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John G. Gunderson, MD; Elsa Ronningstam, PhD; Alexander Bodkin, MD

Arch Gen Psychiatry. 1990;47(7):676-680.

Abstract
• This report describes the content and development of a semistructured interview, the Diagnostic Interview for Narcissism. The interview evaluates 33 features of pathological narcissism covering five domains of function: grandiosity, interpersonal relations, reactiveness, affects and moods, and social and moral adaptation. Its utility is established by reliability studies and by developing a scoring system from a sample of 24 prototypic narcissistic patients who were compared with 58 others. Because narcissistic personality disorder is a widely used diagnosis whose inclusion in DSM-III-R was without reference to an empirical base, this instrument offers a method for doing muchneeded research.

Author Affiliations
From the Psychosocial Research Program, McLean Hospital, Belmont, Mass.

Footnotes
Accepted for publication November 29, 1989.

Presented at the 140th Annual Meeting of the American Psychiatric Association, May 11, 1987.

Reprint requests to Psychosocial Research Program, McLean Hospital, 115 Mill St, Belmont, MA 02178 (Dr Gunderson).

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