Question 70

Stephen might have Narcissistic Personality Disorder.

Narcissistic Personality Disorder is characterized by a pervasive pattern of grandiosity, need for admiration, and a lack of empathy. Stephen's behavior, including constant bragging about being the best player and believing the team would lose without him, aligns well with this disorder.

A) Dependent

Dependent Personality Disorder involves a pervasive and excessive need to be taken care of, leading to submissive behavior and fears of separation. Stephen's traits do not reflect dependence or submissiveness; instead, he exhibits self-importance and a desire for recognition, which are not characteristics of this disorder.

B) Avoidant

Avoidant Personality Disorder is marked by social inhibition, feelings of inadequacy, and hypersensitivity to negative evaluation. Stephen's self-assuredness and bravado contradict the avoidant traits, as he seeks attention and asserts his superiority rather than avoiding social situations or fearing criticism.

C) Antisocial

Antisocial Personality Disorder is characterized by a disregard for the rights of others and social norms. While Stephen may lack empathy, his behavior is more indicative of a need for admiration rather than a pattern of deceit or manipulation associated with antisocial traits. His focus on personal achievement aligns more closely with narcissism.

D) Narcissistic

Narcissistic Personality Disorder fits Stephen's behavior perfectly, as it entails an inflated sense of self-importance, fantasies of unlimited success, and a belief that one is unique and superior to others. His constant bragging and the belief that the team would fail without him illustrate the core characteristics of this disorder.

E) Borderline

Borderline Personality Disorder involves instability in interpersonal relationships, self-image, and emotions, along with impulsivity. Stephen’s behavior does not reflect the emotional volatility or fear of abandonment typical of this disorder; instead, it is centered around self-aggrandizement.

Conclusion

Narcissistic Personality Disorder is the most fitting diagnosis for Stephen, given his grandiose sense of self and need for admiration. The other options fail to capture the essence of his behavior, which revolves around self-importance rather than dependency, avoidance, or antisocial traits. Thus, D is the definitive choice.