NARCISSISM, MACHIAVELLIANISM AND PSYCHOPATHY IN THE HEALTHCARE SECTOR

ABSTRACT

Introduction. The Dark Triad refers to a set of three socially undesirable but relatively stable personality traits: narcissism, Machiavellianism, and psychopathy. These traits are characterized by manipulativeness, emotional coldness, lack of empathy, a need for dominance, and self-interest orientation. Although they are most commonly studied in the general population and in psychopathology, increasing attention has been given to their presence among healthcare professionals due to their potential impact on professional relationships and the quality of healthcare delivery.

The aim of this paper was to show the importance, characteristics and presence of dimensions of the dark triad among health workers in the health sector. A review of the literature shows that pronounced narcissistic, Machiavellian, and psychopathic traits may be associated with reduced empathy, impaired teamwork, workplace conflicts, and counterproductive behavior. Studies conducted among physicians and nurses indicate a link between Dark Triad traits and more aggressive communication, emotional detachment, unethical behavior, and an increased risk of professional errors. Although certain characteristics, such as self-confidence and decisiveness, may have a functional role in specific situations, it is important to recognize the potentially negative impact of dark personality traits on the work environment and patient safety.

Conclusion. Further research is needed to more clearly define the prevalence and significance of the Dark Triad among healthcare workers, as well as the possibilities for prevention and improvement of professional relationships within the healthcare system.