The many faces of narcissism

Gabbard, Glen O.; Crisp-Han, Holly

doi:10.1002/wps.20323

Cited by 11 publications

(11 citation statements)

References 5 publications

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“…In sum, earlier research has been mostly statistical risk analysis trying to predict how likely children of narcissistic parents become narcissists themselves (e.g., Cramer, 2011). Likewise, the connection between various types and dimensions of narcissism have been measured widely with various narcissism scales (e.g., Clarke, Karlov, & Neale, 2015;Houlcroft, Bore, & Munro, 2012;Maxwell, Donnellan, Hopwood, & Ackerman, 2011).…”

Section: Introductionmentioning

confidence: 99%

‘My life felt like a cage without an exit’ – narratives of childhood under the abuse of a narcissistic mother

Määttä

Uusiautti

2018

Early Child Development and Care

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"My life felt like a cage without an exit"-Narratives of childhood under the abuse of a narcissistic mother This research focused on narcissistic homes as described by adult daughters of narcissistic mothers. The definition of narcissism reveals the problematic behaviors of narcissists (e.g., blaming, manipulation, nullification, and selfsufficiency to hide one's own low self-esteem). How do these affect upbringing? How do children of narcissistic mothers describe their childhood? The research participants consisted of 13 women who wrote widely about their childhood in the shadow of their narcissistic mothers. They all had taken therapy when adults. This was a narrative research. The data brought up three childhood narratives: incompetent childhood, isolated childhood, and denied childhood. The elements and contents of the narratives are partly overlapping but provide a multidimensional picture of upbringing by narcissistic mothers. Many children felt being without support by health care, education, or social service agents and had difficulties defining their selfhood and identity. This research provided new information and means to support the biased mother-child-relationship.

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Section: Introductionmentioning

confidence: 99%

‘My life felt like a cage without an exit’ – narratives of childhood under the abuse of a narcissistic mother

Määttä

Uusiautti

2018

Early Child Development and Care

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“…Patients with pathological narcissism (PN) or narcissistic personality disorder (NPD) present with a wide range of functioning and clinical characteristics. In addition to the standard diagnostic features, subtypes of NPD range from overt and grandiose to covert and vulnerable, and level of function can be exceptionally high with outstanding competence as well as extremely low, accompanied by different comorbid conditions (Caligor, Levy, & Yeomans, 2015;Gabbard & Crisp, 2016;Pincus & Lukowitsky, 2010;Yakeley, 2018).…”

mentioning

confidence: 99%

Internal Processing in Patients With Pathological Narcissism or Narcissistic Personality Disorder: Implications for Alliance Building and Therapeutic Strategies

Ronningstam

2020

Journal of Personality Disorders

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Pathological narcissism (PN) and narcissistic personality disorder (NPD) have primarily been identified by striking external features, such as superiority, attention seeking and a critical or condescending attitude, and less attention has been paid to the internal processing contributing to this particular personality functioning. High dropout from treatment and challenges in building a therapeutic alliance with these patients call for further understanding of the complexity of disordered narcissism. Recent research on neuropsychological underpinnings to narcissistic pathology have provided valuable information that can inform therapeutic interventions for patients with this personality pathology. Internal processing in patients with PN or NPD is specifically influenced by compromised emotion processing and tolerance, identity diffusion, fluctuating sense of agency, reflective ability, perfectionism-related selfesteem, and ability to symbolize. The aim of this article is to review research studies with relevance for internal processing related to disordered narcissism and integrate findings with therapeutic strategies in alliance building with these patients.

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“…However, NPD is one of the least studied personality syndromes; to date, no randomized clinical trial has examined the efficacy of any treatment for this challenging disorder. The main issue that has hindered the development of systematic studies on this subject has to do with the considerable controversies surrounding NPD as a diagnostic entity (Caligor, Levy, & Yeomans, 2015;Gabbard & Crisp-Han, 2016). The various theoretical conceptualizations and clinical hypotheses of NPD (Cooper, 1998;Gabbard, 1989;PDM Task Force, 2006;Rosenfeld, 1987), also supported by recent empirical investigations (Russ, Shedler, Bradley, & Westen, 2008), seem to reflect highly variable phenotypical presentations and a wide range of severity of narcissistic pathology.…”

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confidence: 99%

Countertransference when working with narcissistic personality disorder: An empirical investigation.

et al. 2017

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Narcissistic personality disorder (NPD) is one of the most challenging clinical syndromes to treat in psychotherapy, especially due to the difficulties of establishing a good enough therapist-patient relationship. Countertransference responses to NPD can be particularly intense, frustrating, and difficult to manage, as is often reported in the clinical literature though not clearly supported empirically. The aims of this study were to (a) investigate the relationship between patients' NPD and therapists' responses; (b) examine the associations between patient, clinician, therapy variables and clinicians' reactions during treatment of NPD patients; and (c) provide an empirically derived portrait of countertransference with NPD. A sample of psychiatrists and clinical psychologists (N = 67) completed the Therapist Response Questionnaire to identify patterns of countertransference, the Shedler-Westen Assessment Procedure-200, and the Global Assessment of Functioning Scale to assess the personality pathology and psychosocial functioning of a patient in their care. The results showed that NPD was positively associated with hostile/angry, criticized/devalued, helpless/inadequate, and disengaged countertransference and negatively associated with therapists' positive response, regardless of patients' personality and psychosocial functioning. NPD patients with stronger traits of cluster B personality pathology tended to elicit more negative and heterogeneous countertransference reactions than NPD patients without these features. The countertransference patterns with NPD patients were not strongly influenced by the variables of clinicians and therapy, with the exception of clinical experience. Overall, the portrait of therapists' reactions to NPD provided a clinically nuanced and empirically founded description strongly resembling theoretical-clinical accounts. The therapeutic implications of these findings were discussed. (PsycINFO Database Record

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The many faces of narcissism

Cited by 11 publications

References 5 publications

‘My life felt like a cage without an exit’ – narratives of childhood under the abuse of a narcissistic mother

‘My life felt like a cage without an exit’ – narratives of childhood under the abuse of a narcissistic mother

Internal Processing in Patients With Pathological Narcissism or Narcissistic Personality Disorder: Implications for Alliance Building and Therapeutic Strategies

Countertransference when working with narcissistic personality disorder: An empirical investigation.

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