Psychotherapeutic case formulation: Plan analysis for narcissistic personality disorder.

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Etat: Public
Version: de l'auteur⸱e
Licence: CC BY-NC-ND 4.0
ID Serval
serval:BIB_5CFD65D605FD
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Psychotherapeutic case formulation: Plan analysis for narcissistic personality disorder.
Périodique
Personality and mental health
Auteur⸱e⸱s
Grandjean L., Hummel J., Wyer D., Beuchat H., Caspar F., Sachse R., Berger T., Kramer U.
ISSN
1932-863X (Electronic)
ISSN-L
1932-8621
Statut éditorial
Publié
Date de publication
11/2021
Peer-reviewed
Oui
Volume
15
Numéro
4
Pages
309-316
Langue
anglais
Notes
Publication types: Journal Article
Publication Status: ppublish
Résumé
One of the relevant case formulation methods for personality difficulties is plan analysis. The present study aimed at delivering a prototypical plan analysis for clients presenting with a diagnosis of narcissistic personality disorder (NPD). The sample consisted of 14 participants diagnosed with an NPD. Based on audio clinical material, we developed 14 individual plan analyses that we then merged into a single prototypical plan analysis. For explorative purposes, we ran an ordinary least squares regression model to predict the narcissistic symptoms severity (NAR) measured on a scale of 1-7 of the 14 clients by the presence (respectively absence) of certain plans in their individual plan analysis. The synthesis revealed that clients with pathological narcissism share common basic motives. Results of the regression model reveal that the presence of the plan 'be strong' reduces the NAR scale by 1.52 points (p = 0.011).
In the treatment of psychological disorders, precise case formulations allow therapists for making clinically appropriate decision, personalizing the intervention and gaining insight into the client's subjective experience. In the prototypical plan structure we developed for NPD, clients strive to strengthen their self-esteem and avoid loss of control, criticism and confrontation as well as to get support, understanding and solidarity. When beginning psychotherapy with a client presenting with NPD, the therapist can use these plans as valuable information to help writing tailored, and therefore more efficient, case formulations for their patients presenting with an NPD.
Mots-clé
Health Policy, Phychiatric Mental Health, Psychiatry and Mental health
Pubmed
Web of science
Open Access
Oui
Création de la notice
21/06/2021 12:22
Dernière modification de la notice
05/01/2022 7:36
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