Narcissism and Alcoholism: Similarities, Differences, Diagnosis

Narcissists may want excessive admiration and show an unreasonable expectation of favorable treatment as if their mere presence simply called for it. They’re also likely to take advantage of others to get what they want and struggle to understand or empathize with others. Narcissists believe they can’t make mistakes and often lie to make themselves look better. covert narcissism and alcoholism Even though they might seem okay when they’re not dealing with a lack of attention or when they’re not drinking, eventually, their self-centeredness becomes apparent. Mayo Clinic is a nonprofit organization and proceeds from Web advertising help support our mission. Mayo Clinic does not endorse any of the third party products and services advertised.

Third, this study differentially evaluated the relationship between grandiose and vulnerable narcissism and alcohol outcomes. The findings of this study have potential implications for future treatment and research. For example, different prevention and treatment methods can be developed for individuals high in either grandiose or vulnerable narcissism. Treatment programs for vulnerable narcissists might focus on negative expectations while grandiose narcissists might need to focus more on recognition of problems. Future research should evaluate potential mechanisms driving these associations, such as mediators that might explain associations or moderators that might strengthen relationships found in this study. For example, perhaps types of drinking motives (e.g., conformity or coping) differentially mediate the relationship between narcissism subtypes and alcohol outcomes.

Narcissism vs. narcissistic personality disorder

Both AUD and NPD have distinctive symptoms and features that occur independently of each other.

Moderators such as positive or negative affect or reward sensitivity might affect the strength of the associations found in this study. In addition, future research could include more ethnically diverse samples to determine if the associations found here differ for students of diverse racial and ethnic backgrounds. Devaluing or diminishing the worth of others is how many individuals destroy their relationships, such as by drinking beyond limits at inappropriate times and letting others down. Impaired control over drinking (IC) reflects consuming alcohol beyond predetermined limits.

Driven by their drug of choice

There are numerous other online support groups and chat rooms dedicated to loved ones living with alcoholism and NPD. Again, if care is not coordinated by a qualified mental health professional, the overlapping treatments can lead to drug interactions, unintended side effects, and the possible abandonment of treatment. For AUD to be diagnosed, a person must meet one of four possible criteria for alcohol abuse, three of seven possible criteria for alcohol dependence, and two of 12 possible criteria for AUD symptoms.