Dos and Don'ts in Treatments of Patients With Narcissistic Personality Disorder.

@article{Weinberg2020DosAD,
  title={Dos and Don'ts in Treatments of Patients With Narcissistic Personality Disorder.},
  author={Igor Weinberg and Elsa F. Ronningstam},
  journal={Journal of personality disorders},
  year={2020},
  volume={34 Supplement},
  pages={
          122-142
        }
}
This article identifies guiding principles in effective psychotherapies of patients with narcissistic personality disorder (NPD) and cautions against some common pitfalls. Individual psychotherapies of NPD patients were examined by both authors, who tested whether or not some principles, recommended in the literature, effectively promote these therapies and help these patients in moving forward with their lives and with effective therapy use. The authors identify a number of principles that… 

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References

SHOWING 1-10 OF 69 REFERENCES

The role of couple therapy in the treatment of narcissistic personality disorder.

TLDR
Three characteristics that differentiate couples who will from those who will not benefit from couple therapy are described, including the ability of the narcissistic individual to curtail acting out, the narcissistic vulnerability as evidenced by their level of defensiveness, and the couple's complementarity of narcissistic gratification.

Countertransference When Working With Narcissistic Personality Disorder: An Empirical Investigation

TLDR
The portrait of therapists’ reactions to NPD provided a clinically nuanced and empirically founded description strongly resembling theoretical–clinical accounts.

Narcissistic Personality Disorder: Progress in Recognition and Treatment

This review will address pathological narcissism and narcissistic personality disorder (NPD)—the clinical presentation, the challenges involved in diagnosing NPD, and significant areas of

States of minds in narcissistic personality disorder: Three psychotherapies analyzed using the grid of problematic states

TLDR
The authors analyzed the first 18 psychotherapy sessions with three female patients suffering from NPD and treated by therapists of the cognitive–constructivist school specializing in personality disorders and found that the three patients’ dominant states of mind were characterized by anger, feeling excluded from groups, feelings of being harmed, and distrust toward others.

Metacognitive interpersonal therapy for narcissistic personality disorder and associated perfectionism.

TLDR
A successful case of Metacognitive Interpersonal Therapy for NPD is described applied to a man in his early 20's with narcissism, perfectionism, and significant co-occurrence of Axis I and Axis II disorders.

Alliance building and narcissistic personality disorder.

TLDR
These reformulations serve to expand the spectrum of grandiosity-promoting strivings and activities, capture their fluctuations, and help clinicians attend to narcissistic individuals' internal experiences and motivation as well as to their external presentation and interpersonal self-enhancing, self-serving, controlling, and aggressive behavior.

The shattered mirror: Treatment of a group of narcissistic patients

Increasingly, group psychotherapy takes its place as a valid treatment model for patients with severe character pathology. This paper explores the impact of group treatment on a homogeneous group of

The Impact of Pathological Narcissism on Psychotherapy Utilization, Initial Symptom Severity, and Early-Treatment Symptom Change: A Naturalistic Investigation

TLDR
Results indicated that grandiosity, but not vulnerability, was negatively related to the use of adjunctive services and positively predicted client-initiated termination of psychotherapy, highlighting the clinical utility of assessing pathological narcissism in a real-world psychotherapeutic context.

The Almost Untreatable Narcissistic Patient

  • O. Kernberg
  • Psychology
    Journal of the American Psychoanalytic Association
  • 2007
TLDR
Patients with severe narcissistic personality disorder, functioning at an overt borderline level with significant antisocial features, but not presenting an antisocial personality disorder proper are explored here, with a focus on particular psychotherapeutic techniques that have proven helpful, as well as on the limits of these technical approaches.

The Impact of Narcissism on Drop-out From Cognitive-Behavioral Therapy for the Eating Disorders: A Pilot Study

TLDR
The presence of the narcissistically abused personality defense style was associated with a higher likelihood of dropping out of outpatient CBT, and this “martyred” form of narcissism appears to have a significant role in the adherence to treatment for the eating disorders.
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