manual of mental disorders, fourth edition (DSM IV). Washington, DC: American Psychiatric Association. Sam Vaknin. (1999, 2001). Malignant Self Love - Narcissism Revisited, second, revised printing Prague and Skopje: Narcissus Publications. ("Malignant Self Love - Narcissism Revisited" http://samvak.tripod.com/faq1.html) More Data About Pathological Narcissists o Most narcissists (75%) are men. o NPD (=the Narcissistic Personality Disorder) is one of a "family" of personality disorders (formerly known as "Cluster B"). Other members: Borderline PD, Antisocial PD and Histrionic PD. o NPD is often diagnosed with other mental health disorders ("co- morbidity") - or with substance abuse, or impulsive and reckless behaviours ("dual diagnosis"). o NPD is new (1980) mental health category in the Diagnostic and Statistics Manual (DSM). o There is only scant research regarding narcissism. But what there is has not demonstrated any ethnic, social, cultural, economic, genetic, or professional predilection to NPD. o It is estimated that 0.7-1% of the general population suffer from NPD. o Pathological narcissism was first described in detail by Freud. Other major contributors are: Klein, Horney, Kohut, Kernberg, Millon, Roningstam, Gunderson, Hare. o The onset of narcissism is in infancy, childhood and early adolescence. It is commonly attributed to childhood abuse and trauma inflicted by parents, authority figures, or even peers. o There is a whole range of narcissistic reactions - from the mild, reactive and transient to the permanent personality disorder. o Narcissists are either "Cerebral" (derive their narcissistic supply from their intelligence or academic achievements) - or "Somatic" (derive their narcissistic supply from their physique, exercise, physical or sexual prowess and "conquests"). o Narcissists are either "Classic" - see definition below - or they are "Compensatory", or "Inverted" - see definitions here: "The Inverted Narcissist". o NPD is treated in talk therapy (psychodynamic or cognitive- behavioural). The prognosis for an adult narcissist is poor, though his adaptation to life and to others can improve with treatment. Medication is applied to side-effects and behaviours (such as mood or affect disorders and obsession-compulsion) - usually with some success.