Interpersonal perceptions in treatment sessions: Pathological narcissism predicts self-rater discrepancies.

Autor: Di Sarno M; Department of Psychology, University of Milano-Bicocca, Milano, Italy.; Personality Disorders Lab (PDlab), Parma-Milano, Milano, Italy., Frisina S; Department of Psychology, University of Milano-Bicocca, Milano, Italy., Madeddu F; Department of Psychology, University of Milano-Bicocca, Milano, Italy.; Personality Disorders Lab (PDlab), Parma-Milano, Milano, Italy., Di Pierro R; Department of Psychology, University of Milano-Bicocca, Milano, Italy.; Personality Disorders Lab (PDlab), Parma-Milano, Milano, Italy.
Jazyk: angličtina
Zdroj: Journal of clinical psychology [J Clin Psychol] 2023 Apr; Vol. 79 (4), pp. 1002-1020. Date of Electronic Publication: 2022 Nov 02.
DOI: 10.1002/jclp.23454
Abstrakt: Objective: Evidence suggests that pathological narcissism impacts psychotherapy process and outcome. This study investigates whether traits of pathological narcissism account for distinctiveness (construal) of patients' interpersonal perceptions in treatment settings.
Methods: Patients enrolled in psychological/psychotherapeutic treatment (N = 150) described a segment of a session in a written format and subsequently assessed both self- and clinician's behavior on the dimensions of dominance and hostility (patient-reported ratings), along with their pathological narcissistic traits. Three independent raters also assessed interpersonal behaviors (observer-reported ratings) based on the written session descriptions. Indices of construal were defined by the residuals of self-reported (net of observer-reported) ratings and were regressed onto pathological narcissistic traits.
Results: No association emerged between pathological narcissism and construal in patients' perceptions of their clinicians. However, grandiose traits of pathological narcissism were related to distinctively perceiving oneself as more dominant, while vulnerable traits were related to distinctively perceiving oneself as more hostile. The former association (but not the latter) also held after incorporating additional observer ratings to investigate the robustness of the results.
Conclusion: Findings are discussed in light of treatment-related self-enhancement and self-concealment processes.
(© 2022 Wiley Periodicals LLC.)
Databáze: MEDLINE
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