No abstract

Research on narcissism and envy suggests a variable relationship that may reflect differences between how vulnerable and grandiose narcissism relate to precursors of envy. Accordingly, we proposed a model in which dispositional envy and relative deprivation differentially mediate envy's association with narcissistic vulnerability, grandiosity, and entitlement. To test the model, 330 young adults completed dispositional measures of narcissism, entitlement, and envy; one week later, participants reported on deprivation and envy feelings toward a peer who outperformed others on an intelligence test for a cash prize (Study 1) or earned higher monetary payouts in a betting game (Study 2). In both studies, structural equation modeling broadly supported the proposed model. Vulnerable narcissism robustly predicted episodic envy via dispositional envy. Entitlement-a narcissistic facet common to grandiosity and vulnerability-was a significant indirect predictor via relative deprivation. Study 2 also found that (a) the grandiose leadership/authority facet indirectly curbed envy feelings via dispositional envy, and (b) episodic envy contributed to schadenfreude feelings, which promoted efforts to sabotage a successful rival. Whereas vulnerable narcissists appear dispositionally envy-prone, grandiose narcissists may be dispositionally protected. Both, however, are susceptible to envy through entitlement when relative deprivation is encountered.

No abstract

Low intensity-high volume (LI-HV) interventions are increasingly being recognized as a means to communicate psychological principles and provide services to those with unmet mental health care needs. This article describes several different applications of LI-HV interventions in a central Canadian province, where underfunding of psychologists is well documented. The settings reviewed included tertiary hospital anxiety, depression, and sleep clinics, primary care, and a provincial mental health crisis setting. Descriptions of the LI-HV innovations and the impact of these innovations on referrals, providers, patients, and the healthcare system are reviewed. Some of the conclusions from these findings are that it is feasible to develop LI-HV interventions for psychological care, especially with limited psychologist resources. Patients find such interventions to be acceptable and satisfactory. Improvement in symptoms is often noted with LI-HV interventions, although the magnitude of improvement may be less than what is obtained with higher intensity services. Further, the provision of LI-HV services often results in changes to the higher intensity service. Anecdotally, psychologist providers report that the interventions are worth the investment. More work on investigating the efficacy of stepped care in this area is warranted. Public Significance StatementMental healthcare within the public health system in Canada is severely stretched in both human resource and economic capacities. Use of large group classes and internet-based programs represent a method to partially meet this need. Results suggest that these approaches are viewed favorably by patients and providers, and that implementation may change the nature of more intensive services.