Facial emotion recognition deficits and alexithymia in borderline, narcissistic, and histrionic personality disorders

Ritzl, Andrea; Csukly, Gábor; Balázs, Katalin; Égerházi, Anikó

doi:10.1016/j.psychres.2018.09.017

Cited by 19 publications

(15 citation statements)

References 28 publications

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“…Our results further show that pathological narcissism, in particular the CNS, is associated with a low mentalizing capacity in an adult clinical population. This finding is in line with previous studies, which show that pathological narcissism is related to low levels of empathy, emotion recognition, and metacognition [18, 49, 52, 53]. Recently, in a carefully conducted review [79], impairments in appropriately considering one’s own state of mind [80, 81] and other state of mind [82] (i.e., emotions, cognitions, and intentions) were highlighted as critical for pathological narcissism.…”

Section: Discussionsupporting

confidence: 93%

“…However -to the best of our knowledge -associations of narcissism and mentalizing have not yet been directly investigated in adults. Evidence suggests that NPD and pathological narcissism are associated with empathetic deficiencies [48][49][50][51] and alexithymia as well as impairments in metacognition and emotion recognition [18,52,53]. Additionally, critical aspects of mentalizing were integrated as defining characteristics of NPD in section III of the Diagnostic and Statistical Manual of Mental Disorders [4] (e.g., being often unaware of one's own motivations and showing impaired ability to recognize or identify with the feelings and needs of others).…”

Section: Introductionmentioning

confidence: 99%

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Mentalizing Mediates the Association between Narcissism and Psychotherapeutic Treatment Outcome in a Mixed Clinical Sample

et al. 2022

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Introduction: Pathological narcissism has been a challenge for the success of psychological treatment, whereas mentalizing has turned out to be an important mechanism of change in psychotherapy. This study focused on the classic narcissistic self (CNS) (i.e., narcissistic grandiosity) as predictor of the outcome. It further investigated whether mentalizing mediates this relation. Methods: A mixed clinical sample of 205 patients was investigated. The CNS scale of the Narcissism Inventory and the Mentalization Questionnaire was used to measure the features of narcissistic grandiosity and the capacity to mentalize, respectively. The symptom outcome was assessed with the Hamburg Modules for the Assessment of Psychosocial Health. Results: Contrary to our expectations, we did not find a direct association between narcissistic grandiosity and a decrease in symptoms. However, mentalizing was found to mediate the association between the CNS as well as between the narcissistic furor and outcome. Conclusion: Our results confirm the ambiguity concerning the clinical significance of narcissistic grandiosity. However, in order to improve the treatment outcome in patients with narcissistic features, especially narcissistic furor, individualized treatment plans might consider introducing interventions that enhance the capacity to mentalize.

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Section: Discussionsupporting

confidence: 93%

Section: Introductionmentioning

confidence: 99%

Mentalizing Mediates the Association between Narcissism and Psychotherapeutic Treatment Outcome in a Mixed Clinical Sample

et al. 2022

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“…However, its prevalence in a sample composed of sexual perpetrators was very low (only 3 out of 76 investigated individuals) (41). Histrionic patients have more alexithymic features compared to a healthy control group (42). For women, previous studies reported higher comorbidity between HPD and ADHD symptoms (43).…”

Section: Assessment Of Hpdmentioning

confidence: 92%

Review on the Present Condition of Histrionic Personality Disorder

Candel¹

2019

BPI

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Histrionic personality disorder (HPD) firstly appeared in DSM II under the name of hysterical personality disorder. It is characterized by exhibitionist behavior, constant attention seeking, rapidly shifting emotions and high suggestibility. Although its current name firstly appeared in the third edition of DSM, little research has been made specifically on this disorder. Low prevalence and high comorbidity with other personality disorders might act as causes for the general lack of interest in this disorder. The presents study offers a multifaceted perspective on HPD, aiming at discussing its historical roots, some of the most important theories that explain its causes, its prevalence and the ways to assess HPD. In addition, its second aim was to present the most important correlates of HPD. Although narrow, previous research offers some support for maintaining HPD as a personality disorder, contrary to some opinions that consider it should be replaced or eliminated from DSM. In conclusion, this paper highlights the current opinions on HPD and offers a look at its implication in the domain of mental health.

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“…Personal values and interests, for example, may vary with the values and interests of the partner of the moment. They may also be intolerant of frustration and exposed to boredom, so they may [11,14].…”

Section: Borderline Personality Disordermentioning

confidence: 99%

“…On the other hand, this disorder can also manifest itself in men in the form of approvalseeking and passive behaviour[10]. A recent study has shown that histrionic individuals, such as borderline and narcissistic individuals, have very high levels of alexithymia and thus a low ability to recognise their own and other people's emotions[14].…”

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confidence: 99%

Histrionic personality disorder: Definition, clinical profiles, differential diagnosis and therapeutic framework

Perrotta¹

2021

Arch Community Med Public Health

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Facial emotion recognition deficits and alexithymia in borderline, narcissistic, and histrionic personality disorders

Cited by 19 publications

References 28 publications

Mentalizing Mediates the Association between Narcissism and Psychotherapeutic Treatment Outcome in a Mixed Clinical Sample

Mentalizing Mediates the Association between Narcissism and Psychotherapeutic Treatment Outcome in a Mixed Clinical Sample

Review on the Present Condition of Histrionic Personality Disorder

Histrionic personality disorder: Definition, clinical profiles, differential diagnosis and therapeutic framework

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