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[Nacissistic personality disorder].

Kathrin Ritter1, C H Lammers

  • 1Klinik für Psychiatrie und Psychotherapie Charité-Universitätsmedizin Berlin, Campus Benjamin Franklin. kathrinritter@hotmail.de

MMW Fortschritte Der Medizin
|March 29, 2006
PubMed
Summary

Narcissistic personality disorder involves grandiosity and a lack of empathy. Treatment focuses on awareness, cognitive correction, and behavioral changes, with medication aiding impulse control and depression.

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Area of Science:

  • Psychiatry
  • Psychology

Context:

  • Narcissistic personality disorder (NPD) represents an extreme manifestation of narcissistic personality style.
  • Characterized by exaggerated self-importance, a need for admiration, grandiosity, entitlement, and a lack of empathy.

Purpose:

  • To outline the core characteristics of narcissistic personality disorder.
  • To describe the psychodynamic underpinnings and treatment approaches for NPD.

Summary:

  • NPD features arrogance, hypersensitivity to injury, and exploitation of others.
  • A labile sense of self-worth and its overcompensation are central psychodynamic factors.
  • Treatment involves patient awareness, cognitive correction, and behavioral modification.

Impact:

  • Psychotherapeutic interventions aim to reduce cognitive dysfunction and aggressive behaviors.
  • Selective serotonin reuptake inhibitors can mitigate impulsive actions and depressive episodes.

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