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The Diagnostic Interview for Narcissistic Patients

John G. Gunderson, MD; Elsa Ronningstam, PhD; Alexander Bodkin, MD
Arch Gen Psychiatry. 1990;47(7):676-680. doi:10.1001/archpsyc.1990.01810190076011.
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• This report describes the content and development of a semistructured interview, the Diagnostic Interview for Narcissism. The interview evaluates 33 features of pathological narcissism covering five domains of function: grandiosity, interpersonal relations, reactiveness, affects and moods, and social and moral adaptation. Its utility is established by reliability studies and by developing a scoring system from a sample of 24 prototypic narcissistic patients who were compared with 58 others. Because narcissistic personality disorder is a widely used diagnosis whose inclusion in DSM-III-R was without reference to an empirical base, this instrument offers a method for doing muchneeded research.


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