The Presentation of Narcissistic Personality Disorder in an Octogenarian: Converging Evidence from Multiple Sources.

The Presentation of Narcissistic Personality Disorder in an Octogenarian: Converging Evidence from Multiple Sources.
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DOI:
10.1080/07317115.2011.524821
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发表时间:
2011-01
影响因子:
2.8
通讯作者:
Oltmanns TF
Oltmanns TF
中科院分区:
医学3区
文献类型:
--
作者:
Balsis S;Eaton NR;Cooper LD;Oltmanns TF

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人们对晚年的人格障碍(PD)知之甚少。这种知识匮乏的一个原因是,许多研究人员认为,PD会随着年龄的增长而软化。然而,最近的轶事和经验证据表明,PD在以后的生活中仍然非常相关,实际上可能有独特的表现和后果。DSM-IV PD标准似乎忽略了这些可能性,可能是因为在制定这些标准时没有充分了解老年人的个性。但如果没有与年龄相适应的标准,与老年人合作的临床医生和研究人员可能无法在他们的客户和研究参与者中充分测量PD。更好地了解老年人的这些障碍的一个起点是使用来自多种仪器和来源的数据对症状和相关行为进行丰富的、经验的、临床描述。为此,我们深入描述了一例80多岁女性的自恋性帕金森病(NPD)。这一案例研究表明,NPD确实与后来的生活相关,并在很大程度上损害功能。
Little is known about personality disorders (PDs) in later life. One reason for this dearth of knowledge is that many investigators believe that PDs soften with age. Recent anecdotal and empirical evidence, however, suggests that PDs are still very relevant in later life and may actually have unique presentations and consequences. The DSM-IV PD criteria seem to overlook these possibilities, perhaps because the personalities of older adults were not sufficiently understood when these criteria were written. But without age-appropriate criteria, clinicians and investigators who work with older adults may be unable to measure PDs adequately in their clients and research participants. A starting point for better understanding these disorders in older adults is the presentation of rich, empirical, clinical descriptions of symptoms and related behaviors using data from multiple instruments and sources. To this end, we describe in depth a case of narcissistic PD (NPD) in a woman in her mid 80s. This case study reveals that NPD is indeed relevant in the context of later life and impairs functioning in significant ways.
DOI: 10.1111/j.1467-6494.1991.tb00766.x
发表时间: 1991-03-01
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