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Medical Treatment
Group Therapy.
The goals are to help the patient develop a healthy individuality (rather than a resilient narcissism) so that he or she can acknowledge others as separate persons, and to decrease the need for self-defeating coping mechanisms. The first step toward developing a working alliance is empathy with the surprise and hurt that the patient experiences as a result of confrontations within the group. The external structuring group therapy provides can control destructive behavior in spite of ego weakness. In groups, the therapist is less authoritative (and less threatening to the patient's grandiosity); intensity of emotional experience is lessened; and regression is more controlled, creating a better setting for confrontation and clarification.
Outpatient analytic-expressive group therapy requires a concomitant individual relationship for most patients, which should be somewhat supportive. The need for this additional support, the likelihood of the patient's leaving the group at the first sign of psychic insult, and proneness to disorganized thinking are all found more often in the Borderline patient. The patient with a Narcissistic Personality Disorder does not appear so vulnerable to separation anxieties as the Borderline patient, but is instead involved in issues centered around maintaining a sense of self-worth.
by Phillip W. Long, M.D.
Narcissistic Personality Disorder.
Causes: Narcissistic Personality Disorder.
Hospitalization:
Treatment on Narcissistic Personality Disorder.
Psychosocial Treatment:
Treatment on Narcissistic Personality Disorder.
Individual Psychotherapy:
Treatment on Narcissistic Personality Disorder.
Group Therapy:
Treatment on Narcissistic Personality Disorder.
Narcissistic Parents:
It's effect on the offspring.
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