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Preoccupation with order
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Voluntary social withdrawal
Hypersensitivity to rejection
Lack of empathy and sense of entitlement
Excessive emotionality and excitability
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Lack of empathy and sense of entitlement are characteristic of narcissistic personality disorder. Narcissistic personality disorder is a Cluster B personality disorder. Patients have an exaggerated sense of self-importance, exhibit grandiose behavior, require excessive admiration, and react to criticism with rage. Other common features include a willingness to exploit others and preoccupation with success. Angstman et al. review personality disorders. Though narcissistic personality disorder is present in 1% of the general population, it has a higher prevalence of 2-16% in the clinical population. Physicians should phrase criticism towards narcissistic patients carefully, given a propensity for these patients to react poorly to criticism. Ronningstam reviews narcissistic personality disorder and argues that current diagnosis and treatment is too focused on patients’ external behavior patterns. A focus on patients’ internal complexity and individual goals may help tailor treatment plans to individual patients more effectively. Incorrect Answers: Answer 1: Preoccupation with order is characteristic of obsessive compulsive personality disorder. Answer 2: Voluntary social withdrawal is characteristic of schizoid personality disorder. Answer 3: Hypersensitivity to rejection is characteristic of avoidant personality disorder. Answer 5: Excessive emotionality and excitability is characteristic of histrionic personality disorder.
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