Long-Term Follow-Up of Narcissistic/Borderline Patients
Open accessAbstract
In a long-term follow-up study of hospitalized border-line patients with narcissistic traits that either fell short of or fulfilled DSM criteria for narcissistic personality disorder (NPD), outcome was similar to outcome in the borderline group as a whole. An exception was encountered in the subgroup of narcissistic borderlines who also showed marked antisocial traits: poor outcome was the rule in this subgroup. In general, borderlines with NPD tended to be male and to be more at risk for suicide than non-NPD borderlines.
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Studies have documented the persistence of narcissistic pathology, even among patients who improve symptomatically.
“Overall, studies (Table 2) (76–83) have documented the persistence of narcissistic pathology, even among patients who improve symptomatically.”
From Narcissistic Personality Disorder: Progress in Understanding and Treatment (2022) · cites this paper as [78]
In Stone (1989), a retrospective 20-year study found improvement in narcissistic personality disorder similar to borderline personality disorder, and patients with narcissistic personality disorder plus antisocial personality disorder had worse overall outcome.
“Stone, 1989 ( 78 ) 13–39 71:29 Retrospective/20 16 Improvement similar to borderline personality disorder; NPD+antisocial personality disorder worse overall outcome”
From Narcissistic Personality Disorder: Progress in Understanding and Treatment (2022) · cites this paper as Stone, 1989 ( 78 )
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- Authors
- Stone, M. H.
- Affiliations
- Columbia University (US)
- Corresponding author
- Stone, Michael H.
- ORCID
- Stone, Michael H.
- Venue
- Psychiatric Clinics of North America
- Publisher
- Elsevier BV
- Published
- 1989-09
- Volume
- 12
- Issue
- 3
- Pages
- 621-641
- ISSN
- 0193-953X (ISSN-L)
- OpenAlex
- W61574337
- Cited by
- 58
- References
- 24
- Citations by year
- 2026: 1 · 2025: 1 · 2022: 2 · 2021: 1 · 2020: 1 · 2018: 4 · 2017: 1 · 2016: 4 · 2014: 2 · 2013: 3 · 2012: 2
- FWCI
- 2.05
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Psychiatric Clinics of North America (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Social Sciences › Psychology › Clinical Psychology › Personality Traits and Psychology
- Social Sciences › Psychology › Clinical Psychology › Psychopathy, Forensic Psychiatry, Sexual Offending
- Keywords
- narcissistic personality disorder, borderline personality disorder, narcissistic personality traits, antisocial personality traits, long-term outcomes, suicide risk, hospitalized patients, gender differences
- MeSH terms
- Adolescent, Adult, Borderline Personality Disorder, Depressive Disorder, Female, Follow-Up Studies, Humans, Male, Narcissism, Personality Disorders, Psychiatric Department, Hospital, Psychotherapy, Risk Factors, Social Adjustment, Suicide
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