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This self-report instrument is designed to screen for traits commonly associated with vulnerable or deficit-oriented narcissistic functioning. The Narcissistic Deficiency Screening Questionnaire uses structured items to assess self-evaluative concerns, sensitivity to perceived shortcomings, and internal strain related to high personal standards.
The measure includes 43 items and typically takes about 8 minutes to complete. Responses are intended to support initial case formulation and to guide follow-up clinical interviewing rather than to establish a diagnosis. Although it is sometimes attributed to Heinz Kohut, the Narcissistic Deficiency Screening Questionnaire should be interpreted within the broader clinical context, including current symptoms, functional impairment, and relevant developmental and interpersonal history.