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Mentalization-Based Treatment for Pathological Narcissism.

Robert P Drozek1, Brandon T Unruh1

  • 1MBT Training Clinic, McLean Hospital, Belmont, Massaschusetts, and Harvard Medical School, Boston, Massachusetts.

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|March 19, 2020
PubMed
Summary
This summary is machine-generated.

Mentalization-based treatment (MBT) is proposed as a new therapy for pathological narcissism (PN). This approach focuses on improving mentalization, offering a promising, accessible treatment for PN patients.

Keywords:
empathymentalizationmentalization-based treatmentnarcissismnarcissistic personality disorderpathological narcissismpersonality disorderspsychotherapy

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Area of Science:

  • Psychology
  • Psychiatry
  • Mental Health

Background:

  • Pathological narcissism (PN) is gaining research interest, yet effective treatments are lacking.
  • Current understanding of PN lacks established treatment guidelines.
  • Existing research highlights links between parenting, attachment, empathy, and PN.

Purpose of the Study:

  • To adapt mentalization-based treatment (MBT) for pathological narcissism (PN).
  • To propose a developmental model of PN based on mentalization deficits.
  • To outline practical therapeutic techniques for MBT in PN.

Main Methods:

  • Synthesizing existing research on PN, including developmental and attachment factors.
  • Adapting core principles and techniques of MBT, an established therapy for borderline personality disorder.
  • Developing a model of PN centered on impaired mentalization.

Main Results:

  • A developmental model of PN is proposed, linking impairments in mentalization to narcissistic traits.
  • Core therapeutic techniques of MBT for PN are outlined with clinical examples.
  • MBT is presented as an accessible, operationalizable, and resource-sensitive approach.

Conclusions:

  • Mentalization-based treatment (MBT) shows significant promise for treating pathological narcissism (PN).
  • The proposed MBT adaptation offers a practical framework for clinical application.
  • Further empirical investigation into MBT for PN is warranted.