![]() One avenue for understanding interpersonal dysfunction for individuals with pathological narcissism has been in the treatment context, given documented difficulties in establishing an effective therapeutic alliance with patients with narcissistic preoccupations. Similarly, the alternate model of personality disorders specifies the instrumental function of interpersonal relationships towards self-esteem (identity and self-direction criteria) and impaired quality of relationships, which may present as a lack of empathy, superficiality and trait antagonism for individuals with narcissistic personality disorder. “Is interpersonally exploitative, i.e., takes advantage of others to achieve his or her own ends” (criteria, p. Indeed, a number of the criteria for narcissistic personality disorder as they appear in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5, ) infer or overtly state an impairment of interpersonal relationships (e.g. Interpersonal dysfunction is a well-documented aspect of pathological narcissism. Strategies to monitor and manage these core relational themes in treatment remain a challenge. Treatment implications point to the risk of therapists withdrawing and dismissing a patient with high pathological narcissism in the countertransference. Together, these results reflect the cycles of interpersonal dysfunction for individuals with pathological narcissism and their partners and family members. Individuals with pathological narcissism were similarly rated as predominately dismissing. There was a prominent deactivation of participants attachment system when interacting with their relative with pathological narcissism, endorsing predominately dismissing relationship styles. Described disharmony in these relationships involved the relative’s rejecting, subjugating and attacking behaviours, and participants rejecting and withdrawing behaviours. While the identified wishes (e.g., for love, for support) were consistent between relative and non-relative narratives, there was significantly higher disharmony and lower harmony in narratives involving relatives with pathological narcissism. ResultsĪ total of 133 relationship episodes were analysed, comprising 783 components (wishes, responses of others and responses of self). the relationship style of their relative. their relationship style ‘with their relative’ and 3. their relationship style ‘in general’, 2. Participants also completed three versions of the Relationship Questionnaire, reporting on 1. Transcripts were coded using the using Core Conflictual Relationship Theme method. Participants told verbatim relationship narratives involving five narrative interactions with their relative with pathological narcissism and five narrative interactions with others. Participants ( N = 15) were romantic partners (73.3%) and family members (26.6%) in a close and long-term relationship (+ 10 years) with an individual with pathological narcissism. We sought to examine the moment-to-moment patterns that emerge within close relationships between intimate partners and family members. Interpersonal difficulties by those affected include aggressive, domineering, cold and coercive behaviours which often result in strong negative reactions from others. Pathological narcissism is a severe mental health condition that includes disturbances in interpersonal functioning. ![]()
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