Narcissistic Personality Disorder in Clinical Health Psychology Practice: Case Studies of Comorbid Psychological Distress and Life-Limiting Illness.
Narcissistic Personality Disorder in Clinical Health Psychology Practice: Case Studies of Comorbid Psychological Distress and Life-Limiting Illness.
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DOI：
10.1080/08964289.2017.1301875
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发表时间：
2017-07
期刊：
影响因子：
--
通讯作者：
Pereira DB
中科院分区：
文献类型：
--
作者：
Kacel EL;Ennis N;Pereira DB
自恋型人格障碍（NPD）的特征是持续的宏伟模式，无限的力量或重要性的幻想，以及需要钦佩或特殊治疗。NPD患者可能会经历与人际冲突和功能障碍有关的严重心理困扰。研究表明，这种疾病的核心特征与治疗预后不良有关，包括行为改变进展缓慢，患者过早终止治疗和消极的治疗联盟。目前的手稿将探讨在一个大型学术健康科学中心的行为健康诊所看到的两名心理治疗患者的生命限制性疾病的背景下与NPD合作的挑战。他们的人格障碍影响他们的疾病经历的方式有显著的重叠，其特征是对心理治疗变化的抵抗，对医疗建议的不一致坚持，以及与提供者的不稳定关系。在这篇论文中，我们将（1）探讨自恋型人格障碍的各个方面如何影响患者的身体健康、情感健康和医疗保健利用;（2）描述可能有助于优化NPD和生命限制性疾病共病个体的心理社会、行为和身体健康的心理治疗方法;（3）从DSM-5的另一种模型中回顾NPD的概念化，通过特质领域评估人格功能。
Narcissistic Personality Disorder (NPD) is characterized by a persistent pattern of grandiosity, fantasies of unlimited power or importance, and the need for admiration or special treatment. Individuals with NPD may experience significant psychological distress related to interpersonal conflict and functional impairment. Research suggests core features of the disorder are associated with poor prognosis in therapy, including slow progress to behavioral change, premature patient-initiated termination, and negative therapeutic alliance. The current manuscript will explore challenges of working with NPD within the context of life-limiting illness for two psychotherapy patients seen in a behavioral health clinic at a large academic health science center. The ways in which their personality disorder affected their illness-experience shared significant overlap characterized by resistance to psychotherapeutic change, inconsistent adherence to medical recommendations, and volatile relationships with providers. In this manuscript we will (1) explore the ways in which aspects of narcissistic personality disorder impacted the patients’ physical health, emotional well-being, and healthcare utilization; (2) describe psychotherapeutic methods that may be useful for optimizing psychosocial, behavioral, and physical well-being in individuals with comorbid NPD and life-limiting disease; and (3) review conceptualizations of NPD from the DSM-5 alternative model for assessing personality function via trait domains.
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作者：
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发表时间：
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