Treatment principles for pathological narcissism and narcissistic personality disorder.

2021 ◽  
Author(s):  
Giancarlo Dimaggio
Keyword(s):  
Personality Disorder ◽  
Narcissistic Personality Disorder ◽  
Pathological Narcissism ◽  
Treatment Principles ◽  
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.

scholarly journals Current understanding of narcissism and narcissistic personality disorder

2018 ◽  
Vol 24 (5) ◽  
pp. 305-315 ◽  
Author(s):  
Jessica Yakeley
Keyword(s):  
Personality Disorder ◽  
Empirical Studies ◽  
Learning Objectives ◽  
Narcissistic Personality Disorder ◽  
List Type ◽  
Pathological Narcissism ◽  
Know How ◽  
Psychological Therapies ◽  
Narcissistic Personality

SUMMARYThis article reviews historical contributions to the conceptualisation of narcissism and narcissistic personality disorder (NPD), including its evolution as a clinical diagnosis within the DSM classification of mental disorders. It discusses the epidemiology and aetiology of NPD, noting that empirical studies of both are limited. The challenges of managing patients with prominent narcissistic traits are presented, and the psychological therapies specifically designed for the treatment of patients with NPD are summarised.LEARNING OBJECTIVES•Understand different models of narcissism•Understand the epidemiology, comorbidity and theories of aetiology of NPD•Know how to manage and treat patients with pathological narcissism and NPDDECLARATION OF INTERESTNone.

scholarly journals El caso "Pierre". Comentarios al tratamiento de un paciente narcisista

2020 ◽  
Vol 14 (2) ◽  
pp. 412-430
Author(s):  
Fernando García Gil ◽  
◽  
Carlos Rodríguez Sutil ◽  
Keyword(s):  
Personality Disorder ◽  
Self Esteem ◽  
Narcissistic Personality Disorder ◽  
Child Victim ◽  
Pathological Narcissism ◽  
Narcissistic Personality ◽  
Corrective Experience ◽  
The Creation ◽  
The One ◽  
Personality Patterns

We present here a case of a patient with a narcissistic personality disorder. We must take narcissism, like the rest of the personality patterns, as the response of an individual to a context, as the result of a relational matrix (Mitchell). The origin of pathological narcissism is to be found in caregivers who emotionally neglected the child, victim of isolation, on the one hand, and who share and promote narcissistic fantasies of the child, confused with their own fantasies. Dysregulation of narcissism occurs when the child's needs have been ignored, causing severe disturbances in self-esteem or the creation of a great defensive shield (Morrison). At first, our patient could not accept any fault in himself, assuming that the therapist would not accept his faults either. The challenge as therapists is to assume the disability that the patient attributes to us, the incompetence that the patient pursues, without us falling into disaster or in the most absolute hell, which is ultimately what he fears the most. Accepting the faults that the patient displaces in the therapist is a surprise for the patient, it was even a corrective experience in the encounter with himself.

scholarly journals Fear and decision-making in narcissistic personality disorder-a link between psychoanalysis and neuroscience

2013 ◽  
Vol 15 (2) ◽  
pp. 191-201 ◽  
Keyword(s):  
Decision Making ◽  
Personality Disorder ◽  
Sense Of Self ◽  
Self Regulation ◽  
Narcissistic Personality Disorder ◽  
Pathological Narcissism ◽  
Personality Functioning ◽  
Narcissistic Personality ◽  
Motivating Factor ◽  
The Impact

Linking psychoanalytic studies with neuroscience has proven increasingly productive for identifying and understanding personality functioning. This article focuses on pathological narcissism and narcissistic personality disorder (NPD), with the aim of exploring two clinically relevant aspects of narcissistic functioning also recognized in psychoanalysis: fear and decision-making. Evidence from neuroscientific studies of related conditions, such as psychopathy, suggests links between affective and cognitive functioning that can influence the sense of self-agency and narcissistic self-regulation. Attention can play a crucial role in moderating fear and self-regulatory deficits, and the interaction between experience and emotion can be central for decision-making. In this review we will explore fear as a motivating factor in narcissistic personality functioning, and the impact fear may have on decision-making in people with pathological narcissism and NPD. Understanding the processes and neurological underpinnings of fear and decision-making can potentially influence both the diagnosis and treatment of NPD.

Sign in / Sign up

Export Citation Format

Share Document