The narcissistic personality disorder is characterized by a pervasive pattern of grandiosity, need for flattery and lack of empathy. Diagnosis is based on clinical criteria. Treatment is with psychodynamic psychotherapy.
(See also personality disorders overview.)
The narcissistic personality disorder is characterized by a pervasive pattern of grandiosity, need for flattery and lack of empathy. Diagnosis is based on clinical criteria. Treatment is with psychodynamic psychotherapy. (. See also Personality Disorders Overview) Since patients have difficulty with narcissistic personality disorder to regulate self-esteem, they need praise and affiliations of special or institutions; they also help to reduce other people so they can maintain a sense of superiority tend. About 0.5% of the population have estimated a narcissistic personality disorders; it is more common in men than in women. Comorbidities are common. Patients often have a depression (z. B. major depression, dysthymia), anorexia nervosa, a substance disorder (especially cocaine) or other personality disorders (histrionic, borderline, paranoid). Etiology far, has been very little about the biological factors that lead to narcissistic personality disorder research, although a significant genetic component appears to be present. Some theories postulate that caregivers for the child to have- not adequately addressed. B. praise, admire or coddle the child by excessive criticism or exaggerated. Some patients with this condition have special gifts or talents and get used to it that their self-image and self-esteem of others is linked to the admiration and appreciation. Symptoms and discomfort patients with narcissistic personality disorder overestimate their abilities and exaggerate their successes. They think they are superior, unique or special. Their overestimation of their own values ??and services often means underestimating the value and achievements of others. These patients are preoccupied with fantasies of great achievements-Admired Will for their overwhelming intelligence or beauty, prestige and influence to have or to experience a great love. They feel that they should get together with others who are just as special and talented as himself, not with ordinary people. This association with extraordinary people used to support their self-esteem and improve. Because patients must be seen with narcissistic disorder, their self-esteem depends on the positive appreciation of others and is therefore very unstable in general. People with this disorder often pop into what others think of them and evaluate how well they do it. They are sensitive to failure and criticism from others and are upset about what causes they feel humiliated and defeated. They may react with anger or contempt, or they can counter cancerous. Or retire accept the situation from the outside, in an effort to protect their sense of self-importance (grandiosity). It may be that they avoid situations where they might fail. Clinical diagnostic criteria in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition [DSM-5]) found. For the diagnosis of narcissistic personality disorder patients as ? must have a persistent pattern of grandiosity to be admired the necessity and lack of empathy, 5, of the following: An exaggerated, unfounded sense of their own importance and talents (grandiosity) Employment with fantasies of unlimited success, influence, power, intelligence, beauty or perfect love the belief that they are special and unique and only connect with the people at the highest level should be unconditionally admired the desire a sense of entitlement exploitation of others, to achieve their own goals lack of empathy envy of others and the belief that others envy arrogance and haughtiness addition have symptoms began early adulthood. Differential Diagnosis A narcissistic personality disorder must be distinguished from the following disorders: Bipolar Disorder: Patients with narcissistic personality disorder often suffer from depression and may be mistakenly diagnosed as bipolar due to its grandiosity. Such patients have depression, but their continued desire to rise above others distinguishes them from people with bipolar disorder. Also, changes in mood caused by insults of self-esteem in the narcissistic personality disorder. Antisocial personality disorder: exploitation of others in order to use itself, is characteristic of both personality disorders. However, the motives are different. Patients with antisocial personality disorder use other out for their material gain; People with narcissistic personality disorder exploit others to get their self-esteem. Histrionic personality disorder, To seek the attention of others is characteristic of both personality disorders. But patients with narcissistic personality disorder despise it to do something nice and stupid with theatrical personality disorder in order to get the attention unlike those; they want to be admired. Therapy psychodynamic psychotherapy The general treatment of narcissistic personality disorder is the same as with all personality disorders. Psychodynamic psychotherapy that focuses on the underlying conflicts can be effective. Some approaches that have been developed for borderline personality disorder can be effectively adapted for use in patients with narcissistic personality disorder. These include: Mentalisierungsbasierte treatment transmission focused psychotherapy These approaches focus on disturbances in the way as patients themselves and others experiencing emotional. A cognitive behavioral therapy can address with narcissistic personality disorder in patients because they can find the way their mastery to increase; their need for praise can allow a therapist to shape their behavior. Some patients with narcissistic personality disorder feel manualized cognitive-behavioral approaches as too simple or generally for their special needs.