Facial Emotion Recognition and Social-Cognitive Correlates of Narcissistic Features
Abstract
Narcissistic personality disorder (NPD) is associated with both seeming indifference and hypersensitivity to social feedback. This study evaluated whether rejection sensitivity and empathic difficulties in NPD are accounted for by altered facial emotion recognition (FER). Two-hundred non-clinical individuals self-reported NPD features, rejection sensitivity, and empathy and performed an FER task assessing the ability to determine the presence or absence of an emotion when viewing neutral and negative facial stimuli presented at varying emotional intensities (25%, 50%, 75%). Those with higher NPD features were faster at accurately recognizing neutral and low, 25%–intensity emotional stimuli. This response pattern mediated the association between NPD features and increased anger about rejection. Thus, individuals with high NPD traits are hypervigilant toward subtle negative emotions and neutral expressions; this may explain their tendency to experience intense angry feelings when facing the possibility that the others would not meet their need for acceptance.
References
- 2002). Neural systems for recognizing emotion. Current Opinion in Neurobiology, 12, 169–177. Crossref Medline, Google Scholar (
- 2006). Contributo all'adattamento italiano dell'Interpersonal Reactivity Index di Davis [Contribution to the Italian adaptation of the Davis Interpersonal Reactivity Index]. Testing-Psicometria-Metodologia, 13, 107–125. Google Scholar (
American Psychiatric Association . (1980). Diagnostic and statistical manual of mental disorders (3rd ed.). Washington, DC: American Psychiatric Association. Google ScholarAmerican Psychiatric Association . (2000). Diagnostic and statistical manual of mental disorders (4th ed., text rev.). Washington, DC: Author. Google ScholarAmerican Psychiatric Association . (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: American Psychiatric Association. Crossref, Google Scholar- 2014). Empathy in narcissistic personality disorder: From clinical and empirical perspectives. Personality Disorders: Theory, Research, and Treatment, 5(3), 323–333. Crossref, Google Scholar (
- 1994). Contributions to neuropsychological assessment: A clinical manual (2nd ed.). New York, NY: Oxford University Press. Google Scholar (
- 2009). Rejection sensitivity and disruption of attention by social threat cues. Journal of Research in Personality, 43, 1064–1072. Crossref Medline, Google Scholar (
- 2010). Grandiose narcissism versus vulnerable narcissism in threatening situations: Emotional reactions to achievement failure and interpersonal rejection. Journal of Social and Clinical Psychology, 29, 874–902. Link, Google Scholar (
- 2009). Preferential amygdala reactivity to the negative assessment of neutral faces. Biological Psychiatry, 66, 847–853. Crossref Medline, Google Scholar (
- 2010). Processing of facial emotion expression in major depression: A review. Australian and New Zealand Journal of Psychiatry, 44, 681–696. Crossref Medline, Google Scholar (
- 2013). Social anxiety is associated with general but not specific bias in emotion recognition. Psychiatry Research, 210, 199–207. Crossref Medline, Google Scholar (
- 2017). A multi-surface interpersonal circumplex assessment of rejection sensitivity. Journal of Personality Assessment, 99, 35–45. Crossref Medline, Google Scholar (
- 2008). Narcissism at the crossroads: Phenotypic description of pathological narcissism across clinical theory, social/personality psychology, and psychiatric diagnosis. Clinical Psychology Review, 28, 638–656. Crossref Medline, Google Scholar (
- 2015). Narcissistic personality disorder: Diagnostic and clinical challenges. American Journal of Psychiatry, 172, 415–422. Crossref Medline, Google Scholar (
- 2015). Narcissists' social pain seen only in the brain. Social Cognitive Affective Neuroscience, 10, 335–341. Crossref Medline, Google Scholar (
- 2014). Perceptual biases in facial emotion recognition in borderline personality disorder. Personality Disorders: Theory, Research and Treatment, 5, 79–87. Crossref, Google Scholar (
- 1980). A multidimensional approach to individual difference in empathy. JSAS Catalogue of Selected Documents in Psychology, 10, 85. Google Scholar (
- 1983). Measuring individual differences in empathy: Evidence for a multidimensional approach. Journal of Personality and Social Psychology, 44, 113–126. Crossref, Google Scholar (
- 2006). Human empathy through the lens of social neuroscience. Scientific World Journal, 6, 1146–1163. Crossref, Google Scholar (
- 1996). Implications of rejection sensitivity for intimate relationships. Journal of Personality and Social Psychology, 6, 1327–1343. Crossref, Google Scholar (
- 1976). Pictures of facial affect. Palo Alto, CA: Consulting Psychologist Press. Google Scholar (
- 1997). Structured Clinical Interview for DSM-IV Personality Disorders, (SCID-II). Washington, DC: American Psychiatric Press. Google Scholar (
- 2010). Diagnostic efficiency among psychiatric outpatients of a self-report version of a subset of screen items of the Structured Clinical Interview for DSM-IV-TR Personality Disorders (SCID-II). Psychological Assessment, 22(4), 945–952. Crossref Medline, Google Scholar (
- 2013). Introduction to mediation, moderation and conditional process analysis. A regression-based approach. New York, NY: Guilford. Google Scholar (
- 2007). Neural dynamics of rejection sensitivity. Journal of Cognitive Neuroscience, 196, 945–956. Crossref, Google Scholar (
- 2013). Narcissism in the DSM. In Ogrodniczuk J. S. (Ed.), Understanding and treating pathological narcissism (pp. 45–62). Washington, DC: APA Books. Crossref, Google Scholar (
- 2007). Social causes and consequences of rejection sensitivity. Journal of Research on Adolescence, 17, 481–506. Crossref, Google Scholar (
- 2012). Disturbed emotion recognition in patients with narcissistic personality disorder. Psychiatry Research, 198, 269–273. Crossref Medline, Google Scholar (
- 1988). Japanese and Caucasian facial expressions of emotion (JACFEE). Intercultural and Emotion Research Laboratory, Department of Psychology, San Francisco State University, San Francisco, California. Google Scholar (
- 2003). SCID-II – Structured Clinical Interview for DSM-IV Axis II Personality Disorders, Italian Version. Firenze, Italy: Organizzazioni Speciali. Google Scholar (
- 2016). Rejoinder: A construct validity approach to the assessment of narcissism. Assessment, 23, 18–22. Crossref Medline, Google Scholar (
- 2014). Facial emotion processing in borderline personality disorder: A systematic review and meta-analysis. Neuropsychology Reviews, 24, 166–184. Crossref Medline, Google Scholar (
- 2008). The role of working memory in decoding emotions. Emotion, 8(2), 184–191. Crossref Medline, Google Scholar (
- 2003). A first look at the Structured Clinical Interview for DSM-IV Personality Disorders Screening Questionnaire: More than just a screener. Measurement & Evaluation in Counseling & Development, 36, 150–160. Crossref, Google Scholar (
- 2009). Initial construction and validation of the Pathological Narcissism Inventory. Psychological Assessment, 21, 365–379. Crossref Medline, Google Scholar (
- 2010). Pathological narcissism and narcissistic personality disorder. Annual Reviews of Clinical Psychology, 6, 421–446. Crossref Medline, Google Scholar (
- 2016). Anxious and angry expectations of rejection and associations with BPD and NPD traits. In Proceedings of the 4th ESSPD International Conference on Borderline Personality Disorder, Vienna, Austria. Google Scholar (
- 2013). Pathological narcissism and interpersonal behavior. Personality Disorders: Theory, Research and Treatment, 4, 315–323. Crossref, Google Scholar (
- 2009). The NimStim set of facial expressions: Judgments from untrained research participants. Psychiatry Research, 168, 242–249. Crossref Medline, Google Scholar (
- 2003). Isn't it fun to get the respect we're going to deserve? Narcissism, social rejection, and aggression. Personality and Social Psychology Bulletin, 29, 261–272. Crossref Medline, Google Scholar (
- 2012). The affective and cognitive empathic nature of the Dark Triad of personality. Personality and Individual Differences, 52, 794–799. Crossref, Google Scholar (
- 2016). On the measure and mismeasure of narcissism: A response to “Measures of narcissism and their relations to DSM-5 pathological traits: A critical reappraisal.” Assessment, 23, 10–17. Crossref Medline, Google Scholar (
- 2017). The effect of pathological narcissism on interpersonal and affective processes in social interactions. Journal of Abnormal Psychology, 126, 898–910. Crossref Medline, Google Scholar (
- 2013). Anxious and angry rejection sensitivity, social withdrawal, and retribution in high and low ambiguous situations. Journal of Personality, 81, 29–38. Crossref Medline, Google Scholar (
- 2016). A longitudinal rejection sensitivity model of depression and aggression: Unique roles of anxiety, anger, blame, withdrawal and retribution. Journal of Abnormal Child Psychology, 44, 1291–1307. Crossref Medline, Google Scholar (