Il disturbo narcisistico di personalità. Concettualizzazione del costrutto, rassegna empirica sull’efficacia dei trattamenti, principi e suggerimenti per una buona pratica clinica

Titolo Rivista QUADERNI DI PSICOTERAPIA COGNITIVA
Autori/Curatori Anna Gasparre, Giancarlo Dimaggio
Anno di pubblicazione 2023 Fascicolo 2023/52
Lingua Italiano Numero pagine 21 P. 51-71 Dimensione file 0 KB
DOI 10.3280/qpc52-2023oa16174
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Il presente lavoro è partito da una rassegna dei contributi storici sulla concettualizzazione del narcisismo e del Disturbo Narcisistico di Personalità (DNP), evidenziando l’evoluzione in termini di diagnosi clinica all’interno della classificazione DSM sui disturbi mentali. Si è focalizzato sulla complessità del Disturbo Narcisistico di Personalità e l’utilità di definirlo come un continuum che va dalla normalità alla patologia piuttosto che una mera categoria. All’interno di questo continuum gli autori hanno identificato le due varianti di interesse, il narcisismo overt o grandioso e covert o vulnerabile. Gli autori proseguono enucleando le principali sfide nella gestione dei pazienti con tratti narcisistici, responsabili degli esiti peggiori nella terapia.Le terapie psicologiche specificamente progettate per il trattamento dei pazienti con DNP sono relativamente poche e pochi o nessuno di questi trattamenti sono stati testati in studi controllati randomizzati. Emerge quindi come il trattamento delle PN o con DNP rappresenti una sfida sia sul piano clinico che empirico poiché mancano prove empiriche su come trattarli. La mancanza di trattamenti supportati empiricamente, ha fatto emergere la necessità di delineare linee guida di “buona pratica clinica”, in linea con l’idea di un approccio più integrato al trattamento dei disturbi di personalità

Parole chiave:; Narcisismo patologico; Disturbo Narcisistico di Personalità; psicoterapia; principi di trattamento

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  • Linee guide e indirizzi di buona pratica clinica per i disturbi sintomatici e di personalità sintomatici, il ruolo delle terapie cognitivo-comportamentali: Parte 1 - I disturbi di personalità Ilaria Baiardini, Giancarlo Dimaggio, in QUADERNI DI PSICOTERAPIA COGNITIVA 52/2023 pp.7
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Anna Gasparre, Giancarlo Dimaggio, Il disturbo narcisistico di personalità. Concettualizzazione del costrutto, rassegna empirica sull’efficacia dei trattamenti, principi e suggerimenti per una buona pratica clinica in "QUADERNI DI PSICOTERAPIA COGNITIVA" 52/2023, pp 51-71, DOI: 10.3280/qpc52-2023oa16174