Psykopatologia kirjoitti:Hubris syndrome: An acquired personality disorder? A study of US Presidents and UK Prime Ministers over the last 100 years
David Owen, Jonathan DavidsonDOI:
http://dx.doi.org/10.1093/brain/awp008 1396-1406 First published online: 12 February 2009
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We believe that extreme hubristic behaviour is a syndrome, constituting a cluster of features (‘symptoms’) evoked by a specific trigger (power), and usually remitting when power fades. ‘Hubris syndrome’ is seen as an acquired condition, and therefore different from most personality disorders which are traditionally seen as persistent throughout adulthood. The key concept is that hubris syndrome is a disorder of the possession of power, particularly power which has been associated with overwhelming success, held for a period of years and with minimal constraint on the leader.
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Table 1
The symptoms of hubris syndromeProposed criteria for hubris syndrome, and their correspondence to features of cluster B personality disorders in DSM-IV
1. A narcissistic propensity to see their world primarily as an arena in which to exercise power and seek glory; NPD.6
2. A predisposition to take actions which seem likely to cast the individual in a good light—i.e. in order to enhance image; NPD.1
3. A disproportionate concern with image and presentation; NPD.3
4. A messianic manner of talking about current activities and a tendency to exaltation; NPD.2
5. An identification with the nation, or organization to the extent that the individual regards his/her outlook and interests as identical; (unique)
6. A tendency to speak in the third person or use the royal ‘we’; (unique)
7. Excessive confidence in the individual's own judgement and contempt for the advice or criticism of others; NPD.9
8. Exaggerated self-belief, bordering on a sense of omnipotence, in what they personally can achieve; NPD.1 and 2 combined
9. A belief that rather than being accountable to the mundane court of colleagues or public opinion, the court to which they answer is: History or God; NPD.3
10. An unshakable belief that in that court they will be vindicated; (unique)
11. Loss of contact with reality; often associated with progressive isolation; APD 3 and 5
12. Restlessness, recklessness and impulsiveness; (unique)
13. A tendency to allow their ‘broad vision’, about the moral rectitude of a proposed course, to obviate the need to consider practicality, cost or outcomes; (unique)
14. Hubristic incompetence, where things go wrong because too much self-confidence has led the leader not to worry about the nuts and bolts of policy; HPD.5
APD = Anti-Social Personality Disorder; HPD = Histrionic Personality Disorder; NPD = Narcissistic Personality Disorder.
In making the diagnosis of hubris syndrome we suggest that
≥3 of the 14 defining symptoms should be present of which at least
one must be amongst the five components identified as unique.
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