{ "model": { "rank": 6873, "code": "thing-q1060310", "model_id": "vr.tr.narcissistic-personality-disorder", "name": "narcissistic personality disorder", "purpose": "Let an agent explain narcissistic personality disorder in general terms, relay diagnostic criteria, research, treatment and debates from psychiatric and psychological sources with positions attributed, point people affected by abusive relationships to support services, describe malignant narcissism as a non-formal concept, and distinguish NPD from everyday narcissism, high self-esteem, antisocial and borderline personality disorders and bipolar mania, without diagnosing individuals.", "family": "Thing Registry", "category": "Cross-cutting context", "status": "research-draft", "kind": "thing", "plane": "XCT", "domain": "XCT.STA", "industry": "", "version": "", "url": "/models/thing/q1060310/", "tier": 2, "score": 58, "payload": { "layer": "wikidata", "aliases": [ "malignant narcissism" ], "aliasCount": 1, "merged": 1, "knownIn": 58, "facets": null, "markers": [], "lexicalClass": "", "senseRank": null, "alsoRegisteredAs": null, "source": { "dataset": "wikidata", "item": "Q1060310", "url": "https://www.wikidata.org/wiki/Q1060310", "license": "CC0 1.0" } }, "research": { "vercy": "1.0-draft", "publication": { "status": "research-draft", "adjudicationStatus": "unreviewed", "publishableCanonical": false, "generatedAt": "2026-09-13T22:29:46Z", "providers": [ "Claude" ], "breadth": "written by Claude from model knowledge without web access - no source was read, every claim is a lead to verify", "pass": 2, "wave": 4, "engine": "claude" }, "metaModel": { "id": "THING-Q1060310", "registryId": "vr.tr.narcissistic-personality-disorder", "name": "narcissistic personality disorder", "version": "0.2.0-wave.4", "entryKind": "thing", "family": "Thing Registry", "domain": [ "XCT.STA" ], "status": "research-draft" }, "canonicalUrl": "https://ver.cy/models/thing/q1060310/", "model": { "registry_id": "vr.tr.narcissistic-personality-disorder", "name": "narcissistic personality disorder", "purpose": "Let an agent explain narcissistic personality disorder in general terms, relay diagnostic criteria, research, treatment and debates from psychiatric and psychological sources with positions attributed, point people affected by abusive relationships to support services, describe malignant narcissism as a non-formal concept, and distinguish NPD from everyday narcissism, high self-esteem, antisocial and borderline personality disorders and bipolar mania, without diagnosing individuals.", "definition": "A personality disorder described in DSM-5 as a pervasive pattern of grandiosity, need for admiration and lack of empathy beginning by early adulthood, one of the cluster B personality disorders, while ICD-11 of 2022 replaced categorical personality disorder types with severity levels and trait domains; estimates of prevalence vary widely, research distinguishes grandiose and vulnerable presentations, and treatment relies mainly on psychotherapy. The registry alias malignant narcissism names a concept proposed by Otto Kernberg combining narcissism with antisocial traits and aggression, which is not a formal diagnosis. Only qualified clinicians can diagnose, and labelling public figures or acquaintances is discouraged, as the American Psychiatric Association s Goldwater rule reflects for psychiatrists.", "what_it_is_for": "Not applicable; a mental health condition.", "affordances": [ "explain criteria in general terms", "relay research and treatment", "describe malignant narcissism as a concept", "discourage remote labelling" ], "distinguishing_features": [ "Grandiosity", "Need for admiration", "Empathy deficits", "Pervasive and enduring" ], "appearance": "Not visible; described through patterns of behaviour and inner experience.", "visual_identification": [ "Personality disorder with grandiosity and need for admiration", "Malignant narcissism, NPD", "Everyday narcissism is a trait; self-esteem can be healthy; antisocial and borderline disorders have different criteria; mania is episodic" ], "physical_properties": [ { "quantity": "DSM-5 criteria", "typical_range": "9 listed, 5 required", "unit": "note", "note": "" }, { "quantity": "ICD-11 approach", "typical_range": "severity and trait domains", "unit": "note", "note": "from 2022" }, { "quantity": "malignant narcissism", "typical_range": "Kernberg, 1984", "unit": "note", "note": "not a formal diagnosis" } ], "families_and_kinds": [ "grandiose presentation", "vulnerable presentation", "malignant narcissism as a proposed concept" ], "related_models": [ { "relation": "is a kind of", "target": "cluster B personality disorders", "why": "in registry terms" }, { "relation": "is related to", "target": "narcissism", "why": "" }, { "relation": "is contrasted with", "target": "antisocial personality disorder", "why": "" }, { "relation": "is contrasted with", "target": "borderline personality disorder", "why": "" } ], "identifiers": [], "standards_and_regulation": [ "DSM-5-TR and ICD-11 classifications", "Professional ethics such as the Goldwater rule" ], "failure_modes_and_hazards": [ "Armchair diagnosis of individuals or public figures", "Stigmatising language", "Treating malignant narcissism as a formal diagnosis" ], "in_scope": [], "out_of_scope": [], "characteristics": [] }, "sources": [], "structure": { "bundles": [ { "id": "understand", "name": "Understand", "description": "What NPD is.", "rationale": "Attribution.", "layers": [ { "id": "definition", "name": "Definition", "description": "Definition.", "findings": [ { "id": "definition-finding", "name": "Definition", "description": "Definition.", "questions": [ { "text": "Is someone in danger from an abusive partner or relative, or in crisis, in which case contact emergency services or a domestic abuse or crisis line?", "kind": "boundary" }, { "text": "What is narcissistic personality disorder, and how does it differ from everyday narcissism, self-esteem, antisocial and borderline disorders and mania?", "kind": "definition" } ] } ] }, { "id": "malignant", "name": "Malignant narcissism", "description": "Malignant narcissism.", "findings": [ { "id": "malignant-finding", "name": "Malignant narcissism", "description": "Malignant narcissism.", "questions": [ { "text": "What did Kernberg mean by malignant narcissism, and why is it not a formal diagnosis?", "kind": "definition" }, { "text": "Which entry fits Otto Kernberg?", "kind": "action" } ] } ] } ] }, { "id": "clinical", "name": "Clinical", "description": "Diagnosis.", "rationale": "Attribution.", "layers": [ { "id": "criteria", "name": "Criteria", "description": "Criteria.", "findings": [ { "id": "criteria-finding", "name": "Criteria", "description": "Criteria.", "questions": [ { "text": "How do DSM-5 and ICD-11 approach narcissistic personality pathology?", "kind": "provenance" }, { "text": "Which references are standard?", "kind": "provenance" } ] } ] }, { "id": "research", "name": "Research", "description": "Research.", "findings": [ { "id": "research-finding", "name": "Research", "description": "Research.", "questions": [ { "text": "What do researchers report about grandiose and vulnerable narcissism, with findings attributed?", "kind": "provenance" }, { "text": "Which sources are cited?", "kind": "provenance" } ] } ] } ] }, { "id": "care", "name": "Care", "description": "Treatment and support.", "rationale": "Regulation.", "layers": [ { "id": "treatment", "name": "Treatment", "description": "Treatment.", "findings": [ { "id": "treatment-finding", "name": "Treatment", "description": "Treatment.", "questions": [ { "text": "Which psychotherapies are used, in general terms?", "kind": "provenance" }, { "text": "Which entry fits psychotherapy?", "kind": "action" } ] } ] }, { "id": "relationships", "name": "Relationships", "description": "Affected relationships.", "findings": [ { "id": "relationships-finding", "name": "Relationships", "description": "Relationships.", "questions": [ { "text": "What support exists for people in relationships marked by emotional abuse, without labelling the other person?", "kind": "provenance" }, { "text": "Which entry fits emotional abuse?", "kind": "action" } ] } ] } ] }, { "id": "context", "name": "Context", "description": "Culture.", "rationale": "Attribution.", "layers": [ { "id": "popculture", "name": "Popular usage", "description": "Popular usage.", "findings": [ { "id": "popculture-finding", "name": "Popular usage", "description": "Popular usage.", "questions": [ { "text": "Why do clinicians caution against casual use of narcissist as a label?", "kind": "provenance" }, { "text": "Is the presentation respectful and non-diagnostic?", "kind": "boundary" } ] } ] }, { "id": "goldwater", "name": "Goldwater rule", "description": "Goldwater rule.", "findings": [ { "id": "goldwater-finding", "name": "Goldwater rule", "description": "Goldwater rule.", "questions": [ { "text": "What is the Goldwater rule, and what debates surround it, with positions attributed?", "kind": "provenance" }, { "text": "Which entry fits Goldwater rule?", "kind": "action" } ] } ] } ] } ] }, "openQuestions": [ "Should malignant narcissism be a separate entry marked as non-formal?", "How should psychiatric guidelines be linked?", "How should the grandiose and vulnerable distinction be presented?" ], "statistics": { "bundles": 4, "layers": 8, "findings": 8, "questions": 16 } }, "draft": { "generator": "vr.draft.v3", "status": "draft-generated", "researched": false, "archetype": "disease or condition", "method": "Written from the archetype playbook - what this kind of thing needs beyond identity and provenance - and from the structure that recurred across 6,333 models already researched by two engines. Applied to this entry by rule. No source was read for this thing and no claim here is researched. This entry carries no facets of its own, so they were inferred from its domain - a guess about a whole domain applied to one thing.", "facetsInferred": true, "nextPass": "A researcher replaces this draft with a sourced specification. Treat every sentence below as a proposal to argue with.", "purpose": "Give an agent a durable, checkable way to recognise a narcissistic personality disorder, record what state it is in, and decide what may be done with it.", "whatItIs": "Let an agent explain narcissistic personality disorder in general terms, relay diagnostic criteria, research, treatment and debates from psychiatric and psychological sources with positions attributed, point people affected by abusive relationships to support services, describe malignant narcissism as a non-formal concept, and distinguish NPD from everyday narcissism, high self-esteem, antisocial and borderline personality disorders and bipolar mania, without diagnosing individuals.", "characteristics": { "substance": "abstract", "origin": "conceptual", "agency": "inert" }, "whatYouCanDoWithIt": [ "observed and measured" ], "distinguishingFeatures": [ "Names folded into this entry, which a task may need to split apart again: malignant narcissism.", "1 finer distinctions are held as aliases rather than separate entries, because telling them apart needs a task that asks for it.", "Described in 58 Wikipedia languages, which is a measure of how widely the thing is known, not of how important it is." ], "openQuestionsForResearch": [ "Which of the bundles below does a real task actually need, and which are ceremony?", "What does this thing have that the facets do not capture at all?", "Which neighbouring kind is most often confused with a narcissistic personality disorder, and on what evidence are they told apart?" ], "whatItIsMadeOf": "an abstraction with no physical instance", "physicalCharacter": [ "Does nothing on its own; everything it does, something else did to it.", "These come from the domain this entry sits in rather than from the entry itself, so treat them as a first guess about the whole domain applied to one thing." ], "whatCanBeDoneWithIt": [ "observe it, measure it, record its state" ], "howItIsRecognised": [ "Recognised by criteria applied to signs and findings, not by appearance. Two conditions can look identical and be distinguished only by test." ], "relatedModels": [ { "relation": "covers", "note": "Finer kinds folded into this entry because telling them apart needs a task that asks for it. Each is a model waiting to be split out when one does.", "targets": [ "malignant narcissism" ] } ], "standing": "Described in 58 Wikipedia languages, which measures how widely it is written about rather than how important or how common it is. 1 finer distinctions are held inside this entry as names rather than as separate models.", "structure": { "bundles": [ { "id": "identity-and-classification", "name": "Identity, naming and classification", "description": "How an agent tells one narcissistic personality disorder from another, and a narcissistic personality disorder from things that resemble it.", "rationale": "Recognition comes before every other claim. Without stable identity nothing else in the model can be trusted to be about the same thing twice.", "layers": [ { "id": "naming-and-identifiers", "name": "Names and identifiers", "description": "The names this thing goes by and the identifiers that survive translation and time.", "findings": [ { "id": "preferred-name-and-aliases", "name": "Preferred name, aliases and local names", "description": "Which name to use, which names mean the same thing, and which merely sound similar.", "questions": [ { "id": "preferred-name-and-aliases-q01", "text": "What identifies and describes the name of a narcissistic personality disorder, and in what units or vocabulary?", "kind": "definition", "answer_data": [ "identifiers", "types and classes", "values with units", "explicit unknowns" ] }, { "id": "preferred-name-and-aliases-q02", "text": "Who or what asserted this about the name of a narcissistic personality disorder, by which method, and when was it true?", "kind": "provenance", "answer_data": [ "authority", "method", "evidence", "event time", "knowledge time" ] }, { "id": "preferred-name-and-aliases-q03", "text": "What may an agent decide or do once the name of a narcissistic personality disorder is known, and what must it refuse?", "kind": "action", "answer_data": [ "permitted actions", "preconditions", "refusals", "escalation" ] } ] }, { "id": "stable-identifiers", "name": "Stable identifiers and external keys", "description": "Identifiers that keep pointing at this kind of thing across systems and languages.", "questions": [ { "id": "stable-identifiers-q01", "text": "What identifies and describes an identifier for a narcissistic personality disorder, and in what units or vocabulary?", "kind": "definition", "answer_data": [ "identifiers", "types and classes", "values with units", "explicit unknowns" ] }, { "id": "stable-identifiers-q02", "text": "Who or what asserted this about an identifier for a narcissistic personality disorder, by which method, and when was it true?", "kind": "provenance", "answer_data": [ "authority", "method", "evidence", "event time", "knowledge time" ] }, { "id": "stable-identifiers-q03", "text": "What may an agent decide or do once an identifier for a narcissistic personality disorder is known, and what must it refuse?", "kind": "action", "answer_data": [ "permitted actions", "preconditions", "refusals", "escalation" ] } ] } ] }, { "id": "classification-and-granularity", "name": "Classification and granularity", "description": "Where a narcissistic personality disorder sits among kinds, and how finely a task needs to cut it.", "findings": [ { "id": "kind-and-parents", "name": "Kind, parents and neighbouring kinds", "description": "The classes this thing belongs to and the ones it is next to.", "questions": [ { "id": "kind-and-parents-q01", "text": "What identifies and describes the kind of a narcissistic personality disorder, and in what units or vocabulary?", "kind": "definition", "answer_data": [ "identifiers", "types and classes", "values with units", "explicit unknowns" ] }, { "id": "kind-and-parents-q02", "text": "Who or what asserted this about the kind of a narcissistic personality disorder, by which method, and when was it true?", "kind": "provenance", "answer_data": [ "authority", "method", "evidence", "event time", "knowledge time" ] }, { "id": "kind-and-parents-q03", "text": "What may an agent decide or do once the kind of a narcissistic personality disorder is known, and what must it refuse?", "kind": "action", "answer_data": [ "permitted actions", "preconditions", "refusals", "escalation" ] } ] }, { "id": "distinguishing-features", "name": "Distinguishing features", "description": "What separates a narcissistic personality disorder from the things most often confused with it.", "questions": [ { "id": "distinguishing-features-q01", "text": "What identifies and describes what distinguishes a narcissistic personality disorder, and in what units or vocabulary?", "kind": "definition", "answer_data": [ "identifiers", "types and classes", "values with units", "explicit unknowns" ] }, { "id": "distinguishing-features-q02", "text": "Who or what asserted this about what distinguishes a narcissistic personality disorder, by which method, and when was it true?", "kind": "provenance", "answer_data": [ "authority", "method", "evidence", "event time", "knowledge time" ] }, { "id": "distinguishing-features-q03", "text": "What may an agent decide or do once what distinguishes a narcissistic personality disorder is known, and what must it refuse?", "kind": "action", "answer_data": [ "permitted actions", "preconditions", "refusals", "escalation" ] } ] } ] } ] }, { "id": "state-and-lifecycle", "name": "State and lifecycle", "description": "The states a narcissistic personality disorder passes through and the events that move it between them.", "rationale": "Most decisions about a thing depend on what state it is in now, which is a claim with a time on it, not a property.", "layers": [ { "id": "lifecycle-stages", "name": "Lifecycle stages", "description": "From coming into existence to ceasing to be one of these.", "findings": [ { "id": "stages-and-transitions", "name": "Stages and transitions", "description": "The stages worth naming and what moves a narcissistic personality disorder between them.", "questions": [ { "id": "stages-and-transitions-q01", "text": "What identifies and describes the lifecycle of a narcissistic personality disorder, and in what units or vocabulary?", "kind": "definition", "answer_data": [ "identifiers", "types and classes", "values with units", "explicit unknowns" ] }, { "id": "stages-and-transitions-q02", "text": "Who or what asserted this about the lifecycle of a narcissistic personality disorder, by which method, and when was it true?", "kind": "provenance", "answer_data": [ "authority", "method", "evidence", "event time", "knowledge time" ] }, { "id": "stages-and-transitions-q03", "text": "What may an agent decide or do once the lifecycle of a narcissistic personality disorder is known, and what must it refuse?", "kind": "action", "answer_data": [ "permitted actions", "preconditions", "refusals", "escalation" ] } ] } ] }, { "id": "observations-and-status", "name": "Observations and current status", "description": "What is observed about a narcissistic personality disorder, how often and by whom.", "findings": [ { "id": "observation-record", "name": "Observation record", "description": "How an observation of a narcissistic personality disorder is recorded so that it can be superseded rather than overwritten.", "questions": [ { "id": "observation-record-q01", "text": "What identifies and describes an observation of a narcissistic personality disorder, and in what units or vocabulary?", "kind": "definition", "answer_data": [ "identifiers", "types and classes", "values with units", "explicit unknowns" ] }, { "id": "observation-record-q02", "text": "Who or what asserted this about an observation of a narcissistic personality disorder, by which method, and when was it true?", "kind": "provenance", "answer_data": [ "authority", "method", "evidence", "event time", "knowledge time" ] }, { "id": "observation-record-q03", "text": "What may an agent decide or do once an observation of a narcissistic personality disorder is known, and what must it refuse?", "kind": "action", "answer_data": [ "permitted actions", "preconditions", "refusals", "escalation" ] } ] } ] } ] }, { "id": "diagnosis-and-criteria", "name": "Diagnosis, criteria and coding", "description": "What makes a case of narcissistic personality disorder a case, and under which revision.", "rationale": "Criteria change between revisions, so a diagnosis without its coding revision cannot be compared with a later one.", "layers": [ { "id": "criteria", "name": "Diagnostic criteria", "description": "The criteria in force and who issues them.", "findings": [ { "id": "criteria-record", "name": "Criteria, issuer and revision", "description": "What must be true for a diagnosis, according to whom.", "questions": [ { "id": "criteria-record-q01", "text": "What criteria define narcissistic personality disorder, issued by which body, in which revision?", "kind": "definition" }, { "id": "criteria-record-q02", "text": "What changed between revisions that would reclassify existing cases?", "kind": "boundary" } ] } ] }, { "id": "coding", "name": "Coding and terminology", "description": "The codes used to record it and their mapping.", "findings": [ { "id": "coding-record", "name": "Codes and mappings", "description": "Which classification codes apply and how they map.", "questions": [ { "id": "coding-record-q01", "text": "Which classification and terminology codes cover narcissistic personality disorder, and how do they map to each other?", "kind": "definition" }, { "id": "coding-record-q02", "text": "What is lost when a case is mapped from one scheme to another?", "kind": "boundary" } ] } ] } ] }, { "id": "course-and-population", "name": "Course, population and care", "description": "How narcissistic personality disorder develops, whom it affects, and what is done about it.", "rationale": "The condition, the diagnosis and the episode of care are three different things, and an agent must not merge them.", "layers": [ { "id": "course", "name": "Course and stages", "description": "Onset, progression, remission and outcome.", "findings": [ { "id": "course-record", "name": "Stages and transitions", "description": "The stages recorded and what moves a case between them.", "questions": [ { "id": "course-record-q01", "text": "What course does narcissistic personality disorder typically take, and what marks each stage?", "kind": "definition" }, { "id": "course-record-q02", "text": "What separates the condition itself from an episode of care for it?", "kind": "boundary" } ] } ] }, { "id": "population", "name": "Affected populations", "description": "Who is affected, how often, and on what evidence.", "findings": [ { "id": "epidemiology", "name": "Prevalence and its basis", "description": "Rates with their population, period and source.", "questions": [ { "id": "epidemiology-q01", "text": "What prevalence or incidence is reported for narcissistic personality disorder, in which population and period?", "kind": "measurement" }, { "id": "epidemiology-q02", "text": "What may an agent not conclude about an individual from a population rate?", "kind": "action" } ] } ] } ] }, { "id": "provenance-and-evidence", "name": "Provenance, evidence and time", "description": "Where every claim about a narcissistic personality disorder came from and when it held.", "rationale": "A claim without a source and a time cannot be superseded, only overwritten, and an agent that overwrites loses the ability to explain itself.", "layers": [ { "id": "source-and-authority", "name": "Source and authority", "description": "Who said it, on what evidence, and how strongly.", "findings": [ { "id": "claim-provenance", "name": "Claim provenance and confidence", "description": "The authority behind each claim about a narcissistic personality disorder and how confident it is.", "questions": [ { "id": "claim-provenance-q01", "text": "What identifies and describes a claim about a narcissistic personality disorder, and in what units or vocabulary?", "kind": "definition", "answer_data": [ "identifiers", "types and classes", "values with units", "explicit unknowns" ] }, { "id": "claim-provenance-q02", "text": "Who or what asserted this about a claim about a narcissistic personality disorder, by which method, and when was it true?", "kind": "provenance", "answer_data": [ "authority", "method", "evidence", "event time", "knowledge time" ] }, { "id": "claim-provenance-q03", "text": "What may an agent decide or do once a claim about a narcissistic personality disorder is known, and what must it refuse?", "kind": "action", "answer_data": [ "permitted actions", "preconditions", "refusals", "escalation" ] } ] } ] }, { "id": "time-and-versions", "name": "Time, versions and supersession", "description": "When a claim was true, when it was learnt, and what replaced it.", "findings": [ { "id": "validity-and-supersession", "name": "Validity period and supersession", "description": "How an old claim about a narcissistic personality disorder is retired without being erased.", "questions": [ { "id": "validity-and-supersession-q01", "text": "What identifies and describes the validity of a claim about a narcissistic personality disorder, and in what units or vocabulary?", "kind": "definition", "answer_data": [ "identifiers", "types and classes", "values with units", "explicit unknowns" ] }, { "id": "validity-and-supersession-q02", "text": "Who or what asserted this about the validity of a claim about a narcissistic personality disorder, by which method, and when was it true?", "kind": "provenance", "answer_data": [ "authority", "method", "evidence", "event time", "knowledge time" ] }, { "id": "validity-and-supersession-q03", "text": "What may an agent decide or do once the validity of a claim about a narcissistic personality disorder is known, and what must it refuse?", "kind": "action", "answer_data": [ "permitted actions", "preconditions", "refusals", "escalation" ] } ] } ] } ] } ] }, "statistics": { "bundles": 5, "layers": 10, "findings": 12, "questions": 32 } } } }