 参考例句: 使复杂化( complicate的现在分词 ) 参考例句: 91genes n.基因( gene的名词复数 ) 参考例句: adv.预期; 前瞻性; 潜在; 可能 参考例句: n.详细目录,存货清单 参考例句: n.洪亮;共鸣;共振 参考例句: n.拒绝,排除,排斥,远足,远途旅行 参考例句: 96anterior adj.较早的;在前的 参考例句: 97hormone n.荷尔蒙,激素,内分泌 参考例句: 分子( molecule的名词复数 ) 参考例句: 99cellular adj.移动的;细胞的,由细胞组成的 参考例句: adj.生理学的,生理学上的 参考例句: 101validate vt.(法律)使有效,使生效 参考例句: 102dire adj.可怕的,悲惨的,阴惨的,极端的 参考例句: 103narrative n.叙述,故事;adj.叙事的,故事体的 参考例句:
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2023年10月30日 09:00