Which of the following is NOT characteristic of narcissistic personality disorder?

Prepare for the American Board of Psychiatry and Neurology Exam. Practice with questions and detailed explanations to boost your confidence. Ensure your readiness for the big day!

Narcissistic personality disorder is primarily characterized by a pervasive pattern of grandiosity, a constant need for admiration, and a preoccupation with fantasies of unlimited success, power, brilliance, beauty, or ideal love. Individuals with this disorder often exhibit an inflated sense of self-importance and a lack of empathy for others.

While some individuals with narcissistic traits may display self-dramatization and exaggerated emotional responses, this behavior is not a defining characteristic of the disorder itself. Instead, self-dramatization is more closely associated with other personality disorders, such as histrionic personality disorder, where individuals demonstrate a pattern of excessive emotionality and attention-seeking behaviors.

In the context of narcissistic personality disorder, the focus is predominantly on self-worth, admiration from others, and an inflated self-image, rather than on the self-dramatization and emotional expression that are prevalent in other disorders. This distinction helps clarify why self-dramatization and exaggerated emotion do not belong to the core characteristics of narcissistic personality disorder.

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