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Adopting Metacognitive Interpersonal Therapy to Treat Narcissistic Personality Disorder with Somatization

Abstract

Narcissistic personality disorder (NPD) is characterized by an intellectualizing narrative style, poor metacognition, maladaptive interpersonal schemas, a restricted set of states of mind, impaired agency and perfectionism. Metacognitive Interpersonal therapy targets these dysfunctions with a series of formalized procedures aimed at first forming a shared formulation of functioning which patients and therapists can then use to plan change. We describe here the core NPD pathology and illustrate the therapy process of a patient with NPD and a somatization disorder. Implications for treatment of NPD are discussed together with a call for empirical testing of therapies for this severe condition.

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Correspondence to Giancarlo Dimaggio.

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Dimaggio, G., Valeri, S., Salvatore, G. et al. Adopting Metacognitive Interpersonal Therapy to Treat Narcissistic Personality Disorder with Somatization. J Contemp Psychother 44, 85–95 (2014). https://doi.org/10.1007/s10879-013-9254-8

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Keywords

  • Narcissistic personality disorder
  • Metacognition
  • Maladaptive schemas
  • Agency