Pregledni rad

MALIGNANT NARCISSISM: FROM FAIRY TALES TO HARSH REALITY

Mila Goldner-Vukov ; University of Auckland Faculty of Medical and Health Sciences, Manaaki House Community Mental Health Service, Auckland, New Zealand
Laurie Jo Moore ; University of Auckland Faculty of Medical and Health Sciences, Manaaki House Community Mental Health Service, Auckland, New Zealand

Sažetak

Introduction: Malignant Narcissism has been recognized as a serious condition but it has been largely ignored in psychiatric
literature and research. In order to bring this subject to the attention of mental health professionals, this paper presents a
contemporary synthesis of the biopsychosocial dynamics and recommendations for treatment of Malignant Narcissism.
Methods: We reviewed the literature on Malignant Narcissism which was sparse. It was first described in psychiatry by Otto
Kernberg in 1984. There have been few contributions to the literature since that time. We discovered that the syndrome of Malignant
Narcissism was expressed in fairy tales as a part of the collective unconscious long before it was recognized by psychiatry. We
searched for prominent malignant narcissists in recent history. We reviewed the literature on treatment and developed categories for
family assessment.
Results: Malignant Narcissism is described as a core Narcissistic personality disorder, antisocial behavior, ego-syntonic sadism,
and a paranoid orientation. There is no structured interview or self-report measure that identifies Malignant Narcissism and this
interferes with research, clinical diagnosis and treatment. This paper presents a synthesis of current knowledge about Malignant
Narcissism and proposes a foundation for treatment.
Conclusions: Malignant Narcissism is a severe personality disorder that has devastating consequences for the family and
society. It requires attention within the discipline of psychiatry and the social science community. We recommend treatment in a
therapeutic community and a program of prevention that is focused on psychoeducation, not only in mental health professionals, but
in the wider social community.

Ključne riječi

Malignant Narcissism; personality disorders; therapeutic community

Hrčak ID:

76353

URI

https://hrcak.srce.hr/76353

Datum izdavanja:

29.10.2010.

Posjeta: 8.737 *