Journal of Personality Disorders最新文献_第6页

Narcissistic Personality Disorder: Patterns, Processes, and Indicators of Change in Long-Term Psychotherapy. 自恋型人格障碍:长期心理治疗的模式、过程和变化指标。

IF 2.3 3区医学

Journal of Personality Disorders Pub Date : 2023-06-01 DOI: 10.1521/pedi.2023.37.3.337

Elsa Ronningstam, Igor Weinberg

{"title":"Narcissistic Personality Disorder: Patterns, Processes, and Indicators of Change in Long-Term Psychotherapy.","authors":"Elsa Ronningstam, Igor Weinberg","doi":"10.1521/pedi.2023.37.3.337","DOIUrl":"https://doi.org/10.1521/pedi.2023.37.3.337","url":null,"abstract":"Change in treatment of narcissistic personality disorder (NPD) has been considered difficult to attain. Aspects of narcissistic pathology, including interpersonal enhancement, avoidance, aggressivity, and control, have contributed to challenges in forming a therapeutic alliance and pursuing treatment towards attainable goals for change and remission. This study, based on a qualitative review of therapists' case reports of individual psychotherapy with eight patients diagnosed with NPD, is the first to identify and explore patterns, processes, and indicators of change in pathological narcissism. All patients showed significant improvement in personality and life functioning, including engagement in work or education and long-term close relationships, with remission of the NPD diagnosis. The process of change was gradual, with some noticeable changes occurring in specific life contexts. Additional factors indicating and contributing to change included patients' motivation and commitment to psychotherapy, reflective ability, emotion regulation, sense of agency, and interpersonal and social engagement.","PeriodicalId":48175,"journal":{"name":"Journal of Personality Disorders","volume":"37 3","pages":"337-357"},"PeriodicalIF":2.3,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10073799","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 3

Exploring Guilt Differences in Grandiose Narcissism, Vulnerable Narcissism, and Malignant Self-Regard. 探索浮夸型自恋、脆弱型自恋和恶性自恋的内疚感差异。

IF 2.3 3区医学

Journal of Personality Disorders Pub Date : 2023-06-01 DOI: 10.1521/pedi.2023.37.3.285

Roberto Pedone, Steven K Huprich, Livia Colle, Anna Maria Barbarulo, Antonio Semerari

{"title":"Exploring Guilt Differences in Grandiose Narcissism, Vulnerable Narcissism, and Malignant Self-Regard.","authors":"Roberto Pedone, Steven K Huprich, Livia Colle, Anna Maria Barbarulo, Antonio Semerari","doi":"10.1521/pedi.2023.37.3.285","DOIUrl":"https://doi.org/10.1521/pedi.2023.37.3.285","url":null,"abstract":"Narcissistic personality disorder is a heterogeneous and complex pathology which manifests itself very differently in individuals. The aim of the present study was to analyze differences and similarities in morality and sensitivity to feelings of guilt among grandiose narcissism (GN), vulnerable narcissism (VN), and malignant self-regard (MSR). We expected that MSR and VN would be most sensitive to deontological and altruistic guilt, and that MSR and VN would have higher levels of moral standards than GN. A nonclinical sample of 752 participants was evaluated. Results showed a significant association among MSR, VN, and GN. According to our hypothesis, GN turned out to be the one with the lowest association values to guilt measures. Our results demonstrated that MSR is strongly associated with all types of guilt, GN is associated with a substantial lack of guilt, and VN is associated with deontological guilt and self-hate, but not altruistic guilt. Results confirm the relevance of considering and understanding guilt when differentiating GN, VN, and MSR.","PeriodicalId":48175,"journal":{"name":"Journal of Personality Disorders","volume":"37 3","pages":"285-303"},"PeriodicalIF":2.3,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10073800","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

A Consumer Perspective on Personality Diagnostic Systems: One Size Does Not Fit All. 消费者对个性诊断系统的看法:一种方式不适合所有人。

IF 2.3 3区医学

Journal of Personality Disorders Pub Date : 2023-06-01 DOI: 10.1521/pedi.2023.37.3.263

Kiana Cano, Carla Sharp

{"title":"A Consumer Perspective on Personality Diagnostic Systems: One Size Does Not Fit All.","authors":"Kiana Cano, Carla Sharp","doi":"10.1521/pedi.2023.37.3.263","DOIUrl":"https://doi.org/10.1521/pedi.2023.37.3.263","url":null,"abstract":"Although providers and patients may largely agree on what is essential to clinically useful assessment and diagnosis, patients have a unique voice and contribute additional information to our conceptualization of clinical utility. The current study evaluated the clinical utility of three diagnostic models (Section II categorial, Section III hybrid, and the original ICD-11 dimensional) from the consumer/user perspective. Participants included 703 undergraduate students and 154 family members or individuals with borderline personality disorder. Participants rated mock diagnostic reports on six indices of clinical utility. Results indicated that undergraduates favored categorical reports over the original ICD-11 dimensional reports on three of six indices but rated categorical and hybrid reports as essentially equivalent. In the patient/family sample, participants favored the hybrid or categorical model on all indices. Our findings speak to the value of a clear diagnostic label and suggest that future iterations of the DSM adopting a hybrid or dimensional model should have a continued focus on simplicity in communication.","PeriodicalId":48175,"journal":{"name":"Journal of Personality Disorders","volume":"37 3","pages":"263-284"},"PeriodicalIF":2.3,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10073801","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Examining the Therapeutic Effect of Ceremonial Ayahuasca on Narcissistic Personality and Antagonistic Externalizing in Adults. 探讨仪式阿亚瓦斯卡对成人自恋型人格和拮抗性外化的治疗作用。

IF 2.3 3区医学

Journal of Personality Disorders Pub Date : 2023-04-01 DOI: 10.1521/pedi.2023.37.2.131

Brandon Weiss, Chelsea Sleep, Joshua D Miller, W Keith Campbell

{"title":"Examining the Therapeutic Effect of Ceremonial Ayahuasca on Narcissistic Personality and Antagonistic Externalizing in Adults.","authors":"Brandon Weiss, Chelsea Sleep, Joshua D Miller, W Keith Campbell","doi":"10.1521/pedi.2023.37.2.131","DOIUrl":"10.1521/pedi.2023.37.2.131","url":null,"abstract":"Changes in narcissistic traits (e.g., entitlement) following the ceremonial use of ayahuasca were examined across three timepoints (baseline, postretreat, 3-month follow-up) in a sample of 314 adults using self- and informant-report (N = 110) measures. Following ceremonial use of ayahuasca, self-reported changes in narcissism were observed (i.e., decreases in Narcissistic Personality Inventory [NPI] Entitlement-Exploitativeness, increases in NPI Leadership Authority, decreases in a proxy measure of narcissistic personality disorder [NPD]). However, effect size changes were small, results were somewhat mixed across convergent measures, and no significant changes were observed by informants. The present study provides modest and qualified support for adaptive change in narcissistic antagonism up to 3 months following ceremony experiences, suggesting some potential for treatment efficacy. However, meaningful changes in narcissism were not observed. More research would be needed to adequately evaluate the relevance of psychedelic-assisted therapy for narcissistic traits, particularly studies examining individuals with higher antagonism and involving antagonism-focused therapeutic approaches.","PeriodicalId":48175,"journal":{"name":"Journal of Personality Disorders","volume":"37 2","pages":"131-155"},"PeriodicalIF":2.3,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10508917/pdf/nihms-1929225.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10399812","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 3

Experiences of Stigma and Discrimination in Borderline Personality Disorder: A Systematic Review and Qualitative Meta-Synthesis. 边缘型人格障碍患者的耻辱感和歧视经验:系统回顾和定性综合。

IF 2.3 3区医学

Journal of Personality Disorders Pub Date : 2023-04-01 DOI: 10.1521/pedi.2023.37.2.177

Ciara Stiles, Rachel Batchelor, Andrew Gumley, Ruchika Gajwani

{"title":"Experiences of Stigma and Discrimination in Borderline Personality Disorder: A Systematic Review and Qualitative Meta-Synthesis.","authors":"Ciara Stiles, Rachel Batchelor, Andrew Gumley, Ruchika Gajwani","doi":"10.1521/pedi.2023.37.2.177","DOIUrl":"https://doi.org/10.1521/pedi.2023.37.2.177","url":null,"abstract":"Individuals with a diagnosis of borderline personality disorder (BPD) typically experience discrimination and stigma, resulting in poor identification and delayed care. We conducted a review to examine and synthesize qualitative studies exploring experiences of stigma and discrimination among individuals with BPD. In August 2021, we systematically searched the following databases: Embase, Medline, Cochrane Library, PsycINFO, and Cinhal. We also hand searched reference lists and Google Scholar. We then synthesized studies using meta-ethnography. We included seven articles in the study, all of high or moderate quality. Five themes were identified: (1) resistance from clinicians (withholding information), (2) othering, (3) negative impact on self-image/esteem, (4) hopelessness surrounding the perceived permanency of BPD, and (5) feeling like a burden. This review highlights the need for improved understanding of BPD across health care services. We also discussed the need to introduce a standardized pathway of care across health services following a BPD diagnosis.","PeriodicalId":48175,"journal":{"name":"Journal of Personality Disorders","volume":"37 2","pages":"177-194"},"PeriodicalIF":2.3,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10046907","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A Systematic Review of the Heterogeneity of Schema Therapy. 图式治疗异质性的系统回顾。

IF 2.3 3区医学

Journal of Personality Disorders Pub Date : 2023-04-01 DOI: 10.1521/pedi.2023.37.2.262

Silvia D M van Dijk, Martine S Veenstra, Rob H S van den Brink, Sebastiaan P J van Alphen, Richard C Oude Voshaar

{"title":"A Systematic Review of the Heterogeneity of Schema Therapy.","authors":"Silvia D M van Dijk, Martine S Veenstra, Rob H S van den Brink, Sebastiaan P J van Alphen, Richard C Oude Voshaar","doi":"10.1521/pedi.2023.37.2.262","DOIUrl":"https://doi.org/10.1521/pedi.2023.37.2.262","url":null,"abstract":"We aimed to explore the heterogeneity of schema therapy regarding (a) patient characteristics, (b) content, and (c) way of delivering schema therapy. A search was conducted of the electronic databases EMBASE, PsycINFO, Web of Science, MEDLINE, and COCHRANE up to June 15, 2022. Treatment studies were eligible if they (a) used schema therapy as (component of) the intervention examined, and (b) reported an outcome measure quantitatively. A total of 101 studies met the inclusion criteria, including randomized controlled trials (n = 30), non-randomized controlled trials (n = 8), pre-post designs (n = 22), cases series (n = 13), and case reports (n = 28), including 4006 patients. Good feasibility was consistently reported irrespective of format (group versus individual), setting (outpatient, day-treatment, inpatient), intensity of treatment, and the specific therapeutic components included. Schema therapy was applied to various (psychiatric) disorders. All studies presented promising results. Effectiveness of the different models of schema therapy as well as application beyond personality disorders should be examined more rigorously.","PeriodicalId":48175,"journal":{"name":"Journal of Personality Disorders","volume":"37 2","pages":"233-262"},"PeriodicalIF":2.3,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9690103","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Cognitive Reappraisal Impairs Negative Affect Regulation in the Context of Social Rejection for Youth With Early-Stage Borderline Personality Disorder. 早期边缘型人格障碍青少年社会排斥情境下的认知重评损害负性情绪调节。

IF 2.3 3区医学

Journal of Personality Disorders Pub Date : 2023-04-01 DOI: 10.1521/pedi.2023.37.2.156

Elizabeth Pizarro-Campagna, Gill Terrett, Martina Jovev, Peter G Rendell, Julie D Henry, Andrew M Chanen

{"title":"Cognitive Reappraisal Impairs Negative Affect Regulation in the Context of Social Rejection for Youth With Early-Stage Borderline Personality Disorder.","authors":"Elizabeth Pizarro-Campagna, Gill Terrett, Martina Jovev, Peter G Rendell, Julie D Henry, Andrew M Chanen","doi":"10.1521/pedi.2023.37.2.156","DOIUrl":"https://doi.org/10.1521/pedi.2023.37.2.156","url":null,"abstract":"Application of emotion regulation strategies might be susceptible to the context of social rejection for individuals with borderline personality disorder (BPD). This study compared the ability of 27 outpatient youths (15-25 years old) with early-stage BPD and 37 healthy controls (HC) to apply expressive suppression and cognitive reappraisal in standard and socially rejecting laboratory contexts. BPD youths were largely as able as HCs to regulate negative affect across instruction and contexts. However, cognitive reappraisal in the context of social rejection heightened BPD negative facial expression relative to HCs. Thus, while BPD emotion regulation ability was largely normative, cognitive reappraisal might be ineffective in the context of social rejection for this group, with social rejection acting as an accelerant that heightens the expression of negative affect. Given the common experience of perceived and actual social rejection for this group, clinicians should carefully consider treatments that include cognitive reappraisal strategies because they might be contraindicated.","PeriodicalId":48175,"journal":{"name":"Journal of Personality Disorders","volume":"37 2","pages":"156-176"},"PeriodicalIF":2.3,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10065250","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Traumatic Brain Injury and Psychopathic Traits in Justice-Involved Adult Women. 成年司法涉事女性的创伤性脑损伤与心理变态特征。

IF 2.3 3区医学

Journal of Personality Disorders Pub Date : 2023-04-01 DOI: 10.1521/pedi.2023.37.2.195

Tessa Cappelle, Craig S Neumann, Amanda M Cook, Esther Kim, Carla L Harenski, Bethany G Edwards, Gerard J B Clarke, Jean Decety, Kent A Kiehl

{"title":"Traumatic Brain Injury and Psychopathic Traits in Justice-Involved Adult Women.","authors":"Tessa Cappelle, Craig S Neumann, Amanda M Cook, Esther Kim, Carla L Harenski, Bethany G Edwards, Gerard J B Clarke, Jean Decety, Kent A Kiehl","doi":"10.1521/pedi.2023.37.2.195","DOIUrl":"https://doi.org/10.1521/pedi.2023.37.2.195","url":null,"abstract":"Studies have documented associations between traumatic brain injury (TBI) and mental disorders. The relationship between psychopathic personality and TBI remains poorly understood, though both are associated with similar characteristics (e.g., low empathy, aggression, disturbances in social/moral behavior). Yet, it is not clear whether assessment of psychopathic features is influenced by presence versus absence of TBI, and which aspects of TBI may be associated with psychopathic traits. This study examined the psychopathy-TBI association in justice-involved women (N = 341) with structural equation modeling. We tested if measurement invariance of psychopathic traits was evident among those with versus without TBI and which TBI variables (number, severity, age at first TBI) predicted psychopathic features in conjunction with symptoms of psychopathology, IQ, and age. Results provided evidence of measurement invariance, and more women with TBI, compared to those without, met criteria for psychopathy. Younger age of TBI and TBI severity predicted interpersonal-affective psychopathic features.","PeriodicalId":48175,"journal":{"name":"Journal of Personality Disorders","volume":"37 2","pages":"195-212"},"PeriodicalIF":2.3,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10065252","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

"Feeling Invisible": Individuals With Borderline Personality Disorder Underestimate the Transparency of Their Emotions. “感觉隐形”:患有边缘型人格障碍的个体低估了他们情绪的透明度。

IF 2.3 3区医学

Journal of Personality Disorders Pub Date : 2023-04-01 DOI: 10.1521/pedi.2023.37.2.213

Celine De Meulemeester, Benedicte Lowyck, Bart Boets, Stephanie van der Donck, Yannic Verhaest, Patrick Luyten

{"title":"\"Feeling Invisible\": Individuals With Borderline Personality Disorder Underestimate the Transparency of Their Emotions.","authors":"Celine De Meulemeester, Benedicte Lowyck, Bart Boets, Stephanie van der Donck, Yannic Verhaest, Patrick Luyten","doi":"10.1521/pedi.2023.37.2.213","DOIUrl":"https://doi.org/10.1521/pedi.2023.37.2.213","url":null,"abstract":"The present study investigated transparency estimation, that is, the ability to estimate how observable one's emotions are, in patients diagnosed with borderline personality disorder (BPD) (n = 35) and healthy controls (HCs; n = 35). Participants watched emotionally evocative video clips and estimated the transparency of their own emotional experience while watching the clip. Facial expression coding software (FaceReader) quantified their objective transparency. BPD patients felt significantly less transparent than HCs, but there were no differences in objective transparency. BPD patients tended to underestimate the transparency of their emotions compared to HCs, who in turn overestimated their transparency. This suggests that BPD patients expect that others will not know how they feel, irrespective of how observable their emotions actually are. We link these findings to low emotional awareness and a history of emotional invalidation in BPD, and we discuss their impact on BPD patients' social functioning.","PeriodicalId":48175,"journal":{"name":"Journal of Personality Disorders","volume":"37 2","pages":"213-232"},"PeriodicalIF":2.3,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10046908","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A Systematic Review of the Association Between Early Childhood Trauma and Borderline Personality Disorder. 儿童早期创伤与边缘型人格障碍关系的系统综述。

IF 2.3 3区医学

Journal of Personality Disorders Pub Date : 2023-02-01 DOI: 10.1521/pedi.2023.37.1.16

Yan Yuan, Hyunji Lee, Shaun M Eack, Christina E Newhill

引用次数: 4