Alliance Building and Narcissistic Personality Disorder

2012 ◽  
Vol 68 (8) ◽  
pp. 943-953 ◽  
Author(s):  
Elsa Ronningstam
Keyword(s):  
Personality Disorder ◽  
Narcissistic Personality Disorder ◽  
Narcissistic Personality ◽  
Alliance Building

Narcissistic Personality Disorder: The Diagnostic Process

2012 ◽  
pp. 526-548
Author(s):  
Elsa Ronningstam
Keyword(s):  
Personality Disorder ◽  
Diagnosis And Treatment ◽  
Narcissistic Personality Disorder ◽  
Diagnostic Process ◽  
Pathological Narcissism ◽  
Dsm 5 ◽  
The Past ◽  
Narcissistic Personality ◽  
Specific Focus ◽  
Alliance Building

The diagnosis of narcissistic personality disorder (NPD) evolving over the past 40 years within several fields of inquiry—clinical and psychoanalytic as well as psychiatric and empirical—is discussed in this chapter. The inclusion of NPD as a separate personality disorder in the latest proposal of DSM-5 has warranted continuing studies and development of the diagnosis and treatment of pathological narcissism and NPD. Specific focus is on capturing the complexity of narcissistic pathology, identifying narcissistic core traits in the context of regulatory and dynamic variability, and incorporating the functional and phenotypic range of NPD. The diagnostic process, that is, identifying narcissistic traits in a collaborative alliance-building context between patient and clinician, aims at establishing a meaningful diagnosis that can inform patient and relatives and serve to guide treatment. Concluding guidelines for enhancing accuracy and meaningfulness of the NPD diagnosis are proposed.

Countertransference when working with narcissistic personality disorder: An empirical investigation.

Psychotherapy ◽  
2017 ◽  
Vol 54 (2) ◽  
pp. 184-194 ◽  
Author(s):  
Annalisa Tanzilli ◽  
Laura Muzi ◽  
Elsa Ronningstam ◽  
Vittorio Lingiardi
Keyword(s):  
Personality Disorder ◽  
Empirical Investigation ◽  
Narcissistic Personality Disorder ◽  
Narcissistic Personality

Paranoid Schizophrenia and Narcissistic Personality Disorder

Psihiatru ro ◽  
2018 ◽  
Vol 2 (53) ◽  
pp. 32
Author(s):  
Lia Şchiopu ◽  
Robert Zgarbură ◽  
Alexandru Iacobiţă ◽  
Petrică Felea ◽  
Ana Giurgiuca
Keyword(s):  
Personality Disorder ◽  
Paranoid Schizophrenia ◽  
Narcissistic Personality Disorder ◽  
Narcissistic Personality

Childhood Adversities in Narcissistic Personality Disorder in China

Psychiatry ◽  
2020 ◽  
pp. 1-3
Author(s):  
Ying Qiao ◽  
JunJie Wang ◽  
Li Hui ◽  
JiJun Wang ◽  
LinLin Zhou ◽  
...  
Keyword(s):  
Personality Disorder ◽  
Narcissistic Personality Disorder ◽  
Childhood Adversities ◽  
Narcissistic Personality

Transference-Focused Psychotherapy for Pathological Narcissism and Narcissistic Personality Disorder (TFP-N)

2021 ◽  
Vol 49 (2) ◽  
pp. 244-272
Author(s):  
Diana Diamond ◽  
Frank Yeomans ◽  
John R. Keefe
Keyword(s):  
Personality Disorder ◽  
Sense Of Self ◽  
Assessment Process ◽  
Narcissistic Personality Disorder ◽  
Object Relations Theory ◽  
Pathological Narcissism ◽  
Personality Functioning ◽  
Therapeutic Interaction ◽  
Narcissistic Personality ◽  
Transference Focused Psychotherapy

In this article, we provide an overview of transference-focused psychotherapy for patients with pathological narcissism and narcissistic personality disorder (TFP-N). In TFP-N we have modified and refined the tactics and techniques of TFP, an evidence-based treatment for borderline personality disorder, to meet the specific challenges of working with patients with narcissistic personality pathology whose retreat from reality into an illusory grandiosity makes them particularly difficult to engage in treatment. We first describe a model of narcissistic pathology based on considerations of psychological structure stemming from object relations theory. This model provides a unifying understanding of the core structure of narcissistic pathology, the pathological grandiose self, that underlies the impairments in self and interpersonal functioning of those with narcissistic pathology across the levels of personality organization (from high functioning to borderline to malignant). We then delineate the clinical process of working with patients with pathological narcissism and narcissistic personality disorder. Starting with the assessment process, using a detailed clinical example, we guide the reader through the progression of TFP-N as it helps the patient move from the distorted, unintegrated sense of self underlying the narcissistic presentation to the more integrated, realistic sense of self that characterizes healthier personality functioning. In TFP-N the focus on the disturbed interpersonal patterns of relating in the here and now of the therapeutic interaction is the vehicle to diminish grandiosity and improve relatedness, thereby effecting enduring changes in mental representation and real-world functioning.

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