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Mirror mirror on the ward, who s the most narcissistic of them all? Pathologic
personality traits in health care
#MMPMID26644545
Bucknall V
; Burwaiss S
; MacDonald D
; Charles K
; Clement R
CMAJ
2015[Dec]; 187
(18
): 1359-1363
PMID26644545
show ga
BACKGROUND: Stereotypes in medicine have become exaggerated for the purpose of
workplace amusement. Our objective was to assess the levels of "dark triad"
personality traits expressed by individuals working in different health care
specialties in comparison with the general population. METHODS: We conducted a
prospective, cross-sectional study within multiple departments of a UK secondary
care teaching hospital. A total of 248 health care professionals participated,
and 159 members of the general population were recruited as a comparison group.
We measured 3 personality traits--narcissism, Machiavellianism and
psychopathy--through the validated self-reported personality questionnaires
Narcissistic Personality Inventory (NPI), MACH-IV and the Levenson Self-Report
Psychopathy Scale (LSRP), respectively. RESULTS: Health care professionals scored
significantly lower on narcissism, Machiavellianism and psychopathy (mean scores
12.0, 53.0 and 44.7, respectively) than the general population (p < 0.001).
Nursing professionals exhibited a significantly higher level of secondary
psychopathy than medical professionals (p = 0.04, mean LSRP score 20.3). Within
the cohort of medical professionals, surgeons expressed significantly higher
levels of narcissism (p = 0.03, mean NPI score 15.0). INTERPRETATION: Health care
professionals expressed low levels of dark triad personality traits. The
suggestion that health care professionals are avaricious and untrustworthy may be
refuted, even for surgeons.
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