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Physiological Reactivity and Neural Correlates of Trait Narcissism

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Handbook of Trait Narcissism

Abstract

Despite a predominant empirical focus on cognitive-emotional distinctions and problematic behaviors associated with narcissism, investigators are turning their attention toward understanding the physiological and neural mechanisms that underlie these characteristics. A majority of the research examining narcissistic physiological and neural activity focuses on grandiose narcissism measured with the Narcissistic Personality Inventory (NPI), however, a growing number of studies are examining neurophysiological differences that distinguish dimensions of grandiose and vulnerable narcissism. Research to date illustrates that grandiose narcissism involves cardiovascular reactivity in response to aversive stimuli and achievement-related stressors that parallel reactivity associated with similar personality traits (e.g., competitiveness, dominance), exhibiting greater risk for cardiovascular disease. Additionally, grandiose narcissism is associated with acute and chronically elevated levels of cortisol as well as heightened testosterone reactivity and aggression. By contrast, vulnerable narcissism and exploitativeness/entitlement are generally associated with heightened cardiovascular reactivity to interpersonal rejection. Research examining structural and functional brain differences suggests a potential link between narcissism and behaviors including impaired empathy and reactive aggression. Grandiose narcissism is associated with structural abnormalities in the fronto-striatal pathway whereas vulnerable narcissism is linked to reduced cortical volume and thickness in frontal brain regions. Functional neuroimaging studies report grandiose narcissism is associated with increased brain activation in response to social exclusion and abnormal resting-state brain activation between large-scale functional networks. Although research examining physiological and neural activity associated with grandiose and vulnerable narcissism is still limited, results from these studies provide compelling evidence that may aid in understanding and reducing narcissistic reactivity to everyday challenges.

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References

  • Ames, D. R., Rose, P., & Anderson, C. P. (2006). The NPI-16 as a short measure of narcissism. Journal of Research in Personality, 40, 440–450.

    Article  Google Scholar 

  • Bauer, A. M., Quas, J. A., & Boyce, W. T. (2002). Associations between physiological reactivity and children’s behavior: Advantages of a multi-system approach. Journal of Developmental Behavior and Pediatrics, 23, 102–113.

    Article  Google Scholar 

  • Baumeister, R. F., Smart, L., & Boden, J. M. (1996). Relation of threatened egotism to violence and aggression: The dark side of high self-esteem. Psychological Review, 103(1), 5.

    Article  Google Scholar 

  • Bell, M. (1995). Bell object relations and reality testing inventory (BORRTI) manual. Los Angeles: Western Psychological Services.

    Google Scholar 

  • Berridge, K. C., & Kringelbach, M. L. (2013). Neuroscience of affect: Brain mechanisms of pleasure and displeasure. Current Opinion in Neurobiology, 23, 294–303.

    Article  PubMed  Google Scholar 

  • Besser, A., & Priel, B. (2010). Grandiose narcissism versus vulnerable narcissism in threatening situations: Emotional reactions to achievement failure and interpersonal rejection. Journal of Social and Clinical Psychology, 29(8), 874–902.

    Article  Google Scholar 

  • Boone, L., Soenens, B., Vansteenkiste, M., & Braet, C. (2012). Is there a perfectionist in each of us? An experimental study on perfectionism and eating disorder symptoms. Appetite, 59(2), 531–540.

    Article  Google Scholar 

  • Booth-Kewley, S., & Friedman, H. S. (1987). Psychological predictors of heart disease: A quantitative review. Psychological Bulletin, 101, 343–362.

    Article  Google Scholar 

  • Bosson, J. K., Lakey, C. E., Campbell, W. K., Ziegler-Hill, V., Jordan, C. H., & Kernis, M. H. (2008). Untangling the links between narcissism and self-esteem: A theoretical and empirical review. Social and Personality Compass, 2, 1415–1439.

    Article  Google Scholar 

  • Buckner, R. L., Andrews-Hanna, J. R., & Schacter, D. L. (2008). The brain’s default network. Annals of the New York Academy of Sciences, 1124(1), 1–38.

    Article  Google Scholar 

  • Buntrock, C. N., & Reddy, D. M. (1992). Coping dispositions and the stress appraisal process: The impact of defensiveness on emotional response to threat. Personality and Individual Differences, 13(11), 1223–1231.

    Article  Google Scholar 

  • Bushman, B. J., & Baumeister, R. F. (1998). Threatened egotism, narcissism, self-esteem, and direct and displaced aggression: Does self-love or self-hate lead to violence? Journal of Personality and Social Psychology, 75, 219–229.

    Article  Google Scholar 

  • Campbell, W. K. (1999). Narcissism and romantic attraction. Journal of Personality and Social Psychology, 77(6), 1254–1270.

    Article  Google Scholar 

  • Campbell, W. K., Bush, C. P., Brunell, A. B., & Shelton, J. (2005). Understanding the social costs of narcissism: The case of the tragedy of the commons. Personality and Social Psychology Bulletin, 31(10), 1358–1368.

    Article  Google Scholar 

  • Cascio, C. N., Konrath, S. H., & Falk, E. B. (2015). Narcissists’ social pain seen only in the brain. Social Cognitive and Affective Neuroscience, 10(3), 335–341.

    Article  Google Scholar 

  • Centifanti, L. C. M., Kimonis, E. R., Frick, P. J., & Aucoin, K. J. (2013). Emotional reactivity and the association between psychopathy-linked narcissism and aggression in detained adolescent boys. Development and Psychopathology, 25(02), 473–485.

    Article  Google Scholar 

  • Chatterton, R. T., Vogelsong, K. M., Lu, Y. C., Ellman, A. B., & Hudgens, G. A. (1996). Salivary α-amylase as a measure of endogenous adrenergic activity. Clinical Physiology, 16(4), 433–448.

    Article  Google Scholar 

  • Chavez, R. S., & Heatherton, T. F. (2015). Multimodal frontostriatal connectivity underlies individual differences in self-esteem. Social Cognitive and Affective Neuroscience, 10(3), 364–370.

    Article  Google Scholar 

  • Cheng, J. T., Tracy, J. L., & Miller, G. E. (2013). Are narcissists hardy or vulnerable? The role of narcissism in the production of stress-related biomarkers in response to emotional distress. Emotion, 13(6), 1004.

    Article  Google Scholar 

  • Chester, D. S., & DeWall, C. N. (2015). Sound the alarm: The effect of narcissism on retaliatory aggression is moderated by dACC reactivity to rejection. Journal of Personality, 84(3), 361–368.

    Article  PubMed  Google Scholar 

  • Chester, D. S., Lynam, D. R., Powell, D. K., & DeWall, C. N. (2015). Narcissism is associated with weakened frontostriatal connectivity: A DTI study. Social Cognitive and Affective Neuroscience, 11(7), 1036–1040.

    Article  PubMed  Google Scholar 

  • Chrousos, G. P., & Gold, P. W. (1992). The concepts of stress and stress systems disorders: Overview of physical and behavioral homeostasis. JAMA: Journal of the American Medical Association, 267, 1244–1252.

    Article  Google Scholar 

  • D’Argembeau, A., Jedidi, H., Balteau, E., Bahri, M., Phillips, C., & Salmon, E. (2012). Valuing one’s self: Medial prefrontal involvement in epistemic and emotive investments in self-views. Cerebral Cortex, 22, 659–667.

    Article  Google Scholar 

  • Deneke, F. W., & Hilgenstock, B. (1989). The narcissism inventory. Bern, Switzerland: Hans Huber.

    Google Scholar 

  • DeYoung, C. G., Hirsh, J. B., Shane, M. S., Papademetris, X., Rajeevan, N., & Gray, J. R. (2010). Testing predictions from personality neuroscience brain structure and the big five. Psychological Science, 21(6), 821–828.

    Article  Google Scholar 

  • Dickerson, S. S., & Kemeny, M. E. (2004). Acute stressors and cortisol responses: A theoretical integration and synthesis of laboratory research. Psychological Bulletin, 130(3), 355–391.

    Article  Google Scholar 

  • Dickinson, K. A., & Pincus, A. L. (2003). Interpersonal analysis of grandiose and vulnerable narcissism. Journal of Personality Disorders, 17(3), 188–207.

    Article  Google Scholar 

  • Edelstein, R. S., Yim, I. S., & Quas, J. A. (2010). Narcissism predicts heightened cortisol reactivity to a psychosocial stressor in men. Journal of Research in Personality, 44(5), 565–572.

    Article  PubMed  Google Scholar 

  • Eisenberger, N. I., & Lieberman, M. D. (2004). Why rejection hurts: A common neural alarm system for physical and social pain. Trends in Cognitive Sciences, 8, 294–300.

    Article  Google Scholar 

  • Eisenberger, N. I., Lieberman, M. D., & Williams, K. D. (2003). Does rejection hurt? An fMRI study of social exclusion. Science, 302(5643), 290–292.

    Article  Google Scholar 

  • Fan, Y., Wonneberger, C., Enzi, B., De Greck, M., Ulrich, C., Tempelmann, B., et al. (2011). The narcissistic self and its psychological and neural correlates: An exploratory fMRI study. Psychological Medicine, 41(08), 1641–1650.

    Article  PubMed  Google Scholar 

  • Fossati, A., Borroni, S., Eisenberg, N., & Maffei, C. (2010). Relations of proactive and reactive dimensions of aggression to overt and covert narcissism in nonclinical adolescents. Aggressive Behavior, 36(1), 21–27.

    Article  PubMed  Google Scholar 

  • Fox, M. D., Snyder, A. Z., Vincent, J. L., Corbetta, M., Van Essen, D. C., & Raichle, M. E. (2005). The human brain is intrinsically organized into dynamic, anticorrelated functional networks. Proceedings of the National Academy of Sciences, 102, 9673–9678.

    Article  Google Scholar 

  • Friston, K. J. (2005). Models of brain function in neuroimaging. Annual Review of Psychology, 56, 57–87.

    Article  PubMed  Google Scholar 

  • Gordis, E. B., Granger, D. A., Susman, E. J., & Trickett, P. K. (2006). Asymmetry between salivary cortisol and α-amylase reactivity to stress: Relation to aggressive behavior in adolescents. Psychoneuroendocrinology, 31(8), 976–987.

    Article  PubMed  Google Scholar 

  • Gregg, A. P., & Sedikides, C. (2010). Narcissistic fragility: Rethinking its links to explicit and implicit self-esteem. Self and Identity, 9, 142–161.

    Article  Google Scholar 

  • Gusnard, D. A., Akbudak, E., Shulman, G. L., & Raichle, M. E. (2001). Medial prefrontal cortex and self-referential mental activity: relation to a default mode of brain function. Proceedings of the National Academy of Sciences, 98(7), 4259–4264.

    Article  Google Scholar 

  • Harpur, T. J., Hare, R. D., & Hakstian, A. R. (1989). Two-factor conceptualization of psychopathy: Construct validity and assessment implications. Psychological Assessment: A Journal of Consulting and Clinical Psychology, 1, 6–17.

    Article  Google Scholar 

  • Heatherton, T. F., Wyland, C. L., Macrae, C. N., Demos, K. E., Denny, B. T., & Kelley, W. M. (2006). Medial prefrontal activity differentiates self from close others. Social Cognitive and Affective Neuroscience, 1, 18–25.

    Article  PubMed  Google Scholar 

  • Horvath, S., & Morf, C. C. (2009). Narcissistic defensiveness: Hypervigilance and avoidance of worthlessness. Journal of Experimental Social Psychology, 45(6), 1252–1258.

    Article  Google Scholar 

  • Kauten, R., Barry, C. T., & Leachman, L. (2013). Do perceived social stress and resilience influence the effects of psychopathy-linked narcissism and CU traits on adolescent aggression? Aggressive Behavior, 39(5), 381–390.

    Article  PubMed  Google Scholar 

  • Kelsey, R. M. (1991). Electrodermal lability and myocardial reactivity to stress. Psychophysiology, 28, 619–631.

    Article  Google Scholar 

  • Kelsey, R. M., Ornduff, S. R., McCann, C. M., & Reiff, S. (2001). Psychophysiological characteristics of narcissism during active and passive coping. Psychophysiology, 38, 292–303.

    Article  Google Scholar 

  • Kelsey, R. M., Ornduff, S. R., Reiff, S., & Arthur, C. M. (2002). Psychophysiological correlates of narcissistic traits in women during active coping. Psychophysiology, 39, 322–332.

    Article  Google Scholar 

  • Kernberg, O. (1976). Borderline conditions and pathological narcissism. New York: Jason Aronson.

    Google Scholar 

  • Kernis, M. H., & Sun, C. (1994). Narcissism and reactions to interpersonal feedback. Journal of Research in Personality, 28, 4–13.

    Article  Google Scholar 

  • King, A. C., Taylor, C. B., Albright, C. A., & Haskell, W. L. (1990). The relationship between repressive and defensive coping styles and blood pressure responses in healthy, middle-aged men and women. Journal of Psychosomatic Research, 34(4), 461–471.

    Article  Google Scholar 

  • Kirschbaum, C., Pirke, K. M., & Hellhammer, D. H. (1993). The “Trier Social Stress Test”: A tool for investigating psychobiological stress responses in a laboratory setting. Neuropsychobiology, 28, 76–81.

    Article  Google Scholar 

  • Kohut, H. (1976). The restoration of the self. New York: International Universities Press.

    Google Scholar 

  • Krusemark, E. A., Lee, C., & Newman, J. P. (2015). Narcissism dimensions differentially moderate selective attention to evaluative stimuli in incarcerated offenders. Personality Disorders: Theory, Research, and Treatment, 6(1), 12–21.

    Article  Google Scholar 

  • Liu, W. Y., Weber, B., Reuter, M., Markett, S., Chu, W. C., & Montag, C. (2013). The big five of personality and structural imaging revisited: A VBM–DARTEL study. Neuroreport, 24(7), 375–380.

    Article  Google Scholar 

  • Lobbestael, J., Baumeister, R. F., Fiebig, T., & Eckel, L. A. (2014). The role of grandiose and vulnerable narcissism in self-reported and laboratory aggression and testosterone reactivity. Personality and Individual Differences, 69, 22–27.

    Article  Google Scholar 

  • Mao, Y., Sang, N., Wang, Y., Hou, X., Huang, H., Wei, D., et al. (2016). Reduced frontal cortex thickness and cortical volume associated with pathological narcissism. Neuroscience, 328, 50–57.

    Article  Google Scholar 

  • Margolis, H. D., & Thomas, V. A. (1980). The measurement of narcissism in adolescents with and without behavioral and emotional disabilities. Unpublished master’s thesis. United States International University, San Diego, CA.

    Google Scholar 

  • Menon, V. (2011). Large-scale brain networks and psychopathology: A unifying triple network model. Trends in Cognitive Sciences, 15(10), 483–506.

    Article  Google Scholar 

  • Miller, J. D., Hoffman, B. J., Gaughan, E. T., Gentile, B., Maples, J., & Keith Campbell, W. (2011). Grandiose and vulnerable narcissism: A nomological network analysis. Journal of Personality, 79(5), 1013–1042.

    Article  Google Scholar 

  • Morf, C. C., & Rhodewalt, F. (1993). Narcissism and self-evaluation maintenance: Explorations in object relations. Personality and Social Psychology Bulletin, 19(6), 668–676.

    Article  Google Scholar 

  • Mowlaie, M., Abolghasemi, A., & Aghababaei, N. (2016). Pathological narcissism, brain behavioral systems and tendency to substance abuse: The mediating role of self-control. Personality and Individual Differences, 88, 247–250.

    Article  Google Scholar 

  • Murray, H. (1943). Thematic apperception test manual. Cambridge, MA: Harvard University Press.

    Google Scholar 

  • Nater, U. M., Rohleder, N., Gaab, J., Berger, S., Jud, A., Kirschbaum, C., et al. (2005). Human salivary alpha amylase reactivity in a psychosocial stress paradigm. International Journal of Psychophysiology, 55, 333–342.

    Article  Google Scholar 

  • Omura, K., Constable, R. T., & Canli, T. (2005). Amygdala gray matter concentration is associated with extraversion and neuroticism. Neuroreport, 16(17), 1905–1908.

    Article  Google Scholar 

  • Patrick, C. J. (1994). Emotion and psychopathy: Startling new insights. Psychophysiology, 31, 319–330.

    Article  Google Scholar 

  • Pincus, A. L., Ansell, E. B., Pimentel, C. A., Cain, N. M., Wright, A. G., & Levy, K. N. (2009). Initial construction and validation of the pathological narcissism inventory. Psychological Assessment, 21(3), 365.

    Article  Google Scholar 

  • Poldrack, R. A. (2006). Can cognitive processes be inferred from neuroimaging data? Trends in Cognitive Sciences, 10(2), 59.

    Article  Google Scholar 

  • Raine, A., & Venables, P. H. (1984). Electrodermal non-responding, schizoid tendencies, and antisocial behavior in adolescents. Psychophysiology, 21, 424–433.

    Article  Google Scholar 

  • Raine, A., Dodge, K., Loeber, R., Gatzke-Kopp, L., Lynam, D., Reynolds, C., et al. (2006). The reactive–proactive aggression questionnaire: Differential correlates of reactive and proactive aggression in adolescent boys. Aggressive Behavior, 32(2), 159–171.

    Article  PubMed  Google Scholar 

  • Raskin, R., & Terry, H. (1988). A principal-components analysis of the narcissistic personality inventory and further evidence of its construct validity. Journal of Personality and Social Psychology, 54, 890–902.

    Article  Google Scholar 

  • Reidy, D. E., Zeichner, A., Foster, J. D., & Martinez, M. A. (2008). Effects of narcissistic entitlement and exploitativeness on human physical aggression. Personality and Individual Differences, 44(4), 865–875.

    Article  Google Scholar 

  • Reinhard, D. A., Konrath, S. H., Lopez, W. D., & Cameron, H. G. (2012). Expensive egos: Narcissistic males have higher cortisol. PLoS One, 7, e30858.

    Article  PubMed  Google Scholar 

  • Rhodewalt, F., & Morf, C. (1998). On self-aggrandizement and anger: A temporal analysis of narcissism and affective reactions to success and failure. Journal of Personality and Social Psychology, 74, 672–685.

    Article  Google Scholar 

  • Rhodewalt, F., Madrian, J. C., & Cheney, S. (1998). Narcissism, self-knowledge organization, and emotional reactivity: The effect of daily experiences on self-esteem and affect. Personality and Social Psychology Bulletin, 24, 75–87.

    Article  Google Scholar 

  • Ruiz, J. M., Smith, T. W., & Rhodewalt, F. (2001). Distinguishing narcissism and hostility: Similarities and differences in interpersonal circumplex and five-factor correlates. Journal of Personality Assessment, 76, 537–555.

    Article  Google Scholar 

  • Sedikides, C., Rudich, E. A., Gregg, A. P., Kumashiro, M., & Rusbult, C. (2004). Are normal narcissists psychologically healthy? Self-esteem matters. Journal of Personality and Social Psychology, 87, 400–416.

    Article  PubMed  Google Scholar 

  • Singer, T., & Lamm, C. (2009). The social neuroscience of empathy. Annals of the New York Academy of Sciences, 1156(1), 81–96.

    Article  Google Scholar 

  • Smith, T. W., Limon, J. P., Gallo, L. C., & Ngu, L. Q. (1996). Interpersonal control and cardiovascular reactivity: Goals, behavioral expression, and the moderating effects of sex. Journal of Personality and Social Psychology, 70, 1012–1024.

    Article  Google Scholar 

  • Sommer, K. L., Kirkland, K. L., Newman, S. R., Estrella, P., & Andreassi, J. L. (2009). Narcissism and cardiovascular reactivity to rejection imagery. Journal of Applied Social Psychology, 39(5), 1083–1115.

    Article  Google Scholar 

  • Spreng, R. N., Sepulcre, J., Turner, G. R., Stevens, W. D., & Schacter, D. L. (2013). Intrinsic architecture underlying the relations among the default, dorsal attention, and frontoparietal control networks of the human brain. Journal of Cognitive Neuroscience, 25(1), 74–86.

    Article  PubMed  Google Scholar 

  • Strauman, T. J., & Higgins, E. T. (1987). Automatic activation of self-discrepancies and emotional syndromes: When cognitive structures influence affect. Journal of Personality and Social Psychology, 53(6), 1004.

    Article  PubMed  Google Scholar 

  • Stroud, L. R., Salovey, P., & Epel, E. S. (2002). Sex differences in stress responses: Social rejection versus achievement stress. Biological Psychiatry, 52(4), 318–327.

    Article  PubMed  Google Scholar 

  • Twenge, J. M., & Campbell, W. K. (2003). “Isn’t it fun to get the respect that we’re going to deserve?” Narcissism, social rejection, and aggression. Personality and Social Psychology Bulletin, 29, 261–272.

    Article  PubMed  Google Scholar 

  • Watson, P. J., Hickman, S. E., Morris, R. J., Milliron, J. T., & Whiting, L. (1995). Narcissism, self-esteem, and parental nurturance. The Journal of Psychology, 129(1), 61–73.

    Article  Google Scholar 

  • Watson, P. J., Little, T., Sawrie, S. M., & Biderman, M. D. (1992). Measures of the narcissistic personality: Complexity of relationships with self-esteem and empathy. Journal of Personality Disorders, 6, 434–449.

    Article  Google Scholar 

  • Weinberger, D. A., Schwartz, G. E., & Davidson, R. J. (1979). Low-anxious, high-anxious, and repressive coping styles: Psychometric patterns and behavioral and physiological responses to stress. Journal of Abnormal Psychology, 88(4), 369.

    Article  Google Scholar 

  • Wink, P. (1991). Two faces of narcissism. Journal of Personality and Social Psychology, 61(4), 590–597.

    Article  Google Scholar 

  • Wright, R. A., Contrada, R. J., & Glass, D. C. (1985). Psychophysiological correlates of type a behavior. In E. S. Katkin & S. B. Manuck (Eds.), Advances in behavioral medicine (Vol. 1, pp. 39–88). Greenwich, CT: JAI Press.

    Google Scholar 

  • Yang, W., Cun, L., Du, X., Yang, J., Wang, Y., Wei, D., et al. (2015). Gender differences in brain structure and resting-state functional connectivity related to narcissistic personality. Scientific Reports, 5, 10924.

    Article  PubMed  Google Scholar 

  • Zeigler-Hill, V., Green, B. A., Arnau, R. C., Sisemore, T. B., & Myers, E. M. (2011). Trouble ahead, trouble behind: Narcissism and early maladaptive schemas. Journal of Behavior Therapy and Experimental Psychiatry, 42(1), 96–103.

    Article  Google Scholar 

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Krusemark, E.A. (2018). Physiological Reactivity and Neural Correlates of Trait Narcissism. In: Hermann, A., Brunell, A., Foster, J. (eds) Handbook of Trait Narcissism. Springer, Cham. https://doi.org/10.1007/978-3-319-92171-6_23

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