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Can you see narcissism on a brain scan?

We can now see narcissism in the brain. A brain scan of people with Narcissistic Personality Disorder (NPD) shows less brain matter in areas associated with emotional empathy. Actually, this is the first time anyone has seen the proof of narcissism in brain structures.

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We can now see narcissism in the brain. A brain scan of people with Narcissistic Personality Disorder (NPD) shows less brain matter in areas associated with emotional empathy. Actually, this is the first time anyone has seen the proof of narcissism in brain structures. One of the hallmarks of NPD is the inability to feel empathy. Furthermore, researchers have found that people with this disorder can take another person’s perspective in a purely intellectual way. However, narcissists find it difficult actually to feel what another person is going through. Researchers from German recently did a study of why people with NPD lack emotional empathy. They obtained MRI brain scans of 17 individuals with NPD and 17 people from the population to compare. They first examined the overall brain volume and found that individuals with NPD were much similar to the healthier people. That is, both groups brains’ were similar overall. The researchers then studied the brain areas that are believed to be associated with empathy (i.e., anterior and median parts of the cingulate cortex, bilateral anterior insula, and the supplementary motor area). They found that patients with NPD have less brain matter in areas overlapping with the areas associated with empathy (i.e., rostral and median cingulate cortex, left anterior insula, and dorsolateral and medial parts of the prefrontal cortex). Simply put, the empathic areas of the brain are less developed in people with Narcissistic Personality Disorder (NPD). Besides, this Disorder affects about 1% of the general population and has shown to impair interpersonal functioning. In conclusion, this groundbreaking research will likely help legitimize the disorder and, ironically, help people empathize with those suffering from this illness.

By Dr. Syras Derksen

Winnipeg Psychologist

Reference:

Schulze, L., Dziobek, I., Vater, A., Heekeren, H. R., Bajbouj, M., Renneberg, B., Heuser, I., & Roepke, S. (2013). Gray matter abnormalities in patients with Narcissistic Personality Disorder. Journal of Psychiatric Research, 47, 1363-1369. (http://www.journalofpsychiatricresearch.com/article/S0022-3956%2813%2900157-X/abstract)

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Can a narcissist be a good spouse?

Is it ever possible to have a healthy relationship with a narcissist? If we are talking about a person who meets the criteria for NPD listed above, the answer would have to be 'no'. It's difficult to have a genuine and loving connection with someone who makes everything about him or her.

Is it ever possible to have a healthy relationship with a narcissist?

If we are talking about a person who meets the criteria for NPD listed above, the answer would have to be ‘no’. It’s difficult to have a genuine and loving connection with someone who makes everything about themselves. Additionally, in many cases, those in relationships with someone who has NPD can experience ongoing psychological and emotional abuse – types of domestic violence – at the hands of their partners. But if you do happen to find yourself in a relationship with someone who might simply display narcissistic tendencies, there is some hope. Relationships that survive will rely on the partner having good self-esteem, strong boundaries, resources that are valued by the narcissist, patience, an even-tempered personality, and a reason to stay. Over time, your self-esteem will need good reinforcement from other parts of your life, like work or friends, to be maintained. The success of the relationship will also depend on your partner being able to learn to respond well to your feedback. They may not respond with empathy and understanding at first, but if they can eventually acknowledge your requests in some way, then that signals some hope for the relationship. If they can never accept or take your concerns on board, then the relationship risks becoming a lopsided and potentially psychologically risky connection – and one that’s ultimately likely to break down over time.

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