The narcissistic personality in group psychotherapy

The author presents an interesting version of the Narcissus myth which she combines with the legend of Peter Pan for a better understanding of the narcissistic personality in group therapy. A lively case is presented of a young man named Jeffrey, whose narcissistic defenses were dismantled during a three-year group participation. A particular encounter between Jeffrey and another client and a powerful intervention by the therapist is described. The therapeutic importance of the group therapist as a firm but protective parent for these clients is emphasized. Definitions of narcissistic are given and some generalizations about these personalities in group therapy are explored.She has completed a book entitledChange in the Context of Group Therapy to be published by Brunner/Mazel in 1984.     

From narcissistic personality disorder to frontotemporal dementia: a case report

Premorbid personality characteristics could have a pathoplastic effect on behavioral symptoms and personality changes related to neurodegenerative diseases. Patients with personality disorders, in particular of the dramatic cluster, may present functional frontolimbic abnormalities. May these neurobiological vulnerabilities linked to a premorbid personality disorder predispose or represent a risk factor to subsequently develop a neurodegenerative disorder? Are subjects with personality disorders more at risk to develop a dementia than mentally healthy subjects? This topic is discussed presenting the clinical case of a patient who suffered of a probable Narcissistic Personality Disorder and subsequently developed a clinically diagnosed Frontotemporal Dementia.     

自恋型人格的理论模型与神经生理机制

自恋作为一种人格特质, 核心特征是具有夸张和膨胀的自我观点。当前研究将自恋型人格与不同的自我特征相联系, 这些特征包括了夸张性、崇拜的需要、自我中心和高自尊、情感共情缺乏和述情障碍, 研究表明自恋的夸张性和崇拜需要源自扭曲的自我观点和自我提升。当前研究发现额中回、内侧前额叶皮层、眶额叶皮层、揳前叶和前脑岛与自我提升和自我评估有关。前脑岛、右背外侧前额叶皮层和右侧后扣带回皮层与共情缺失有关。未来研究应注重将遗传学、电生理学、生物化学、脑成像等技术的结合, 构建自恋型人格形成的神经生理模型。     

The narcissistic personality inventory: applicability in a Swedish population sample

A Swedish translation of the 40-item Narcissistic Personality Inventory (NPI) was mailed to 410 participants, aged 21-61 years, randomly sampled from the Swedish general population. The participation rate was 62%. The applicability of a previously published seven-factor structure (Raskin & Terry) and a four-factor structure (Emmons) was investigated. The factor structure found in the present in the Swedish sample corresponded better with Emmons's version. Therefore the four-factor structure was chosen. Because the correspondence to Emmons's factor structure was not perfect, a revised NPI for Swedish use was constructed. The total scale score is usually used, although the Swedish NPI includes four subscales: Leadership/Power, Exhibitionism/Self-admiration. Superiority/Arrogance, and Uniqueness/Entitlement. For the total scale, the internal consistency (Cronbach's alpha) was 0.80 and the test-retest correlation was 0.93. The total scale score correlated with self-esteem as well as the interpersonal style and emotional aspects of psychopathy, supporting the validity of the scale.     

Deprivation in the early mother-daughter relationship: A factor in the development of the narcissistic personality

Depriving mother-child relationships at an early age lay the foundation for narcissistic disturbances. Here, the specific focus is on mother-daughter relationships and the lack of appropriate maternal recognition and admiration of the infant. The particular treatment modality combines individual psychotherapy with a female therapist and group therapy in an all-women's group. The transferential phenomena to the various women found in this treatment situation are instrumental in helping the female patient achieve a significant change in her narcissistic personality.     

An item response theory analysis of the narcissistic personality inventory

This research uses item response theory methods to evaluate the Narcissistic Personality Inventory (NPI; Raskin & Terry, 1988). Analyses using the 2-parameter logistic model were conducted on the total score and the Corry, Merritt, Mrug, and Pamp (2008) and Ackerman et?al. (2011) subscales for the NPI. In addition to offering precise information about the psychometric properties of the NPI item pool, these analyses generated insights that can be used to develop new measures of the personality constructs embedded within this frequently used inventory.     

Aspects of a compliant container: Considering narcissistic personality configurations1

Attempts to expand Bion's container‐contained model and to use it as an instrument for investigating psychic disorders arising in the analytical context have led the author to conjecture about the model's dynamics. In this paper, she illustrates a hypothetical compliant container by clinical material, in order to describe a psychic structure that contains only what is pleasant, only that which does not cause confl ict or pain. Through a dynamic of ideal accommodation, a compliant container makes any disagreements, contradictions, limits and differences disappear, recognizing only what is very familiar and commonplace. The results are misleading, pseudological thoughts and concepts founded on strategic plans to maintain a narcissistic defensive system.     

Assessment procedures for narcissistic personality disorder: a comparison of the personality diagnostic questionnaire-4 and best-estimate clinical judgments

This study examined the degree of correspondence between two assessments for narcissistic personality disorder (NPD) in a mixed clinical and community sample--one using a self-report measure (Personality Diagnostic Questionnaire-4) and the other using clinical judgments derived from an assessment based on the longitudinal, expert, all data (LEAD) methodology. NPD scores demonstrated moderate convergence for the total scores but weak convergence for the individual criteria. The authors also examined the correlates created by each set of NPD scores using Cloninger's Temperament and Character Inventory (TCI). The NPD scores demonstrated areas of convergence (e.g., Cooperativeness, Self-directedness) and divergence (i.e., Harm Avoidance, Novelty Seeking) with these personality scores. These divergences may be due to the wording of certain items on the Personality Diagnostic Questionnaire-4 NPD scale, which may require rewriting if it is to provide an assessment that is more highly convergent with the Diagnostic and Statistical Manual of Mental Disorders NPD construct.     

Sadomasochism and complementarity in the interaction of the narcissistic and borderline personality type.

The narcissist and borderline personality types complement one another's defensive style providing needed defensive externalization of disavowed and split-off feelings. One is exploitative, grandiose, and dominant, forever seeking admiration and exhibiting an aggrandized self; the other experiences humiliation, neediness, helplessness, and terror of aloneness. They form a powerful complementary dyad wherein each identifies with disavowed emotional experiences displayed in the other. They can coexist for lengths of time, defensively discharging unwanted feelings. In the first case presented above, the transference was split initially, with the masoborderline patient being victimized and humiliated by her sadonarcissistic lover. In the second case, a male sadonarcissist enacted disavowed feelings through relationships with masoborderline women. In both cases, defensive enactment was fed by a complementary, intense, and symbiotic relationship. Complementary dynamics can be subtle and difficult to analyze. They involve defensive identification that draws on projection, enactment, and externalization--all difficult defenses to analyze. Enactment rather than remembering is inimical to the development of insight into transference and genetic connections and must be worked through for the analysis to progress. More than the usual analytic patience and resolve is needed to work through the difficult entrapments caused by these dynamics.     

Differential endophenotypic markers of narcissistic and antisocial personality features: A psychophysiological investigation

This study investigated the differential psychophysiological correlates of narcissistic and antisocial personality features in a college student sample. Skin conductance (SC), respiratory sinus arrhythmia (RSA), and pre-ejection period (PEP) were monitored while participants watched a countdown to an aversive noise blast and viewed emotionally valenced slides. Results indicated that narcissistic personality features were unrelated to SC reactivity during the countdown, whereas antisocial personality features were negatively related to SC reactivity. Narcissistic personality features were also related to RSA decreases and PEP shortening while viewing happy slides, whereas antisocial personality features were not. Taken together, these findings suggest differential endophenotypic markers of narcissistic and antisocial personality features despite their clinical similarities.