Pathological Narcissism
Grandiosity	Strongly motivated to self-enhance in most contexts. Tendency to repress negative aspects of self, feel entitled, have an inflated self- image, engage in fantasies of superiority, and to be interpersonally exploitative, exhibitionistic, and to lack empathy
Vulnerability	Fragile self and affect regulatory capacities. Tendency to experience shame or rage when narcissistic needs are disappointed, to be sensitive to perceived threats to self-esteem, to avoid showing others faults or concerns, and to shy away from relationships for fear of not receiving desired admiration and recognition
Personality
Neuroticism	Tendency to experience negative emotions such as sadness, anxiety,  and anger
Extraversion	Tendency to experience positive emotions such as happiness and to  seek relationships, be gregarious
Openness	Tendency to value new and different experiences and to be tolerant of  others’ values and world views
Agreeableness	Tendency to be interested in getting along with others, willing to defer  personal agendas for the sake of smoother relationships
Conscientiousness	Tendency to be organized, dutiful, careful and achievement-striving
Psychopathology/Functioning
Somatic Complaints	Focus on physical health related issues
Anxiety	Experience of generalized anxiety across different response modalities
Anxiety Related  Disorders	Symptoms and behaviors related to OCD, phobias, and PTSD
Depression	Experience of depression across different response modalities
Mania	Experience of behavioral, affective, and cognitive symptoms of mania  and hypomania
Paranoia	Experience of paranoid symptoms and traits
Schizophrenia	Symptoms relevant to the broad spectrum of schizophrenic disorders
Borderline Features	Attributes indicative of borderline levels of personality functioning
Antisocial Features	Focuses on behavioral and personological features of antisocial  personality
Alcohol Problems	Use of and problems with alcohol
Drug Problems	Use of and problems with drugs
Aggression	Characteristics and attitudes related to anger, assertiveness, and hostility
Suicidal Ideation	Frequency and intensity of thoughts of self-harm or fantasies about  suicide
Treatment Rejection	Attitudes that represent obstacles or indicate low motivation for  treatment
Personality Pathology
Negative Temperament	High scorers are prone to negative emotional experiences. They are  moody and feel chronically nervous and stressed. They are easily  annoyed or irritated, and with little provocation may feel even  stronger emotions, such as anxiety or anger. They worry a great deal  and have difficulty concentrating and sleeping as a result. Low scorers are not at all nervous or anxious. They take life’s  difficulties in stride and remain calm in most situations. They are no  easily upset and recover quickly from negative experiences.
Mistrust	High scorers are suspicious and mistrustful of others, and are  generally cynical about interpersonal relationships. They feel that  have often been betrayed or disappointed by those close to them, and  that other take unfair advantage of them. They are self-protective and  believe it is best to keep others from getting to know them too well. Low scorers are trustful, even naïve, about interpersonal relationships.  They feel stable and secure in their friendships, and do not feel the  need to hide their feelings from others. They feel they are treated  fairly and honestly by others.
Manipulativeness	High scorers admin not only to manipulating others, but also to  enjoying the many ways – both direct and indirect- that they take  advantage of others’ weaknesses. They have little regard for the  rights and feelings of others, and will bend the rules as they can get  away with it. They consider themselves quite clever and skillful in  pulling of their various con games. Low scorers do enjoy trying to beat the system. They respect the  propriety of others and would not hurt others to get what they want.  They do not try to avoid work or to bend the truth to their advantage.  They view those who do so as lazy.
Aggression	High scorers are easily angered have difficulty controlling their anger.  They frequently get into quarrels and admit that their violent temper  often gets them into trouble. They enjoy physical fights and are  readily provoked by perceived insults. They hold grudges and seek  revenge when they feel wronged. Low scorers do not readily become angry and easily control their  temper when they do. They do not enjoy fighting and would go out of  their way to avoid a fight. When insulted, they prefer to forgive and  forget.
Self-harm	High scorers have very low self-esteem – they feel they have made a  mess of their lives and do not like themselves. They deal with tension  or frustration by hurting themselves. They often feel that suicide is  the only way out of their troubles and may have tried to commit  suicide. Low scorers are satisfied with the way they are handling their lives.  They like themselves, are not self-abusers, and do not seriously  consider suicide as a solution to their problems.
Eccentric Perceptions	High scorers have depersonalization or derealization experiences.  They feel that they have ESP or other special abilities such as  clairvoyance. They claim to have unusual experiences, such as out-  of-body episodes, or synesthetic experiences (e.g., sensing odors as  colors). Low scorers do not admit to either depersonalization or derealization  experiences. They do not feel they have any “special” abilities or that  their way of viewing the world is at all unusual. They deny odd  perceptual experiences.
Dependency	High scorers depend on others for direction and approval. They do not  like to make decisions and prefer to have others choose for them,  even in important matters. They do not have confidence in their  decisions, have difficulty making up their minds, and base their  decisions on what others think. They are concerned with please  others and frequently check with others for approval. Low scorers are self-reliant. They enjoy handling their own problems  and making their own decisions. They are confident in their choices  and decide things easily.
Positive Temperament	High scorers enjoy their active and exciting lives. They have a good  deal of energy, work hard, and undertake projects with enthusiasm.  They are lively and cheerful, alert and interested in many things, and  optimistic about the future. Low scorers do not find their lives interesting or exciting. They are  easily fatigued, rarely feel enthusiastic or inspired, have few interests,  and are not excited by the thought of starting something new.
Exhibitionism	High scorers love the limelight. They like to perform and do so  whenever they have the chance. They like being the center of  attention, and the life of the party. They dress so that people will  notice them, and especially to attract sexual attention; they enjoy  flirting. Low scorers do not enjoy being the focus of attention. They prefer not  to be noticed and they dress and act accordingly. They avoid public  performance of any sort and do not attempt to attract sexual attention.
Entitlement	High scorers view themselves as very special and extraordinary  people. They feel they are knowledgeable and talented, and have  many admirable and enviable qualities. They believe they deserve  special recognition and privileges beyond what they are currently  getting. Low scorers are self-effacing and humble. They do not feel they are  special, unusually talented, or particularly admirable. They do not  believe they deserve special privileges or recognition.
Detachment	High scorers are loners. They are aloof and distant from others and  have few friends. They keep to themselves even when around others  and prefer to spend their time alone. They do not have warm feelings  toward others and claim not to experience many strong emotions at  all. Low scorers are “people people.” They go out of their way to meet  people and enjoy the feeling of being with friends. They view  themselves as warm and open with others.
Disinhibition	High scorers act spontaneously with little regard for the consequences  of their behavior for themselves or others. They pursue stimulating  experiences without regard to social or legal norms or to potential  risks. They are disorganized and often fail to honor their  commitments to others. Low scorers are not impulsive, nor do they manipulate others for their  own ends. They hold conventional, conservative views regarding  social, legal, ethical, and moral issues. They are serious people who  believe in doing things in proper order and in following rules of all  kinds.
Impulsivity	High scorers are reckless individuals who prefer to do the first thing  that comes to mind rather than stop and think things over. They live  moment-to-moment and day-to-day, without plans for the immediate  or long-term future. They like to take changes and to spend their  money and their time on impulse. Low scorers are cautious individuals who life a safe, quiet life. They  prefer a level-headed, “sensible” approach to things, in which  decisions are thought through and everything is planned out slowly  and carefully. They keep track of their money, rationally plan their  daily activities, and prepare for their future.
Propriety	High scorers are greatly concerned with proper standards of conduct,  Workaholismnot just for themselves, but for the community at large. They value  Workaholismtheir reputation highly and place appearances over personal comfort  or convenience. They emphasize the importance of following social  Workaholismconventions to the letter and are offended when others violate the  rules. Low scorers are not concerned with social standards. They are  comfortable with rude or boorish behavior and do not care about  protecting their reputation. They are not strict about “right” and  “wrong,” and place little importance on social rules or conventions.
Workaholism	High scorers enjoy work more than play. They place work above all  else, and neglect their friends and family to do so. They are  perfectionists who feel they must finish everything they start and do  not consider a job finished until it is perfect. They drive themselves  hard, continuing to work on a problem even when exhausted, long  after others have given up. Low scorers do not enjoy hard work. They never get so caught up in  their work that they neglect other aspects of their lives, and they find  time to have fun no matter how busy they are. They do not push  themselves and even enjoy being lazy. They do not feel the need to  finish everything they start and will give up on a project when they  are tired.