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Cited by 23Personality Disorders and PsychopathologyPersonality Traits and PsychologyPsychoanalysis and Psychopathology Research

Treatment of Narcissistic Personality Disorder Symptoms in a Dialectical Behavior Therapy Framework: A Discussion and Case Example

Reed‐Knight, Bonney, Fischer, Sarah·2011·The Handbook of Narcissism and Narcissistic Personality Disorder
DOI 10.1002/9781118093108.ch42
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Abstract

Treatment of narcissistic personality disorder (NPD) is a growing concern for mental health professionals, especially given the lack of methodologically rigorous treatment outcome studies to date. The current chapter on the treatment of NPD in a Dialectical Behavior Therapy (DBT) framework is divided into two sections. The first section provides rationale for the treatment of NPD with DBT and reviews the basic treatment components of DBT, a treatment that incorporate cognitive-behavioral principles with acceptance-based skills. The second section of the chapter provides a detailed case example of the treatment of NPD with DBT, with particular emphasis on therapeutic techniques that were effective for treating symptoms of narcissism. Objective measures of symptom change demonstrate that the client reported clinically significant decreases in symptoms of narcissism throughout the course of treatment. Results provide preliminary support for further research on the treatment of NPD with DBT.

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  • The crucial point in the treatment of NPD patients is their will to be treated, which is fundamental in psychotherapy.

    “The crucial point in the treatment of NPD patients is their will to be treated (66), which is fundamental in psychotherapy.”

    From The dark side of empathy in narcissistic personality disorder (2023) · cites this paper as [66]

  • Encouraging self-reflectivity as a first step may persuade patients to be more aware of their real attitudes, opposing characteristics they simulate to achieve social acceptance.

    “Instead, encourage self-reflectivity as first step may persuade patients to be more aware of their real attitudes, opposing to characteristics they simulate to achieve social acceptance (66).”

    From The dark side of empathy in narcissistic personality disorder (2023) · cites this paper as [66]

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Authors
Reed‐Knight, B., & Fischer, S.
Affiliations
University of Georgia (US)
ORCID
Fischer, Sarah
Venue
The Handbook of Narcissism and Narcissistic Personality Disorder
Publisher
Wiley
Published
2011-07-20
Pages
466-475
DOI
10.1002/9781118093108.ch42
OpenAlex
W1484668877
Cited by
23
References
24
Citations by year
2025: 2 · 2024: 2 · 2023: 5 · 2022: 3 · 2021: 1 · 2020: 2 · 2019: 2 · 2018: 3 · 2015: 1 · 2014: 1 · 2013: 1
Type
other
Language
en
Open access
closed
Topics
  • Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
  • Social Sciences › Psychology › Clinical Psychology › Personality Traits and Psychology
  • Social Sciences › Psychology › Clinical Psychology › Psychoanalysis and Psychopathology Research
Keywords
narcissistic personality disorder, dialectical behavior therapy, cognitive behavioral therapy, treatment outcomes, case examples

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