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June 1, 2011

Narcissist or Sociopath? What's the Difference?

I have noticed a great deal of discussion lately on the difference between the Narcissist and the Sociopath. An update to the Diagnostics & Statistics Manual (the bible for mental health professionals) is due out in 2013 and speculation regarding upcoming revisions has caused a great deal of controversy in the mental health field.

Some reports indicate the American Psychological Association (APA) will condense or combine some of the personality disorders. While we cannot predict what changes the APA will make, let’s take a look at these two personality disorders as they are currently defined in the DSM-IV:

Narcissistic Personality Disorder (NPD)
THE NARCISSIST – This person is an elitist and exists to be adored and admired.
• A pervasive pattern of grandiosity, need for admiration, and a lack of empathy.
• Think Wall Street (Gordon Gecko) or American Gigolo (Richard Gere)

Anti-Social Personality Disorder (APD)
THE SOCIOPATH – This person is the con-artist who often exhibits more criminal and violent traits.
• A pervasive disregard for the law and the rights of others.
• Think The Talented Mr. Ripley (Matt Damon) or American Psycho (Christian Bale)

Narcissist or Sociopath? What's the Difference? | Lisa E. Scott

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