Hypervigilance in PTSD and Other Disorders


Post-traumatic stress disorder (PTSD) can have a dramatic impact on how people experience the world. Following a trauma, even everyday experiences can feel unpredictable and even threatening. Hypervigilance is a common symptom of PTSD that causes a constant state of alertness. People who are hypervigilant are constantly on guard and prone to overreaction. They maintain an intense—and sometimes obsessive—awareness of their surroundings, frequently scanning for threats or routes of escape.

Hypervigilance is about more than just being extra vigilant. It is a state of extreme alertness that undermines the quality of life. While this alertness can pay off in survival situations, always being on guard can become persistent and overwhelming, sometimes leading to reactions that are out of proportion to the situation.

If you are hypervigilant, you are always looking for hidden dangers, both real and presumed. Because of this, hypervigilance can leave you exhausted while interfering with interpersonal relationships, work, and your ability to function on a day-to-day basis.

It most commonly occurs in response to some threat that triggers feelings of anxiety or as a result of trauma-related memories.

Symptoms of Hypervigilance

Hypervigilance can be characterized by four common features:

  • Overestimation of a threat: Hypervigilant people will be on the lookout for threats that are either unlikely or exaggerated. This may include shutting themselves in to avoid an attack, sitting near an exit so that they can escape quickly, or sitting with their back to the wall so that no one can sneak behind them.
  • Obsessive avoidance of perceived threats: This includes avoiding everyday situations where dangers may lurk, including public gatherings and unpopulated public spaces (like garages). In extreme cases, a person may develop agoraphobia (anxiety about being in places where escape might be difficult).
  • Increased startle reflex: This is an abnormal response in which a person jumps at any sudden noise, movement, or surprise, even in the middle of the night. Being in a new or uncomfortable environment might further exacerbate the response.
  • Epinephrine-induced physiological symptoms: Epinephrine (adrenaline) is one of two stress hormones associated with the fight-or-flight reflex (the other being cortisol). People with PTSD-associated hypervigilance will often have a sustained epinephrine response, manifesting with dilated pupils, an increased heart rate, and elevated blood pressure.

Hypervigilance can also show up in other ways. It might cause people to read too much into situations. They might spend too much time thinking about how others see them, leading to intense feelings of self-consciousness. Or they might constantly be on alert for other people to betray them. Hypervigilant people may be more reluctant to try new things or meet new people because they are so on the lookout for potential danger. 

Hypervigilance can severely interfere with sleep, causing fatigue, a loss of concentration, and an inability to focus. Sleep deprivation can further intensify feelings of paranoia, fueling hypervigilant behaviors.

In extreme cases, people who are hypervigilant may feel the need to arm themselves with guns, knives, or pepper spray or to equip themselves with sophisticated alarm systems, extra door locks, and even panic rooms.

What Causes Hypervigilance?

Hypervigilance is often rooted in how the brain responds to trauma and is one of the central features of post-traumatic stress disorder (PTSD). When someone experiences a traumatic event, it triggers the body’s fight-or-flight response. This reaction prepares their mind and body to deal with danger, but their nervous system can also get “stuck” in that high alert state.

Hypervigilance in common in PTSD, but it can also occur with other anxiety disorders, including panic disorder, substance/medication-induced anxiety disorder, and generalized anxiety disorder. Schizophrenia, dementia, and paranoia can also induce hypervigilance.

Threats

Hypervigilance is the body’s way of protecting you from threatening situations. It can occur in an environment where you perceive an extreme threat. An example may include walking home late at night through a strange neighborhood.

Trauma

Chronic hypervigilance is a common consequence of PTSD, particularly in people who have been in dangerous environments for a long time (such as serving in battle during a war) or have experienced extreme emotional trauma.

Hypervigilance is common among children who have experienced the recent death of a parent, were witnesses to violence, or are victims of abuse. In some cases, the symptoms of PTSD may only appear later in life.

Mental Health Conditions

In addition to PTSD and anxiety disorders, several mental health conditions can contribute to hypervigilance. This includes:

  • Schizophrenia: In people with schizophrenia, hypervigilance is associated with a threat that does not exist. It is an extension of the paranoia and delusions characteristic of the disorder. Genetic, psychological, and environmental factors are believed to contribute to the development of schizophrenia. Stress can play a central role in triggering a psychotic episode.
  • Paranoia: Because paranoia is associated with hypervigilance, this symptom may be seen with any mood or personality disorder for which paranoia may be a feature. Such conditions can include bipolar disorder and borderline personality disorder.
  • Dementia: Hypervigilance can also occur due to dementia related to Alzheimer’s disease and other neurodegenerative disorders.

Medical Conditions

Hypervigilance isn’t always linked to trauma or other psychological conditions; it can also stem from certain types of medical conditions. Fibromyalgia is a condition that can cause people to experience heightened sensitivity to light and noise, which can make people feel overwhelmed and hypervigilant at times. Endocrine tumors, hyperthyroidism, and adrenal disease can also play a part.

Hypervigilance Triggers

Certain factors can act as triggers for hypervigilance. Some common triggers include:

  • Feeling of abandonment
  • Sudden, loud noises
  • Physical pain
  • Emotional distress
  • Stress
  • Chaotic environments
  • Reminders of past traumas
  • Criticism and embarrassment
  • Feeling trapped

How It Impacts Life

Hypervigilance can have serious effects on a person’s daily life, relationships, and ability to function. As you can imagine, living in this constant state of alertness can be exhausting. It can lead to avoidance behaviors, such as minimizing time spend in public places, in order to avoid feeling keyed up and hyper-alert. Such avoidance can make it hard to function at work and school.

Hypervigilance can also affect a person’s emotional stability. They may experience changes in mood, energy, and emotional regulation. People may experience problems with irritability, depression, anxiety, and emotional numbness.

The chronic stress of this state can also lead to physical health problems, including muscle pain, headaches, fatigue, and digestive issues.

Treatments and Therapies

Treating hypervigilance involves more than just finding ways to calm the mind. It requires addressing the underlying cause and helping the nervous system relearn how to feel safe. There’s no one-size-fits-all solution, and the right approach often hinges on the severity of the symptoms as well as whether or not the person recognizes that their hypervigilance is a problem.

The first step is to remove the affected person from an environment in which there is an actual threat (such as in cases of domestic violence) or from high-stress jobs in which the potential threat is real (like police work).

Treatment may involve psychotherapy, including mindfulness training and coping techniques, and pharmaceutical medications. Options include:

  • Cognitive behavioral therapy: The goal of cognitive behavioral therapy (CBT) is to teach you, through conversations with a therapist, that you cannot control every aspect of the world around you, but can control how you interpret and deal with your response to an environment.
  • Exposure therapy: This type of therapy aims to expose you to the triggers that stimulate stress in order to help you recognize them and take steps to mitigate your response.
  • Eye movement desensitization and reprocessing (EMDR) therapy: The goal of eye movement desensitization and reprocessing (EMDR) is to use eye movement as a means of redirecting you from traumatic memories of the past to current sensations of the present.
  • Mindfulness training: Mindfulness involves “living in the moment” and focusing thoughts on immediate sensations rather than following extraneous and often problematic thoughts. Other mind-body techniques include meditation, guided imagery, and biofeedback.
  • Medications: PTSD and other anxiety disorders may be treated with antidepressants, beta-blockers, or anxiolytic drugs. Schizophrenia, personality disorders, or bipolar disorder may be treated with antipsychotics or mood stabilizers.

The bottom line is that hypervigilance can’t be treated in isolation; it’s a symptom of an underlying condition that needs to be fully addressed for treatment to be effective. It relies upon the appropriate treatment of the condition (including substance abuse). In some cases, hospitalization may be needed to bring the symptoms under control.

Coping and Self-Care

If you are experiencing hypervigilance to the extent of interfering with your quality of life, seek help from a mental health professional. Overcoming hypervigilance can take time and be fraught with setbacks.

Practice Self-Care

To better deal with the challenges, even while undergoing treatment:

  • Get plenty of rest
  • Improve your sleep hygiene
  • Maintain a healthy diet
  • Find relaxing activities (such as yoga or tai chi)

Exercise can help by stimulating the production of endorphins, a hormone which can elevate moods while potentially tempering the epinephrine response.

Lean on Friends and Family

Most importantly, communicate. Staying silent and refusing to share your thoughts will only promote your fears and isolate you from others. Find a friend or family member with whom you can confide, ideally someone who won’t dismiss your fears.

Joint a Support Group

You can also join a support group for PTSD or other disorders with people who understand what you are going through. The more you build a support network of individuals who recognize the goals and challenges of treatment, the more likely you will persist and reap therapy’s benefits.

Takeaways

Hypervigilance is a common symptom of PTSD, but it can also occur with other conditions as well. Everyday events, such as loud noises, pain, stress, reminders of past events, and chaotic environments, can trigger it. No matter what causes it, it can be exhausting and overwhelming to live with. 

Fortunately, effective treatments are available that can help you address the underlying condition that contributes to hypervigilance. You can also find ways to manage it by seeking support, caring for yourself, and joining a support group.


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What Is a Parasocial Relationship?


In a time when celebrities, social media influencers, and famous personalities seem like they are just a click away, it’s easy to understand how emotional bonds with public figures have become more personal and complex than ever. This type of one-sided connection is known as a parasocial relationship. Such relationships blur the line between admiration and perceived intimacy between a media user and a public figure.

Media users can form parasocial relationships with celebrities, live-action fictional characters, social media influencers, animated characters, and any other figure they encounter through media, including movies, TV shows, podcasts, radio talk shows, or social media platforms, such as Twitter, Instagram, or TikTok.

While research on parasocial relationships typically focuses on friendship-like bonds between a media user and a favored media persona, media users may also form negative and even romantic parasocial relationships with different media figures.

History of Parasocial Relationships

Donald Horton and R. Richard Wohl originated the concept of parasocial relationships in 1956, when they published their seminal article “Mass Communication and Para-Social Interaction: Observations on Intimacy at a Distance” in the journal Psychiatry.

Types of Parasocial Relationships

Not all parasocial relationships are the same. They can occur in many different contexts and may take different forms depending on the public figure’s persona and the viewer’s emotional needs. For example, such relationships can range from enjoying the comforting experience of watching a favorite character in a TV show to having an intense devotion to a pop idol or fictional book character.

Parasocial relationships can exist in several different forms. Oftentimes, these various forms may represent stages of this type of relationship:

Parasocial Interactions

Parsocial interactions are defined as the approximation of “conversational give and take” between a media user and a media persona. Unlike parasocial relationships, which extend beyond a single media interaction and psychologically operate much like a real-life relationship, parasocial interactions take place exclusively while interacting with a persona via media and psychologically resemble real-life face-to-face interactions.

For example, if you feel like you’re one of the gang while watching the characters from Friends spend time together at the Central Perk, you’re experiencing a parasocial interaction. If you continue to think about Rachel, Chandler, Monica, or one of the other members of the group after you’ve finished the episode, maybe even reference their behavior on the show as if they are someone you know, you’ve formed a parasocial relationship with that Friends character.

Parasocial Interactions vs. Parasocial Relationships

Despite the differences between these concepts, scholars often used the ideas of parasocial interactions and parasocial relationships interchangeably, leading to confusion in the research literature. More recently, however, scholars have concluded that although parasocial interaction and parasocial relationships are related, they are distinct concepts.

Parasocial Attachments

In addition, the concept of parasocial connections has been extended by media psychologist Gayle Stever to include parasocial attachments. Based on the theory of attachment originated by Bowlby, which describes the deep bonds formed between caregivers and children as well as between romantic partners, parasocial attachment happens when a media “persona becomes a source of comfort, felt security, and safe haven.”

Like parasocial interactions and relationships, parasocial attachments function similarly to attachments in real life. And just like real-life attachments, proximity seeking is an important component of parasocial attachments.

However, instead of direct interaction, the proximity in parasocial attachments is achieved through mediated means, such as watching and rewatching particular fictional characters in a movie or TV show, or keeping up with media personalities’ social media accounts.

Are They Healthy or Harmful?

Parasocial relationships can impact people in several ways. While such relationships are often dismissed as superficial or obsessive, the reality is a lot more nuanced. Just like any connection, the impact depends on factors like the context, intensity, and individual needs.

Some of these influences can be negative, but there can actually be some benefits to this type of relationship. Your favorite character or celebrity can be a source of comfort and inspiration, but sometimes such connections can cross boundaries and interfere with real-world relationships.

Potential Drawbacks

In one review of the literature, researchers found that having a parasocial relationship with a media personality can influence an individual’s:

  • Political views
  • Voting decisions
  • Purchasing behavior
  • Attitudes about gender stereotypes
  • Trust in various groups of people, such as scientists and doctors

This influence may be positive or negative depending on whether the parasocial relationship with the media figure is positive or negative.

Potential Advantages

Parasocial relationships can certainly have drawbacks, but they may also have some benefits as well. On the plus side, these types of relationships are linked to.

  • Increased belonging: On a more optimistic note, parasocial connections can increase self-confidence, improve one’s belief in their self-efficacy, and result in stronger feelings of belonging.
  • Reduced loneliness: The isolation caused by quarantine orders issued during the COVID-19 pandemic has increased interest in the social surrogacy role media figures can play. Although the research on this topic is limited, people who didn’t have other social outlets while in lockdown turned to TV and movie characters and online social media to satisfy their need for interaction and connection.
  • Stronger social connections: Because friends and family can engage in parasocial relationships with the same media persona without jealousy, discussing these mutual parasocial relationships can strengthen social relationships. Fans also often create online or in-person communities dedicated to specific performers, characters, and other media figures, which can contribute to real-life relationships with like-minded others.

How Do Parasocial Relationships Form?

Like in-person relationships, parasocial relationships start when someone meets and gets acquainted with a media persona. This initial parasocial interaction might involve seeing the individual on a tv show or movie, following them on social media, or even interacting with them online or in real life.

If the persona makes an impression that causes the individual to think about them beyond the interaction, parasocial interactions can lead to a parasocial relationship. In turn, further parasocial interactions can strengthen parasocial relationships, sometimes leading to parasocial attachment.

Moreover, if the parasocial relationship ends, either because the media figure dies, the show or movie series they appear in ends, or the media user decides they no longer wish to engage with the media persona, the media user can go through a parasocial breakup.

One study found that many fans of the show Neighbors experienced feelings of grief and loss when the series ended. Another study that examined Reddit posts found that many sports fans experienced emotional and mental grief responses following the death of Kobe Bryant.

Why Do We Form Them?

It may seem strange that people form parasocial relationships despite their lack of reciprocity, but it’s important to remember that humans are evolutionarily wired to make social connections. Media is a relatively recent development in human history and hasn’t yet had an outsized impact on our evolution.

Humans tend to pay special attention to other humans’ faces and voices. For centuries, the only faces and voices we regularly encountered were those of the people in our daily lives. That changed starting in the early 20th century with the advent of radio and movies, and by the time television became widely available, the number of faces and voices one could become familiar with through media had grown exponentially.

However, our brains never evolved to distinguish between people we see and hear through media and those we see and hear in real life. Therefore, we process and respond to these encounters similarly, leading to parasocial phenomena in all their forms.

While psychological research has sometimes attempted to pathologize parasocial relationships, most scholars now agree that engaging in parasocial connections is normal. It is something that a majority of people experience.

It is also important to note that most people know that their relationships with media figures are not real. However, this knowledge doesn’t prevent them from reacting as if they were.

The Role of Social Media

To date, the majority of studies on parasocial phenomena has focused on film and TV, while new media has been the focus of less than one-fifth of the investigations.

Nonetheless, new media, especially social media, has surely changed the nature of parasocial relationships. Of particular interest is whether the ability to directly communicate and possibly be contacted by a media figure online might make parasocial relationships more social.

For example, if a fan exchanges direct messages with their favorite actor via Twitter, the relationship takes on a social dimension.

The Social-Parasocial Continuum

As a result, researchers have proposed that parasocial and social relationships should be seen as operating along a continuum.

  • On the social end of the spectrum are the people we regularly interact with in our daily lives.
  • On the parasocial end of the spectrum are media personalities we have no access to, such as fictional characters or performers who have passed away.
  • In between those two extremes are relationships with celebrities that one has the potential to interact with either in real-life or online.

This can take the form of meeting a pop star after their concert or running into an actor while out shopping in Hollywood. However, the rise of social media has increased the likelihood that fans can gain access to their favorite celebrities online.

For example, when a media user responds to a post by their favorite performer on Twitter, the performer may acknowledge them by liking or re-tweeting their message. Scholars have proposed that in these circumstances the relationship between fan and performer should still be considered parasocial because despite the social recognition by the media figure, the media user still lacks direct access to them.

Takeaways

While more research on parasocial relationships is needed, evidence suggests that these relationships can have downsides and potential benefits. Researchers believe that these relationships are normal and fairly common, but you should talk to a professional if your thoughts and behaviors about a media figure are causing distress or interfering with your ability to function normally.


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Using Rationalization as a Defense Mechanism


Do you ever find yourself thinking, “It wasn’t that important anyway?” after something you *really* wanted doesn’t work out? While it might seem like you’re just brushing off disappointment, there might actually be something else at work—a defense mechanism known as rationalization.

Rationalization involves justifying behaviors, thoughts, or feelings using logical explanations. While such explanations *sound* reasonable, they disguise unacceptable thoughts and don’t accurately depict a person’s true feelings and motivations.

In psychology, rationalization is a defense mechanism. Defense mechanisms are unconscious strategies people utilize to protect themselves from anxiety or threats to self-esteem. These defense mechanisms operate in various ways to reduce discomfort, often by denying or distorting reality.

When people are faced with feelings or behaviors that challenge their beliefs, they may look for ways to explain these thoughts and alleviate feelings of discomfort. For example, a person who gets a bad grade on a test might rationalize their low score by blaming the professor’s teaching style rather than acknowledging their poor study habits.

The Psychology of Rationalization

Ernst Jones first introduced rationalization as a defense mechanism in 1908. It was later expanded on as part of the psychoanalytic theories of Sigmund Freud and his daughter Anna Freud. They believed that defense mechanisms worked on an unconscious level to help protect the mind from feelings of anxiety. 

According to Freud, rationalization allows people to justify their thoughts or behaviors without experiencing conflicts, anxiety, or shame if they face their true motivations.

While many Freudian theories have fallen from favor in psychology, the idea of rationalization has persisted. Later, researchers continued to expand on Freud’s ideas, proposing that rationalization might not just protect the ego from anxiety but also serve adaptive purposes.

By relieving feelings of distress, rationalization allows people to cope with difficult situations that might pose a threat to their well-being. 

Another theory suggests that rationalization might serve another important purpose: to help us make sense of our decisions. According to this explanation, decision-making is complex and rarely relies on a single process. Instead, it often incorporates instinct, norms, habits, reasoning, and other influences. Rationalization might be an attempt to represent all of these processes into a coherent narrative, or what researchers have called “a useful fiction.”

While some researchers argue that rationalization can be a rational response, others argue that it can be a detrimental defense mechanism that is associated with worse emotional development and increased antisocial behavior.

Rationalization vs. Lying

While rationalization is similar to lying, there are important distinctions. Lying is a conscious attempt to deceive, while rationalization often occurs partly or primarily outside of conscious awareness. And while both disguise a person’s real motives for self-serving purposes, rationalization protects them from being fully aware of their true motivations.

What Are Some Examples?

One of the reasons why rationalization has remained such an enduring concept? It’s the fact that, if you’re like most people, you can immediately recognize examples of it in your own life. It might be something you notice yourself doing, but you may also be able to recall times when other people have rationalized their behaviors or the outcome of a situation.

Rationalization often occurs in a variety of different ways. It may involve:

  • Minimizing the situation (“It’s really not that bad.”)
  • Making excuses (“I didn’t have enough time anyways.”)
  • Blaming others (“They failed because they didn’t do their work on time.”)
  • Making comparisons (“What I did isn’t as bad as what someone else did.”)
  • Explaining away the problem (“Sorry, I didn’t return your call, I was just too busy.”)

In Romantic Relationships 

In a romantic relationship, a person might rationalize being disappointed by their partner by blaming outside factors instead of the other person.

For example, if your partner canceled dinner plans at the last minute, you might blame their employer or work clients. That’s often easier (and less painful) than acknowledging that your partner rarely takes their commitments seriously.

Other common examples in relationships include minimizing problematic behaviors, finding ways to justify actions, and making excuses to explain why things happen. For example:

  • A person might get angry and yell at their partner during an argument, but then later minimize their behavior and suggest that it wasn’t really that bad.
  • A person might stop engaging in a behavior at their partner’s request but then replace it with another destructive habit. They might justify this new behavior by saying that at least they aren’t engaging in the old behavior anymore.
  • A person might make excuses for not fulfilling household obligations. For example, they might say they don’t have time to cook, clean, or help with the kids because they are busy with work.

In Family Relationships

In a family relationship, a child might rationalize their parents’ absence from after-school events by attributing it to being busy with work. This can protect a child from feeling ignored, leaving the child feeling unsupported and neglecting their emotional needs.

Rationalization can take a severe toll on family relationships over time. While it might make the person using this defense mechanism feel better in the short term, it can erode trust and communication between family members.

In the Workplace

In the workplace, a person might rationalize getting passed over for an important promotion by suggesting that they didn’t really want the job in the first place. While this protects the person’s self-esteem, it can hold them back by preventing them from pursuing future job advancement opportunities.

Using rationalization can be problematic when a person uses post hoc excuses to justify immoral or unethical behavior. One study found that those with low moral identity were more likely to engage in immoral behavior after using moral rationalization to justify past actions.

Why We Use Rationalization as a Defense Mechanism

So, what is it that makes us rationalize things in the first place? It’s important to remember that rationalization is all about self-protection. When reality causes uncomfortable emotions or threatens our self-esteem, it’s natural to want to blunt the effects and find ways to make the situation feel less painful.

Rationalization makes us feel like we are in control of the situation. It lessens anxiety and allows us to maintain our self-image, even if it sometimes means bending the truth to suit our needs.

The specific reasons why we rationalize can vary depending on the person and the situation. Some of these reasons why people use rationalization to justify their behaviors include the following.

To Avoid Cognitive Dissonance

The psychology behind rationalization is that it acts as a way to provide logical justifications for unacceptable feelings or behaviors. This is driven by the need people have to maintain a sense of consistency.

People want to believe that they act in accordance with their beliefs and values. When they don’t, it creates a state of psychological tension known as cognitive dissonance.

By looking for seemingly rational explanations to justify behavior, people can maintain a sense of consistency in their beliefs, behaviors, and feelings. While these rationalizations misrepresent our true motivations, they protect us from the feelings of shame, guilt, or anxiety we might feel by admitting our true thoughts or behaviors.

To Maintain a Sense of Self

People also want to be able to see themselves in a positive light. Part of this involves being able to think that they act in ways that are consistent and in accordance with their values. Rationalization often serves as a way to maintain this positive outlook on the self.

To Protect Self-Esteem

Rationalization can protect self-esteem, but it does so at a cost. People may be able to better cope with stress in the moment, but it can also lead to further problems down the road. Refusing to acknowledge the truth of the situation can lead to faulty thinking, cognitive biases, and self-deceptions. It prevents people from being able to evaluate their own actions and make changes that can benefit them in the future.

When rationalization becomes a pattern you use to excuse away unhealthy behavior or justify toxic patterns, it can lead to poor choices and unrealistic ways of coping with problems. For example, you might rationalize your partner’s behavior to avoid conflict, but this can deepen the problems in your relationship and contribute to poor communication.

Finding Healthy Ways to Deal With Emotions

If you use rationalization to ease feelings of anxiety or cope with troubling situations, recognize that the use of such defense mechanisms is both common and normal. In many cases, using these types of defenses allows us to alleviate stress in the moment until with are better equipped to emotionally process the situation.

Rationalization can become a problem if you use it excessively to avoid dealing with reality. If you want to find healthier ways to deal with emotions, improve communication, and handle conflict, the following strategies can be helpful:

Build Emotional Awareness

Becoming more aware of what you are feeling in the moment can help you avoid making excuses or hiding from your true motivations. Mindfulness is a practice that can help you become more aware of your thoughts without trying to avoid, judge, or explain them away.

Label Your Emotions

Once you get better at identifying what you are feeling, practice labeling these thoughts and emotions instead of trying to rationalize them.

Research has found that simply identifying and labeling your emotions can help reduce their intensity. This may help you process what you are feeling without becoming overwhelmed.

Show Yourself Acceptance and Compassion

Instead of criticizing yourself or feeling ashamed about distressing thoughts or behaviors, work toward self-acceptance. Self-compassion can help you treat yourself with more kindness and understanding, even when you are dealing with difficult situations.

Find Support

When you find yourself trying to rationalize something, consider seeking out the support of a friend, family member, or other encouraging individuals. They can help you talk through the problem and think of ways of coping without trying to make excuses.

Reframe How You Think

If you notice yourself rationalizing a situation, consider changing your perspective. This strategy involves thinking about alternative explanations and intentionally trying to take a different or even more positive viewpoint when approaching a problem.

Takeaways

Rationalization is something that most people engage in from time to time. While it can have its benefits, it can also lead to poor accountability and bad decisions. Not dealing with your real motivations can also limit your personal growth.

Because rationalization is often used as a tool to avoid emotions, finding healthier ways of coping can be helpful if you find yourself using this defense mechanism too often. Building self-awareness, learning to identify emotions, and practicing emotional acceptance are a few strategies that can be helpful.

If you think rationalization might be holding you back and preventing you from acknowledging reality, consider talking to a mental health professional. By working with a therapist, you’ll be better able to identify rationalization and develop better ways to cope with difficult emotions.


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Kendra Cherry

The Role of the Conscious Mind

Sigmund Freud, the father of psychoanalysis, helped change the way we think about the mind and mental health. His topographic model of the mind divides the psyche into three elements: the conscious, unconscious, and preconscious. While Freud devoted much attention to understanding the impact of the unconscious, his approach to the conscious mind was also important and influential.

Freud was not the first theorist to describe consciousness or unconsciousness. However, these two elements take on a unique and vital role in his approach to human psychology.

What Is the Conscious Mind, Exactly?

In Sigmund Freud’s psychoanalytic theory of personality, the conscious mind consists of everything within our awareness. It’s this part of our minds that is the most familiar to us, since it makes encompasses everything in our daily lives.

The conscious mind includes:

  • Fantasies
  • Feelings
  • Memories
  • Perceptions
  • Self-awareness
  • Sensations
  • Thoughts

The conscious mind is everything you are actively aware of: your thoughts, feelings, perceptions, and your awareness of your current environment are all part of your conscious experiences.

How the Conscious Mind Works

It isn’t possible to keep every thought, memory, or feeling inside of conscious awareness at all times. So instead, certain information is maintained in awareness, other information remains outside of immediate awareness but still accessible, and other information is hidden from awareness.

Freud’s topographic theory was a “map” of the different systems that make up the human mind. According to Freud, the mind is made up of three systems: the conscious (Cs.), the preconscious (Pcs.), and the unconscious (Ucs.).

These systems are controlled by what Freud identified as the primary and secondary processes: 

  • The primary processes are a way to discharge unacceptable urges that arise from the unconscious mind. It often involves creating a mental image to act as a substitute for acting on an unacceptable urge.
  • The secondary processes are how the mind deals with conscious urges through delayed gratification. For example, instead of acting immediately on a thought you just had, you wait for a more appropriate time to take action.

The topographic model of the mind is also part of Freud’s larger structural model of personality, which includes the id, ego, and superego.

How the Conscious, Preconscious, and Unconscious Interact

The preconscious (or subconscious) is closely allied with the conscious mind. It includes the things we are not thinking of at the moment but can easily draw into conscious awareness.

Things that the conscious mind wants to keep hidden from awareness are repressed into the unconscious mind. While we are unaware of these feelings, thoughts, urges, and emotions, Freud believed that the unconscious mind could still influence our behavior.

Things in the unconscious are only available to the conscious mind in disguised form. For example, the contents of the unconscious might spill into awareness in the form of dreams. Freud believed that by analyzing the content of dreams, people could discover how the unconscious influences their conscious actions.

The Iceberg Metaphor

Freud’s concept of the conscious and unconscious mind is often illustrated an iceberg as a metaphor. The tip of the iceberg that extends above the water represents the conscious mind. As you can see in the image on top, the conscious mind is just the “tip of the iceberg.” Beneath the water is the much larger bulk of the iceberg, which represents the unconscious.

Interestingly, while the iceberg metaphor is ubiquitous, Freud never mentioned it or used it in his own writings. Research suggests that Gustav Fechner and G. Stanley Hall may have introduced the idea in relation to Freud’s theory.

While the conscious and preconscious are important, Freud believed they were far less vital than the unconscious.

The things that are hidden from awareness, Freud believed, exerted the greatest influence over our personalities and behaviors.

Conscious vs. Preconscious Differences

The conscious mind involves all the things you are currently aware of and are thinking about. It is somewhat akin to short-term memory and is limited in capacity. Your awareness of yourself and the world around you is part of your consciousness.

The preconscious mind, also known as the subconscious mind, includes things that we might not be presently aware of but that we can pull into conscious awareness when needed.

You might not presently be thinking about how to do long division, but you can access the information and bring it into conscious awareness when solving a math problem.

The preconscious mind is a part of the mind that corresponds to ordinary memory. These memories are not conscious, but we can retrieve them to conscious awareness at any time.

How the Preconscious Works

While these memories are not part of your immediate awareness, they can be quickly brought into awareness through conscious effort. For example, if you were asked what television show you watched last night or what you had for breakfast this morning, you would be pulling that information out of your preconscious.

A helpful way to think of the preconscious is that it acts as a sort of gatekeeper between the conscious and unconscious parts of the mind. It allows only certain pieces of information to pass through and enter conscious awareness.

Phone numbers and social security numbers are also examples of information stored in your preconscious mind. While you do not walk around consciously thinking about this information all the time, you can quickly draw it out of your subconscious when you are asked to relate these numbers.

In the iceberg metaphor, the preconscious exists just below the water’s surface. If you focus and make an effort to see it, you can see the murky shape and outline of the submerged ice.

Like the unconscious mind, Freud believed that the preconscious could influence conscious awareness. Sometimes, information from the preconscious surfaces in unexpected ways, like in dreams or accidental slips of the tongue (known as Freudian slips). While we might not be actively thinking about these things, Freud believed they still served to influence conscious actions and behaviors.

Takeaways

While Freudian theory often focuses on the influence of the unconscious mind, the conscious mind is just as important. This component of the mind is critical for survival since it allows us to direct attention and perceive events that we need to respond to in the immediate environment. 

However, Freud also believed that the conscious represented only a tiny portion of the totality of the human mind. While a small part of the mind is accessible to us through the conscious and preconscious, Freud believed that the bulk of our mind’s contents is found in the unconscious. While this was not directly accessible, tactics such as dream interpretation and free associations might be a way to bring this information into the conscious mind.

Kendra Cherry

By Kendra Cherry, MSEd

Kendra Cherry, MS, is a psychosocial rehabilitation specialist, psychology educator, and author of the “Everything Psychology Book.”


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Suppressed Anger: Characteristics, Impact, and Coping


Anger is often seen as an unpleasant, volatile, and disruptive emotion. But sometimes, it isn’t displayed openly at all. Suppressed anger is when you experience anger but do not express it, in either constructive or destructive ways, says David Klemanski, PsyD, MPH, a psychologist at Yale Medicine.

Everyone gets angry occasionally. According to the American Psychological Association (APA), anger is a normal human emotion that everyone experiences from time to time. Anger can range from faint annoyance to outright rage.

People, events, objects, situations, feelings, or memories can trigger anger. For example, a traffic jam, a pushy coworker, a broken zipper, or the memory of a rude comment can make you angry.

People react to anger in different ways. Some people express their anger verbally (shouting, cursing, arguing, or yelling), whereas others express it physically (throwing things, breaking objects, hitting walls, or getting into fights). However, some people don’t express their anger at all, and choose to suppress it instead.

While suppressed anger isn’t as easy to spot as outward anger, it can manifest in ways we might not expect, often leading to resentment, anxiety, depression, chronic stress, and strained relationships.

What Does Suppressed Anger Look Like?

Suppressed anger doesn’t always look like anger. It’s not about raising your voice or using harsh language—it often shows up in more subtle ways. Irritability, passive-aggressive behavior, feelings of exhaustion, and physical symptoms like headaches and muscle tension are a few common signs.

While there is no specific set of symptoms or characteristics of suppressed anger, there are some of potential ways it could manifest, according to Dr. Klemanski:

  • Substitute emotions: Some people might substitute other emotions for anger. For instance, they might feel sad, depressed, anxious, guilty, or ashamed, rather than feeling angry.
  • Numbness: Some people may deny their emotions to the extent that they may feel numb or shut down entirely.
  • Passive aggression: Some people seek to avoid experiencing anger in order to avoid conflict. However, they may employ passive-aggressive behaviors instead. For instance, they may often pass sarcastic or snide comments, appear perpetually hostile and cynical, criticize everything, put others down constantly, or try to get back at people in indirect ways without telling them why they’re upset.
  • Outbursts: After suppressing their anger for too long, some people eventually explode and have a major outburst of anger.

Take the Anger Test

This short, free 21-item test measures a variety of symptoms and feelings associated with anger, such as anger about the present and future, anger towards the self, and hostile feelings toward others.

This anger quiz was medically reviewed by Rachel Goldman, PhD, FTOS.

Negative Impacts

Suppressing emotions can be harmful to physical and mental health. Holding all that rage in doesn’t make it disappear or render it harmless. Instead, it just shifts the damage inward. Over time, suppressed anger can take a serious toll on your body, your mental health, and your relationships.

Below, Dr. Klemanski explains the impact of suppressing anger.

It Puts the Body in a State of Stress

On a physical level, suppressing emotions, anger included, can lead to physical stress on the body.

Anger is a biological response to perceived threats, so your body goes into a hyper alert state that is designed to help you survive. In this state, your blood pressure and heart rate increase and your body releases certain hormones, which give you a burst of energy.

Frequently bottling up anger can put the body in a prolonged state of stress that can lead to health issues such as hypertension.

It Affects Emotional Processing

All of our emotions are messages to us. Each time we overlook an emotion, we lose the opportunity to reflect, learn from it, and develop insights into our priorities and values.

Managing emotions is critical to optimal mental health.


DAVID KLEMANSKI, PSYD, MPH

Ignoring or suppressing emotions can create issues whereby people don’t adequately learn how to express themselves in critical moments or when emotions are experienced with greater intensity than usual.

Suppressing anger can prevent people from appropriately regulating, processing, and expressing their emotions.

It Can Lead to Mental Health Conditions

Anger can be a particularly intense negative emotion that might come from feeling disrespected, diminished, shamed, or belittled, or feeling a loss of power or control. 

Ignoring anger and the issues that caused it can lead to other mental health problems, such as depression, anxiety, or even controlling behaviors related to habits, food, substances, etc.

It Can Damage Relationships

Suppressed anger can also wreak havoc on your personal relationships. It can cause you to act in ways that might be contrary to your personal values, thereby impacting your boundaries and your ability to be genuine and authentic with others.

According to the APA, people who suppress their anger often have difficulty with relationships.

How to Cope With Suppressed Anger

If you tend to suppress your anger rather than expressing it in a healthy manner, it may be helpful to see a mental healthcare professional who can help you cope with it. Dr. Klemanski outlines some of the treatment approaches that may be helpful:

Mindfulness

Mindfulness can be a healthy approach to developing awareness about when you experience an emotion, how intensely you experience it, and how you manage that emotion in the moment. Mindfully observing what triggers your anger and how you characteristically behave when you’re angry can help you express your emotions more constructively.

Emotional Management

Learning emotion management skills can be useful, including educating yourself about your emotions, understanding how emotions show up in your everyday life, and identifying triggers to your emotions.

It can also be helpful to learn how to both acknowledge and accept your emotional experiences rather than trying to rid yourself of them, so that you can learn how to manage them when it counts.

Cognitive Behavioral Therapy

Using principles of cognitive behavioral therapy (CBT) can also be useful, such as learning to replace unhelpful thought patterns with helpful ones, as well as practicing skills and strategies for managing intense emotions when they occur.

Research shows that cognitive behavior therapy techniques can effectively treat anger and aggression.

Journaling

It can be helpful to maintain a journal where you note down things that made you angry, how they made you feel, and what you did at the time. This can help improve your emotional awareness.

Takeaways

Sometimes we get angry for valid reasons, whereas other times we get angry for trivial reasons. However, regardless of the cause, we need to be able to regulate our emotions and express them in healthy ways. While having angry outbursts isn’t the answer, it’s important to learn how to set boundaries and communicate negative emotions constructively.

Suppressing anger can harm our relationships and affect our mental and physical health. If you tend to suppress your anger, it can be helpful to start being more mindful about what causes you to feel angry, how you respond in those situations, and how it affects your life and your relationships. A mental health professional can help you work through the anger-related issues you’re facing.


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What It Means and How to Practice It

Do you ever feel a little more relaxed after walking around barefoot on the grass or sand? That’s the idea behind earthing, also known as grounding. It’s a wellness practice that allows people to directly connect their bodies with the Earth and use its natural electric charges to stabilize them. This practice involves walking barefoot outdoors or using indoor grounding systems while sleeping or sitting.

Although earthing can positively impact the mind, this form of grounding differs from the practice used in mental health treatment. Earthing research suggests reduced pain, stress, and inflammation and improved overall mental well-being. This technique restores the connection between the body and the electrical currents of the earth. 

While it might sound a little out there, many people swear it helps them reduce stress, tame inflammation, and improve sleep.

History of Earthing

Throughout history, Indigenous societies have espoused the Earth’s healing power benefits and described it in varying ways. For example, in Chinese medicine, the term Qi—pronounced “chee”—is defined as the vital energy that fills the universe.

Ancient philosopher Ge Hong said, “People reside within qi, and qi resides within people. From heaven and earth down to the ten thousand things, each one requires qi to live.”

This belief and study of the earth’s natural energies could also be found in Europe in the 19th century. In 1891 Louis Kuhne published “The New Science of Healing.” Then, Adolf Just wrote “Return to Nature” in 1896, which encouraged people to begin walking barefoot outdoors.

A few decades later, George Starr White,an American medical doctor, began investigating the use of sleeping while grounded—connected to copper wires affixed to home pipes—to improve the quality of sleep.

Modern scientists continue to advocate for Earth’s electrons’ ability to balance our body’s electrical current. This grounding technique continues to grow and get mainstream attention as people search for simple, inexpensive ways to heal themselves. 

Should I Try It?

There are signs that an earthing practice will benefit your life. You may want to try earthing if:

Types of Earthing

Earthing techniques focus on reconnecting your energy with the earth through direct or indirect contact. These methods include:

  • Walking outside barefoot
  • Laying on the ground
  • Going swimming or taking a bath
  • Gardening
  • Using grounding mats, blankets, patches, and socks

How to Practice Earthing

There are many ways to reconnect with the earth in your daily life and hopefully restore your body’s natural defense system.

Here are ways you can practice earthing:

  • Take a walk: Find ways to connect your bare feet with the ground by walking on grass, across the sand or the mud. Pay attention to the feeling of the land beneath your feet, and be mindful of sharp objects as you go.
  • Play in the dirt: Dig into the earth and get the soil between your fingers. You can create a garden in your yard or windowsill—if you’re in an apartment—and directly link to the energy in the dirt.
  • Ground yourself indoors: When going outside is not an option, grounding mats come in handy by replacing the direct connection you’d get being barefoot outside. Grounding mats bring Earth’s electrical currents into the home or office by replicating the physical connectivity of a nature walk.

Earthing can be a free and relatively quick way to positively impact your physical and mental health. Experts suggest 30 minutes is enough time to begin reaping the benefits. Whether you connect yourself to a metal rod outside or purchase grounding socks, you can easily incorporate earthing therapy into your wellness routine. 

What Are the Benefits?

New treatments will emerge as modern scientists continue tapping into ancient holistic practices. Research shows a promising connection between earthing and measurable improvements in these health issues.

May Improve Chronic Fatigue and Sleep Disorders 

One study found that people who used grounding mats for four weeks decreased fatigue, sleep disruptions, and improved length of sleep. They also reported an improvement in their depression, stress, and pain.

May Boost Immunity

Some researchers believe that the Earth connects all living cells through a living matrix held together by electrical conductivity. This behaves similarly to antioxidants as an immune defense system that restores the body’s natural immunity by connecting to the matrix.

May Improve Heart Health

Some research also suggests that prolonged use of grounding techniques reduced blood pressure levels in those experiencing hypertension. Studies suggest that earthing can positively impact cardiovascular health through its ability to lower blood pressure and increase blood viscosity.

Tips for Earthing

If you want to give earthing a try, there are a few important things to remember. Earthing, like other forms of treatment, isn’t a quick fix. It requires patience and perseverance; however, the benefits are encouraging. Here are some tips once you decide to add earthing as part of your healing journey:

  • Speak to a professional. If you’re new to the idea of earthing, you should find a guide to lead you. A growing earthing community can provide resources, connections, and best practices.
  • Stick to a routine. Once you’ve got the ball rolling, go full steam ahead. The more you work on grounding yourself, the faster you’ll begin seeing improvements. Try to start your day with a grounding routine to get into the habit of doing it.
  • Pay attention. However you choose to practice earthing, be observant of yourself and your surroundings. Stay in the moment.

More Studies Need to Be Done

Like with all therapy, chronic illnesses have underlying medical issues that need to be addressed by your doctor.

Modern research shows promising benefits of earthing, but it will take time to determine if these earth-derived electrons work as hard as scientists hope.

Earthing studies are under-researched and usually have fewer research subjects—sometimes 50 or fewer people. Also, scientists like Gaétan Chevalier, director of the Earthing Institute, have done studies that have not been consistently replicated. The lack of mainstream support and funding can slow down progress. 

Takeaways

In addition to the possible positive effects it may have on physical and mental health, research has consistently shown that activities like spending time outdoors and mindfulness can positively impact psychological health. While it isn’t something that should be used alone to treat a condition, earthing can potentially be part of a self-care routine.

Verywell Mind uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.
  1. Sinatra ST, Oschman JL, Chevalier G, Sinatra D. Electric nutrition: the surprising health and healing benefits of biological grounding(Earthing). Altern Ther Health Med. 2017;23(5):8-16.

  2. Chevalier G, Patel S, Weiss L, Chopra D, Mills PJ. The effects of grounding (Earthing) on bodyworkers’ pain and overall quality of life: a randomized controlled trial. Explore (NY). 2019;15(3):181-190.

  3. Elendu C. The evolution of ancient healing practices: From shamanism to Hippocratic medicine: A reviewMedicine (Baltimore). 2024;103(28):e39005. doi:10.1097/MD.0000000000039005

  4. Czeranko S. Adolf Just (1859-1936)Integr Med (Encinitas). 2019;18(3):46.

  5. Lazo Álvarez AC, Ednie A, Gale-Detrich T. Contributions of nature bathing to resilience and sustainability. In: Gale-Detrich T, Ednie A, Bosak K, eds. Tourism and Conservation-Based Development in the Periphery. Springer International Publishing; 2023:389-408. doi:10.1007/978-3-031-38048-8_16

  6. Oschman JL, Chevalier G, Brown R. The effects of grounding (Earthing) on inflammation, the immune response, wound healing, and prevention and treatment of chronic inflammatory and autoimmune diseases. J Inflamm Res. 2015;8:83-96.

  7. Sinatra ST, Sinatra DS, Sinatra SW, Chevalier G. Grounding – The universal anti-inflammatory remedyBiomed J. 2023;46(1):11-16. doi:10.1016/j.bj.2022.12.002

  8. Argyriadis A, Kopanakis E, Koutras P, et al. The impact of outdoor in nature mindfulness on the mental well-being of children and adolescents. A mental health and cross-cultural approachMater Sociomed. 2024;36(1):73-76. doi:10.5455/msm.2024.36.73-76

Odochi Ibe

By Odochi Ibe

Odochi Ibe is a writer and expert in social justice, health and wellness, and documenting the human experience. Her work has been featured in FCBHealth, Quartz.com, Nike, and The New York Times.


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Katharine Chan

5 Types of Narcissism and How to Spot Them

Do you know someone who constantly seeks attention, is self-involved, and craves praise? If so, then they might be considered narcissistic or exhibit some behaviors of narcissistic personality disorder (NPD).

But just having some narcissistic traits does not necessarily mean that they have NPD. Narcissism is a personality trait that ranges along a spectrum. Some people are very high in this trait, while others may only exhibit these characteristics occasionally or in certain situations or settings.

And not all narcissists are the same. It can present in different ways, affecting how people interact with others in their lives.

1. Overt (Grandiose) Narcissism

Overt narcissism is probably what most people think of when they think of someone who is narcissistic. They may be overbearing, extroverted, social, egotistic, and excessively competitive. 

Their narcissistic behavior and need for narcissistic supply are obvious. Some common signs of someone with overt narcissism include the following:

  • A deep desire for praise and compliments
  • Attention seeking
  • An inflated sense of self-esteem
  • Overestimates their capabilities, intelligence, and abilities
  • Interpersonal dominance
  • Inability to empathize with others
  • Insensitive to the needs of others
  • Arrogant and loud
  • The “big person” in the room
  • Entitled
  • Highly self-involved 

A person with overt narcissism may perceive themselves as more emotionally intelligent (EI) than they actually are.

2. Covert (Vulnerable) Narcissism

Covert or vulnerable narcissism can be thought of as the opposite presentation of overt narcissism. Their behavior is much less obvious and more subtle.

Covert narcissists don’t behave loudly, nor are they outgoing. They are still highly focused on themselves with a thirst for praise from others. Their need for admiration may manifest as giving backhanded compliments or talking down about themselves to gain reassurance from others.

Other common signs of covert narcissism include the following:

  • Introverted
  • Difficulty taking criticism
  • Feeling and expressing that they are not good enough
  • Often plays the victim
  • Shames and blames others for their mistakes
  • Poor self-esteem
  • Insecure and low confidence

3. Communal Narcissism

A type of overt narcissism is communal narcissism. Communal narcissists will claim to have a strong moral code with a belief in fairness, but will not behave according to their beliefs.

Other signs of communal narcissism include:

  • High sensitivity to unfairness
  • Perceive themselves as generous, giving, and/or saintly
  • Expression of emotional outrage in response to unfair circumstances
  • Expression of altruistic values

Despite expressing highly altruistic values, their actions will not align with what they say, believe, or think. For instance, their concern for others is not authentic or genuine.

Their intentions for expressing moral outrage are based on gaining social power or elevating self-importance. They are upset when others are treated unfairly, but will not treat others fairly when they face a similar situation.

4. Antagonistic Narcissism

There is some research that suggests there is a subtype of overt narcissism called antagonistic narcissism. It is characterized by the following signs:

  • Highly competitive
  • Extreme focus on rivalry
  • Tendency to disagree and argue
  • Takes advantage of others
  • Difficulty or lack of forgiveness in others
  • Issues trusting others

Overt narcissists are social and outgoing and tend to make friends easily. However, someone with antagonistic narcissism may have trouble maintaining social connections with others as the personality trait is associated with a detrimental effect on peer relationships.

A longitudinal study looked at narcissism and popularity in the development of peer relationships over time. Using data collected from first-year psychology students, the results showed that grandiose narcissism was linked to initial popularity; however, among those with antagonistic behaviors, their popularity decreased in the long run.

5. Malignant Narcissism

The most severe type of narcissism is malignant narcissism. Some mental health researchers have considered this a mixture of narcissism and antisocial personality disorder. A person with malignant narcissism displays symptoms of NPD. 

Malignant narcissism is considered a serious condition; however, in the current research, there is no formal structured interview or self-reported measures to identify malignant narcissism. This makes research and diagnosis difficult for this presentation. One 2022 study introduced a scoring procedure using the Personality Inventory for DSM-5.

An exploratory study looked at clinical changes in those with borderline personality disorder in relation to features considered those of malignant narcissism such as paranoid propensities, psychopathic features and a proclivity for sadistic interactions.

The results showed that those with malignant narcissism were more likely to have a slower rate of improvement in anxiety and global functioning.

Similar to overt narcissism, malignant narcissists constantly desire attention and praise; however, their behaviors to fulfill this need are extreme. Some common signs of malignant narcissism include the following:

  • Displays paranoia, including a fear of others making fun of them
  • Acts aggressively with others
  • Sadistic and takes pleasure in the pain of others
  • Vindictive 
  • Zero tolerance for criticism (plus a complete inability to accept criticism)

Narcissism vs. Narcissistic Personality Disorder (NPD)

It is important to note that although there are various types of narcissism, there is only one official diagnosis for NPD. Symptoms of NPD are similar to narcissism, such as a lack of empathy for others, a desire for attention and praise, and a sense of entitlement. However, someone with traits of narcissism may not be diagnosed with NPD. 

Mental health providers will use the Diagnostic and Statistical Manual (DSM) to clinically diagnose NPD. A diagnosis requires a qualified mental health professional to assess the person for personality dysfunction in multiple domains and the expression of specific personality traits.

NPD is a mental health disorder that leads to clinically significant distress or impairment in social, occupational, or other important areas of functioning in one’s life.

Narcissism can be a common trait during life stages such as adolescence; however, having this personality trait does not mean the person will develop NPD. 

Takeaways

Narcissism is a personality trait that exists on a spectrum and does not necessarily predict an NPD diagnosis. Some experts conceptualize five types of narcissism, with malignant narcissism being the most extreme. Covert and overt narcissism contrast with each other, but both are characterized by high self-involvement and a need for admiration and attention. Communal and antagonistic are types of overt narcissism.

Verywell Mind uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.
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  3. Yang Z, Sedikides C, Gu R, et al. Communal narcissism: Social decisions and neurophysiological reactions. Journal of Research in Personality. 2018;76:64-73. doi:10.1016/j.jrp.2018.07.003

  4. Heinze PE, Fatfouta R, Schröder-Abé M. Validation of an implicit measure of antagonistic narcissism. Journal of Research in Personality. 2020;88:103993. doi:10.1016/j.jrp.2020.103993

  5. Fatfouta R, Zeigler-Hill V, Schröder-Abé M. I’m merciful, am I not? Facets of narcissism and forgiveness revisited. Journal of Research in Personality. 2017;70:166–173.

  6. Kwiatkowska MM, Jułkowski T, Rogoza R, Żemojtel-Piotrowska M, Fatfouta R. Narcissism and trust: Differential impact of agentic, antagonistic, and communal narcissism. Personality and Individual Differences. 2019;137:139–143.

  7. Leckelt M, Geukes K, Küfner ACP, et al. A longitudinal field investigation of narcissism and popularity over time: How agentic and antagonistic aspects of narcissism shape the development of peer relationshipsPers Soc Psychol Bull. 2020;46(4):643-659. doi:10.1177/0146167219872477

  8. Shafti SS. Malignant narcissism: concealed side of psychopathy. BJSTR. 2019;22(1). doi:10.26717/BJSTR.2019.22.003686

  9. Faucher J, Savard C, Vachon DD, Payant M, Gamache D. A scoring procedure for malignant narcissism based on Personality Inventory for DSM-5 facetsJ Pers Assess. 2022;104(6):723-735. doi:10.1080/00223891.2021.2019052

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Katharine Chan

By Katharine Chan, MSc, BSc, PMP

Katharine is the author of three books (How To Deal With Asian Parents, A Brutally Honest Dating Guide and A Straight Up Guide to a Happy and Healthy Marriage) and the creator of 60 Feelings To Feel: A Journal To Identify Your Emotions. She has over 15 years of experience working in British Columbia’s healthcare system.


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