自恋人格障碍:长期心理治疗中的模式,过程和变化指标
Elsa Ronningstam1, Igor Weinberg1
1Department of Psychiatry, Harvard Medical School, Boston, Massachusetts.
Journal of personality disorders
|June 27, 2023
概括
治疗自恋人格障碍 (NPD) 是具有挑战性的,但可以实现的. 这项研究发现,接受心理治疗的患者表现出明显的改善和NPD的缓解,突出了他们康复过程中的关键因素.
科学领域:
- 心理学 心理学 心理学
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
背景情况:
- 自恋人格障碍 (NPD) 的治疗历来是困难的.
- 病态自恋包括人际挑战,阻碍治疗联盟和目标实现.
- 关于NPD治疗变化的模式和指标的研究有限.
研究的目的:
- 识别和探索病理性自恋的模式,过程和变化指标.
- 检查对被诊断患有NPD的患者进行个人心理治疗的定性病例报告.
- 了解导致NPD缓解和改善功能的因素.
主要方法:
- 对治疗师病例报告的定性审查.
- 对八名被诊断患有NPD的患者进行个人心理治疗的分析.
- 在特定的生活背景下探索变化指标.
主要成果:
- 所有八名患者都在人格和生活功能方面表现出显著改善.
- 患者实现了NPD诊断的缓解.
- 观察到逐渐的变化,并注意到特定的生活环境的改善.
- 关键因素包括患者的动机,承诺,反思能力,情绪调节,代理和社会参与.
结论:
- 通过心理治疗可以实现NPD的显著改善和缓解.
- 患者的动机,反思能力和人际交往对治疗成功至关重要.
- 了解渐进的过程和变化的上下文指标可以为NPD治疗策略提供信息.
相关概念视频
Personality Disorders: Narcissistic and Avoidant
104
Narcissistic and avoidant personality traits represent two contrasting patterns of behavior that significantly influence social interactions and self-perception. While individuals with narcissistic disorder seek admiration and validation, individuals with avoidant personality disorder withdraw due to fear of judgment.
Characteristics of Narcissistic Personality Disorder
Narcissistic individuals exhibit an inflated sense of self-importance and an excessive need for admiration. They are often...
Characteristics of Narcissistic Personality Disorder
Narcissistic individuals exhibit an inflated sense of self-importance and an excessive need for admiration. They are often...
104
Personality Disorders: Paranoid and Schizoid
102
Personality disorders represent enduring cognition, affect, and behavior patterns that significantly deviate from societal norms. These maladaptive traits often lead to difficulties in various domains, including interpersonal relationships, occupational settings, and overall psychological well-being. Paranoid personality disorder and schizoid personality disorder are two distinct conditions marked by odd or eccentric behavior.
Paranoid Personality Disorder
Paranoid personality disorder is...
Paranoid Personality Disorder
Paranoid personality disorder is...
102
Borderline Personality Disorder
106
Borderline Personality Disorder is a complex and multifaceted mental health condition characterized by pervasive instability in interpersonal relationships, self-image, emotions, and impulse control. This instability manifests in extreme emotional reactions, fear of abandonment, and self-destructive behaviors. The disorder significantly impacts daily functioning, often leading to distress in both personal and professional domains.
Genetic and Environmental Contributions
Borderline Personality...
Genetic and Environmental Contributions
Borderline Personality...
106
Personality Disorders: Schizotypal and Histrionic
129
Schizotypal personality disorder and histrionic personality disorder are two distinct psychological conditions classified under personality disorders, each characterized by unique behavioral patterns and social difficulties. Both disorders significantly affect interpersonal relationships and emotional well-being, leading to social isolation and frustration.
Schizotypal Personality Disorder: Eccentric Behavior and Social Withdrawal
Schizotypal personality disorder is marked by odd or eccentric...
Schizotypal Personality Disorder: Eccentric Behavior and Social Withdrawal
Schizotypal personality disorder is marked by odd or eccentric...
129
Psychodynamic Therapy
98
Psychodynamic therapies emphasize the exploration of unconscious processes and early childhood experiences as fundamental contributors to psychological difficulties. These therapies, deeply rooted in Freud's psychoanalytic theory, aim to uncover and resolve unconscious conflicts, granting individuals insights that promote emotional and behavioral healing. Contemporary psychodynamic approaches have evolved, integrating a broader range of influences and methodologies while still valuing the...
98
Personality Disorders: Dependent and Obsessive-Compulsive
95
Dependent personality disorder and obsessive-compulsive personality disorder are two separate psychological conditions that influence behavior, relationships, and overall life functioning. Though both involve maladaptive behaviors, their core characteristics and motivations differ significantly.
Dependent Personality Disorder
Dependent personality disorder is characterized by an excessive reliance on others to manage various aspects of life. Individuals with this disorder often struggle...
Dependent Personality Disorder
Dependent personality disorder is characterized by an excessive reliance on others to manage various aspects of life. Individuals with this disorder often struggle...
95


