Two dimensions of narcissism were related to psychophysiological
responses to stress in 50 young women. Cardiovascular,
electrodermal, task performance, and stress appraisal measures
were recorded during rest, mental arithmetic, and a computerized
Thematic Apperception Test (Murray, 1943). The Egocentricity
and Alienation scales of the Bell Object Relations and Reality
Testing Inventory (Bell, 1995) served as measures of overt/inflated
and covert/deflated narcissism. Egocentricity correlated
consistently with heightened preejection period reactivity,
whereas Alienation correlated consistently with diminished
electrodermal reactivity (all p < .05). Multivariate
analyses supported specific relationships between Egocentricity
and preejection period hyperreactivity, and between Alienation
and electrodermal hyporeactivity. These results have implications
for narcissism, cardiovascular disease risk, and a variety of
psychiatric disorders.