The role of shame and self-compassion in psychotherapy for narcissistic personality disorder: An exploratory study
| Autor: | Ueli Kramer, Rainer Sachse, Antonio Pascual-Leone, Kristina Barbara Rohde |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
Adult
Male 050103 clinical psychology Psychotherapist media_common.quotation_subject Psychological intervention Exploratory research Self-concept Shame Empathy Personality Disorders 03 medical and health sciences Young Adult 0302 clinical medicine Narcissistic personality disorder medicine Humans 0501 psychology and cognitive sciences Young adult media_common 05 social sciences Female Middle Aged Personality Disorders/psychology Personality Disorders/therapy Psychotherapy/methods Self Concept clarification-oriented psychotherapy emotion processing interaction process narcissistic personality disorder self-compassion shame medicine.disease 030227 psychiatry Psychotherapy Clinical Psychology Psychology Self-compassion |
| Zdroj: | Clinical psychology & psychotherapy, vol. 25, no. 2, pp. 272-282 |
| Popis: | This process-outcome study aims at exploring the role of shame, self-compassion, and specific therapeutic interventions in psychotherapy for patients with narcissistic personality disorder (NPD). This exploratory study included a total of N = 17 patients with NPD undergoing long-term clarification-oriented psychotherapy. Their mean age was 39 years, and 10 were male. On average, treatments were 64 sessions long (range between 45 and 99). Sessions 25 and 36 were rated using the Classification of Affective Meaning States and the Process-Content-Relationship Scale. Outcome was assessed using the Symptom Check List-90 and Beck Depression Inventory-II. Between Sessions 25 and 36, a small decrease in the frequency of shame was found (d = .30). In Session 36, the presence of self-compassion was linked with a set of specific therapist interventions (process-guidance and treatment of behaviour-underlying assumptions; 51% of variance explained and adjusted). This study points to the possible central role of shame in the therapeutic process of patients with NPD. Hypothetically, one way of resolving shame is, for the patient, to access underlying self-compassion. |
| Databáze: | OpenAIRE |
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