Of the following, the client MOST likely to develop narcissistic personality disorder is the:
a. female with unstable, chaotic family; comorbid depression; and substance abuse
b. male with familial adoration, expectation to be perfect, and a rigid personality
c. female with familial valuing of appearance and comorbid somatization disorder
d. male with violent, neglectful family, and who meets criteria for adolescent conduct disorder
B
A male with familial adoration, expectation to be perfect, and rigid personality is most likely to develop narcissistic personality disorder. The developmental history of persons with narcissistic personality disorder typically shows a pattern of selfless love and adoration from a significant adult. At the same time, the child experiences an ever-present threat to criticism for not being perfect. The individual appears arrogant, conceited, insensitive and ruthless. While the personality structure is stable, it is very rigid.
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