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Case 34 - “No One Here Is on My Level”

Narcissistic Personality Disorder

from Section 6 - Personality Disorders

Published online by Cambridge University Press:  31 October 2024

Matthew Gibfried
Affiliation:
Saint Louis University School of Medicine, Missouri
George T. Grossberg
Affiliation:
Saint Louis University School of Medicine, Missouri
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Summary

Personality traits are patterns of thoughts, feelings, and behaviors that remain relatively stable over a person’s life and strongly influence how people interact with and perceive the world. Personality disorders are personality traits that cluster in recognizable patterns and produce dysfunction in multiple areas of life. They do not respond well to pharmacologic interventions but are often accompanied by other psychiatric comorbidities. Recognizing personality disorders can help a provider avoid misdiagnosing psychiatric conditions, anticipate future care challenges, and counsel family and caregivers.

Type
Chapter
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Clinical Case Studies in Long-Term Care Psychiatry
Navigating Common Mental Health Challenges in Geriatric Care
, pp. 173 - 177
Publisher: Cambridge University Press
Print publication year: 2024

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References

References

Bach, B., & First, M. B. (2018). Application of the ICD-11 classification of personality disorders. BMC Psychiatry, 18.CrossRefGoogle ScholarPubMed
American Psychiatric Association. (2022). Diagnostic and Statistical Manual of Mental Disorders. 5th ed. text rev. (American Psychiatric Association.)Google Scholar
Kendler, K. S., Aggen, S. H., Czajkowski, N., Røysamb, E., Tambs, K., Torgersen, S., Neale, M. C., & Reichborn-Kjennerud, T. (2008). The structure of genetic and environmental risk factors for DSM-IV personality disorders: A multivariate twin study. Archives of General Psychiatry, 65 (12), 1438. https://doi.org/10.1001/archpsyc.65.12.1438CrossRefGoogle ScholarPubMed

Further Reading

Brudey, C. (2021). Personality disorders in older age. Focus: Journal of Life Long Learning in Psychiatry, 19 (3), 303307. https://doi.org/10.1176/appi.focus.20210007CrossRefGoogle ScholarPubMed
Ekselius, L. (2018). Personality disorder: A disease in disguise. Upsala Journal of Medical Sciences, 123 (4), 194204. https://doi.org/10.1080/03009734.2018.1526235CrossRefGoogle ScholarPubMed
Green, A., MacLean, R., & Charles, K. (2022). Female narcissism: Assessment, aetiology, and behavioural manifestations. Psychological Reports, 125 (6), 28332864. https://doi.org/10.1177/00332941211027322CrossRefGoogle ScholarPubMed
Hutsebaut, J., Willemsen, E., Bachrach, N., & Van, R. (2020). Improving access to and effectiveness of mental health care for personality disorders: The guideline-informed treatment for personality disorders (GIT-PD) initiative in the Netherlands. Borderline Personality Disorder and Emotion Dysregulation, 7 (16).CrossRefGoogle ScholarPubMed
Veenstra, M. S., Bouman, R., & Oude Voshaar, R. C. (2022). Impact of personality functioning and pathological traits on mental wellbeing of older patients with personality disorders. BMC Psychiatry, 22 (214).CrossRefGoogle ScholarPubMed

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