The Impact of Pathological Narcissism on Psychotherapy Utilization, Initial Symptom Severity, and Early-Treatment Symptom Change: A Naturalistic Investigation
The Impact of Pathological Narcissism on Psychotherapy Utilization, Initial Symptom Severity, and Early-Treatment Symptom Change: A Naturalistic Investigation
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DOI：
10.1080/00223891.2012.742904
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发表时间：
2013-05-01
影响因子：
3.4
通讯作者：
Pincus, Aaron L.
中科院分区：
文献类型：
--
作者：
Ellison, William D.;Levy, Kenneth N.;Pincus, Aaron L.
病理性自恋对心理治疗的影响很少有实证研究，尽管广泛的临床理论提出，高度自恋的个体应该不愿意接受治疗，并且从治疗中获得的益处较小。在本研究中，我们探讨了病态自恋量表（PNI; Pincus etal）得分之间的关系。（2009），该研究评估了一个社区心理健康中心的门诊病人样本（N = 60）中的自恋浮夸和自恋脆弱，以及临床变量。结果表明，夸大与辅助服务的使用负相关，而不是脆弱性，并积极预测来访者主动终止心理治疗。此外，在使用子样本（n = 41）的多层次模型中，夸大和脆弱与不同症状的初始水平相关，但与早期心理治疗中症状变化率的线性率一般无关。结果强调了在现实世界的心理治疗背景下评估病理性自恋的临床效用。
The impact of pathological narcissism on psychotherapy has seldom been investigated empirically, despite extensive clinical theory proposing that highly narcissistic individuals should be reluctant to engage in treatment and derive smaller benefits from therapy. In this study, we investigate the relationship between scores on the Pathological Narcissism Inventory (PNI; Pincus etal., 2009), which assesses both narcissistic grandiosity and narcissistic vulnerability, and clinical variables in a sample of outpatients (N = 60) at a community mental health center. Results indicated that grandiosity, but not vulnerability, was negatively related to the use of adjunctive services and positively predicted client-initiated termination of psychotherapy. In addition, grandiosity and vulnerability were related to initial levels of different symptoms in multilevel models using a subsample (n = 41) but not generally related to the linear rate of symptom change in early psychotherapy. The results highlight the clinical utility of assessing pathological narcissism in a real-world psychotherapeutic context.