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      The concept of Narcissistic Personality Disorder–Three levels of analysis for interdisciplinary integration

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          Abstract

          In this paper, I distinguish three different levels for describing, and three corresponding ways for understanding, deficient empathy as the core of NPD (Narcissistic Personality Disorder). On the macro level, deficient empathy can be explained as disturbed interpersonal functioning, and is understood as lack of recognition. On the meso-level, deficient empathy can be described as psychic disintegration, and can be understood specifically in its dissocial aspects. Psychic disintegration in NPD correlates with somatic changes, i.e., dysfunctional affective empathy and mind-reading on the micro level of description, which is the third level. The “core-deficit-model of NPD” that I outline, while not rejecting reductionist approaches outright, argues in favor of integrating (top-down/bottom-up) functionalist descriptions of empathy into a wider conceptual framework of bio-psycho-social functioning. The “core-deficit-model of NPD” is interdisciplinary, can bypass monodisciplinary skepticism, and removes purported barriers between explaining and understanding the “lack” of empathy as the core of pathological narcissism.

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          The world report on violence and health.

          In 1996, the World Health Assembly declared violence a major public health issue. To follow up on this resolution, on Oct 3 this year, WHO released the first World Report on Violence and Health. The report analyses different types of violence including child abuse and neglect, youth violence, intimate partner violence, sexual violence, elder abuse, self-directed violence, and collective violence. For all these types of violence, the report explores the magnitude of the health and social effects, the risk and protective factors, and the types of prevention efforts that have been initiated. The launch of the report will be followed by a 1-year Global Campaign on Violence Prevention, focusing on implementation of the recommendations. This article summarises some of the main points of the world report.
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            A psychobiological model of temperament and character.

            In this study, we describe a psychobiological model of the structure and development of personality that accounts for dimensions of both temperament and character. Previous research has confirmed four dimensions of temperament: novelty seeking, harm avoidance, reward dependence, and persistence, which are independently heritable, manifest early in life, and involve preconceptual biases in perceptual memory and habit formation. For the first time, we describe three dimensions of character that mature in adulthood and influence personal and social effectiveness by insight learning about self-concepts. Self-concepts vary according to the extent to which a person identifies the self as (1) an autonomous individual, (2) an integral part of humanity, and (3) an integral part of the universe as a whole. Each aspect of self-concept corresponds to one of three character dimensions called self-directedness, cooperativeness, and self-transcendence, respectively. We also describe the conceptual background and development of a self-report measure of these dimensions, the Temperament and Character Inventory. Data on 300 individuals from the general population support the reliability and structure of these seven personality dimensions. We discuss the implications for studies of information processing, inheritance, development, diagnosis, and treatment.
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              Empathy: Its ultimate and proximate bases

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                Author and article information

                Contributors
                Journal
                Front Psychiatry
                Front Psychiatry
                Front. Psychiatry
                Frontiers in Psychiatry
                Frontiers Media S.A.
                1664-0640
                16 November 2022
                2022
                : 13
                : 989171
                Affiliations
                [1] 1Department of Philosophy and Ethics, Faculty of Humanities and Human Sciences, University of Hokkaido , Sapporo, Japan
                [2] 2Center for Human Nature, Artificial Intelligence, and Neuroscience (CHAIN), University of Hokkaido , Sapporo, Japan
                Author notes

                Edited by: Francesca Strappini, Sapienza University of Rome, Italy

                Reviewed by: Christophe Gauld, Hospices Civils de Lyon, France

                *Correspondence: Kerrin A. Jacobs kjacobs@ 123456let.hokudai.ac.jp

                This article was submitted to Personality Disorders, a section of the journal Frontiers in Psychiatry

                Article
                10.3389/fpsyt.2022.989171
                9709503
                36465294
                d8c201bd-dec6-4b82-871c-6f5a4438ea19
                Copyright © 2022 Jacobs.

                This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

                History
                : 08 July 2022
                : 31 October 2022
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 105, Pages: 12, Words: 9826
                Categories
                Psychiatry
                Mini Review

                Clinical Psychology & Psychiatry
                narcissistic personality disorder,empathy,psychoanalysis,phenomenology,reductionism,integration

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