Personality disorder characterized by grandiose sense of self-importance and preoccupation with fantasies of success and power:

Question

BlackTom AI · Accepted Answer

A grandiose sense of self-importance and preoccupation with fantasies of success and power are core signs of narcissistic personality disorder.

1. Relevant knowledge points and concepts
- Personality disorders are enduring patterns of inner experience and behavior that deviate markedly from cultural expectations, are pervasive and inflexible, begin in adolescence or early adulthood, and cause distress or impairment.
- DSM-5 defines Narcissistic Personality Disorder (NPD) as a pervasive pattern of grandiosity (in fantasy or behavior), need for admiration, and lack of empathy. Typical features include exaggerated self-importance, fantasies of unlimited success/power/brilliance, belief one is special, entitlement, interpersonal exploitiveness, and envy.

2. Step-by-step reasoning
- The vignette lists two hallmark descriptors: “grandiose sense of self-importance” and “preoccupation with fantasies of success and power.”
- Match these to DSM-5 NPD criteria: grandiose self-importance corresponds directly to the criterion of grandiosity; preoccupation with fantasies of success and power corresponds to the criterion of being preoccupied with fantasies of unlimited success, power, brilliance, beauty, or ideal love.
- Both features together point specifically to NPD because they reference self-centric grandiosity and fantasy content about status and power—defining elements of narcissism.

3. Intermediate steps / explicit mapping
- Feature A: Grandiosity → NPD criterion “grandiose sense of self-importance.”
- Feature B: Preoccupation with success/power fantasies → NPD criterion “preoccupied with fantasies of unlimited success, power, brilliance.”
- Presence of both features is diagnostic of NPD rather than other personality disorders.

4. Why the correct answer is correct
- Only NPD centers on grandiosity plus fantasies of extraordinary success/power as primary symptoms. The question’s wording directly quotes common diagnostic phrasing for narcissistic personality disorder.

5. Why other options are incorrect (brief)
- Antisocial: focused on disregard for rights, deceit, impulsivity—not grandiose fantasy of success/power.
- Borderline: marked by instability of relationships, self-image, affect, and impulsivity, with fear of abandonment—not persistent grandiosity.
- Histrionic: attention-seeking and dramatic affect, but not enduring grandiose fantasies of superiority/power.
- Obsessive-compulsive personality: preoccupation with order, control, perfectionism—not fantasies of success/power.

6. Conclusion
- The correct diagnosis is Narcissistic (Narcissistic Personality Disorder), which matches the provided answer.

Personality disorder characterized by grandiose sense of self-importance and preoccupation with fantasies of success and power:单项选择题

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