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Eastern Michigan University Eastern Michigan University
DigitalCommons@EMU DigitalCommons@EMU
Master's Theses and Doctoral Dissertations Master's Theses, and Doctoral Dissertations, and Graduate Capstone Projects
2021
The mediating role of sensitivity to criticism on the relationship The mediating role of sensitivity to criticism on the relationship
between vulnerable narcissism and negative affect between vulnerable narcissism and negative affect
Sneha Shankar
Follow this and additional works at: https://commons.emich.edu/theses
Part of the Clinical Psychology Commons, and the Personality and Social Contexts Commons
Recommended Citation Recommended Citation Shankar, Sneha, "The mediating role of sensitivity to criticism on the relationship between vulnerable narcissism and negative affect" (2021). Master's Theses and Doctoral Dissertations. 1100. https://commons.emich.edu/theses/1100
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The Mediating Role of Sensitivity to Criticism on the Relationship Between Vulnerable Narcissism and
Negative Affect
by
Sneha Shankar, M.S.
Thesis
Submitted to the Department of Psychology
Eastern Michigan University
in partial fulfillment of the requirements
for the degree of
DOCTOR OF PHILOSOPHY
in
Clinical Psychology
Thesis Committee:
Eamonn P. Arble, Ph.D.
Chong Man Chow, Ph.D.
Stephen Jefferson, Ph.D.
May 12, 2021
Ypsilanti, Michigan
THE MEDIATING ROLE OF SENSITIVITY TO CRITICISM ii
Abstract
Researchers have examined the interpersonal correlates of narcissistic traits through ego-threats
precipitated by experiences of external rejection or criticism. However, few studies have empirically
investigated the role of sensitivity to criticism in the relation between vulnerable narcissism and negative
affect. This study sought to examine this relation through comparing the mediating and moderating
effects of sensitivity to criticism to shame and psychological inflexibility within three feedback
conditions (positive, negative, and none). Three samples were utilized to assess these trait and state
associations. Sensitivity to criticism demonstrated only moderating effects on the relation between
vulnerable narcissism and situational anger in the absence of feedback while psychological inflexibility
demonstrated both mediating and moderating effects on situational anger domains in all feedback
conditions. However, as psychological inflexibility consists of lower-order constructs, future research
may benefit from examining these in comparison with sensitivity to criticism and shame in the relation
between vulnerable narcissism and anger.
Keywords: vulnerable narcissism, mediation, sensitivity to criticism, negative affect
THE MEDIATING ROLE OF SENSITIVITY TO CRITICISM iii
Table of Contents
Abstract ....................................................................................................................................................... ii
List of Tables……………………………………………………………………………………………...v
List of Figures……………………………………………………………………………………………vii
The Mediating Role of Sensitivity to Criticism on the Relationship between Vulnerable Narcissism and
Negative Affect ........................................................................................................................................... 1
Influences of Kohut and Kernberg .............................................................................................................. 2
Heterogeneity Within Narcissism ............................................................................................................... 5
Vulnerable Narcissism and Negative Affect ............................................................................................... 8
Hypothesized Mediators and Moderators ................................................................................................. 11
Sensitivity to Criticism ................................................................................................................. 12
Shame ............................................................................................................................................ 16
Psychological Flexibility .............................................................................................................. 18
The Present Study ..................................................................................................................................... 22
Study 1 ...................................................................................................................................................... 24
Methods..................................................................................................................................................... 24
Participants .................................................................................................................................... 24
Measures ....................................................................................................................................... 24
Procedure ...................................................................................................................................... 28
Data Analyses ............................................................................................................................... 28
Results ....................................................................................................................................................... 29
Mediation ...................................................................................................................................... 30
Moderation .................................................................................................................................... 31
Discussion ................................................................................................................................................. 33
THE MEDIATING ROLE OF SENSITIVITY TO CRITICISM iv
Study 2 ...................................................................................................................................................... 35
Methods..................................................................................................................................................... 35
Participants .................................................................................................................................... 35
Measures ....................................................................................................................................... 36
Procedures ..................................................................................................................................... 37
Results ....................................................................................................................................................... 37
Mediation ...................................................................................................................................... 38
Moderation .................................................................................................................................... 40
Discussion ................................................................................................................................................. 43
Final Discussion ........................................................................................................................................ 44
Clinical Implications ................................................................................................................................. 48
Study Limitations and Future Directions .................................................................................................. 49
References ................................................................................................................................................. 51
Appendix A: Internal Review Board Letter for Study 1 and Study 2 ..................................................... 106
Appendix B: Pathological Narcissism Inventory .................................................................................... 108
Appendix C: Sensitivity to Criticism Scale ............................................................................................ 111
Appendix D: Experience of Shame Scale ............................................................................................... 120
Appendix E: Acceptance and Action Questionnaire-II .......................................................................... 122
Appendix F: Positive and Negative Affect Schedule ............................................................................. 123
Appendix G: State-Trait Anger Expression Inventory-2 ........................................................................ 124
Appendix H: Vignettes ........................................................................................................................... 127
THE MEDIATING ROLE OF SENSITIVITY TO CRITICISM v
List of Tables
Table 1: Supplemental Mediation Analyses for Study 1................................................................ 63
Table 2: Supplemental Mediation Analyses for Study 2 (SN )........................................................ 65
Table 3: Supplemental Mediation Analyses for Study 2 (SP )........................................................ 67
Table 4: Correlations Between Variables–Study 1......................................................................... 69
Table 5: Summary of Moderator Models in the Relation Between Vulnerable Narcissism and State
Anger–Study 1...................................................................................................................70
Table 6: Summary of Moderator Models in the Relation between Vulnerable Narcissism and Trait
Anger–Study 1................................................... ................................................................71
Table 7: Summary of Moderator Models in the Relation Between Vulnerable Narcissism and
Anger Expression–Study 1................................................................................................72
Table 8: Summary of Moderator Models in the Relation Between Vulnerable Narcissism and
Negative Affect–Study 1................................................................................................... 73
Table 9: Correlations Between Variables–Study 2 (SN) ................................................................. 74
Table 10: Correlations between variables – Study 2 (SP) ................................................................. 75
Table 11: Summary of Moderator Models in the Relation Between Vulnerable Narcissism and State
Anger–Study 2 (SN) .......................................................................................................... 76
Table 12: Summary of Moderator Models in the Relation Between Vulnerable Narcissism and State
Anger–Study 2 (SP) ........................................................................................................... 77
Table 13: Summary of Moderator Models in the Relation Between Vulnerable Narcissism and Trait
Anger–Study 2 (SN) .......................................................................................................... 78
Table 14: Summary of Moderator Models in the Relation Between Vulnerable Narcissism and Trait
Anger–Study 2 (SP) ........................................................................................................... 79
THE MEDIATING ROLE OF SENSITIVITY TO CRITICISM vi
Table 15: Summary of Moderator Models in the Relation Between Vulnerable Narcissism and
Anger Expression–Study 2 (SN) ........................................................................................ 80
Table 16: Summary of Moderator Models in the Relation Between Vulnerable Narcissism and
Anger Expression–Study 2 (SP) ........................................................................................ 81
Table 17: Summary of Moderator Models in the Relation Between Vulnerable Narcissism and
Negative Affect–Study 2 (SN) ........................................................................................... 82
Table 18: Summary of Moderator Models in the Relation Between Vulnerable Narcissism and
Negative Affect–Study 2 (SP) ........................................................................................... 83
THE MEDIATING ROLE OF SENSITIVITY TO CRITICISM vii
List of Figures
Figure 1: Mediator Model Demonstrating the Hypothesized Relations Between Vulnerable
Narcissism and Negative Affect With Sensitivity to Criticism, Psychological Inflexibility,
and Shame as Mediators ................................................................................................... 84
Figure 2: Three Moderation Model Demonstrating the Hypothesized Alternative Relations Between
Vulnerable Narcissism and Negative Affect With Sensitivity to Criticism, Psychological
Inflexibility, and Shame as Moderators ............................................................................ 84
Figure 3: Standardized Coefficients for the Effect of Sensitivity to Criticism, Psychological
Inflexibility, and Shame on the Relation Between Vulnerable Narcissism and State
Anger–Study 1 .................................................................................................................. 86
Figure 4: Standardized Coefficients for the Effect of Sensitivity to Criticism, Psychological
Inflexibility, and Shame on the Relation Between Vulnerable Narcissism and Trait
Anger–Study 1 .................................................................................................................. 87
Figure 5: Standardized Coefficients for the Effect of Sensitivity to Criticism, Psychological
Inflexibility, and Shame on the Relation Between Vulnerable Narcissism and Anger
Expression–Study 1 .......................................................................................................... 88
Figure 6: Standardized Coefficients for the Effect of Sensitivity to Criticism, Psychological
Inflexibility, and Shame on the Relation Between Vulnerable Narcissism and Negative
Affect–Study ..................................................................................................................... 89
Figure 7: Interaction Effect of Vulnerable Narcissism and Psychological Inflexibility for Predicting
State Anger–Study 1 ......................................................................................................... 90
Figure 8: Interaction Effect of Vulnerable Narcissism and Psychological Inflexibility for Predicting
Trait Anger–Study 1 ......................................................................................................... 91
THE MEDIATING ROLE OF SENSITIVITY TO CRITICISM viii
Figure 9: Interaction Effect of Vulnerable Narcissism and Psychological Inflexibility for Predicting
Negative Affect–Study 1................................................................................................... 92
Figure 10: Standardized Coefficients for the Effect of Sensitivity to Criticism, Psychological
Inflexibility, and Shame on the Relation Between Vulnerable Narcissism and State
Anger–Study 2 (SN) .......................................................................................................... 93
Figure 11: Standardized Coefficients for the Effect of Sensitivity to Criticism, Psychological
Inflexibility, and Shame on the Relation Between Vulnerable Narcissism and State
Anger–Study 2 (SP) ........................................................................................................... 94
Figure 12: Standardized Coefficients for the Effect of Sensitivity to Criticism, Psychological
Inflexibility, and Shame on the Relation Between Vulnerable Narcissism and Trait
Anger–Study 2 (SN) .......................................................................................................... 95
Figure 13: Standardized Coefficients for the Effect of Sensitivity to Criticism, Psychological
Inflexibility, and Shame on the Relation Between Vulnerable Narcissism and Trait
Anger–Study 2 (SP) ........................................................................................................... 96
Figure 14: Standardized Coefficients for the Effect of Sensitivity to Criticism, Psychological
Inflexibility, and Shame on the Relation Between Vulnerable Narcissism and Anger
Expression–Study 2 (SN) ................................................................................................... 97
Figure 15: Standardized Coefficients for the Effect of Sensitivity to Criticism, Psychological
Inflexibility, and Shame on the Relation Between Vulnerable Narcissism and Anger
Expression–Study 2 (SP) ................................................................................................... 98
Figure 16: Standardized Coefficients for the Effect of Sensitivity to Criticism, Psychological
Inflexibility, and Shame on the Relation Between Vulnerable Narcissism and Negative
Affect–Study 2 (SN) .......................................................................................................... 99
THE MEDIATING ROLE OF SENSITIVITY TO CRITICISM ix
Figure 17: Standardized Coefficients for the Effect of Sensitivity to Criticism, Psychological
Inflexibility, and Shame on the Relation Between Vulnerable Narcissism and Negative
Affect–Study 2 (SP) ......................................................................................................... 100
Figure 18: Interaction Effect of Vulnerable Narcissism and Psychological Inflexibility for Predicting
State Anger–Study 2 (SN) ............................................................................................... 101
Figure 19: Interaction Effect of Vulnerable Narcissism and Shame for Predicting State Anger–Study
2 (SN) ............................................................................................................................... 102
Figure 20: Interaction Effect of Vulnerable Narcissism and Shame for Predicting State Anger–Study
2 (SP) ............................................................................................................................... 103
Figure 21: Interaction Effect of Vulnerable Narcissism and Psychological Inflexibility for Predicting
Negative Affect– Study 2 (SN)........................................................................................ 104
1 The Mediating Role of Sensitivity to Criticism on the Relationship Between Vulnerable Narcissism
and Negative Affect
Narcissism has been a construct of interest in psychology for over a century. Ellis (1898), a
British sexologist, first used a derivative of the term to describe an individual’s feelings of sexual
attraction to oneself, modelled after the Greek myth of Narcissus. However, this term has been expanded
to include features aside from self-love and has been examined in relation to other traits and behaviors.
Narcissism was popularized as a psychological variable with Freud’s essay On Narcissism: An
Introduction first published in 1914 (1914/2004). In this paper, he characterized narcissism as a
character trait that can be split into (a) primary narcissism and (b) secondary narcissism. Primary
narcissism was described as a typical part of development where children are unable to empathize with
others and are mainly focused on fulfilling their own needs. Freud theorized that healthy development
resulted in the resolution of this form of narcissism where individuals are eventually able to invest
libidinal energy into others as well as themselves. Secondary narcissism, the second type of narcissism,
occurs when individuals remain egocentric into adulthood and are mainly driven by self-gratifying
needs. This unhealthy form of narcissism was attributed to the lack of reciprocity of care and love from
others or the object to which this care is directed (Freud, 1914/2004). The differentiation between
adaptive and maladaptive narcissism within this theory highlights Freud’s recognition of the importance
of a certain level of narcissism for healthy self-esteem development.
Building on Freud’s work, Wilhelm Reich (1933, 1949, as cited by Levy et al., 2012) described
narcissism as consisting of arrogance, conceitedness, confidence, and aggression. Similar to Freud,
Reich (1933) viewed narcissistic outcomes as adaptive or maladaptive depending on the context in
which it occurs, noting that the environment and social support influences a narcissistic individual’s
ability to be a productive member of society. Although his conceptualization overlapped Freud’s, it is
important to note that this description was the first to link narcissism and direct/indirect aggression in
THE MEDIATING ROLE OF SENSITIVITY TO CRITICISM 2
the context of criticism or rejection. He explained that any threat to a narcissist’s vanity leads to
defensive and aggressive reactions. This link was later expanded upon by Kohut (1972) and Kernberg
(1975).
Karen Horney (1939) further developed narcissism as a character trait that is typified by different
forms. Like Freud, she used healthy narcissism and self-esteem interchangeably (primary narcissism)
and viewed narcissism as a part of typical development. She described pathological narcissism
(secondary narcissism) as a product of a child’s inability to meet their parents’ expectations, resulting in
a need to create a more inflated version of themselves. Dissimilar to Freud, she theorized that narcissists
may actually struggle from an inability to love anyone (including their own traits) rather than excessive
self-love and suggested that pathological narcissism be limited to inflated self-perception.
Influences of Kohut and Kernberg
Similar to Freud (1914/2004) and Horney (1939), Kohut (1971; 1977) viewed narcissism as a
typical part of development that can either be adaptive or maladaptive. He posited that narcissism
occurred at different stages of development with the fulfillment of each stage contributing to healthy
relationships and a stable sense of self while the interruption of this process results in unhealthy
perceptions of the self and other. In other words, narcissism evolves with individual maturity. Unlike
Freud’s theory, Kohut (1966) did not attribute the development of primary narcissism to an individual’s
inability to disengage from one’s own needs and desires but to an individual’s inability to detach oneself
from their relationship with their mother. This fusion can lead to two outcomes: the idealized parent,
where the child strives to be just like the perfect parent image, and the grandiose self, where the child
attempts to embody all positive traits in their identity while all negative traits are viewed as separate
from themselves (Kohut, 1966). In a healthy developmental sequence, the child will distance themselves
from these narcissistic processes, either by recognizing and accepting the imperfections of their
idealized parent or by recognizing and accepting their own imperfections. However, in an unhealthy
THE MEDIATING ROLE OF SENSITIVITY TO CRITICISM 3
developmental sequence, the idealized parent can remain as “an archaic transitional object that is
required for the maintenance of narcissistic homeostasis” (Kohut, 1968, p. 87), and the grandiose self
can lead to a combination of opposing traits, such as heightened self-preoccupation, fragile self-esteem,
emotional lability, and a need for validation and admiration from others. This description of narcissism
as a character trait that can be either healthy or unhealthy was adopted by social-personality theorists
and has informed ongoing conceptualizations of narcissism to this day.
On the other hand, Otto Kernberg (1975), a well-known clinician and theorist, disagreed with the
categorization of narcissism as healthy or unhealthy, stating that it is pathological in nature, which
became the prevailing conceptualization of clinical theories of narcissism. Although he used the term
“self-esteem” in place of “healthy narcissism,” similar to Freud and Horney, he did not believe in the
existence of adaptive forms of narcissism. According to Kernberg’s theory, pathological narcissism
develops from parenting styles that are emotionally invalidating and self-serving. In this way, the child
frequently feels devalued and invalidated as their parents do not prioritize the child’s context-based
needs, resulting in the child withdrawing internally and forming self-images as a coping strategy: “This
self-representation, which combines aspects of the real child, the fantasized aspects of what the child
wants to be, and the fantasized aspects of an ideal, loving parent, serves as an internal refuge from the
experience of the early environment as harsh and depriving” (Levy et al., 2012, p. 6). As indicated by
this definition, the negative aspects of this self-representation are not integrated into this grandiose
image but are instead projected onto the world, resulting in a need for validation and admiration from
others as well as disproportionate anger towards others, shame, and diminished empathy. Furthermore,
Kernberg identified a severity continuum along which narcissism ranges from “narcissistic personality
disorder to malignant narcissism to psychopathy” (Cain et al., 2008, p. 641).
Although Kohut (1972) and Kernberg (1975) conceptualized narcissism in different ways, they
both identified characteristics common to all narcissistic individuals. These characteristics include
THE MEDIATING ROLE OF SENSITIVITY TO CRITICISM 4
inflated self-regard, decreased empathy for others, difficulties relating to others, and defensiveness in
response to perceived rejection or challenge to their inflated self-perception, resulting in a proclivity for
aggressive behaviors (Kernberg, 1975; Kohut, 1972). This aggression, otherwise known as “narcissistic
rage,” consists of feelings of shame, betrayal, and sadness resulting from narcissistic injuries, which is
the perceived loss of or damage to the sense of self where individuals perceive their identities as being
under attack (Kohut, 1972). These characteristics have subsequently formed our current understanding
of narcissistic individuals as having both excessively high self-concepts and fragile identities, which
they maintain through self-regulatory and affective processes. Additionally, narcissistic individuals
attempt to fulfill their needs for validation and admiration through their social community (Pincus &
Lukowitsky, 2010).
With the theoretical advances made by Kohut (1966) and Kernberg (1975) came an increased
interest in the theoretical and empirical study of unhealthy or pathological narcissism. The most notable
outcome of this upsurge was the inclusion of narcissistic personality disorder (NPD) in the Diagnostic
and Statistical Manual of Mental Disorders (3rd ed.; DSM-III; American Psychiatric Association
[APA], 1980) and all subsequent iterations. As of the most recent edition of this manual, NPD is defined
as “a pervasive pattern of grandiosity (in fantasy or behavior), need for admiration, and lack of empathy,
beginning in early adulthood and present in a variety of contexts…” (DSM-5; APA, 2013, p. 669).
These behaviors are indicated by entitlement, a desire for accolades and admiration with no justification,
exploitativeness, and selfishness in interpersonal relationships. As can be seen from this definition,
Kernberg’s theory played a large part in the conceptualization of pathological narcissism due to its focus
on more grandiose features, such as excessive self-enhancement and self-centered, while neglecting the
more vulnerable characteristics, such as hypersensitivity to criticism, a need for validation, and unstable
self-esteem, that were discussed in Kohut’s theory.
THE MEDIATING ROLE OF SENSITIVITY TO CRITICISM 5
This focus on grandiose elements at the expense of vulnerable elements can be seen in one of the
most widely-used narcissism inventories, the Narcissistic Personality Inventory (NPI-40; Raskin &
Terry, 1988), which was developed based off the NPD criteria of the DSM-III using factor analytical
methods. This inventory is a 40-item, forced-choice questionnaire that consists of seven subscales:
Authority, Self-sufficiency, Superiority, Exhibitionism, Exploitativeness, Vanity, and Entitlement.
Although subsequent investigations into the factor-structure of this inventory have produced different
results, the subscales have consistently been comprised of these grandiose elements of narcissism
(Gentile et al., 2013).
Heterogeneity Within Narcissism
One of the first inventories that identified this split between grandiose and vulnerable elements
of narcissism was the Murray Narcissism Scale (Murray, 1938). Murray conducted an exploratory study
using a non-clinical sample, from which he conceptualized narcissism as being inherently divided into
grandiose and vulnerable features, noting that a narcissistic individual has self-aggrandizing traits as
well as a fragile self-concept that is sensitive to criticism. However, the vulnerable features were mostly
neglected in subsequent studies of narcissism until Wink (1991) attempted to explain the differences
present in narcissism. He compared multiple self-report measures of narcissism with the narcissism
scales that were derived from the DSM-III (1980). His analyses of the Minnesota Multiphasic
Personality Inventory (MMPI)-based narcissism scales yielded two orthogonal factors: grandiosity-
exhibitionism and vulnerability-sensitivity. Grandiosity-exhibitionism was characterized by traditional
narcissism features while vulnerability-sensitivity was characterized by hypersensitivity, anxiety, self-
consciousness, and defensiveness. This distinction between these two types of narcissism was consistent
with psychodynamic theories and clients’ accounts (Kernberg, 1975; Kohut, 1977).
Since these pioneering studies, researchers have continued to study this construct to further
understand its dichotomous presentations. Cain et al. (2008) reviewed the evolving narcissism literature
THE MEDIATING ROLE OF SENSITIVITY TO CRITICISM 6
to both gain a more comprehensive perspective and examine the disconnect between NPD and other
aspects of narcissism. They identified two themes of pathological narcissism across social/personality
psychology, clinical theory, and psychiatry, namely narcissistic grandiosity and narcissistic
vulnerability. Narcissistic grandiosity refers to the traditional view of narcissism (e.g., exploitativeness,
entitlement, excessive self-regard) while narcissistic vulnerability is characterized by a propensity for
shame and avoidance of interpersonal relationships due to heightened sensitivity to criticism through
which individuals cope through grandiose fantasies (Cain et al., 2008). Similarly, Miller and Campbell
(2008) examined the differences between the Personality Diagnostic Questionnaire (PDQ-4+; Hyler,
1994) and the NPI-40 to understand the heterogeneity present in narcissism. The PDQ is a 99-item
true/false self-report measure which captures the personality disorders described by the DSM-IV (APA,
1994) and was hypothesized to align with Kernberg’s theory. The PDQ and the NPI were moderately
correlated but differed in their relationships with psychological wellbeing and the five-factor model
domains. These consist of Neuroticism, Agreeableness, Extraversion, Conscientiousness, and Openness
to new experiences. Narcissism, as captured by the PDQ, was associated with higher psychological
distress, lower self-esteem, low Extraversion, and high levels of Neuroticism and Antagonism. These
relations are consistent with narcissistic vulnerability which is surprising due to the overlap between the
PDQ and the DSM-IV. On the other hand, NPI narcissism was related with high self-esteem, low
Neuroticism, and higher levels of Extraversion and Antagonism. These features are consistent with
narcissistic grandiosity. Any convergence between these two forms of narcissism appeared to be due to
their similar relation with Antagonism, which is consistent with theoretical conceptualizations of
narcissism.
These differential relations with personality domains, psychological distress, and self-esteem
prompted increased empirical study of narcissistic grandiosity and narcissistic vulnerability. Through
several studies examining the factor analytical structure of narcissism, two subtypes of narcissism
THE MEDIATING ROLE OF SENSITIVITY TO CRITICISM 7
emerged: grandiose narcissism and vulnerable narcissism (Fossati et al., 2005; Wright et al., 2010).
Grandiose narcissism, the traditional form of narcissism, is characterized by self-aggrandizement,
interpersonally domineering behaviors, exploitativeness, and entitlement (Cain et al., 2008). Grandiose
elements of narcissism, using the NPI-40 and its brief version contemporaries, have been associated with
parental use of psychological control techniques (Horton et al., 2006) and secure or dismissive
attachment styles where the individual tended to deny interpersonal concerns (Dickinson & Pincus,
2003; Smolewska & Dion, 2005), both of which are consistent with developmental theories of
narcissism. Individuals who identify with grandiosely narcissistic features generally have higher self-
esteem (Paulhus, 1998; Sedikides et al., 2004) but react negatively to criticism (Bushman & Baumeister,
1998) where they may direct their aggression to a third unrelated party (Twenge & Campbell, 2003).
This strong reaction to criticism may be due to their higher expectations for themselves (Farwell &
Wohlwend-Lloyd, 1998). Furthermore, grandiose features of narcissism were related to a desire for
recognition from others, resulting in recurrent self-promotion (Paulhus, 1998) and heightened desire for
control over their environment (Watson et al., 1991). Indeed, these characteristics were found to impact
grandiose narcissists’ usage of social media where they engage in one-sided interactions with others in
order to gain more recognition (Carpenter, 2012).
Vulnerable narcissism, on the other hand, is characterized by fears related to interactions with
others, diminished confidence in interpersonal relationships, and shame related to needs in relationships
in addition to high levels of exploitativeness and entitlement (Dickinson & Pincus, 2003; Pincus et al.,
2009). As the NPI-40 mainly measures grandiose features, researchers have created other scales to fully
capture the different facets of narcissism. Hendin and Cheek (1997) constructed the Hypersensitive
Narcissism Scale (HSNS) through the correlation of Murray’s Narcissism Scale (Murray, 1938) with a
composite score of the MMPI-covert narcissism scale. This 10-item scale calculates a single score and is
related with increased Neuroticism and decreased Agreeableness and Extraversion. Although this scale
THE MEDIATING ROLE OF SENSITIVITY TO CRITICISM 8
measures egocentricity and a heightened sensitivity to judgment, it does not adequately measure lower-
order traits of the vulnerable subtype of narcissism (Pincus et al., 2009). To address this issue, Pincus
and colleagues (2009) constructed the Pathological Narcissism Inventory (PNI) to differentiate between
grandiose and vulnerable narcissistic traits reliably and inform treatment. This 52-item measure consists
of seven subscales: Contingent Self-Esteem, Exploitativeness, Self-Sacrificing Self-Enhancement,
Hiding the Self, Grandiose Fantasy, Devaluing, and Entitlement Rage.
Dickinson and Pincus (2003) investigated narcissistic personality styles in a non-clinical
population using the entitlement and exploitativeness subscales of the NPI-40, to measure both
grandiose and vulnerable subtypes due to their shared antagonistic traits. They determined that those in
the vulnerable narcissism subtype reported traits consistent with avoidant personality disorder, where
individuals within this subtype are likely to engage in manipulative behaviors in their interpersonal
relationships but also report higher interpersonal distress than grandiose narcissists and non-narcissists.
This increase in interpersonal problems (e.g., social avoidance, social coldness, hypersensitivity) may be
attributable to vulnerably narcissistic individuals’ attachment styles. Using the PNI, Besser and Priel
(2009) found that those in the vulnerable narcissism subtype tended to have anxious attachment styles,
resulting in negative representations of the self. This proclivity for internal fragility was hypothesized to
lead to hypersensitivity to feedback from others. Indeed, when examining participants’ reactions to
imaginary rejection, the authors found increased negative reactions among vulnerably narcissistic
individuals. They identified low self-esteem, diminished pride, and low self-evaluation as influential
factors in this relation, which they theorized may lead to a need for constant reassurance from others.
Vulnerable Narcissism and Negative Affect
Narcissism has historically been characterized by emotional lability. As explained earlier, both
Kernberg (1975) and Kohut (1972) identified “narcissistic rage” and extreme emotional reactivity as
core components of narcissism where individuals tend to experience such “rage” when receiving
THE MEDIATING ROLE OF SENSITIVITY TO CRITICISM 9
feedback from others. This intense emotionality has been theorized to be due to the narcissistic injury
that individuals experience when receiving feedback from others thereby implying a strong relation
between narcissism and emotional reactivity. Since the creation of these theoretical models, several
empirical studies have been conducted to develop the construct of narcissism and understand its relation
with negative affect. One such way of examining this association is through the presentation of ego-
threats (Atlas & Them, 2008; Besser & Priel, 2010; Bushman & Baumeister, 1998; Malkin et al., 2011).
Ego threats consisted of being provided positive, negative, or mixed feedback. Participants were
categorized as being either overt/grandiose narcissists or covert/vulnerable narcissists after which they
were asked to rate their mood and emotional reactions. In general, members of the overt/grandiose
narcissism category reported low sensitivity to criticism and a lack of concern about their performance,
while those in the covert/vulnerable narcissism category evaluated their performances negatively (Atlas
& Them, 2008; Bushman & Baumeister, 1998; Malkin et al., 2011). Interestingly, vulnerable narcissism
was also found to be associated with higher shame in positive feedback conditions compared to neutral
and negative conditions, suggesting that praise may result in greater insecurities about being unable to
meet future expectations about performance. This difference in results may be due to the interdependent
nature of vulnerable narcissism where individuals experience higher levels of shame and are more
motivated to maintain and defend their self-presentations. Conversely, grandiose narcissism may be
more motivated by competition, which results in decreased reliance on external validation (i.e.,
feedback). Therefore, those with vulnerable narcissism may be more affected by feedback than those
with grandiose narcissism (Atlas & Them, 2008; Malkin et al, 2011).
However, this explanation partially contradicts the findings of Besser and Priel (2010) who
demonstrated that those with grandiosely narcissistic personality profiles are more sensitive to
achievement-focused criticism than to interpersonal-focused criticism. Although this conclusion is
consistent with grandiose narcissists’ independent self-construal and competition-focused nature, and
THE MEDIATING ROLE OF SENSITIVITY TO CRITICISM 10
vulnerable narcissists’ interdependent self-construal and interpersonally-oriented nature, it does not fully
explain the varied outcomes present in the literature. This gap suggests that a third factor may better
capture the relation between narcissism subtypes and negative affect.
To further understand the types of negative affect experienced by vulnerably narcissistic
individuals, Okada (2010) examined the relation between vulnerable narcissism and four facets of
aggression (i.e., physical, verbal, anger, and hostility) in a sample of Japanese undergraduates through
multiple regression. Physical and verbal aggression consisted of direct responses to provocation which
are more overt in nature where individuals engage in such altercations readily while anger and hostility
consisted of the emotional and cognitive response forms, such as heightened suspiciousness and
resentment which are more covert. The author used a scale that consisted of both grandiose narcissism
items and vulnerable narcissism items. As predicted, the author found a positive relation between
vulnerable narcissism and anger/hostility while those in the vulnerable narcissism group endorsed fewer
physical and verbal aggressive behaviors. This outcome is consistent with the theoretical model of
vulnerable narcissism wherein aggression is experienced and expressed in indirect ways due to
individuals’ concern for others’ perceptions of them. Therefore, vulnerably narcissistic individuals are
less likely to engage in overt expressions of aggression, such as verbal or physical aggression.
In the second part of this research by Okada (2010), the relation between vulnerable narcissism
and aggression was examined in the context of social rejection. After being induced to feel socially
rejected, participants were asked to anonymously rate the person who had allegedly rejected them on a
series of hypothetical scenarios that participants believed would impact the other person’s course grade
at the university. This negative evaluation task allowed the researchers to measure the participants’ level
of indirect aggression which is generally exhibited by individuals with vulnerable narcissism as
demonstrated in the first part of this study. For this reason, Okada (2010) hypothesized that this group
would be more likely to negatively evaluate those whom they perceived to have rejected them.
THE MEDIATING ROLE OF SENSITIVITY TO CRITICISM 11
Consistent with this hypothesis, vulnerably narcissistic individuals rated others more negatively after
experiencing social rejection compared to grandiosely narcissistic individuals regardless of their self-
esteem level.
The culmination of these empirical findings suggests that vulnerable narcissism has a stable but
distinctly different relation with negative affect compared to grandiose narcissism. Although individuals
with vulnerable narcissism experience negative affect similar to individuals with grandiose narcissism
when provided feedback, they tend to experience this aggression covertly, such as through hostility
(Okada, 2010). Hostility consists of suspiciousness of others, feelings of alienation, and resentment
where individuals approach situations with such a negative attitude. This is different from direct
physical or verbal aggression where the individual is likely to engage in behaviors such as hitting,
punching, or telling others off. Interestingly, vulnerable narcissism demonstrated consistent links with
this covert aggression across feedback conditions regardless of their valence, suggesting that the
individual may experience higher levels of hostility and anger regardless of the feedback type. This
unique attitude to interpersonal feedback may be better explained by a third variable that is moderating
or mediating this relation between vulnerable narcissism and negative affect. The following sections
seek to identify and explore some of these possible variables.
Hypothesized Mediators and Moderators
As demonstrated thus far, the results of several studies suggest that there may be a third variable
that affects the relation between vulnerable narcissism and negative affectivity. Recent research has
attempted to further understand this relation through investigating possible mediating variables, such as
self-esteem (Zeigler-Hill et al., 2008), perceptions of love (Rohmann et al., 2012), perceptions of
success and failure based on negative feedback at varying degrees of intensity (Besser & Priel, 2010),
and self-presentation (Hart et al., 2017). Some possible moderating variables that have also been
examined within the relation between vulnerable narcissism and negative affectivity are empathy and
THE MEDIATING ROLE OF SENSITIVITY TO CRITICISM 12
social support (Barry et al., 2014), and gender (Somma et al., 2018). However, none of these potential
variables have produced meaningful relations.
Sensitivity to Criticism
Throughout the different conceptualizations of vulnerable narcissism, the role of criticism
reactivity has been consistently identified as a core feature. Kohut (1971, 1977) described this sensitivity
as “splitting,” which can either be horizontal (grandiose) or vertical (vulnerable). Within vertical
splitting, individuals deny having unmet needs, resulting in chronic feelings of emptiness, helplessness,
and shame, as well as a fragile form grandiose self-perception. Individuals with this form of splitting
tend to react more adversely to external feedback due to their fragile sense of self. They are more easily
affected by others’ perceptions and devalue or deny their own needs despite having a self-enhancing
self-perception. In Kohut’s (1977) theory, sensitivity to criticism is a logical consequence of early
childhood needs not being met, resulting in a constant need for reassurance and a low tolerance for any
perceived negativity.
In addition to the psychoanalytic/self-psychology theories, Atlas and Them (2008) empirically
investigated the role of sensitivity to criticism in the relation between narcissism subtypes and emotional
reactivity. In this two-part study, the authors first determined that a relation existed between narcissism
and sensitivity to criticism after which they examined the differential affiliations between narcissism
subtypes and emotional reactivity when provided different types of feedback. Those in the vulnerable
narcissism category reported increased sensitivity to criticism, ruminative thinking, and negative self-
representations, as shown by their tendency to evaluate themselves more negatively regardless of the
feedback received. Similarly, Tortoriello and Hart (2018) found that individuals with vulnerably
narcissistic traits tended to react negatively regardless of the type of feedback given (constructive vs.
destructive) and from whom the feedback was received, indicating that any type of criticism triggers an
emotional reaction. Furthermore, utilizing the Cognitive-Affective Processing System (CAPS), Roche
THE MEDIATING ROLE OF SENSITIVITY TO CRITICISM 13
and colleagues (2013) examined the differences between narcissism themes and interpersonal
functioning. They determined that higher levels of grandiosity were associated with threats to status
while higher levels of vulnerability were associated with higher rejection sensitivity resulting in efforts
to emotionally distance from others.
Taken together, the results from these studies and Kohut’s (1971, 1977) theory of the
development of vulnerable narcissism suggest that this third variable may be a stable characteristic
rather than an environmentally influenced one. This is supported by the tendency for individuals with
vulnerably narcissistic traits to be reactive to any type of feedback where the nature of this external ego-
threat is largely unimpactful to the individual’s internal experience. Rather, the individual has developed
an internal narrative whereby any feedback is perceived to be a threat to their ego, or a narcissistic
injury. Therefore, individuals with vulnerable narcissism are likely to be more sensitivity to feedback or
more sensitive to criticism.
It is surprising that despite the inclusion of sensitivity to criticism within the conceptualization of
vulnerable narcissism, there is scant research on the role of this sensitivity in vulnerable narcissism
outcomes. Similar to rejection sensitivity, vulnerable narcissism is characterized by a propensity for
anticipatory anxiety, suggesting that this overlap may predict vulnerable narcissists’ behaviors. Indeed,
the recurrent use of ego-threats in narcissism research and in differentiating between grandiose and
vulnerable narcissism subtypes suggests that rejection sensitivity is a significant feature of this construct.
Given the well-established connection between rejection sensitivity and negative affect, and between
vulnerable narcissism and negative affect, it is reasonable to theorize that sensitivity to rejection plays a
significant role in the relation between vulnerable narcissism and negative affect.
Sensitivity to criticism or sensitivity to rejection consists of two elements: a lowered threshold
for criticism (neutral, constructive, or destructive comments) and higher emotional reactivity to these
types of comments compared to less sensitive individuals (Atlas, 1994). Therefore, those who are rated
THE MEDIATING ROLE OF SENSITIVITY TO CRITICISM 14
as more sensitive to criticism are likely to have a lower tolerance for any type of criticism where
individuals view even relatively neutral comments as critical. In combination with this perception of
others’ feedback, those who are more sensitive to feedback demonstrate emotional reactions that are
more intense in nature compared to less sensitive individuals (Buckley et al., 2004; Geller et al., 1974;
Pepitone & Wilpizewski, 1960; Zadro et al., 2004).
Sensitivity to rejection has been linked with interpersonal difficulties and increased disruptive or
oppositional behaviors among adolescents (Downey et al., 1998b). Downey and colleagues (1998b)
suggested that those higher in rejection sensitivity behaved in ways that elicited rejection from others,
thus completing a self-fulfilling prophecy. This finding was replicated in a sample of young adults
(Downey et al., 1998a). In this study, dating couples’ rejection sensitivity levels were assessed through
self-report measures after which participants engaged in a conflict discussion about a salient issue in
their relationship. At a one-year follow up, researchers found that women higher in rejection sensitivity
behaved in specific ways to elicit rejection from a male partner, thus fulfilling their expectation of being
rejected. In both of these studies by Downey and colleagues (1998a; 1998b), higher rejection sensitivity
was associated with disrupted self-regulation, discomfort with ambiguity in conflictual situations, and
increased anticipatory anxiety of being rejected, which may act as a protective measure from eventual
rejection.
Similar to previous findings, rejection sensitivity has been correlated with higher rejection
expectancy (London et al., 2007) and diminished self-regulatory strategies, which impact individuals’
intimate relationships (Downey & Feldman, 1996) and result in psychological difficulties. These
psychological difficulties include depressive symptoms (Ayduk et al., 2001), a proclivity to withdraw
from relationships when faced with rejection, and a desire for retribution against the source of rejection
(London et al., 2007; Zimmer-Gembeck & Nesdale, 2013).
THE MEDIATING ROLE OF SENSITIVITY TO CRITICISM 15
To better understand the effect of rejection sensitivity on aggression, Kirkpatrick and colleagues
(2002) examined the relation between self-esteem and aggression in the context of ego-threats and social
inclusion over a two-part study among two samples of college students. In both parts, participants were
given the opportunity to indirectly aggress on an external party by preparing a hot sauce sample that
external party was mandated to consume. The quantity of hot sauce served as a measure of participants’
aggression. The authors found that those who reported higher self-identified superiority prepared higher
quantities of hot sauce for their evaluator or rival compared to socially included participants who
identified as team players. Therefore, these results suggest that individuals with higher self-appraisals
exhibit higher intensity defensive reactions when challenged or faced with criticism compared to those
who do not view themselves as superior to others.
Using a similar hot sauce paradigm, Ayduk and others (2008) attempted to parse out the relation
between rejection, rejection sensitivity, and aggression. Consistent with their hypotheses, the authors
found that the rejection sensitivity levels significantly impacted participants’ aggressive behaviors when
in rejecting situations. Those highly sensitive to criticism demonstrated more aggressive behaviors while
those with lower sensitivity levels did not engage in any aggressive behaviors regardless of the condition
in which they were placed (control vs. rejection).
Altogether, these results suggest that those who endorse higher levels of sensitivity to criticism
are more likely to experience higher levels of negative emotional reactions as a result of perceived
external rejection. However, as research on vulnerable narcissism has historically been neglected due to
the greater focus on grandiose narcissism, this study was interested in comparing the effects of other
constructs. This examination of the roles of other variables within the relation between vulnerable
narcissism and negative affect would provide a deeper understanding of the patterns of relations present.
In particular, shame and psychological inflexibility were chosen as other variables to examine as both
mediators and moderators.
THE MEDIATING ROLE OF SENSITIVITY TO CRITICISM 16
Shame
Shame has been theorized to be a core feature of narcissism, consisting of the inability to meet
expectations of either the self or others resulting in feelings of exposure and helplessness (O’Leary &
Wright, 1986). Individuals with grandiosely narcissistic traits tend to repress these feelings of shame by
engaging in behaviors consistent with excessive self-confidence. Conversely, individuals with
vulnerably narcissistic traits tend to have a heightened focus on these feelings of shame which may
result in coping through self-deprecating behaviors. In this latter subtype, O’Leary and Wright (1986)
posited that these feelings of faultiness occupy the center of the individual’s identity which subsequently
impacts their approach to the world.
Thomaes and colleagues (2008) investigated the role of shame in the relation between narcissism
and aggression among adolescents. They found that grandiosely narcissistic individuals who were
shamed tended to engage in aggression (i.e., volume of a white noise blasted to opponent’s headphones)
while grandiosely narcissistic individuals who were not shamed did not engage in aggressive behaviors.
However, this finding did not extend to individuals with vulnerable narcissism. Instead, those in this
narcissism subtype did not engage in significant levels of aggression regardless of whether they were
shamed. In another study examining narcissism and emotional experiences among children, Derry and
others (2019) requested participants aged between 8 and 12 to complete a difficult maze task. They
found that individuals with vulnerably narcissistic traits tended to approach tasks with higher levels of
negative emotions, such as shame, compared to individuals with grandiosely narcissistic traits. The
authors observed continued elevations in negative emotions across all conditions, including ambiguous
ones, which was attributed to pre-existing shame and hypervigilance. They suggested that this positive
correlation between shame and narcissism may be unique to vulnerable narcissism as individuals with
grandiose narcissism did not demonstrate similar patterns. From these studies, it may be inferred that
THE MEDIATING ROLE OF SENSITIVITY TO CRITICISM 17
shame plays a moderating role in the relation between vulnerable narcissism and aggression or negative
affect.
Similarly, Schröder-Abé and Fatfouta (2019) determined that shame was a core feature of
vulnerable narcissism, rather than grandiose narcissism, which prevented individuals from engaging in
dishonest deeds. In this way, shame mediated the relation between vulnerable narcissism and dishonesty.
The authors posited that individuals with vulnerable narcissism were concerned with the risk of being
caught in the deceit resulting in feelings of shame that curbed their engagement in such behaviors.
However, these feelings of shame were not significantly related to engagement in deceit in the condition
where the likelihood of being caught was lower.
To better understand the role of shame, Freis and colleagues (2015) attempted to parse out the
conditions in which individuals with vulnerable narcissism responded to mixed or negative feedback
with shame or anger, and their perception of the evaluator in these conditions. The authors found that
individuals experienced anger in the mixed feedback condition when they believed they had performed
poorly but experienced both shame and anger when provided with negative feedback for tasks in which
they believed they had performed well. Furthermore, results demonstrated that individuals with
vulnerable narcissism who were evaluated negatively reported low concern for the evaluations of the
judges but increased shame. Conversely, Malkin and colleagues (2011) examined experiences of shame
among adolescents with vulnerable narcissistic tendencies. In this study, participants reported higher
shame in the positive feedback condition compared to the negative feedback condition, suggesting that
individuals with vulnerable narcissism experience persistent shame. In this way, they may be unable to
effectively detach from their feelings about being judged in any capacity resulting in a lack of internal
regulation and persistently high shame (Freis et al., 2015). This mechanism suggests that individuals
with vulnerable narcissism are extremely reliant on external feedback which undermines their ability to
engage in motivated reasoning that would allow for emotion regulation.
THE MEDIATING ROLE OF SENSITIVITY TO CRITICISM 18
Based on the literature thus far, the impact of vulnerable narcissism on shame unclear. Research
has demonstrated existing relations between shame and narcissism which correspond with theoretical
models of narcissism such that individuals with vulnerably narcissistic traits tend to experience higher
levels of shame compared to individuals with grandiosely narcissistic traits or non-narcissistic traits.
These results suggest that shame is indeed a core feature of narcissism. However, as most of the studies
examining the relation between shame and vulnerable narcissism have included adolescent participants,
the stability of shame across the lifespan in individuals with vulnerable narcissism is largely unknown. It
may be argued that higher levels of shame are experienced during adolescence compared to adulthood
(Orth et al., 2010) which may negatively impact the generalizability of outcomes found in studies
utilizing an adolescent population. Additionally, it is unclear if shame is a moderating variable (Derry et
al., 2019) or an intermediary variable (Malkin et al., 2011), which limits understanding of its role in
vulnerable narcissism. For these reasons, it may be beneficial to further expand on the association
between shame, vulnerable narcissism, and negative affect through examining the role of shame within
this relation, first as an intermediary variable and then as a moderating variable.
Psychological Flexibility
Psychological flexibility is defined as “the ability to contact the present moment more fully as a
conscious human being” (Hayes et al., 2006, p. 7) where the individual is able to adjust and adapt their
behaviors appropriately for the situation without compromising their values. This higher-order construct
consists of six interconnected processes, namely clarity of values, committed action, self-as-context,
cognitive defusion, acceptance, and contact with the present moment, that allow for this connection with
the present to exist. The inverse of this construct, psychological inflexibility, has been linked with
various types of psychopathology (Hayes et al., 2006).
To further understand the relation between psychological inflexibility and personality traits,
Gloster and others (2011) conducted a study using participants recruited from clinical and nonclinical
THE MEDIATING ROLE OF SENSITIVITY TO CRITICISM 19
settings. The clinical samples consisted of individuals who met criteria for social anxiety disorder or
panic disorder with agoraphobia and the nonclinical samples consisted of college students and
unemployed individuals. The authors found that psychological inflexibility was a stable construct across
multiple measurement times. Individuals with social anxiety reported significant deficits in
psychological inflexibility which may explain their tendency to become preoccupied with others’
perceptions of them and overly control their own behaviors in social situations. This was consistent with
the demonstrated inverse relation between neuroticism, a higher-order trait commonly associated with
anxiety, and psychological inflexibility.
Paulus and colleagues (2016) attempted to further parse out the links between neuroticism and
psychological inflexibility through examining the mediating effect of psychological inflexibility in the
relation between neuroticism and depression compared to shame and emotion dysregulation. Consistent
with previous research, they found a direct relation between neuroticism and psychological inflexibility.
Furthermore, psychological inflexibility and emotion dysregulation fully mediated the relation between
neuroticism and depression, suggesting that lack of psychological flexibility significantly contributes to
the presence of psychopathology when combined with neuroticism.
As described in previous sections, vulnerable narcissism, unlike grandiose narcissism, has been
linked with high levels of neuroticism (Kaufman et al., 2020; Miller & Campbell, 2008; Miller et al.,
2011). Additionally, Miller and colleagues (2011) found that individuals with vulnerably narcissistic
traits endorsed symptoms of anxiety and depression, among others, where they experience higher levels
of negative rather than positive affect. These results are similar to those demonstrated between
psychological inflexibility and the constructs of anxiety and neuroticism, suggesting a possible link
between vulnerable narcissism and psychological inflexibility.
Very few studies have examined the relation between narcissism and psychological inflexibility.
Kaufman and colleagues (2020) investigated the correlations between narcissism subtypes and
THE MEDIATING ROLE OF SENSITIVITY TO CRITICISM 20
psychopathology-related clinical variables. They found that vulnerable narcissism was more
significantly negatively related with psychological flexibility compared to grandiose narcissism. In
another study by Ng and others (2014), the relation between the ability to shift between emotion-focused
and problem-focused coping strategies, i.e., coping flexibility, and narcissism was examined in
predicting psychological health. They found that coping flexibility had a mediating effect on the relation
between vulnerable narcissism and stress, suggesting that individuals with reduced flexibility had poorer
outcomes. Although coping flexibility is different from psychological flexibility, both require an ability
to adapt to the experienced situation through modification of external and internal processes.
From this discussion, it is clear that psychological inflexibility and vulnerable narcissism share
similar connections with psychopathology indices and personality traits. However, research examining
the role of psychological inflexibility in vulnerable narcissism is not substantive, which limits the
conclusions that can be drawn about these variables. Therefore, further inquiry into the mediating or
moderating effects of psychological inflexibility on vulnerable narcissism and negative affectivity may
help in further understanding the relation of vulnerable narcissism to other outcomes.
Although the constructs of shame and psychological inflexibility have demonstrated connections
with vulnerable narcissism, these relations have been largely inconsistent. As mentioned earlier, further
examination of these associations is required before any conclusive decisions can be made about their
impact on vulnerable narcissism. Currently, research on narcissism and affect utilize ego-threats where
individuals are provided with different feedback types to provoke emotional reactions. Tortoriello and
Hart (2018) examined the change in negative affect (failure reactivity) in grandiose and vulnerable
narcissism groups when presented with hypothetical destructive or constructive criticism from either
audiences of self (self-evaluation or self-reflection) or other (important other, unimportant other, and
social world other). Although vulnerable and grandiose narcissism were inversely related with failure
reactivity, which was attributed to the differences in internal dialogue utilized by these narcissistic
THE MEDIATING ROLE OF SENSITIVITY TO CRITICISM 21
subtypes, the authors posited that those with vulnerable narcissism may believe all feedback lacks
kindness, regardless of how it is presented.
These results suggest that individuals may be hyperfocused or sensitive to all types of feedback,
regardless of its valence. This possible relation may also explain why feedback elicits such emotional
reactions regardless of the type of external feedback provided. Therefore, individuals with vulnerable
narcissism may be more likely to react negatively to feedback due to a pre-existing sensitivity to
criticism where individuals with lower sensitivity react at a lower intensity compared to individuals with
higher sensitivity to criticism.
Therefore, this study seeks to parse out the role of sensitivity to criticism in the relation between
vulnerable narcissism and negative affect compared to psychological inflexibility and shame. Based on
the evidence presented, sensitivity to criticism is theorized to play a significant role on the relation
between the vulnerable narcissism subtype and direct/indirect negative affect. The mediation model is
presented in Figure 1.
THE MEDIATING ROLE OF SENSITIVITY TO CRITICISM 22
The Present Study
This study aimed to clarify the relation between vulnerable narcissism, sensitivity to criticism,
and negative affect. The role of sensitivity to criticism will be then compared to the associations
demonstrated by shame and psychological inflexibility in the relation between vulnerable narcissism and
negative affect as either a mediator or a moderator. To further understand these relations, this study was
split in two studies that were conducted concurrently. Each study consisted of a unique sample of
participants.
Study 1 examined the relations between these constructs at a trait level. Within this study, the
hypotheses involved determining the relation between vulnerable narcissism, negative affect, and the
multiple mediators in the absence of any ego-threats. Therefore, at a trait level, the hypotheses were as
follows:
1. Sensitivity to criticism will have a stronger correlation with vulnerable narcissism
compared to grandiose narcissism.
2. The relation between vulnerable narcissism and multiple domains of negative affect will
be mediated by shame, psychological inflexibility, and sensitivity to criticism, where
individuals with higher vulnerable narcissism will report higher levels of shame,
psychological inflexibility, and sensitivity to criticism.
3. Although each of these hypothesized mediators will account for some variance in the
relation between vulnerable narcissism and negative affect, sensitivity to criticism will be
a stronger mediator compared to shame and psychological inflexibility.
Study 1 aims included providing a preliminary understanding of the relations between these
variables in the absence of any provocation. Study 2 aims included replication and expansion on these
demonstrated relations through the addition of ego-threats. As individuals with vulnerable narcissism
have been found to respond to any type of feedback (positive, neutral, and negative) with heightened
THE MEDIATING ROLE OF SENSITIVITY TO CRITICISM 23
aggression, this study utilized vignettes that either had positive or negative outcomes to investigate if the
experienced negative affect is different between these conditions. Therefore, Study 2 consisted of the
hypotheses from Study 1 as well as the following hypotheses:
4. The relation between vulnerable narcissism and multiple domains of negative affect will
be mediated by shame, psychological inflexibility, and sensitivity to criticism, where
individuals with higher vulnerable narcissism will report higher levels of shame,
psychological inflexibility, and sensitivity to criticism regardless of the valence of the
ego-threats.
5. Although each of these hypothesized mediators will account for some variance in the
relation between vulnerable narcissism and negative affect, sensitivity to criticism will be
a stronger mediator of this relation compared to shame and psychological inflexibility
regardless of the valence of the ego-threats. Therefore, those with higher levels of
vulnerable narcissism and sensitivity to criticism will report increased experience and
expression of negative affect compared to those with higher levels of shame and
psychological inflexibility regardless of their exposure to a situation depicting failure or
success.
To better understand the role of each of these variables, a secondary hypothesis is proposed
where:
6. An exploratory moderation model will be conducted to examine the strength of the
interaction of sensitivity to criticism, shame, and psychological inflexibility, respectively,
with vulnerable narcissism on multiple domains of negative affect. This effect will be
explored in the absence of an ego-threat, in the presence of an ego-threat that has a
negative outcome and an ego-threat that has a positive outcome. This alternate
moderation model is represented in Figure 2.
THE MEDIATING ROLE OF SENSITIVITY TO CRITICISM 24
Study 1
Methods
Participants
After obtaining approval from the institutional review board (see Appendix A), participants were
recruited from a university and were provided with extra credit for their psychology class for their
participation. A total of 258 individuals logged on to the survey (described below), of which two
responses were corrupted and 17 were eliminated due to dropping out at various points in the survey
resulting in incomplete responses. An additional five responses were dropped due to being duplicates. In
these cases, the first complete survey was retained for analysis and the duplicate was deleted. This
resulted in 234 subjects who completed the measures and were included in the subsequent statistical
analyses. The participants who completed the measures (N = 234) had a mean age of 21.12 years (SD =
5.55; Range = 18-54), with 73.9% identifying as female, 23.1% male, 1.3% transgender, 1.3%
genderqueer/nonbinary, and 0.4% preferring not to answer. The majority of the sample was non-
Hispanic White (67.1%), with 19.7% Black/African American, 1.7% Asian, 0.9% Native American,
0.4% Pacific Islander, 4.3% Multiracial, 4.7% Other, and 1.3% preferring not to answer. Lastly, 29.5%
of the respondents reported being freshman, 26.9% sophomore, 23.9% junior, 16.7% senior, 1.3% fifth
year students, and 1.7% graduate.
Measures
Pathological Narcissism Inventory (PNI). The PNI, which was created by Pincus and
colleagues (2009), is a 52-item measure designed to assess both grandiose and vulnerable facets of
pathological narcissism (Appendix B). Participants rate their degree of agreement with each statement
on a Likert-type scale ranging from 0 (not at all like me) to 5 (very much like me) with higher scores
indicating higher levels of pathological narcissism. There are seven lower-order subscales: Contingent
Self-Esteem (CSE; fluctuating self-esteem levels in the absence of external validation), Exploitativeness
THE MEDIATING ROLE OF SENSITIVITY TO CRITICISM 25
(EXP; engagement in manipulative behaviors), Self-Sacrificing Self-Enhancement (SSSE; using
reportedly altruistic acts to support a positive self-image), Hiding the Self (HS; unwillingness to expose
one’s faults), Grandiose Fantasy (GF; images of success and power), Devaluing (DEV; disinterest in
those who do not support the individual’s positive self-image), and Entitlement Rage (ER; aggression
towards those who do not provide this deserved admiration). Using confirmatory factor-analysis, the
PNI was found to yield two higher-order subscales: Grandiose and Vulnerable (Wright et al., 2010). The
Grandiose subscale consists of SSSE, GF, and EXP (e.g., “I like to have friends who rely on me because
it makes me feel important”) and the Vulnerable subscale comprises of ER, CSE, DEV, and HS (e.g.,
Sometimes it’s easier to be alone than to face not getting everything I want from other people.”). In the
initial construction and validation of the PNI, Cronbach’s alpha coefficients were .93 (CSE), .78 (EXP),
.79 (SSSE), .75 (HS), .85 (DEV), .89 (GF), .89 (ER), and .95 (PNI Total). Furthermore, negative
correlations were found between pathological narcissism and self-esteem (r = -.37), and empathy (r = -
.14) while higher levels of pathological narcissism were correlated with higher levels of shame (r = .55),
identity diffusion (r = .62), and aggression (r = .36) in a nonclinical sample (Pincus et al., 2009). At both
the higher-order and lower-order levels, support for the PNI’s construct validity was found as subscale
coefficients were in the predicted directions. Cronbach’s alpha coefficients for the current study were
.86 (ER), .93 (CSE), .79 (EXP), .73 (SSSE), .77 (HS), .85 (DEV), .85 (GF), and .95 (PNI Total). As the
Vulnerable and Grandiose subscales were utilized for this study, Cronbach alpha coefficients were .95
(VN) and .87 (GN).
Sensitivity to Criticism Scale (SCS). Atlas (1994; Appendix C) constructed the 30-item SCS to
assess individuals’ responses to situations that may be perceived as critical. Respondents are asked to
imagine themselves in a range of domains (social, academic achievement, physical appearance, and
intellect) where a friend is making the presented statement towards them. For example, “It’s really hard
to keep one’s weight down, isn’t it?” after which participants are asked to rate the extent to which they
THE MEDIATING ROLE OF SENSITIVITY TO CRITICISM 26
consider the comment a criticism on a Likert-type scale ranging from 1 (definitely not a criticism) to 7
(definitely a criticism) and to what extent they are hurt by it ranging from 1 (not at all) to 7 (a great
deal). Higher scores are indicative of higher sensitivity to criticism. In the initial construction and
validation of the SCS, Atlas (1994) reported Cronbach’s alpha coefficients ranging from .92 to .94 and
high test-retest reliability after six months (⍺ = .82). Cronbach’s alpha coefficients ranged from .83 to
.91 for the current study and the total score was utilized in all analyses.
Experience of Shame Scale (ESS). The ESS was created by Andrews and colleagues (2002)
based on an interview measure of shame (Andrews & Hunter, 1997) and consists of 25 items (Appendix
D). It is designed to assess shame across three domains: (a) characterological shame, (b) bodily shame,
and (c) behavioral shame. Participants are requested to respond to questions related to their experience
over shame over the past year on a Likert-type scale ranging from 1 (not at all) to 4 (very much). For
example, “Have you felt ashamed of your ability to do things?” where higher scores are indicative of
higher levels of shame. In the initial construction and validation of the ESS, Cronbach’s alpha
coefficients were .90 (Characterological Shame), .87 (Behavioral shame), .86 (Bodily Shame), and .92
(ESS Total). Test-retest reliability coefficients over 11 weeks were .78 (Characterological Shame), .74
(Behavioral shame), .82 (Bodily Shame), and .83 (ESS Total). Cronbach’s alpha coefficients for the
current study were .94 (Characterological Shame), 91 (Behavioral Shame), .91 (Bodily Shame), and .96
(ESS Total). The total score was utilized for the present study.
Acceptance and Action Questionnaire-II (AAQ-II). Hayes and colleagues (2004) constructed
the AAQ-I to measure experiential avoidance and psychological inflexibility. Although useful, a second
version of this measure was developed to improve upon its internal consistency and test-retest reliability
which were .70 and .64, respectively. In this updated version, the AAQ-II (Bond et al., 2011) consists of
7 items (Appendix E). Participants rate their level of agreement with each item on a Likert-type scale
ranging from 1 (never true) to 7 (always true) where higher scores are indicative of greater experiential
THE MEDIATING ROLE OF SENSITIVITY TO CRITICISM 27
avoidance and psychological inflexibility. An example of a statement is, “Worries get in the way of my
success.” In the initial construction and validation of the AAQ-II, Cronbach’s alpha coefficient was .84
with test-retest reliability coefficients of .81 and .79 at 3- and 12-month intervals, respectively.
Cronbach’s alpha coefficient was .93 for the current study.
Positive and Negative Affect Schedule (PANAS). The PANAS is a 20-item measure created by
Watson and colleagues (1988; Appendix F) designed to assess respondents’ experience of positive and
negative affect either in the moment or over the past week. Participants endorse each adjective on a
Likert-type scale ranging from 1 (very slightly or not at all) to 5 (extremely). There are two subscales:
Positive Affect and Negative Affect, which comprise of 10 items respectively. In the initial construction
and validation of the PANAS, Watson and colleagues (1988) reported Cronbach’s alpha coefficients in
the Positive Affect subscale ranging from .86 to .90 and the Negative Affect subscale ranging from .84
to .87 in a nonclinical sample depending on the time frame for which participants are requested to
respond. Intercorrelations between the scales were low (-.12 to -.23) regardless of time frame indicating
good discriminant validity. In the present study, participants were asked to rate their experience of
emotions in the present moment only. Cronbach’s alpha coefficient for the current study was .89 for the
Negative Affect subscale.
State-Trait Anger Expression Inventory-2 (STAXI-2). The STAXI was created by
Spielberger (1988) to measure State Anger, Trait Anger, Anger Expression, and Anger Control.
Although useful, a second version of this measure was created after further investigation of the factor
structure of these anger components (Appendix G). The updated 57-item questionnaire consists of State
Anger (SA; the intensity of angry feelings being experienced and the extent to which this wants to be
expressed), Trait Anger (TA; the frequency of these angry feelings over time), Anger Expression Index
(AX-Index; the general anger expression index). SA consists of Feeling Angry (F), Feel like Expressing
Anger Verbally (V), and Feel like Expressing Anger Physically (P), TA consists of Angry Temperament (T) and
THE MEDIATING ROLE OF SENSITIVITY TO CRITICISM 28
Angry Reaction (R), and AX-Index consists of Anger Expression-Out (AX-O), Anger Expression-In (AX-I),
Anger Control-Out (AC-O), and Anger Control-In (AC-I). Participants rate their degree of agreement with
each statement on a Likert-type scale ranging from 1 (not at all) to 4 (very much so) for the SA subscale
and 1 (almost never) to 4 (almost always) for the TA and AX-Index subscales. Higher scores are
indicative of high levels of anger across the multiple subscales. An example of a state anger statement is
“I am furious,” an example of a trait anger statement is “I am a hotheaded person,” and “I boil inside,
but don’t show it” for the anger expression subscale. In the construction and validation of the STAXI-2,
Spielberger (1999) reported Cronbach’s alpha coefficients of .93 (SA), .85 (TA), and .76 (AX-Index) in
a nonclinical sample. These internal consistencies remained largely similar in a sample of psychiatric
patients: .94 (SA), .89 (TA), and .75 (AX-Index).
Procedure
Respondents were directed to a survey hosted on RedCap after opting to participate in this study
through a cloud based human subject pool software, SonaSystem©. After consenting to participate in
this study, participants were asked to respond to a series of demographic questions and were asked to
provide the last four digits of their cell phone number. Respondents completed the remaining
questionnaires in a fixed order. This consisted of STAXI-2 (SA), PNI-52, STAXI-2 (TA), SCS, PANAS,
AAQ-II, ESS, and lastly STAXI-2 (AX-Index). At the end of the survey, participants were directed to
another completely separate survey where they were asked to provide some identifying information to
receive credit for their participation. Course extra credit was awarded through the SonaSystem© by the
researcher and could not be linked back to the individual’s responses.
Data Analyses
Hypothesis testing was completed using R, 3.5.2 (R Core Team, 2018), the lavaan (v0.6-7;
Rosseel, 2012), and the psych (v2.0.12; Revelle, 2020) packages for both Study 1 and Study 2. To test
the first hypothesis, Pearson’s correlations were conducted after which an r to z transformation was
conducted to compare the relations between sensitivity to criticism and vulnerable and grandiose
THE MEDIATING ROLE OF SENSITIVITY TO CRITICISM 29
narcissism. For the second hypothesis, a parallel mediation model was conducted to examine and
compare the role of each of the hypothesized mediators on the existing relation between vulnerable
narcissism and negative affect. The predictor variable was vulnerable narcissism, the mediators
consisted of sensitivity to criticism, shame, and psychological inflexibility, and multiple outcome
variables were utilized to measure the multiple domains of negative affect. A total of four mediation
models were conducted with four domains of negative affect outcome variables in each model to assess
the level of variance accounted for by a single mediator in comparison to the others. Statistical
significance of the indirect effect was tested with a Sobel z-test (p < 0.05); however, due to limitations to
statistical power, current recommended procedure is to primarily interpret bias-corrected bootstrapped
95% confidence intervals, which is not overlapping zero are evidence in support of mediation (Nbootstraps
= 5000; Hayes & Scharkow, 2013). Supplemental simple mediation analyses were also conducted for
Study 1 and Study 2 (see Table 1, Table 2, and Table 3).
To test the alternative hypothesis, twelve hierarchical multiple regressions were conducted to
examine and compare the role of each hypothesized moderator in the existing relation between
vulnerable narcissism and four domains of negative affect. For each regression model, Step 1 included
examining the main effects of vulnerable narcissism and the hypothesized moderator (shame,
psychological inflexibility, or shame) on the negative affect domain. Step 2 tested the interactions
between vulnerable narcissism and the hypothesized moderator variable. In these analyses, all the
variables were standardized and mean-centered for interpretation reasons. For those models with a
significant R2 and a significant interaction effect that resulted in a significant increase in R2, a simple
slope analysis was conducted to further probe the relation. In this analysis, the strength of the moderator
was assessed at one standard deviation above the mean and one standard deviation below the mean.
Results
THE MEDIATING ROLE OF SENSITIVITY TO CRITICISM 30
Pearson’s correlations were conducted for all variables (see Table 4). As predicted, sensitivity to
criticism (r = .37) shared significantly stronger correlations with vulnerable narcissism (p < .01)
compared to grandiose narcissism (r = .18, p < .01). An r to z transformation was conducted and the z-
scores were compared using Steiger’s (1980) equations to examine the strength of these differences. As
predicted, sensitivity to criticism’s correlation with vulnerable narcissism was significantly different
from grandiose narcissism (z = 2.18, p < .05). Sensitivity to criticism was moderately correlated with
shame (r = .54, p < .01) and psychological inflexibility (r = .41, p < .01). Shame shared a strong relation
with psychological inflexibility (r = .75, p < .01).
Mediation
State Anger. This mediation model examined the effect of vulnerable narcissism (predictor),
sensitivity to criticism, psychological inflexibility, and shame (proposed mediators) on state anger
(outcome variable). Examining the total effect, higher vulnerable narcissism was found to be related to
higher state anger (b = 1.73, p < .01). Of the three proposed mediator variables, psychological
inflexibility accounted for 59% of the relation between vulnerable narcissism and state anger (indirect
effect = 1.03, CI95% = .19 to 2.03, p < .05). As the 95% confidence interval does not overlap 0, there is
evidence in support of mediation. These findings are illustrated in Figure 3.
Trait Anger. This mediation model examined the effect of vulnerable narcissism (predictor),
sensitivity to criticism, psychological inflexibility, and shame (proposed mediators) on trait anger
(outcome variable). Examining the total effect, higher vulnerable narcissism was found to be related to
higher trait anger (b = 3.57, p < .001). There was no evidence of mediation based on 95% confidence
intervals and statistical significance testing; the cumulative indirect effect accounted for 4% of the total
effect. These findings are illustrated in Figure 4.
Anger Expression. This mediation model examined the effect of vulnerable narcissism
(predictor), sensitivity to criticism, psychological inflexibility, and shame (proposed mediators) on the
THE MEDIATING ROLE OF SENSITIVITY TO CRITICISM 31
index of anger expression (outcome variable). Examining the total effect, higher vulnerable narcissism
was found to be related to higher anger expression (b = 8.21, p < .001). There was no evidence of
mediation based on 95% confidence intervals and statistical significance testing; the cumulative indirect
effect accounted for 20% of the total effect. These findings are illustrated in Figure 5.
Negative Affect. This mediation model examined the effect of vulnerable narcissism (predictor),
sensitivity to criticism, psychological inflexibility, and shame (proposed mediators) on negative affect
(outcome variable). Examining the total effect, higher vulnerable narcissism was found to be related
with higher negative affect (b = 4.85, p < .001). Of the three proposed mediator variables, psychological
inflexibility accounted for 54% of the relation between vulnerable narcissism and negative affect
(indirect effect = 2.62, CI95% = 1.67 to 3.74, p < .001) and shame accounted for 31% of the variance
(indirect effect = 1.52, CI95% = .47 to 2.66, p < .01). As the 95% confidence interval does not overlap 0,
there is support for both variables mediating the effect of vulnerable narcissism on negative affect.
These findings are illustrated in Figure 6.
Moderation
State Anger. Three hierarchical regressions were conducted to test the three moderation models
hypothesized for this study. Specifically, vulnerable narcissism was entered as the predictor, sensitivity
to criticism, psychological inflexibility, and shame were entered as moderators, respectively, and state
anger was designated as the outcome variable. The results of these moderation models are presented in
Table 5. The interaction variables, vulnerable narcissism×sensitivity to criticism and vulnerable
narcissism×shame were not significant. The interaction of vulnerable narcissism and psychological
inflexibility (b = .82, p < .05) was found to be predictive of state anger. The interaction accounted for an
additional 1.7% of the variance in the experience of state anger. To further explain this interaction term,
simple slopes analysis was conducted to depict predicted state anger at high (one standard deviation
above the mean) versus low (one standard deviation below the mean) levels of vulnerable narcissism
THE MEDIATING ROLE OF SENSITIVITY TO CRITICISM 32
and high (one standard deviation above the mean) versus low (one standard deviation below the mean)
levels of psychological inflexibility (see Figure 7). These results suggest that individuals’ state anger
was minimally influenced by vulnerable narcissism at low levels of psychological inflexibility (b = -.01,
SE = .71, p = .99) while individuals with higher psychological inflexibility (b = 1.63, SE = .65, p < .01)
experienced increased state anger at high vulnerable narcissism than those with low vulnerable
narcissism.
Trait Anger. Three hierarchical regressions were conducted to test the three moderation models
hypothesized for this study. Specifically, vulnerable narcissism was entered as the predictor, sensitivity
to criticism, psychological inflexibility, and shame were entered as moderators, respectively, and trait
anger was designated as the outcome variable. The results of these moderation models are presented in
Table 6. The interaction variables, vulnerable narcissism×sensitivity to criticism and vulnerable
narcissism×shame, were not significant. The interaction of vulnerable narcissism and psychological
inflexibility (b = .81, p < .01) was found to be predictive of trait anger. The addition of this interaction
predicted 2.1% of the variance in trait anger. To further explain this interaction term, simple slopes
analysis was conducted to depict predicted trait anger at high (one standard deviation above the mean)
versus low (one standard deviation below the mean) levels of vulnerable narcissism and high (one
standard deviation above the mean) versus low (one standard deviation below the mean) levels of
psychological inflexibility (see Figure 8). These results suggest that individuals with higher levels of
both vulnerable narcissism and psychological inflexibility experience significantly high trait anger (b =
3.76, SE = .49, p < .01) and individuals with lower levels of vulnerable narcissism and psychological
inflexibility experience significantly low trait anger (b = 2.14, SE = .54, p < .01).
Anger Expression. Three hierarchical regressions were conducted to test the three moderation
models hypothesized for this study. Specifically, vulnerable narcissism was entered as the predictor,
sensitivity to criticism, psychological inflexibility, and shame were entered as moderators, respectively,
THE MEDIATING ROLE OF SENSITIVITY TO CRITICISM 33
and anger expression was designated as the outcome variable. The results of these moderation models
are presented in Table 7. The interaction variables were not significant. These results suggest that
individuals with vulnerable narcissism endorse higher levels of anger expression regardless of their level
of sensitivity to criticism, psychological inflexibility, and shame.
Negative Affect. Three hierarchical regressions were conducted to test the three moderation
models hypothesized for this study. Specifically, vulnerable narcissism was entered as the predictor,
sensitivity to criticism, psychological inflexibility, and shame were entered as moderators, respectively,
and negative affect was designated as the outcome variable. The results of these moderation models are
presented in Table 8. The interaction variables, vulnerable narcissism×psychological inflexibility and
vulnerable narcissism×shame, were not significant. The interaction of vulnerable narcissism and
sensitivity to criticism (b = -1.03, p < .05) was found to be predictive of negative affect. The addition of
this interaction predicted 1.6% of the variance in the experience of negative affect. To further explain
this interaction term, simple slopes analysis was conducted to depict predicted negative affect at high
(one standard deviation above the mean) versus low (one standard deviation below the mean) levels of
vulnerable narcissism and high (one standard deviation above the mean) versus low (one standard
deviation below the mean) levels of sensitivity to criticism (see Figure 9). These results suggest that
individuals with higher levels of both vulnerable narcissism and sensitivity to criticism report
significantly increased negative affect (b = 3.01, SE = .62, p < .01) compared to those individuals with
lower levels of vulnerable narcissism and sensitivity to criticism report significantly decreased negative
affect (b = 5.06, SE = .68, p < .01).
Discussion
Overall, the results from Study 1 demonstrated trait level associations between vulnerable
narcissism, sensitivity to criticism, psychological inflexibility, and domains of negative affect. Shame
demonstrated a mediating effect on the relation between vulnerable narcissism and situational negative
THE MEDIATING ROLE OF SENSITIVITY TO CRITICISM 34
affect. However, psychological inflexibility was found to mediate the relations between vulnerable
narcissism and multiple domains of negativity, specifically state anger and negative affect in the
moment, but not sensitivity to criticism. In this way, the second hypothesis was partially supported, and
the third hypothesis was not supported.
The secondary hypothesis was intended to explore the moderating effect of sensitivity to
criticism, psychological inflexibility, and shame on the relation between vulnerable narcissism and
domains of negative effect. Psychological inflexibility emerged as a moderator of vulnerable narcissism
and some aspects of negativity, such as state and trait anger, while sensitivity to criticism moderated the
relation between vulnerable narcissism and negative affect in the moment. However, shame did not have
a moderating effect on any of the associations.
Taken together, psychological inflexibility accounts for the relation, and at certain levels is also a
limiting factor (a condition of the effect), between vulnerable narcissism and domains of negative affect.
To explore that further, a future direction could be to experimentally manipulate psychological
inflexibility. Additionally, sensitivity to criticism demonstrated similar limiting effects on the relation
between vulnerable narcissism and momentary negative affect, suggesting that this construct may be
more influential on transient experiences. Future directions may benefit from exploring this relation in
the context of ego-threats.
THE MEDIATING ROLE OF SENSITIVITY TO CRITICISM 35
Study 2
Methods
Participants
To better understand the relation between vulnerable narcissism and negative affect in the
context of mediating variables, sensitivity to criticism, shame, and psychological inflexibility, Study 2
was conducted concurrently with Study 1. Study 2 comprised of the same measures with the key
difference of including an ego-threat to influence participants’ emotional states. These ego-threats were
framed to be either positive or negative. For clarity, these will be referred to as either SP or SN.
A total of 227 individuals logged on to the survey for SN (described below), of which 28 were
eliminated due to dropping out at various points in the survey resulting in incomplete responses. An
additional five responses were dropped due to being duplicates. In these cases, the first complete survey
was retained for analysis and the duplicate was deleted, resulting in 194 subjects who completed the
measures and were included in the subsequent statistical analyses. The participants who completed the
measures (N = 194) had a mean age of 20.92 years (SD = 4.77; Range = 18-52), with 72.2% identifying
as female, 26.3% male, 1% genderqueer/nonbinary, and 0.5% preferring not to answer. The majority of
the sample was non-Hispanic White (60.3%), with 24.7% Black/African-American, 1% Asian, 0.5%
Asian-Indian, 5.7% Multiracial, 4.1% Other, and 3.1% preferring not to answer. Lastly, 31.4% of the
respondents reported being junior, 25.3% freshman, 25.3% sophomore, 13.9% senior, 3.1% fifth year
students, 0.5% graduate, and 0.5% preferring not to answer.
For the version of this study where the vignettes were framed to be positive, a total of 198
individuals logged on to the survey for SP (described below). Of these, 19 were eliminated due to
dropping out at various points in the survey resulting in incomplete responses. An additional seven
responses were dropped due to being duplicates. In these cases, the first complete survey was retained
for analysis and the duplicate was deleted, resulting in 172 subjects who completed the measures and
THE MEDIATING ROLE OF SENSITIVITY TO CRITICISM 36
were included in the subsequent statistical analyses. The participants who completed the measures (N =
172) had a mean age of 20.75 years (SD = 4.23; Range = 18-47), with 68% identifying as female, 30.2%
male, and 1.7% genderqueer/nonbinary. The majority of the sample was non-Hispanic White (60.5%),
with 25.6% Black/African-American, 2.3% Asian, 0.6% Native American, 6.4% Multiracial, and 4.7%
Other. Lastly, 36% of the respondents reported being freshman, 22.7% sophomore, 19.8% junior, 15.7%
senior, 5.2% fifth year students, and 0.6% graduate.
Measures
The same measures were used in Study 2 as in Study 1, with the addition of the ego-threats.
These were intended to influence the emotional states of the participants. Information regarding these is
provided below.
Vignettes. These consist of six descriptions of situations where the individual is exposed to
failure. These vignettes were created by Tortoriello and Hart (2018; Appendix H) and used to investigate
failure reactivity among college students with narcissism as described previously. They were found to be
capable of provoking negative reactions across multiple domains, including internship performance,
psychology exams, presentations for class, running for a student organization position, musical
performances, and making friends. An example of a failure vignette is “Imagine that it is your first
semester at college, and you don’t know anyone. You are excited about the opportunity to make some
lifelong friends. Despite trying hard, you are struggling mightily to make friends. No one seems
interested in hanging out with you. You unhappily spend a lot of time alone in your dorm room.” After
each vignette, participants indicated how distressed they felt on a Likert-type scale ranging from 1 (not
at all) to 7 (a great deal).
As research has demonstrated that individuals with vulnerable narcissism experience distress
regardless of the valence of the feedback presented, each of these failure vignettes were modified to
reflect success in such situations (Appendix I). An example of a success vignette is “Imagine that you
THE MEDIATING ROLE OF SENSITIVITY TO CRITICISM 37
are giving a class presentation. You have prepared for weeks and feel confident that it will go well. In
the middle of your presentation, you begin to stumble on your words and forget what to say. The rest of
the presentation does not make much sense and is very hard to follow. You receive an “A” grade on
your presentation.” After each vignette, participants indicated how distressed they felt on a Likert-type
scale ranging from 1 (not at all) to 7 (a great deal).
Procedures
Respondents were directed to a survey hosted on RedCap after opting to participate in this study
through a cloud based human subject pool software, SonaSystem©. After consenting to participate in
this study, participants were asked to respond to a series of demographic questions and were asked to
provide the last four digits of their cell phone number. Participants provided responses to the
questionnaires which were presented in the same order. This consisted of STAXI-2 (TA), and PNI-52
after which they were presented with the vignettes which presented hypothetical scenarios of success or
failure depending on if they were participating in SN or SP. Once respondents indicated their level of
distress for each vignette, they were directed to the remaining measures in the following order: PANAS,
ESS, STAXI-2 (SA), SCS, AAQ-II, and STAXI-2 (AX-Index) to assess changes in their emotional
states after reading and responding to the vignettes. At the end of the survey, participants were directed
to another separate survey where they were asked to provide some identifying information to receive
credit for their participation. Course extra credit was awarded through the SonaSystem© by the
researcher and could not be linked back to the individual’s responses.
Results
Pearson’s correlations were conducted for all variables in SN (see Table 9). As predicted,
sensitivity to criticism (r = .44) scores shared stronger correlations with vulnerable narcissism (p < .01)
compared to grandiose narcissism (r = .18, p < .05). An r to z transformation was conducted and the z-
scores were compared using Steiger’s (1980) equations to examine the strength of these differences. As
THE MEDIATING ROLE OF SENSITIVITY TO CRITICISM 38
predicted, sensitivity to criticism’s correlation with vulnerable narcissism was significantly different
from grandiose narcissism (z = 2.78, p < .01). Sensitivity to criticism was moderately correlated with
shame (r = .48, p < .001) and psychological inflexibility (r = .50, p < .001). Shame shared a strong
relation with psychological inflexibility (r = .74, p < .001).
Similar relations were demonstrated in SP where sensitivity to criticism (r = 37) scores shared
stronger correlations with vulnerable narcissism (p < .01) compared to grandiose narcissism (r = .15, p =
.05). An r to z transformation was conducted and the z-scores were compared using Steiger’s (1980)
equations to examine the strength of these differences. As predicted, sensitivity to criticism’s correlation
with vulnerable narcissism was significantly different from grandiose narcissism (z = 2.15, p < .05).
Sensitivity to criticism was moderately correlated with shame (r = .50, p < .001) and weakly related to
psychological inflexibility (r = .38, p < .001). Shame shared a moderate relation with psychological
inflexibility (r = .61, p < .001). These results are depicted in Table 10.
Mediation
State Anger. This mediation model examined the effect of vulnerable narcissism (predictor),
sensitivity to criticism, psychological inflexibility, and shame (proposed mediators) on state anger
(outcome variable) in SN. Examining the total effect, higher vulnerable narcissism was found to be
related to higher trait anger (b = 3.75, p < .001). There was no evidence of mediation based on 95%
confidence intervals and statistical significance testing; the cumulative indirect effect accounted for 22%
of the total effect. These findings are illustrated in Figure 10.
In SP, examining the total effect, higher vulnerable narcissism was also found to be related to
higher trait anger (b = 3.47, p < .001). There was no evidence of mediation based on 95% confidence
intervals and statistical significance testing; the cumulative indirect effect accounted for 3% of the total
effect. These findings are illustrated in Figure 11.
THE MEDIATING ROLE OF SENSITIVITY TO CRITICISM 39
Trait Anger. This mediation model examined the effect of vulnerable narcissism (predictor),
sensitivity to criticism, psychological inflexibility, and shame (proposed mediators) on trait anger
(outcome variable) in SN. Examining the total effect, higher vulnerable narcissism was found to be
related to higher trait anger (b = 2.47, p < .001). There was no evidence of mediation based on 95%
confidence intervals and statistical significance testing; the cumulative indirect effect accounted for 20%
of the total effect. These findings are illustrated in Figure 12.
In SP, examining the total effect, higher vulnerable narcissism was also found to be related to
higher trait anger (b = 2.48, p < .001). There was no evidence of mediation based on 95% confidence
intervals and statistical significance testing; the cumulative indirect effect accounted for 11% of the total
effect. These findings are illustrated in Figure 13.
Anger Expression. This mediation model examined the effect of vulnerable narcissism
(predictor), sensitivity to criticism, psychological inflexibility, and shame (proposed mediators) on the
index of anger expression (outcome variable) in SN. Examining the total effect, higher vulnerable
narcissism was found to be related to higher anger expression (b = 5.73, p < .001). There was no
evidence of mediation based on 95% confidence intervals and statistical significance testing; the
cumulative indirect effect accounted for 6.33% of the total effect. These findings are illustrated in Figure
14.
In SP, examining the total effect, higher vulnerable narcissism was found to be related to higher
anger expression (b = 5.85, p < .001). There was no evidence of mediation based on 95% confidence
intervals and statistical significance testing; the cumulative indirect effect accounted for 17% of the total
effect. These findings are illustrated in Figure 15.
Negative Affect. This mediation model examined the effect of vulnerable narcissism (predictor),
sensitivity to criticism, psychological inflexibility, and shame (proposed mediators) on negative affect
(outcome variable) in SN. Examining the total effect, higher vulnerable narcissism was found to be
THE MEDIATING ROLE OF SENSITIVITY TO CRITICISM 40
related with higher negative affect (b = 4.76, p < .001). Of the three proposed mediator variables,
psychological inflexibility accounted for 22% of the relation between vulnerable narcissism and
negative affect (indirect effect = .19, CI95% = .02 to .39, p < .05). As the 95% confidence interval does
not overlap 0, there is evidence in support of mediation. These findings are illustrated in Figure 16.
In SP, examining the total effect, higher vulnerable narcissism was found to be related with
higher negative affect (b = 3.46, p < .001). Of the three proposed mediator variables, psychological
inflexibility accounted for 25% of the relation between vulnerable narcissism and negative affect
(indirect effect = .87, CI95% = .11 to 1.74, p < .05. As the 95% confidence interval does not overlap 0,
there is evidence in support of mediation. These findings are illustrated in Figure 17.
Moderation
State Anger. Three hierarchical regressions were conducted to test the three moderation models
hypothesized for this study. Specifically, vulnerable narcissism was entered as the predictor, sensitivity
to criticism, psychological inflexibility, and shame were entered as moderators, respectively, and state
anger was designated as the outcome variable. The results of these moderation models are presented in
Table 11 for in SN. Vulnerable narcissism×sensitivity to criticism was not significant. The interaction of
vulnerable narcissism and psychological inflexibility (b = 1.41, p < .01) was found to be predictive of
state anger. The interaction accounted for an additional 3.5% of the variance in the experience of state
anger. In addition, the interaction of vulnerable narcissism and shame (b = 1.06, p < .05) was found to
be predictive of state anger. The interaction accounted for an additional 2.2% of the variance in the
experience of state anger. To further explain these interaction terms, simple slopes analysis was
conducted for each: depicting predicted state anger at high (one standard deviation above the mean)
versus low (one standard deviation below the mean) levels of vulnerable narcissism and high (one
standard deviation above the mean) versus low (one standard deviation below the mean) levels of
psychological inflexibility (see Figure 18) and shame (see Figure 19). These results suggest that
THE MEDIATING ROLE OF SENSITIVITY TO CRITICISM 41
individuals’ state anger was minimally influenced by vulnerable narcissism at low levels of
psychological inflexibility (b = 1.21, SE = .88, p = .17) and shame (b = 1.62, SE = .85, p = .06) while
individuals with higher levels of shame (b = 3.74, SE = .78, p < .05) and psychological inflexibility (b =
4.03, SE = .92, p < .001) experienced significantly increased state anger at high vulnerable narcissism.
For SP, the results of these moderation models are presented in Table 12. The interaction
variables, vulnerable narcissism×sensitivity to criticism and vulnerable narcissism×psychological
inflexibility, were not significant. The interaction of vulnerable narcissism and shame (b = .88, p < .05)
was found to be predictive of state anger. The interaction accounted for an additional 2.6% of the
variance in the experience of state anger. To further explain these interaction term, simple slopes
analysis was conducted to depict predicted state anger at high (one standard deviation above the mean)
versus low (one standard deviation below the mean) levels of vulnerable narcissism and high (one
standard deviation above the mean) versus low (one standard deviation below the mean) levels of shame
(Figure 20). These results suggest that levels of shame and vulnerable narcissism significantly impact
individuals’ state anger where at both the higher levels (b = 3.52, SE = .65, p < .001) and the lower
levels of vulnerable narcissism and shame (b = 1.75, SE = .69, p < .01) when presented with success-
provoking situations.
Trait Anger. Three hierarchical regressions were conducted to test the three moderation models
hypothesized for this study. Specifically, vulnerable narcissism was entered as the predictor, sensitivity
to criticism, psychological inflexibility, and shame were entered as moderators, respectively, and trait
anger was designated as the outcome variable. The results of these moderation models are presented in
Table 13 for in SN and Table 14 for SP. The interaction variables in both datasets were not significant.
These results suggest that individuals with vulnerable narcissism endorse higher levels of trait anger in
situations provoking either failure or success regardless of their level of sensitivity to criticism,
psychological inflexibility, and shame.
THE MEDIATING ROLE OF SENSITIVITY TO CRITICISM 42
Anger Expression. Three hierarchical regressions were conducted to test the three moderation
models hypothesized for this study. Specifically, vulnerable narcissism was entered as the predictor,
sensitivity to criticism, psychological inflexibility, and shame were entered as moderators, respectively,
and anger expression was designated as the outcome variable. The results of these moderation models
are presented in Table 15 for in SN and Table 16 for SP. The interaction variables in both datasets were
not significant. These results suggest that individuals with vulnerable narcissism express anger at high
levels in situations provoking either failure or success regardless of their level of sensitivity to criticism,
psychological inflexibility, and shame.
Negative Affect. Three hierarchical regressions were conducted to test the three moderation
models hypothesized for this study. Specifically, vulnerable narcissism was entered as the predictor,
sensitivity to criticism, psychological inflexibility, and shame were entered as moderators, respectively,
and negative affect was designated as the outcome variable. The results of these moderation models are
presented in Table 17 for in SN. The interaction variables, vulnerable narcissism×sensitivity to criticism
and vulnerability×shame, were not significant. The interaction of vulnerable narcissism and
psychological inflexibility (b = 1.44, p < .01) was found to be predictive of negative affect. The
interaction accounted for an additional 3% of the variance in the experience of negative affect in failure-
provoking situations. To further explain these interaction term, simple slopes analysis was conducted to
depict predicted negative affect at high (one standard deviation above the mean) versus low (one
standard deviation below the mean) levels of vulnerable narcissism and high (one standard deviation
above the mean) versus low (one standard deviation below the mean) levels of psychological
inflexibility (see Figure 21). These results suggest that individuals’ negative affect was minimally
influenced by vulnerable narcissism at low levels of psychological inflexibility (b = .74, SE = .88, p =
.40) while individuals with higher levels of psychological inflexibility (b = 3.62, SE = .92, p < .001)
experienced significantly increased negative affect at high vulnerable narcissism.
THE MEDIATING ROLE OF SENSITIVITY TO CRITICISM 43
For SP, the results of these moderation models are presented in Table 18. The interaction
variables were not significant. These results suggest that individuals with vulnerable narcissism
experience high levels of negative affect in situations provoking success regardless of their level of
sensitivity to criticism, psychological inflexibility, and shame.
Discussion
Overall, the results from Study 2 demonstrated differential relations among traits, as examined
by individuals’ reactions to situational failure and success. Psychological inflexibility was found to
mediate the relations between vulnerable narcissism and negative affect in the moment when presented
with hypothetical failure and success. In this way, the fourth hypothesis was partially supported while
the fifth hypothesis was not supported. Regarding the alternative hypothesis, psychological inflexibility
exhibited a moderating effect on state anger and negative affect, when presented with failure-provoking
situations. In addition, shame exhibited a similarly moderating effect on state anger when presented with
failure-provoking and an enhancing effect on state anger in success-provoking situations
Taken together, it appears that each of these three variables have a unique impact on the relation
between vulnerable narcissism and domains of negative affect in both situations that are intended to
evoke failure or success. These findings suggest that individuals’ anger is influenced by these variables
regardless of whether they are receiving positive or negative evaluations. However, psychological
inflexibility demonstrated both mediating and moderating effects on this relation unlike the other two
variables. Of note, levels of state anger and situational negative affect were the most influenced,
suggesting that trait anger and anger expression are relatively stable. This is consistent with past
research where state aggression has been the most impacted by the presence of ego-threats.
THE MEDIATING ROLE OF SENSITIVITY TO CRITICISM 44
Final Discussion
Overall, this study sought to explore the established relation between vulnerable narcissism and
negative affect in greater depth. Although previous literature has demonstrated consistent links between
vulnerable narcissism and indirect aggression, the mechanisms involved in this process are largely
unknown. Various constructs have been hypothesized to play a role within this relation but further
examination is required. Therefore, this study sought to examine the role of three variables: sensitivity to
criticism, shame, and psychological inflexibility, in the relation between vulnerable narcissism and
domains of negative affect. Sensitivity to criticism has previously been implicated in the experience and
expression of vulnerable narcissism (Atlas & Them, 2008) with the majority of research on narcissism
and anger utilizing ego-threats, implying that feedback and the sensitivity to this feedback plays a
critical role in the association between vulnerable narcissism and negative affect. To a lesser extent,
shame has been found to be experience at higher rates by individuals with vulnerable narcissism
compared to those with grandiose narcissism. In research examining shame and vulnerable narcissism,
persistent shame has been demonstrated by individuals regardless of the feedback they receive,
suggesting that they have higher levels of this trait at baseline (Derry et al., 2019). Lastly, psychological
inflexibility was implicated within the relation between vulnerable narcissism and negative affect due to
their shared significant associations with neuroticism. However, examination of this role is relatively
sparse. As each of these variables have been implicated in the impact of vulnerable narcissism, mood,
and aggression, they were hypothesized to play a mediating role in this relation.
This study’s aims were two-fold. First, it sought to expand on previous research findings to
determine the role of sensitivity to criticism on the relation between vulnerable narcissism and domains
of anger, either as a mechanism through which this change in emotionality occurs or as a condition that
may exacerbate the effect of vulnerable narcissism on anger, in comparison to shame and psychological
inflexibility. Due to having greater empirical and conceptual support, sensitivity to criticism was
THE MEDIATING ROLE OF SENSITIVITY TO CRITICISM 45
hypothesized to have a stronger impact on this relation (either as a mediator or a moderator) compared
to shame and psychological inflexibility. The second part of this study sought to explore the differential
associations between these variables in the presence of ego-threats---vignettes intended to evoke feelings
of either success or failure, to examine the strength of these relations. Due to the addition of feedback,
sensitivity to criticism was hypothesized to have a stronger impact on this relation (either as a mediator
or a moderator) compared to psychological inflexibility and shame.
Correlational analyses exhibited hypothesized relations between sensitivity to criticism and
subtypes of narcissism. Individuals who endorsed traits of grandiose narcissism appeared to experience
less sensitivity to criticism compared to those with vulnerably narcissistic traits, regardless of the
absence or presence of ego-threats, either success- or failure-evoking. These differences in correlations
were found to be significant, thus providing support for the first hypothesis. Sensitivity to criticism
generally shared weaker associations with psychological inflexibility and shame compared to those
between psychological inflexibility and shame.
Of the hypothesized relations, sensitivity to criticism demonstrated a conditional effect on the
relation between vulnerable narcissism and in-the-moment negative affect at the trait level. These
relations were not replicated in the presence of either a failure-evoking or success-evoking ego-threat.
These findings suggest that sensitivity to criticism has a limited effect on domains of anger in the
presence of ego-threats when compared to psychological inflexibility and shame. Although this is
contrary to the hypotheses, the moderating effect of sensitivity to criticism on situational negative affect
suggests that it may play a role within this relation that was not fully captured within the present study.
Given that sensitivity to criticism demonstrated trait-level mediating effects in the supplemental simple
mediations conducted, future research may benefit from investigating this association further. In
particular, the rejection literature has identified rejection anticipation as a factor in the experience of
rejection, either as a means of reducing the impact of the expected rejection or as a way of experiencing
THE MEDIATING ROLE OF SENSITIVITY TO CRITICISM 46
rejection regardless of the specific situation. Therefore, it may be illuminating to assess levels of
rejection anticipation and sensitivity to criticism both in the presence and in the absence of ego-threats.
This addition would allow for a better understanding of the attitude with which individuals approach
situations which could impact their reactions and provide a more nuanced measurement of sensitivity to
criticism. In addition, it is unclear if the utilized vignettes provoked the intended feelings of failure or
success. Hence, future research may benefit from evoking these feelings using ecological means rather
than through imaginal feedback. This could be through the inclusion of an opportunity to aggress on an
evaluator as previous studies have done. Indeed, it is unclear if individuals were internally experiencing
negativity that they were not reporting on the self-report measures. Utilization of a performance-based
measure could have better measured this across various feedback conditions. Through such means,
sensitivity to criticism’s role in the relation between vulnerable narcissism and other variables could be
better clarified.
Regardless of the ego-threat condition, psychological inflexibility consistently influenced the
association between vulnerable narcissism and domains of anger, both as a mediator and a moderator. At
the trait level, psychological inflexibility emerged as the consistent mediator of the relation between
vulnerable narcissism and state anger as well as in-the-moment negative affect. This effect was
replicated in the positive ego-threat condition where individuals were exposed to success-evoking
vignettes on the domain of in-the-moment negative affect. As a moderator, psychological inflexibility
exacerbated the effect of vulnerable narcissism on both state and trait anger at the trait level. This
moderating effect was replicated in the negative ego-threat condition on the relation between vulnerable
narcissism and state anger as well as in-the-moment negative affect when exposed to failure-evoking
vignettes. Therefore, psychological inflexibility demonstrated both moderating and mediating effect at
the trait level, and in negative and positive feedback conditions. Similar to the effects demonstrated by
sensitivity to criticism, situational domains of anger were the most impacted by psychological
THE MEDIATING ROLE OF SENSITIVITY TO CRITICISM 47
inflexibility regardless of the ego-threat condition, suggesting that trait anger and anger expression are
less impacted by these variables due to their stable nature.
The psychological inflexibility model, the inverse of which is utilized by Acceptance and
Commitment Therapy (ACT; Hayes et al., 1999), consists of six processes: (a) Conceptualized Past, (b)
Fusion, (c) Experiential Avoidance, (d) Self-As-Content, (e) Lack of Values Clarity, and (f)
Inaction/Impulsivity. The purpose, therefore, is to assist individuals connect to the present moment and
live according to their values while being able to separate from their thoughts and feelings to take
effective action and live a meaningful life. Individuals high in psychological inflexibility tend to have
difficulties detaching from their thinking patterns and emotions resulting in avoidance of the present
moment as it is too distressing which leads to ineffective action. Given this, individuals with higher
levels of inflexible thinking experience higher levels of anger or aggressive behaviors as anger is a
manifestation of a fusion with certain thoughts and behaviors despite their lack of effectiveness in
problem-solving (Eifert & Forsyth, 2011). Therefore, the present study’s results are both conceptually
and empirically consistent with the literature (Berkout et al., 2019). However, much of the research on
psychological inflexibility has been conducted using the AAQ-II (Bond et al., 2011) which has been
criticized for representing fusion and experiential avoidance but not the other facets of psychological
inflexibility (Francis et al., 2016). Although the represented facets can be argued as being relevant to the
construct of anger, future research may benefit from replicating this relation using other measures of
psychological inflexibility.
This study sought to examine the role of sensitivity to criticism through comparing it to those
demonstrated by psychological inflexibility and shame. The implication within such a comparison is that
the constructs of interest operate on the same level. As psychological inflexibility consists of six core
processes, it can be argued that it is representative of a higher-order construct compared to shame and
sensitivity to criticism which represent lower-order constructs and do not consist of other processes.
THE MEDIATING ROLE OF SENSITIVITY TO CRITICISM 48
Indeed, shame and sensitivity to criticism may be captured by certain processes of psychological
inflexibility, such as experiential avoidance, fusion, or lack of values clarity. Therefore, comparing these
constructs to each other may not be an accurate assessment of their roles. Although conclusions about
the variance shared between these variables cannot be made from the present study’s correlations alone,
the supplemental simple mediations demonstrated differential impacts on this relation between
vulnerable narcissism and domains of anger. In addition, psychological inflexibility may capture more
complex processes that cannot be compared to those captured by shame and sensitivity to criticism.
Therefore, future research may benefit from examining the comparison between the 6 individual
processes within psychological inflexibility, shame, and sensitivity to criticism to better parse out the
role of each of these lower order constructs on the relation between vulnerable narcissism and domains
of anger. This further supports the importance of including a measure of psychological inflexibility that
reliably assesses the various processes within this construct.
Clinical Implications
The present study provided valuable insights into the vulnerable narcissism subtype. As
examination of this narcissism subtype has been limited due to the emphasis on the grandiose narcissism
subtype, this investigation provides important considerations for both researchers and clinicians. As
noted earlier in this paper, NPD within the DSM-5 (APA, 2013) mainly consists of features of the
grandiose narcissism subtype thereby limiting both empirical and clinical understanding of the
narcissism construct as both research and therapy mainly rely on the NPD criteria. This subsequently
impacts the treatment of individuals who fall within the vulnerable narcissism subtype as they may be
misdiagnosed or may not respond to treatment that is generally effective for those with grandiose
narcissism. Therefore, the present study provides a greater understanding of the relations between
vulnerable narcissism and other constructs.
THE MEDIATING ROLE OF SENSITIVITY TO CRITICISM 49
Of note, the effect of psychological inflexibility on the relation between vulnerable narcissism
and domains of anger was the most significant across all conditions. Clinicians, therefore, may benefit
from a greater focus on cultivating flexibility through engaging in ACT (Hayes et al., 1999). This
therapeutic approach aids clients in clarifying values, challenging rigid thinking patterns, reducing
experiential avoidance, and increased acceptance. Developing such flexibility may be particularly useful
for individuals with vulnerable narcissism who perceive all feedback as a form of narcissistic injury
such that they may not be able to engage in treatment effectively otherwise.
In addition, sensitivity to criticism and shame demonstrated effects on the relation between
vulnerable narcissism and domains of anger. Given this, clinicians may also benefit from engaging in
open discourse about the perception of reflections made by the clinician as these may be perceived as a
narcissistic injury. In these ways, rifts in the therapeutic relationship may be prevented or addressed in a
more effective manner, resulting in an improved working alliance and progress towards therapeutic
goals.
Study Limitations and Future Directions
The present study is not without limitations. First, as the data were collected from an
undergraduate population, it is unclear the extent to which they may directly generalize to a clinical
sample. Therefore, it may be helpful to replicate this study methodology with a clinical sample to better
understand the relation between vulnerable narcissism and manifestations of anger. Secondly, this study
solely utilized self-report measures which may limit the validity and reliability of the findings
demonstrated (Ganellan, 2007), specifically for individuals with personality pathology. Such individuals
may have diminished self-awareness of maladaptive personality traits or be unwilling to endorse
negative traits due to social desirability. Therefore, future research may benefit from utilizing other
assessment measures, such as implicit measures to account for the possible differences between
individuals’ internal experiences and external presentations, or assessment methods, such as ecological
THE MEDIATING ROLE OF SENSITIVITY TO CRITICISM 50
momentary assessment (EMA). For example, the ego-threats may have been more effective using this
latter approach where participants receive real instead of imaginal feedback through the hypothetical
scenarios described in the vignettes. This alternative approach may have evoked stronger feelings as the
participants may have experienced it as being closer to a ‘narcissistic injury’. In addition, the ego-threats
utilized in the present study were intended to provoke feelings of success or failure. However, it is
unclear if these were provoked. Future research may benefit from examining the specific feelings
experienced by participants upon reading the presented vignette.
Lastly, this study was cross-sectional in design. As a result, conclusions around causality cannot
be inferred. However, the larger coefficients between vulnerable narcissism and the hypothesized
mediators compared to those between the hypothesized mediators and the domains of anger suggest that
further examination of this model would be relevant for understanding the relation between narcissism
and other constructs. Future research may benefit from using a longitudinal design to better understand
the relation between vulnerable narcissism and anger in the presence of sensitivity to criticism and other
constructs. Indeed, such a design may also account for any changes in maturity that may affect
individuals’ reactions to criticism or being judged that may account for some of the outcomes.
THE MEDIATING ROLE OF SENSITIVITY TO CRITICISM 51
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Table 1
Supplemental Mediation Analyses for Study 1
Predictor b SE P 95% CIs for indirect effect
Lower Upper Mediator 1: Sensitivity to Criticism VN-State Anger (a path) 12.24 2.00 .000 SCS-State Anger (b path) -.00 .02 .802 Total effect VN-State Anger (c path) 1.73 .47 .000 Direct effect VN-State Anger (c1 path) 1.78 .51 .000 Indirect effect (ab path) -.05 .820 -.43 .33 Mediator 2: Psychological Inflexibility VN-State Anger (a path) 7.57 .60 .000 PI-State Anger (b path) .10 .05 .066 Total effect VN-State Anger (c path) 1.73 .47 .000 Direct effect VN-State Anger (c1 path) 1.01 .61 .099 Indirect effect (ab path) .72 .060 -.03 1.51 Mediator 3: Shame VN-State Anger (a path) 12.73 2.31 .000 Shame-State Anger (b path) .01 .03 .862 Total effect VN-State Anger (c path) 1.73 .47 .000 Direct effect VN-State Anger (c1 path) 1.67 .61 .007 Indirect effect (ab path) .07 .836 -.69 .84 Mediator 1: Sensitivity to Criticism VN-Trait Anger (a path) 12.24 2.00 .000 SCS- Trait Anger (b path) .01 .01 .368 Total effect VN- Trait Anger (c path) 3.57 .36 .000 Direct effect VN- Trait Anger (c1 path) 3.45 .38 .000 Indirect effect (ab path) .13 .360 -.15 .42 Mediator 2: Psychological Inflexibility VN-Trait Anger (a path) 7.57 .60 .000 PI-Trait Anger (b path) .03 .04 .505 Total effect VN-Trait Anger (c path) 3.57 .36 .000 Direct effect VN-Trait Anger (c1 path) 3.38 .46 .000 Indirect effect (ab path) .20 .500 -.38 .78 Mediator 3: Shame VN-Trait Anger (a path) 12.73 1.01 .000 Shame-Trait Anger (b path) -.00 .02 .970 Total effect VN-Trait Anger (c path) 3.57 .36 .000 Direct effect VN-Trait Anger (c1 path) 3.59 .46 .000 Indirect effect (ab path) -.01 .980 -.58 .55
THE MEDIATING ROLE OF SENSITIVITY TO CRITICISM 64
Predictor b SE P 95% CIs for indirect effect
Lower Upper Mediator 1: Sensitivity to Criticism VN-Anger Exp (a path) 12.24 2.00 .000 SCS-Anger Exp (b path) .03 .03 .319 Total effect VN-Anger Exp (c path) 8.21 .80 .000 Direct effect VN-Anger (c1 path) 7.88 .86 .000 Indirect effect (ab path) .32 .330 -.32 .99 Mediator 2: Psychological Inflexibility VN-Anger Exp (a path) 7.57 .60 .000 PI-Anger Exp (b path) .21 .09 .016 Total effect VN-Anger Exp (c path) 8.21 .80 .000 Direct effect VN-Anger Exp (c1 path) 6.59 1.03 .000 Indirect effect (ab path) 1.62 .015 .35 2.95 Mediator 3: Shame VN-Anger Exp (a path) 12.73 1.01 .000 Shame-Anger Exp (b path) .07 .05 .157 Total effect VN-Anger Exp (c path) 8.21 .80 .000 Direct effect VN-Anger Exp (c1 path) 7.27 1.04 .000 Indirect effect (ab path) .94 .170 -.36 2.25 Mediator 1: Sensitivity to Criticism VN-Negative Affect (a path) 12.24 2.00 .000 SCS-Negative Affect (b path) .04 .02 .012 Total effect VN-Negative Affect (c path) 4.85 .49 .000 Direct effect VN-Negative Affect (c1 path) 4.35 .52 .000 Indirect effect (ab path) .49 .010 .10 .95 Mediator 2: Psychological Inflexibility VN-Negative Affect (a path) 7.57 .60 .000 PI-Negative Affect (b path) .46 .05 .000 Total effect VN-Negative Affect (c path) 4.85 .49 .000 Direct effect VN-Negative Affect (c1 path) 1.40 .54 .010 Indirect effect (ab path) 3.44 .000 2.65 4.36 Mediator 3: Shame VN-Negative Affect (a path) 12.73 1.01 .000 Shame-Negative Affect (b path) .23 .03 .000 Total effect VN-Negative Affect (c path) 4.85 .49 .000 Direct effect VN-Negative Affect (c1 path) 1.94 .56 .001 Indirect effect (ab path) 2.90 .000 2.11 3.78
THE MEDIATING ROLE OF SENSITIVITY TO CRITICISM 65
Table 2
Supplemental Mediation Analyses for Study 2 (SN )
Predictor b SE P 95% CIs for indirect effect
Lower Upper Mediator 1: Sensitivity to Criticism VN-State Anger (a path) 15.71 2.29 .000 SCS-State Anger (b path) -.01 .02 .563 Total effect VN-State Anger (c path) 3.75 .62 .000 Direct effect VN-State Anger (c1 path) 3.93 .69 .000 Indirect effect (ab path) -.18 .560 -.79 .40 Mediator 2: Psychological Inflexibility VN-State Anger (a path) 8.63 .61 .000 PI-State Anger (b path) .10 .07 .150 Total effect VN-State Anger (c path) 3.75 .62 .000 Direct effect VN-State Anger (c1 path) 2.85 .88 .001 Indirect effect (ab path) .90 .148 -.32 2.17 Mediator 3: Shame VN-State Anger (a path) 12.26 1.21 .000 Shame-State Anger (b path) .06 .04 .212 Total effect VN-State Anger (c path) 3.75 .62 .000 Direct effect VN-State Anger (c1 path) 3.19 .76 .000 Indirect effect (ab path) .56 .220 -.32 1.46 Mediator 1: Sensitivity to Criticism VN-Trait Anger (a path) 15.71 2.29 .000 SCS- Trait Anger (b path) -.001 .01 .639 Total effect VN- Trait Anger (c path) 2.47 .36 .000 Direct effect VN- Trait Anger (c1 path) 2.56 .41 .000 Indirect effect (ab path) -.08 .640 -.45 .27 Mediator 2: Psychological Inflexibility VN-Trait Anger (a path) 8.63 .61 .000 PI-Trait Anger (b path) -.05 .04 .230 Total effect VN-Trait Anger (c path) 2.47 .36 .000 Direct effect VN-Trait Anger (c1 path) 2.91 .52 .000 Indirect effect (ab path) -.44 .230 -1.17 .29 Mediator 3: Shame VN-Trait Anger (a path) 12.26 1.21 .000 Shame-Trait Anger (b path) -.03 .02 .198 Total effect VN-Trait Anger (c path) 2.47 .36 .000 Direct effect VN-Trait Anger (c1 path) 2.81 .45 .000 Indirect effect (ab path) -.34 .190 -.89 .17
THE MEDIATING ROLE OF SENSITIVITY TO CRITICISM 66
Predictor b SE P 95% CIs for indirect effect
Lower Upper Mediator 1: Sensitivity to Criticism VN-Anger Exp (a path) 15.71 2.29 .000 SCS-Anger Exp (b path) -.04 .03 .220 Total effect VN-Anger Exp (c path) 5.73 .93 .000 Direct effect VN-Anger (c1 path) 6.30 1.03 .000 Indirect effect (ab path) -.56 .230 -1.54 .34 Mediator 2: Psychological Inflexibility VN-Anger Exp (a path) 8.63 .61 .000 PI-Anger Exp (b path) .09 .11 .407 Total effect VN-Anger Exp (c path) 5.73 .93 .000 Direct effect VN-Anger Exp (c1 path) 4.95 1.32 .000 Indirect effect (ab path) .78 .422 -1.07 2.65 Mediator 3: Shame VN-Anger Exp (a path) 12.26 1.21 .000 Shame-Anger Exp (b path) -.02 .06 .680 Total effect VN-Anger Exp (c path) 5.73 .93 .000 Direct effect VN-Anger Exp (c1 path) 6.01 1.15 .000 Indirect effect (ab path) -.27 .690 -1.60 1.08 Mediator 1: Sensitivity to Criticism VN-Negative Affect (a path) 15.71 2.29 .000 SCS-Negative Affect (b path) .02 .02 .213 Total effect VN-Negative Affect (c path) 4.76 .64 .000 Direct effect VN-Negative Affect (c1 path) 4.37 .71 .000 Indirect effect (ab path) .39 .190 -.21 1.06 Mediator 2: Psychological Inflexibility VN-Negative Affect (a path) 8.63 .61 .000 PI-Negative Affect (b path) .28 .07 .000 Total effect VN-Negative Affect (c path) 4.76 .64 .000 Direct effect VN-Negative Affect (c1 path) 2.35 .87 .008 Indirect effect (ab path) 2.41 .000 1.18 3.76 Mediator 3: Shame VN-Negative Affect (a path) 12.26 1.21 .000 Shame-Negative Affect (b path) .14 .04 .000 Total effect VN-Negative Affect (c path) 4.76 .64 .000 Direct effect VN-Negative Affect (c1 path) 3.09 .76 .000 Indirect effect (ab path) 1.67 .000 .75 2.68
THE MEDIATING ROLE OF SENSITIVITY TO CRITICISM 67
Table 3
Supplemental Mediation Analyses for Study 2 (SP )
Predictor b SE P 95% CIs for indirect effect
Lower Upper Mediator 1: Sensitivity to Criticism VN-State Anger (a path) 12.70 2.47 .000 SCS-State Anger (b path) .00 .02 .980 Total effect VN-State Anger (c path) 3.75 .62 .000 Direct effect VN-State Anger (c1 path) 3.47 .55 .000 Indirect effect (ab path) .00 .990 -.43 .43 Mediator 2: Psychological Inflexibility VN-State Anger (a path) 5.79 .74 .000 PI-State Anger (b path) -.04 .06 .538 Total effect VN-State Anger (c path) 3.47 .55 .000 Direct effect VN-State Anger (c1 path) 3.67 .64 .000 Indirect effect (ab path) -.20 .540 -.28 .13 Mediator 3: Shame VN-State Anger (a path) 12.27 1.40 .000 Shame-State Anger (b path) .02 .03 .416 Total effect VN-State Anger (c path) 3.47 .55 .000 Direct effect VN-State Anger (c1 path) 3.17 .66 .000 Indirect effect (ab path) .30 .420 -.42 1.06 Mediator 1: Sensitivity to Criticism VN-Trait Anger (a path) 12.70 2.47 .000 SCS- Trait Anger (b path) .01 .01 .286 Total effect VN- Trait Anger (c path) 2.48 .37 .000 Direct effect VN- Trait Anger (c1 path) 2.32 .40 .000 Indirect effect (ab path) .16 .290 -.13 .49 Mediator 2: Psychological Inflexibility VN-Trait Anger (a path) 5.79 .74 .000 PI-Trait Anger (b path) .01 .04 .758 Total effect VN-Trait Anger (c path) 2.48 .37 .000 Direct effect VN-Trait Anger (c1 path) 2.41 .44 .000 Indirect effect (ab path) .07 .760 -.37 .52 Mediator 3: Shame VN-Trait Anger (a path) 12.27 1.40 .000 Shame-Trait Anger (b path) .02 .02 .312 Total effect VN-Trait Anger (c path) 2.48 .37 .000 Direct effect VN-Trait Anger (c1 path) 2.22 .45 .000 Indirect effect (ab path) .26 .310 -.24 .78
THE MEDIATING ROLE OF SENSITIVITY TO CRITICISM 68
Predictor b SE P 95% CIs for indirect effect
Lower Upper Mediator 1: Sensitivity to Criticism VN-Anger Exp (a path) 12.70 2.47 .000 SCS-Anger Exp (b path) .03 .03 .364 Total effect VN-Anger Exp (c path) 5.85 1.02 .000 Direct effect VN-Anger (c1 path) 5.48 1.09 .000 Indirect effect (ab path) .36 .370 -.43 1.23 Mediator 2: Psychological Inflexibility VN-Anger Exp (a path) 5.79 .74 .000 PI-Anger Exp (b path) .16 .10 .124 Total effect VN-Anger Exp (c path) 5.85 1.02 .000 Direct effect VN-Anger Exp (c1 path) 4.91 1.18 .000 Indirect effect (ab path) .94 .123 -.24 2.23 Mediator 3: Shame VN-Anger Exp (a path) 12.27 1.40 .000 Shame-Anger Exp (b path) .04 .06 .527 Total effect VN-Anger Exp (c path) 5.85 1.02 .000 Direct effect VN-Anger Exp (c1 path) 5.41 1.23 .000 Indirect effect (ab path) .43 .540 -.93 1.80 Mediator 1: Sensitivity to Criticism VN-Negative Affect (a path) 12.70 2.47 .000 SCS-Negative Affect (b path) .03 .02 .095 Total effect VN-Negative Affect (c path) 3.46 .64 .000 Direct effect VN-Negative Affect (c1 path) 3.05 .68 .000 Indirect effect (ab path) .42 .085 -.05 .98 Mediator 2: Psychological Inflexibility VN-Negative Affect (a path) 5.79 .74 .000 PI-Negative Affect (b path) .21 .06 .001 Total effect VN-Negative Affect (c path) 3.46 .63 .000 Direct effect VN-Negative Affect (c1 path) 2.26 .72 .002 Indirect effect (ab path) 1.20 .001 .47 2.02 Mediator 3: Shame VN-Negative Affect (a path) 12.27 1.40 .000 Shame-Negative Affect (b path) .10 .03 .004 Total effect VN-Negative Affect (c path) 3.46 .63 .000 Direct effect VN-Negative Affect (c1 path) 2.23 .75 .003 Indirect effect (ab path) 1.23 .003 .41 2.10
THE MEDIATING ROLE OF SENSITIVITY TO CRITICISM 69
Table 4
Correlations Between Variables–Study 1
Variable N 1 2 3 4 5 6 7 8
1. GN 234
2. VN 234 .64**
3. SCS 234 .18** .37**
4. Shame 234 .27** .64** .55**
5. PI 234 .35** .64** .41** .75**
6. Trait Anger 234 .34** .55** .25** .35** .38**
7. State Anger 234 .11 .24** .07 .16* .24** .25**
8. Anger Exp 234 .18** .56** .26** .42** .46** .68** .24**
9. Negative Affect 234 .24** .37** .33** .65** .70** .39** .21** .47**
Note. GN = grandiose narcissism; VN = vulnerable narcissism; SCS = sensitivity to criticism; PI =
psychological inflexibility; Anger Exp = anger expression.
*p < .05; **p < .01.
THE MEDIATING ROLE OF SENSITIVITY TO CRITICISM 70
Table 5
Summary of Moderator Models in the Relation Between Vulnerable Narcissism and State Anger–Study 1
Predictor b SE p ΔR2 Moderator 1: Sensitivity to Criticism Step 1 .055* Vulnerable Narcissism 1.61 .46 .001 Sensitivity to Criticism -.12 .46 .802 Step 2 .003 Vulnerable Narcissism 1.65 .46 .000 Sensitivity to Criticism -.16 .46 .735 Vulnerable Narcissism*Sensitivity to Criticism -.37 .43 .396
Moderator 2: Psychological Inflexibility Step 1 .069*** Vulnerable Narcissism .91 .55 .099 Psychological Inflexibility 1.02 .55 .066 Step 2 .017** Vulnerable Narcissism .81 .55 .140 Psychological Inflexibility 1.03 .55 .062 Vulnerable Narcissism*Psychological Inflexibility .82 .40 .042 Moderator 3: Shame Step 1 .055*** Vulnerable Narcissism 1.50 .55 .007 Shame .10 .55 .862 Step 2 .009 Vulnerable Narcissism 1.43 .55 .010 Shame .11 .55 .847 Vulnerable Narcissism*Shame .61 .41 .133
Note. b = unstandardized regression coefficients; SE = standard error.
*p < .05, **p < .01 ***p < .001.
THE MEDIATING ROLE OF SENSITIVITY TO CRITICISM 71
Table 6
Summary of Moderator Models in the Relation Between Vulnerable Narcissism and Trait Anger–Study 1
Predictor B SE p ΔR2 Moderator 1: Sensitivity to Criticism Step 1 .306*** Vulnerable Narcissism 3.11 .35 .001 Sensitivity to Criticism .31 .35 .368 Step 2 .000 Vulnerable Narcissism 3.12 .35 .001 Sensitivity to Criticism .30 .35 .383 Vulnerable Narcissism*Sensitivity to Criticism -.06 .33 .847
Moderator 2: Psychological Inflexibility Step 1 .305*** Vulnerable Narcissism 3.05 .42 .001 Psychological Inflexibility .28 .42 .505 Step 2 .021** Vulnerable Narcissism 2.95 .41 .001 Psychological Inflexibility .29 .41 .485 Vulnerable Narcissism*Psychological Inflexibility .81 .30 .008 Moderator 3: Shame Step 1 .304*** Vulnerable Narcissism 3.24 .42 .001 Shame -.02 .42 .097 Step 2 .001 Vulnerable Narcissism 3.19 .42 .001 Shame -.01 .42 .983 Vulnerable Narcissism*Shame .41 .31 .178
Note. b = unstandardized regression coefficients; SE = standard error.
*p < .05, **p < .01 ***p < .001.
.
THE MEDIATING ROLE OF SENSITIVITY TO CRITICISM 72
Table 7
Summary of Moderator Models in the Relation Between Vulnerable Narcissism and Anger Expression–Study 1
Predictor b SE p ΔR2 Moderator 1: Sensitivity to Criticism Step 1 .314*** Vulnerable Narcissism 7.12 .78 .001 Sensitivity to Criticism .78 .78 .319 Step 2 .011 Vulnerable Narcissism 7.26 .78 .001 Sensitivity to Criticism .62 .78 .427 Vulnerable Narcissism*Sensitivity to Criticism -1.41 .73 .056
Moderator 2: Psychological Inflexibility Step 1 .328*** Vulnerable Narcissism 5.95 .93 .001 Psychological Inflexibility 2.28 .93 .016 Step 2 .000 Vulnerable Narcissism 5.93 .94 .001 Psychological Inflexibility 2.28 .94 .016 Vulnerable Narcissism*Psychological Inflexibility .17 .69 .810 Moderator 3: Shame Step 1 .317*** Vulnerable Narcissism 6.56 .94 .001 Shame 1.33 .94 .157 Step 2 .002 Vulnerable Narcissism 6.64 .94 .001 Shame 1.32 .94 .160 Vulnerable Narcissism*Shame -.63 .69 .362
Note. b = unstandardized regression coefficients; SE = standard error.
*p < .05, **p < .01 ***p < .001.
THE MEDIATING ROLE OF SENSITIVITY TO CRITICISM 73
Table 8
Summary of Moderator Models in the Relation Between Vulnerable Narcissism and Negative Affect–Study 1
Predictor b SE p ΔR2 Moderator 1: Sensitivity to Criticism Step 1 .314*** Vulnerable Narcissism 3.93 .46 .001 Sensitivity to Criticism 1.19 .46 .012 Step 2 .016* Vulnerable Narcissism 4.03 .47 .001 Sensitivity to Criticism 1.08 .47 .023 Vulnerable Narcissism*Sensitivity to Criticism -1.03 .44 .021
Moderator 2: Psychological Inflexibility Step 1 .509*** Vulnerable Narcissism 1.27 .48 .010 Psychological Inflexibility 4.85 .48 .001 Step 2 .002 Vulnerable Narcissism 1.31 .49 .008 Psychological Inflexibility 4.85 .48 .001 Vulnerable Narcissism*Psychological Inflexibility -.34 .36 .339 Moderator 3: Shame Step 1 .450*** Vulnerable Narcissism 1.75 .51 .001 Shame 4.12 .51 .001 Step 2 .001 Vulnerable Narcissism 1.78 .51 .001 Shame 4.11 .51 .001 Vulnerable Narcissism*Shame -.27 .38 .478
Note. b = unstandardized regression coefficients; SE = standard error.
*p < .05, **p < .01 ***p < .001.
THE MEDIATING ROLE OF SENSITIVITY TO CRITICISM 74
Table 9
Correlations Between Variables–Study 2 (SN)
Variable N 1 2 3 4 5 6 7 8
1. GN 194
2. VN 194 .62**
3. SCS 194 .18** .44**
4. Shame 194 .28** .59** .48**
5. PI 194 .35** .71** .50** .74**
6. Trait Anger 194 .36** .44** .17** .19** .26**
7. State Anger 194 .27** .40** .15* .30** .35** .39**
8. Anger Exp 194 .22** .41** .11 .22** .33** .55** .39**
9. Negative Affect 194 .23** .48** .28** .47** .51** .35** .64** .37**
Note. GN = grandiose narcissism; VN = vulnerable narcissism; SCS = sensitivity to criticism; PI =
psychological inflexibility; Anger Exp = anger expression.
*p < .05; **p < .01
THE MEDIATING ROLE OF SENSITIVITY TO CRITICISM 75
Table 10
Correlations between variables – Study 2 (SP)
Variable N 1 2 3 4 5 6 7 8
1. GN 172
2. VN 172 .72**
3. SCS 172 .15* .37**
4. Shame 172 .33** .56** .50**
5. PI 172 .31** .51** .38** .61**
6. Trait Anger 172 .32** .45** .24** .31** .25**
7. State Anger 172 .36** .44** .16* .29** .19** .30**
8. Anger Exp 172 .15* .40** .21** .26** .30** .59** .34**
9. Negative Affect 172 .23** .39** .25** .39** .39** .53** .46** .48**
Note. GN = grandiose narcissism; VN = vulnerable narcissism; SCS = sensitivity to criticism; PI =
psychological inflexibility; Anger Exp = anger expression.
*p < .05; **p < .01.
THE MEDIATING ROLE OF SENSITIVITY TO CRITICISM 76
Table 11
Summary of Moderator Models in the Relation Between Vulnerable Narcissism and State Anger–Study 2 (SN)
Predictor b SE p ΔR2 Moderator 1: Sensitivity to Criticism Step 1 .163*** Vulnerable Narcissism 3.47 .61 .001 Sensitivity to Criticism -.35 .61 .563 Step 2 .002 Vulnerable Narcissism 3.47 .61 .001 Sensitivity to Criticism -.35 .61 .567 Vulnerable Narcissism*Sensitivity to Criticism .33 .51 .521
Moderator 2: Psychological Inflexibility Step 1 .171*** Vulnerable Narcissism 2.52 .77 .001 Psychological Inflexibility 1.12 .77 .150 Step 2 .035** Vulnerable Narcissism 2.62 .76 .000 Psychological Inflexibility 1.04 .76 .172 Vulnerable Narcissism*Psychological Inflexibility 1.41 .49 .004 Moderator 3: Shame Step 1 .169*** Vulnerable Narcissism 2.82 .67 .001 Shame .84 .67 .212 Step 2 .022* Vulnerable Narcissism 2.68 .67 .001 Shame .96 .67 .150 Vulnerable Narcissism*Shame 1.06 .46 .023
Note. b = unstandardized regression coefficients; SE = standard error.
*p < .05, **p < .01 ***p < .001.
THE MEDIATING ROLE OF SENSITIVITY TO CRITICISM 77
Table 12
Summary of Moderator Models in the Relation Between Vulnerable Narcissism and State Anger–Study 2 (SP)
Predictor b SE p ΔR2 Moderator 1: Sensitivity to Criticism Step 1 .191*** Vulnerable Narcissism 2.97 .51 .000 Sensitivity to Criticism .01 .51 .980 Step 2 .000 Vulnerable Narcissism 2.97 .51 .000 Sensitivity to Criticism .03 .51 .956 Vulnerable Narcissism*Sensitivity to Criticism .09 .44 .832
Moderator 2: Psychological Inflexibility Step 1 .193*** Vulnerable Narcissism 3.15 .55 .000 Psychological Inflexibility -.34 .55 .538 Step 2 .002 Vulnerable Narcissism 3.16 .55 .000 Psychological Inflexibility -.35 .55 .528 Vulnerable Narcissism*Psychological Inflexibility .25 .44 .568 Moderator 3: Shame Step 1 .194*** Vulnerable Narcissism 2.72 .57 .000 Shame .46 .57 .416 Step 2 .026* Vulnerable Narcissism 2.64 .56 .000 Shame .43 .56 .440 Vulnerable Narcissism*Shame .88 .37 .019
Note. b = unstandardized regression coefficients; SE = standard error.
*p < .05, **p < .01 ***p < .001.
THE MEDIATING ROLE OF SENSITIVITY TO CRITICISM 78
Table 13
Summary of Moderator Models in the Relation Between Vulnerable Narcissism and Trait Anger–Study 2 (SN)
Predictor b SE p ΔR2 Moderator 1: Sensitivity to Criticism Step 1 .195*** Vulnerable Narcissism 2.26 .36 .001 Sensitivity to Criticism -.17 .36 .639 Step 2 .003 Vulnerable Narcissism 2.25 .36 .001 Sensitivity to Criticism -.17 .36 .644 Vulnerable Narcissism*Sensitivity to Criticism .26 .30 .382
Moderator 2: Psychological Inflexibility Step 1 .200*** Vulnerable Narcissism 2.57 .46 .001 Psychological Inflexibility -.55 .46 .230 Step 2 .015 Vulnerable Narcissism 2.61 .45 .001 Psychological Inflexibility -.58 .45 .202 Vulnerable Narcissism*Psychological Inflexibility .56 .29 .056 Moderator 3: Shame Step 1 .201*** Vulnerable Narcissism 2.48 .40 .001 Shame -.51 .40 .198 Step 2 .006 Vulnerable Narcissism 2.44 .40 .001 Shame -.48 .40 .233 Vulnerable Narcissism*Shame .32 .28 .251
Note. b = unstandardized regression coefficients; SE = standard error.
*p < .05, **p < .01 ***p < .001.
THE MEDIATING ROLE OF SENSITIVITY TO CRITICISM 79
Table 14
Summary of Moderator Models in the Relation Between Vulnerable Narcissism and Trait Anger–Study 2 (SP)
Predictor b SE p ΔR2 Moderator 1: Sensitivity to Criticism Step 1 .211*** Vulnerable Narcissism 1.99 .34 .000 Sensitivity to Criticism .37 .34 .286 Step 2 .013 Vulnerable Narcissism 1.94 .34 .000 Sensitivity to Criticism .45 .34 .192 Vulnerable Narcissism*Sensitivity to Criticism .49 .29 .096
Moderator 2: Psychological Inflexibility Step 1 .207 Vulnerable Narcissism 2.06 .37 .000 Psychological Inflexibility .12 .37 .758 Step 2 .001 Vulnerable Narcissism 2.07 .37 .000 Psychological Inflexibility .11 .37 .766 Vulnerable Narcissism*Psychological Inflexibility .10 .30 .748 Moderator 3: Shame Step 1 .211*** Vulnerable Narcissism 1.91 .39 .000 Shame .39 .39 .312 Step 2 .003 Vulnerable Narcissism 1.92 .39 .000 Shame .40 .39 .304 Vulnerable Narcissism*Shame -.20 .26 .439
Note. b = unstandardized regression coefficients; SE = standard error.
*p < .05, **p < .01 ***p < .001.
.
THE MEDIATING ROLE OF SENSITIVITY TO CRITICISM 80
Table 15
Summary of Moderator Models in the Relation Between Vulnerable Narcissism and Anger Expression–Study 2 (SN)
Predictor b SE p ΔR2 Moderator 1: Sensitivity to Criticism Step 1 .173*** Vulnerable Narcissism 5.56 .91 .001 Sensitivity to Criticism -1.12 .91 .220 Step 2 .000 Vulnerable Narcissism 5.57 .91 .001 Sensitivity to Criticism -1.12 .91 .220 Vulnerable Narcissism*Sensitivity to Criticism -.26 .77 .641
Moderator 2: Psychological Inflexibility Step 1 .170*** Vulnerable Narcissism 4.38 1.16 .001 Psychological Inflexibility .97 1.16 .407 Step 2 .000 Vulnerable Narcissism 4.37 1.17 .000 Psychological Inflexibility .97 1.17 .408 Vulnerable Narcissism*Psychological Inflexibility -.02 .75 .978 Moderator 3: Shame Step 1 .167*** Vulnerable Narcissism 5.31 1.01 .001 Shame -.42 1.01 .680 Step 2 .001 Vulnerable Narcissism 5.36 1.02 .001 Shame -.47 1.02 .648 Vulnerable Narcissism*Shame -.40 .71 .573
Note. b = unstandardized regression coefficients; SE = standard error.
*p < .05, **p < .01 ***p < .001.
THE MEDIATING ROLE OF SENSITIVITY TO CRITICISM 81
Table 16
Summary of Moderator Models in the Relation Between Vulnerable Narcissism and Anger Expression–Study 2 (SP)
Predictor b SE p ΔR2 Moderator 1: Sensitivity to Criticism Step 1 .167*** Vulnerable Narcissism 4.70 .94 .000 Sensitivity to Criticism .85 .94 .364 Step 2 .001 Vulnerable Narcissism 4.67 .94 .000 Sensitivity to Criticism .92 .95 .333 Vulnerable Narcissism*Sensitivity to Criticism .40 .80 .618
Moderator 2: Psychological Inflexibility Step 1 .175*** Vulnerable Narcissism 4.21 1.01 .000 Psychological Inflexibility 1.56 1.01 .124 Step 2 .002 Vulnerable Narcissism 4.19 1.01 .000 Psychological Inflexibility 1.58 1.01 .120 Vulnerable Narcissism*Psychological Inflexibility -.55 .81 .494 Moderator 3: Shame Step 1 .165*** Vulnerable Narcissism 4.64 1.05 .000 Shame .67 1.05 .527 Step 2 .009 Vulnerable Narcissism 4.73 1.05 .000 Shame .70 1.05 .507 Vulnerable Narcissism*Shame -.95 .70 .175
Note. b = unstandardized regression coefficients; SE = standard error.
*p < .05, **p < .01 ***p < .001.
THE MEDIATING ROLE OF SENSITIVITY TO CRITICISM 82
Table 17
Summary of Moderator Models in the Relation Between Vulnerable Narcissism and Negative Affect–Study 2 (SN)
Predictor b SE p ΔR2 Moderator 1: Sensitivity to Criticism Step 1 .232*** Vulnerable Narcissism 3.86 .63 .001 Sensitivity to Criticism .78 .63 .213 Step 2 .002 Vulnerable Narcissism 3.85 .63 .001 Sensitivity to Criticism .79 .63 .212 Vulnerable Narcissism*Sensitivity to Criticism .34 .53 .517
Moderator 2: Psychological Inflexibility Step 1 .283*** Vulnerable Narcissism 2.08 .77 .008 Psychological Inflexibility 2.99 .77 .001 Step 2 .032** Vulnerable Narcissism 2.18 .76 .004 Psychological Inflexibility 2.91 .76 .000 Vulnerable Narcissism*Psychological Inflexibility 1.44 .49 .003 Moderator 3: Shame Step 1 .278*** Vulnerable Narcissism 2.73 .67 .001 Shame 2.50 .67 .000 Step 2 .012 Vulnerable Narcissism 2.62 .67 .000 Shame 2.60 .67 .000 Vulnerable Narcissism*Shame .85 .46 .069
Note. b = unstandardized regression coefficients; SE = standard error.
*p < .05, **p < .01 ***p < .001
THE MEDIATING ROLE OF SENSITIVITY TO CRITICISM 83
Table 18
Summary of Moderator Models in the Relation Between Vulnerable Narcissism and Negative Affect–Study 2 (SP)
Predictor b SE p ΔR2 Moderator 1: Sensitivity to Criticism Step 1 .164*** Vulnerable Narcissism 2.61 .58 .000 Sensitivity to Criticism .98 .58 .095 Step 2 .012 Vulnerable Narcissism 2.54 .58 .000 Sensitivity to Criticism 1.11 .58 .059 Vulnerable Narcissism*Sensitivity to Criticism .78 .49 .117
Moderator 2: Psychological Inflexibility Step 1 .200*** Vulnerable Narcissism 1.94 .62 .002 Psychological Inflexibility 2.01 .62 .001 Step 2 .001 Vulnerable Narcissism 1.95 .62 .002 Psychological Inflexibility 1.20 .62 .001 Vulnerable Narcissism*Psychological Inflexibility .23 .49 .647 Moderator 3: Shame Step 1 .192*** Vulnerable Narcissism 1.91 .64 .003 Shame 1.89 .64 .004 Step 2 .000 Vulnerable Narcissism 1.91 .64 .003 Shame 1.90 .64 .004 Vulnerable Narcissism*Shame -.07 .43 .876
Note. b = unstandardized regression coefficients; SE = standard error.
*p < .05, **p < .01 ***p < .001.
THE MEDIATING ROLE OF SENSITIVITY TO CRITICISM 84
Figure 1
Mediator Model Demonstrating the Hypothesized Relations Between Vulnerable Narcissism and
Negative Affect With Sensitivity to Criticism, Psychological Inflexibility, and Shame as Mediators
THE MEDIATING ROLE OF SENSITIVITY TO CRITICISM 85
Figure 2
Three Moderation Model Demonstrating the Hypothesized Alternative Relations Between Vulnerable
Narcissism and Negative Affect With Sensitivity to Criticism, Psychological Inflexibility, and Shame as
Moderators
THE MEDIATING ROLE OF SENSITIVITY TO CRITICISM 86
Figure 3
Standardized Coefficients for the Effect of Sensitivity to Criticism, Psychological Inflexibility, and
Shame on the Relation Between Vulnerable Narcissism and State Anger–Study 1
**p < .01, ***p < .001
THE MEDIATING ROLE OF SENSITIVITY TO CRITICISM 87
Figure 4
Standardized Coefficients for the Effect of Sensitivity to Criticism, Psychological Inflexibility, and
Shame on the Relation Between Vulnerable Narcissism and Trait Anger–Study 1
***p < .001
THE MEDIATING ROLE OF SENSITIVITY TO CRITICISM 88
Figure 5
Standardized Coefficients for the Effect of Sensitivity to Criticism, Psychological Inflexibility, and
Shame on the Relation Between Vulnerable Narcissism and Anger Expression–Study 1
***p < .001
THE MEDIATING ROLE OF SENSITIVITY TO CRITICISM 89
Figure 6
Standardized Coefficients for the Effect of Sensitivity to Criticism, Psychological Inflexibility, and
Shame on the Relation Between Vulnerable Narcissism and Negative Affect–Study 1
**p < .01, ***p < .001
THE MEDIATING ROLE OF SENSITIVITY TO CRITICISM 90
Figure 7
Interaction Effect of Vulnerable Narcissism and Psychological Inflexibility for Predicting State Anger–
Study 1
17
18
19
20
21
22
Low Vulnerable Narcissism(-1 SD)
High Vulnerable Narcissism(-1 SD)
Stat
e A
nger
LowPsychologicalInflexibility(-1 SD)HighPsychologicalInflexibility(-1 SD)
THE MEDIATING ROLE OF SENSITIVITY TO CRITICISM 91
Figure 8
Interaction Effect of Vulnerable Narcissism and Psychological Inflexibility for Predicting Trait Anger–Study 1
11
12
13
14
15
16
17
18
19
20
21
22
Low Vulnerable Narcissism(-1 SD)
High Vulnerable Narcissism(+1 SD)
Tra
it A
nger
LowPsychologicalInflexibility(-1 SD)
HighPsychologicalInflexibility(+1 SD)
THE MEDIATING ROLE OF SENSITIVITY TO CRITICISM 92
Figure 9
Interaction Effect of Vulnerable Narcissism and Psychological Inflexibility for Predicting Negative Affect–Study 1
16
17
18
19
20
21
22
23
24
25
26
27
28
Low Vulnerable Narcissism(-1 SD)
High Vulnerable Narcissism(+1 SD)
Neg
ativ
e A
ffec
t
LowSensitivityto Criticism(-1 SD)
HighSensitivityto Criticism(+1 SD)
THE MEDIATING ROLE OF SENSITIVITY TO CRITICISM 93
Figure 10
Standardized Coefficients for the Effect of Sensitivity to Criticism, Psychological Inflexibility, and
Shame on the Relation Between Vulnerable Narcissism and State Anger–Study 2 (SN)
***p < .001
THE MEDIATING ROLE OF SENSITIVITY TO CRITICISM 94
Figure 11
Standardized Coefficients for the Effect of Sensitivity to Criticism, Psychological Inflexibility, and
Shame on the Relation Between Vulnerable Narcissism and State Anger–Study 2 (SP)
**p < .01, ***p < .001
THE MEDIATING ROLE OF SENSITIVITY TO CRITICISM 95
Figure 12
Standardized Coefficients for the Effect of Sensitivity to Criticism, Psychological Inflexibility, and
Shame on the Relation Between Vulnerable Narcissism and Trait Anger–Study 2 (SN)
***p < .001
THE MEDIATING ROLE OF SENSITIVITY TO CRITICISM 96
Figure 13
Standardized Coefficients for the Effect of Sensitivity to Criticism, Psychological Inflexibility, and
Shame on the Relation Between Vulnerable Narcissism and Trait Anger–Study 2 (SP)
***p < .001
THE MEDIATING ROLE OF SENSITIVITY TO CRITICISM 97
Figure 14
Standardized Coefficients for the Effect of Sensitivity to Criticism, Psychological Inflexibility, and
Shame on the Relation Between Vulnerable Narcissism and Anger Expression–Study 2 (SN)
*p < .05, ***p < .001
THE MEDIATING ROLE OF SENSITIVITY TO CRITICISM 98
Figure 15
Standardized Coefficients for the Effect of Sensitivity to Criticism, Psychological Inflexibility, and
Shame on the Relation Between Vulnerable Narcissism and Anger Expression–Study 2 (SP)
***p < .001
THE MEDIATING ROLE OF SENSITIVITY TO CRITICISM 99
Figure 16
Standardized Coefficients for the Effect of Sensitivity to Criticism, Psychological Inflexibility, and
Shame on the Relation Between Vulnerable Narcissism and Negative Affect–Study 2 (SN)
**p < .01, ***p < .001
THE MEDIATING ROLE OF SENSITIVITY TO CRITICISM 100
Figure 17
Standardized Coefficients for the Effect of Sensitivity to Criticism, Psychological Inflexibility, and
Shame on the Relation Between Vulnerable Narcissism and Negative Affect–Study 2 (SP)
*p < .05, ***p < .001
THE MEDIATING ROLE OF SENSITIVITY TO CRITICISM 101
Figure 18
Interaction Effect of Vulnerable Narcissism and Psychological Inflexibility for Predicting State Anger–
Study 2 (SN)
15
16
17
18
19
20
21
22
23
24
25
Low Vulnerable Narcissism(-1 SD)
High Vulnerable Narcissism(+1 SD)
Stat
e A
nger
LowPsychologicalInflexibility(-1 SD)
HighPsychologicalInflexibility(+1 SD)
THE MEDIATING ROLE OF SENSITIVITY TO CRITICISM 102
Figure 19
Interaction Effect of Vulnerable Narcissism and Shame for Predicting State Anger–Study 2 (SN)
16
17
18
19
20
21
22
23
24
25
Low Vulnerable Narcissism(-1 SD)
High Vulnerable Narcissism(+1 SD)
Stat
e A
nger
Low Shame(-1 SD)
High Shame(+1 SD)
THE MEDIATING ROLE OF SENSITIVITY TO CRITICISM 103
Figure 20
Interaction Effect of Vulnerable Narcissism and Shame for Predicting State Anger–Study 2 (SP)
14
15
16
17
18
19
20
21
22
23
Low Vulnerable Narcissism(-1 SD)
High Vulnerable Narcissism(+1 SD)
Stat
e A
nger
Low Shame(-1 SD)
High Shame(+1 SD)
THE MEDIATING ROLE OF SENSITIVITY TO CRITICISM 104
Figure 21
Interaction Effect of Vulnerable Narcissism and Psychological Inflexibility for Predicting Negative
Affect–Study 2 (SN)
14
15
16
17
18
19
20
21
22
23
24
25
26
Low Vulnerable Narcissism(-1 SD)
High Vulnerable Narcissism(+1 SD)
Neg
ativ
e A
ffec
t LowPsychologicalInflexibility(-1 SD)
HighPsychologicalInflexibility(+1 SD)
THE MEDIATING ROLE OF SENSITIVITY TO CRITICISM 105
APPENDICES
THE MEDIATING ROLE OF SENSITIVITY TO CRITICISM 106
Appendix A: Internal Review Board Letter for Study 1 and Study 2
THE MEDIATING ROLE OF SENSITIVITY TO CRITICISM 107
THE MEDIATING ROLE OF SENSITIVITY TO CRITICISM 108
Appendix B: Pathological Narcissism Inventory
Instructions: Below you will find 52 descriptive statements. Please consider each one and indicate how well that statement describes you. There are no right or wrong answers. On the line beside the question, fill in only one answer. Simply indicate how well each statement describes you as a person on the following 6-point scale:
0 1 2 3 4 5 Not at all Moderately A little A little Moderately Very much Like me Unlike me Unlike me Like me Like me Like me
___ 1. I often fantasize about being admired and respected. ___ 2. My self-esteem fluctuates a lot. ___ 3. I sometimes feel ashamed about my expectations of others when they disappoint
me. ___ 4. I can usually talk my way out of anything. ___ 5. It’s hard for me to feel good about myself when I’m alone. ___ 6. I can make myself feel good by caring for others. ___ 7. I hate asking for help. ___ 8. When people don’t notice me, I start to feel bad about myself. ___ 9. I often hide my needs for fear that others will see me as needy and dependent. ___ 10. I can make anyone believe anything I want them to. ___ 11. I get mad when people don’t notice all that I do for them. ___ 12. I get annoyed by people who are not interested in what I say or do. ___ 13. I wouldn’t disclose all my intimate thoughts and feelings to someone I didn’t
admire. ___ 14. I often fantasize about having a huge impact on the world around me. ___ 15. I find it easy to manipulate people. ___ 16. When others don’t notice me, I start to feel worthless.
THE MEDIATING ROLE OF SENSITIVITY TO CRITICISM 109
0 1 2 3 4 5 Not at all Moderately A little A little Moderately Very much Like me Unlike me Unlike me Like me Like me Like me
___ 17. Sometimes I avoid people because I’m concerned that they’ll disappoint me. ___ 18. I typically get very angry when I’m unable to get what I want from others. ___ 19. I sometimes need important others in my life to reassure me of my self-worth. ___ 20. When I do things for other people, I expect them to do things for me. ___ 21. When others don’t meet my expectations, I often feel ashamed about what I
wanted. ___ 22. I feel important when others rely on me. ___ 23. I can read people like a book. ___ 24. When others disappoint me, I often get angry at myself. ___ 25. Sacrificing for others makes me the better person. ___ 26. I often fantasize about accomplishing things that are probably beyond my means. ___ 27. Sometimes I avoid people because I’m afraid they won’t do what I want them to
do. ___ 28. It’s hard to show others the weaknesses I feel inside. ___ 29. I get angry when criticized. ___ 30. It’s hard to feel good about myself unless I know other people admire me. ___ 31. I often fantasize about being rewarded for my efforts. ___ 32. I am preoccupied with thoughts and concerns that most people are not interested
in me. ___ 33. I like to have friends who rely on me because it makes me feel important. ___ 34. Sometimes I avoid people because I’m concerned they won’t acknowledge what
I do for them. ___ 35. Everybody likes to hear my stories.
THE MEDIATING ROLE OF SENSITIVITY TO CRITICISM 110
0 1 2 3 4 5 Not at all Moderately A little A little Moderately Very much Like me Unlike me Unlike me Like me Like me Like me
___ 36. It’s hard for me to feel good about myself unless I know other people like me. ___ 37. It irritates me when people don’t notice how good a person I am. ___ 38. I will never be satisfied until I get all that I deserve. ___ 39. I try to show what a good person I am through my sacrifices. ___ 40. I am disappointed when people don’t notice me. ___ 41. I often find myself envying others’ accomplishments. ___ 42. I often fantasize about performing heroic deeds. ___ 43. I help others in order to prove I’m a good person. ___ 44. It’s important to show people I can do it on my own even if I have some doubts
inside. ___ 45. I often fantasize about being recognized for my accomplishments. ___ 46. I can’t stand relying on other people because it makes me feel weak. ___ 47. When others don’t respond to me the way that I would like them to, it is hard for
me to still feel ok with myself. ___ 48. I need others to acknowledge me. ___ 49. I want to amount to something in the eyes of the world. ___ 50. When others get a glimpse of my needs, I feel anxious and ashamed. ___ 51. Sometimes it’s easier to be alone than to face not getting everything I want from
other people. ___ 52. I can get pretty angry when others disagree with me.
THE MEDIATING ROLE OF SENSITIVITY TO CRITICISM 111
Appendix C: Sensitivity to Criticism Scale
A FRIEND SAYS: 1. “Do you shower every day?” To what extent would you consider this a criticism?
1 2 3 4 5 6 7 definitely definitely NOT a a criticism criticism To what extent would this hurt you?
1 2 3 4 5 6 7 not at all a great deal A FRIEND SAYS: 2. “It’s really hard to keep one’s weight down, isn’t it”? To what extent would you consider this a criticism?
1 2 3 4 5 6 7 definitely definitely NOT a a criticism criticism To what extent would this hurt you?
1 2 3 4 5 6 7 not at all a great deal A FRIEND SAYS: 3. “You look like you didn’t get any sleep last night.” To what extent would you consider this a criticism?
1 2 3 4 5 6 7 definitely definitely NOT a a criticism criticism To what extent would this hurt you?
1 2 3 4 5 6 7 not at all a great deal A FRIEND SAYS: 4. “I can’t stand to be with you anymore.” To what extent would you consider this a criticism?
THE MEDIATING ROLE OF SENSITIVITY TO CRITICISM 112
1 2 3 4 5 6 7 definitely definitely NOT a a criticism criticism To what extent would this hurt you?
1 2 3 4 5 6 7 not at all a great deal A FRIEND SAYS: 5. “Are you sure that you want to wear that shirt?” To what extent would you consider this a criticism?
1 2 3 4 5 6 7 definitely definitely NOT a a criticism criticism To what extent would this hurt you?
1 2 3 4 5 6 7 not at all a great deal A FRIEND SAYS: 6. “Have you considered joining an athletic club?” To what extent would you consider this a criticism?
1 2 3 4 5 6 7 definitely definitely NOT a a criticism criticism To what extent would this hurt you?
1 2 3 4 5 6 7 not at all a great deal A FRIEND SAYS: 7. “You sure made a fool of yourself last night!” To what extent would you consider this a criticism?
1 2 3 4 5 6 7 definitely definitely NOT a a criticism criticism To what extent would this hurt you?
THE MEDIATING ROLE OF SENSITIVITY TO CRITICISM 113
1 2 3 4 5 6 7
not at all a great deal A FRIEND SAYS: 8. “That color sweater sure doesn’t suit you?” To what extent would you consider this a criticism?
1 2 3 4 5 6 7 definitely definitely NOT a a criticism criticism To what extent would this hurt you?
1 2 3 4 5 6 7 not at all a great deal A FRIEND SAYS: 9. “Did you know that there are tutors available for students?” To what extent would you consider this a criticism?
1 2 3 4 5 6 7 definitely definitely NOT a a criticism criticism To what extent would this hurt you?
1 2 3 4 5 6 7 not at all a great deal A FRIEND SAYS: 10. “Are you aware of how helpful cosmetic surgery can be?” To what extent would you consider this a criticism?
1 2 3 4 5 6 7 definitely definitely NOT a a criticism criticism To what extent would this hurt you?
1 2 3 4 5 6 7 not at all a great deal A FRIEND SAYS: 11. “Have you considered going on a diet?”
THE MEDIATING ROLE OF SENSITIVITY TO CRITICISM 114
To what extent would you consider this a criticism?
1 2 3 4 5 6 7 definitely definitely NOT a a criticism criticism To what extent would this hurt you?
1 2 3 4 5 6 7 not at all a great deal A FRIEND SAYS: 12. “Have you considered seeing a counselor?” To what extent would you consider this a criticism?
1 2 3 4 5 6 7 definitely definitely NOT a a criticism criticism To what extent would this hurt you?
1 2 3 4 5 6 7 not at all a great deal A FRIEND SAYS: 13. “Have you noticed that your friends tend to be losers?” To what extent would you consider this a criticism?
1 2 3 4 5 6 7 definitely definitely NOT a a criticism criticism To what extent would this hurt you?
1 2 3 4 5 6 7 not at all a great deal A FRIEND SAYS: 14. “Have you considered moving to another planet?” To what extent would you consider this a criticism?
1 2 3 4 5 6 7 definitely definitely NOT a a criticism criticism
THE MEDIATING ROLE OF SENSITIVITY TO CRITICISM 115
To what extent would this hurt you?
1 2 3 4 5 6 7 not at all a great deal A FRIEND SAYS: 15. “You’re really stupid.” To what extent would you consider this a criticism?
1 2 3 4 5 6 7 definitely definitely NOT a a criticism criticism To what extent would this hurt you?
1 2 3 4 5 6 7 not at all a great deal A FRIEND SAYS: 16. “Have you always been this way?” To what extent would you consider this a criticism?
1 2 3 4 5 6 7 definitely definitely NOT a a criticism criticism To what extent would this hurt you?
1 2 3 4 5 6 7 not at all a great deal A FRIEND SAYS: 17. “You’re a lot more fun after a couple of drinks.” To what extent would you consider this a criticism?
1 2 3 4 5 6 7 definitely definitely NOT a a criticism criticism To what extent would this hurt you?
1 2 3 4 5 6 7 not at all a great deal
THE MEDIATING ROLE OF SENSITIVITY TO CRITICISM 116
A FRIEND SAYS: 18. “You are a real jerk.” To what extent would you consider this a criticism?
1 2 3 4 5 6 7 definitely definitely NOT a a criticism criticism To what extent would this hurt you?
1 2 3 4 5 6 7 not at all a great deal A FRIEND SAYS: 19. “Your athletic ability leaves something to be desired.” To what extent would you consider this a criticism?
1 2 3 4 5 6 7 definitely definitely NOT a a criticism criticism To what extent would this hurt you?
1 2 3 4 5 6 7 not at all a great deal A FRIEND SAYS: 20. “Is that the way you wanted your hair to look?” To what extent would you consider this a criticism?
1 2 3 4 5 6 7 definitely definitely NOT a a criticism criticism To what extent would this hurt you?
1 2 3 4 5 6 7 not at all a great deal Now consider the following situations: 21. You are not invited to a party, given by a mutual friend, that all of your other friends have been invited to. To what extent would you consider this a criticism?
1 2 3 4 5 6 7
THE MEDIATING ROLE OF SENSITIVITY TO CRITICISM 117
definitely definitely NOT a a criticism criticism To what extent would this hurt you?
1 2 3 4 5 6 7 not at all a great deal 22. Your teammates suggest that you pass the ball as soon as you get it. To what extent would you consider this a criticism?
1 2 3 4 5 6 7 definitely definitely NOT a a criticism criticism To what extent would this hurt you?
1 2 3 4 5 6 7 not at all a great deal 23. Your professor suggests you try going to the “writing center” for extra help. To what extent would you consider this a criticism?
1 2 3 4 5 6 7 definitely definitely NOT a a criticism criticism To what extent would this hurt you?
1 2 3 4 5 6 7 not at all a great deal 24. Your gym teacher suggests you take an aerobics class. To what extent would you consider this a criticism?
1 2 3 4 5 6 7 definitely definitely NOT a a criticism criticism To what extent would this hurt you?
1 2 3 4 5 6 7 not at all a great deal
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25. An older sibling tells you you’re the stupid one in the family. To what extent would you consider this a criticism?
1 2 3 4 5 6 7 definitely definitely NOT a a criticism criticism To what extent would this hurt you?
1 2 3 4 5 6 7 not at all a great deal 26. Your coach tells you to increase your practice time. To what extent would you consider this a criticism?
1 2 3 4 5 6 7 definitely definitely NOT a a criticism criticism To what extent would this hurt you?
1 2 3 4 5 6 7 not at all a great deal 27. You’re a pre-med student and your Biology professor suggests you consider nursing. To what extent would you consider this a criticism?
1 2 3 4 5 6 7 definitely definitely NOT a a criticism criticism To what extent would this hurt you?
1 2 3 4 5 6 7 not at all a great deal 28. Your best friend chooses to go out with his/her new friends rather than see you. To what extent would you consider this a criticism?
1 2 3 4 5 6 7 definitely definitely NOT a a criticism criticism To what extent would this hurt you?
THE MEDIATING ROLE OF SENSITIVITY TO CRITICISM 119
1 2 3 4 5 6 7
not at all a great deal 29. Your boss tells you this may not be the right job for you. To what extent would you consider this a criticism?
1 2 3 4 5 6 7 definitely definitely NOT a a criticism criticism To what extent would this hurt you?
1 2 3 4 5 6 7 not at all a great deal 30. The friends who were picking you up for the party never showed up. To what extent would you consider this a criticism?
1 2 3 4 5 6 7 definitely definitely NOT a a criticism criticism To what extent would this hurt you?
1 2 3 4 5 6 7 not at all a great deal
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Appendix D: Experience of Shame Scale
Everybody at times can feel embarrassed, self-conscious or ashamed. These questions are about such feelings if they have occurred at any time to the past year. There are no ‘right’ or ‘wrong’ answers. Please indicate the response which applies to you with a tick.
not at all a little moderately very much
1. Have you felt ashamed of any of your personal habits?
( ) ( ) ( ) ( )
2. Have you worried about what other people think of any of your personal habits?
( ) ( ) ( ) ( )
3. Have you tried to cover up or conceal any of your personal habits?
( ) ( ) ( ) ( )
4. Have you felt ashamed of your manner with others.
( ) ( ) ( ) ( )
5. Have you worried about what other people think of your manner with others?
( ) ( ) ( ) ( )
6. Have you avoided people because of your manner?
( ) ( ) ( ) ( )
7. Have you felt ashamed of the sort of person you are?
( ) ( ) ( ) ( )
8. Have you worried about what other people think of the sort of person you are?
( ) ( ) ( ) ( )
9. Have you tried to conceal from others the sort of person you are?
( ) ( ) ( ) ( )
10. Have you felt ashamed of your ability to do things?
( ) ( ) ( ) ( )
11. Have you worried about what other people think of your ability to do things?
( ) ( ) ( ) ( )
12. Have you avoided people because of your inability to do things?
( ) ( ) ( ) ( )
13. Do you feel ashamed when you do something wrong?
( ) ( ) ( ) ( )
THE MEDIATING ROLE OF SENSITIVITY TO CRITICISM 121
14. Have you worried about what other people think of you when you do something wrong?
( ) ( ) ( ) ( )
15. Have you tried to cover up or conceal things you felt ashamed or having done?
( ) ( ) ( ) ( )
16. Have you felt ashamed when you said something stupid?
( ) ( ) ( ) ( )
17. Have you worried about what other people think of when you said something stupid?
( ) ( ) ( ) ( )
18. Have you avoided contact with anyone who knew you said something stupid?
( ) ( ) ( ) ( )
*19. Have you felt ashamed when you failed in a competitive situation?
( ) ( ) ( ) ( )
*20. Have you worried about what other people think of you when you failed in a competitive situation?
( ) ( ) ( ) ( )
21. Have you avoided people who have seen you fail?
( ) ( ) ( ) ( )
22. Have you felt ashamed of your body or any part of it?
( ) ( ) ( ) ( )
23. Have you worried about what other people think of your appearance?
( ) ( ) ( ) ( )
24. Have you avoided looking at yourself in the mirror?
( ) ( ) ( ) ( )
25. Have you wanted to hide or conceal your body or any part of it?
( ) ( ) ( ) ( )
Alternatives for populations where competition is not relevant:
19. Have you felt ashamed when you failed at something which was important to you?
20. Have you worried about what other people think of you when you fail?
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Appendix E: Acceptance and Action Questionnaire-II
Below you will find a list of statements. Please rate how true each statement is for you by using the scale below to fill in your choice.
1 2 3 4 5 6 7
never true very seldom true
seldom true
sometimes true
frequently true
almost always true
always true
1. My painful experiences and memories make it difficult for me to live a life that I would value.
2. I’m afraid of my feelings.
3. I worry about not being able to control my worries and feelings.
4. My painful memories prevent me from having a fulfilling life.
5. Emotions cause problems in my life.
6. It seems like most people are handling their lives better than I am.
7. Worries get in the way of my success.
TOTAL
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Appendix F: Positive and Negative Affect Schedule
PANAS Questionnaire This scale consists of a number of words that describe different feelings and emotions. Read each item and then list the number from the scale below next to each word. Indicate to what extent you feel this way right now, that is, at the present moment.
1 2 3 4 5 very slightly or
not at all a little moderately quite a bit extremely
_________ interested _________ irritable _________ distressed _________ alert _________ excited _________ ashamed _________ upset _________ inspired _________ strong _________ nervous _________ guilty _________ determined _________ scared _________ attentive _________ hostile _________ jittery _________ enthusiastic _________ active _________ proud _________ afraid
THE MEDIATING ROLE OF SENSITIVITY TO CRITICISM 124
Appendix G: State-Trait Anger Expression Inventory-2
Part 1 Directions A number of statements that people use to describe themselves are given below. Read each statement and then circle the number which indicates how you feel right now. There are no right or wrong answers. Do not spend too much time on any one statement. Mark the answer that best describes your present feelings.
Not at all 1
Somewhat 2
Moderately so 3
Very much so 4
How I Feel Right Now 1. I am furious ........................................................................................................... 1 2 3 4
2. I feel irritated ........................................................................................................ 1 2 3 4
3. I feel angry ............................................................................................................ 1 2 3 4
4. I feel like yelling at somebody .............................................................................. 1 2 3 4
5. I feel like breaking things ..................................................................................... 1 2 3 4
6. I am mad ............................................................................................................... 1 2 3 4
7. I feel like banging on the table ............................................................................. 1 2 3 4
8. I feel like hitting someone .................................................................................... 1 2 3 4
9. I feel like swearing................................................................................................ 1 2 3 4
10. I feel annoyed ....................................................................................................... 1 2 3 4
11. I feel like kicking somebody ................................................................................. 1 2 3 4
12. I feel like cursing out loud .................................................................................... 1 2 3 4
13. I feel like screaming.............................................................................................. 1 2 3 4
14. I feel like pounding somebody ............................................................................. 1 2 3 4
15. I feel like shouting out loud .................................................................................. 1 2 3 4
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Part 2 Directions Read each of the following statements that people have used to describe themselves, and then circle the appropriate number to indicate how you generally feel or react. There are no right or wrong answers. Do not spend too much time on any one statement. Circle the answer that best describes how you generally feel or react.
Almost never 1
Sometimes 2
Often 3
Almost always 4
How I Generally Feel 16. I am quick tempered ............................................................................................. 1 2 3 4
17. I have a fiery temper ............................................................................................. 1 2 3 4
18. I am a hotheaded person ....................................................................................... 1 2 3 4
19. I get angry when I’m slowed down by others’ mistakes ...................................... 1 2 3 4
20. I feel annoyed when I am not given recognition for doing good work ................. 1 2 3 4
21. I fly off the handle ................................................................................................ 1 2 3 4
22. When I get mad, I say nasty things ....................................................................... 1 2 3 4
23. It makes me furious when I am criticized in front of others ................................. 1 2 3 4
24. When I get frustrated, I feel like hitting someone ................................................ 1 2 3 4
25. I feel infuriated when I do a good job and get a poor evaluation ......................... 1 2 3 4
Part 3 Directions Everyone feels angry or furious from time to time, but people differ in the ways that they react when they are angry. A number of statements are listed below which people use to describe their reactions when they feel angry or furious. Read each statement and the circle the appropriate number to indicate how often you generally react or behave in the manner described when you are feeling angry or furious. There are no right or wrong answers. Do not spend too much time on any one statement.
Almost never 1
Sometimes 2
Often 3
Almost always 4
How I Generally React or Behave When Angry or Furious… 26. I control my temper .............................................................................................. 1 2 3 4
27. I express my anger ................................................................................................ 1 2 3 4
28. I take a deep breath and relax ............................................................................... 1 2 3 4
29. I keep things in ..................................................................................................... 1 2 3 4
30. I am patient with others ........................................................................................ 1 2 3 4
31. If someone annoys me, I’m apt to tell him or her how I feel ................................ 1 2 3 4
THE MEDIATING ROLE OF SENSITIVITY TO CRITICISM 126
32. I try to calm myself as soon as possible................................................................ 1 2 3 4
33. I pout or sulk ......................................................................................................... 1 2 3 4
34. I control my urge to express my angry feelings .................................................... 1 2 3 4
35. I lose my temper ................................................................................................... 1 2 3 4
36. I try to simmer down............................................................................................. 1 2 3 4
37. I withdraw from people ........................................................................................ 1 2 3 4
38. I keep my cool ...................................................................................................... 1 2 3 4
39. I make sarcastic remarks to others ........................................................................ 1 2 3 4
40. I try to soothe my angry feelings .......................................................................... 1 2 3 4
41. I boil inside, but I don’t show it ............................................................................ 1 2 3 4
42. I control my behavior............................................................................................ 1 2 3 4
43. I do things like slam doors .................................................................................... 1 2 3 4
44. I endeavor to become calm again ......................................................................... 1 2 3 4
45. I tend to harbor grudges that I don’t tell anyone about ......................................... 1 2 3 4
46. I can stop myself from loosing my temper ........................................................... 1 2 3 4
47. I argue with others ................................................................................................ 1 2 3 4
How I Generally React or Behave When Angry or Furious…
48. I reduce my anger as soon as possible .................................................................. 1 2 3 4
49. I am secretly quite critical of others...................................................................... 1 2 3 4
50. I try to be tolerant and understanding ................................................................... 1 2 3 4
51. I strike out at whatever infuriates me.................................................................... 1 2 3 4
52. I do something relaxing to calm down.................................................................. 1 2 3 4
53. I am angrier than I am willing to admit ................................................................ 1 2 3 4
54. I control my angry feelings ................................................................................... 1 2 3 4
55. I say nasty things .................................................................................................. 1 2 3 4
56. I try to relax .......................................................................................................... 1 2 3 4
57. I’m irritated a great deal more than people are aware of ...................................... 1 2 3 4
Almost never 1
Sometimes 2
Often 3
Almost always 4
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Appendix H: Vignettes
Failure Reactivity Vignettes
EVERYDAY FAILURES FOR A COLLEGE SAMPLE (REVISED)
Tortoriello and Hart (2018) Imagine that it is near the end of your first internship, and your company is holding evaluations for all of its interns. You've been working hard and believe that your boss will highly praise the quality of your work. To your dismay, your boss criticizes your work and gives you a below-average evaluation. Imagine that you are preparing to take your first exam in psychology. It is your favorite class, and you are hoping to pursue a career in psychology, so you expect to do well. You finally receive your grade and learn that you have performed poorly, scoring well below the class average. Imagine that you are giving a class presentation. You have prepared for weeks and feel confident that it will go well. In the middle of your presentation, you begin to stumble on your words and forget what to say. The rest of the presentation does not make much sense and is very hard to follow. You receive a “D” grade on your presentation. Imagine that you are running for president of a student organization. You have devoted much of your time to participating in this organization and consider it an integral part of your social identity. After much anticipation, the election results are finally announced. You lose by a landslide. Imagine that you are a musician, and you are booked to perform at a charity event. You are excited because this is your first official performance, and you are hoping to pursue music as a full-time career. When you see the crowd, you tense up and momentarily forget how to play your instrument. You flee the stage and do not return. You are replaced by another act. Imagine that it is your first semester at college, and you don’t know anyone. You are excited about the opportunity to make some lifelong friends. Despite trying hard, you are struggling mightily to make friends. No one seems interested in hanging out with you. You unhappily spend a lot of time alone in your dorm room.
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Success Reactivity Vignettes
Imagine that it is near the end of your first internship, and your company is holding evaluations for all of its interns. You've been working hard and believe that your boss will highly praise the quality of your work. To your pleasure, your boss praises your work and gives you an above-average evaluation. Imagine that you are preparing to take your first exam in psychology. It is your favorite class, and you are hoping to pursue a career in psychology, so you expect to do well. You finally receive your grade and learn that you have performed well, scoring well above the class average. Imagine that you are giving a class presentation. You have prepared for weeks and feel confident that it will go well. In the middle of your presentation, you begin to stumble on your words and forget what to say. The rest of the presentation does not make much sense and is very hard to follow. You receive an “A” grade on your presentation. Imagine that you are running for president of a student organization. You have devoted much of your time to participating in this organization and consider it an integral part of your social identity. After much anticipation, the election results are finally announced. You win by a landslide. Imagine that you are a musician, and you are booked to perform at a charity event. You are excited because this is your first official performance, and you are hoping to pursue music as a full-time career. When you see the crowd, you tense up and momentarily forget how to play your instrument. You remain on stage and receive a standing ovation. Imagine that it is your first semester at college, and you don’t know anyone. You are excited about the opportunity to make some lifelong friends. Despite trying hard, you are struggling mightily to make friends. You are able to make one friend. You spend a lot of time together in your dorm room.