Narcissistic Personality Disorder – Causes and Treatment

  The current national philosophy on child rearing, the one-child policy, the education system, as well as the family and the surrounding social environment can easily contribute to a child’s narcissistic personality or narcissistic personality disorder. The reasons for this are complex, but in general, there are two main types of factors, one is too much “love”, parents and older family members are child-centered, too spoiled and spoiled children, the child is the emperor, the child will grow up to be the emperor; the first boy in the family, the only child, children with innate talent, there are qualities valued by parents are relatively The first boy in the family, the only child, has innate talent, has the quality of parents valued children are relatively easy to form narcissistic personality. Another type of love is too little, neglected or abused since childhood, no one cares, no one loves, and the child grows up looking for love, attention, and is never satisfied; the second girl in the family is also relatively easy to develop a narcissistic personality, and is often the victim of suffering, usually because of this love is too little. Narcissistic parents, lacking the ability to truly care for their children, fail to understand their children’s inner needs and feel their children’s feelings, resulting in children who will also be narcissistic in the future, which appears to be genetic, but in fact only transmits character through mutual influence.  Freud believed that the narcissist would reverse the force than should be directed to the object and bet on himself, so he could not have a legacy of love for others, so he could not do psychoanalytic treatment. After that, many psychologists made more in-depth research on narcissism, among which Kohut made the most remarkable research on narcissistic neurosis and opened the door for the treatment of narcissistic personality disorder. Kohut believed that a child needs to have the right amount of frustration to grow up healthily, that is, frustration that the child can afford, and that narcissists have either not been frustrated as children or have been frustrated too much beyond the child’s ability to cope.  Psychotherapy for narcissistic personality disorder is tricky and usually requires years, if not longer, of active intervention. Beneath the narcissist’s arrogant and arrogant armor is a weeping, pathetic, fragile, deprived being, which requires the practitioner or therapist to be sufficiently masterful, aware, holding, patient and flexible enough to provide the patient with an understanding, adaptive, empathic and nurturing experience, to provide a supportive attitude and environment and to act as an auxiliary realistic self for the patient to endure the delayed fulfillment of wishes, to endure the As the patient internalizes the therapist’s qualities and gradually supports the patient to build a stable, solid, and more realistic personality structure, the person with narcissistic personality disorder can be reborn.  Group psychotherapy is often the more appropriate form of psychotherapy in which the narcissistic visitor shares therapy time with others, understands, empathizes and helps each other, builds relationships with each other, cares about the feelings of others, and receives constructive feedback from others, as well as critical and negative feedback. The group is also a small community, and sooner or later the narcissist’s personality and various interpersonal disturbances will reveal themselves in the group and be tested for reality in the group, which is difficult to achieve in one-on-one individual psychotherapy.  Severe stressors, stress and difficulties, and lack of value and presence after narcissistic failure can lead to major depression and anxiety in narcissists, and are also more likely to induce anxiety disorders, obsessive-compulsive disorder, social phobia, somatoform disorders, hypochondria, and neurosis of an anxious nature, thus medication is usually necessary at this time, but people with narcissistic personalities are often reluctant or refuse medication. Considering the difficulty of treating narcissists and the few available treatments, it is often unwise to easily refuse fast-acting medication.  In contrast, if you feel that you have more narcissistic personality, you need to be more aware of what you say and do: “Am I being narcissistic again”? With this awareness, so that you can identify your narcissistic behavior as soon as it is revealed, you can also ask your close friends and relatives to help remind you. For example, when you encounter negativity, criticism or frustration, don’t get angry or furious, but try to calm down and reflect on yourself: “Am I being narcissistic again?  You may also want to observe the reactions of people around you, to feel their feelings, to understand their needs and difficulties, to understand the responsibility and pay, learn to appreciate, appreciate, care, encourage and help others.  For severe narcissistic personality disorder, experiencing a major mistake or failure is often a blessing in disguise that can destroy their arrogance, extreme selfishness, self-righteousness and sense of privilege. After things have gone wrong and painful, families often unexpectedly find that they have changed a lot. Cui’s depression was cured when he was interviewed and said, “Those who get depression are basically geniuses,” which may not have been broken completely enough. If the personality is not adjusted well and only the depressive symptoms are relieved, the disease will easily recur in the future.  I summarized 6 principles about how patients can adjust themselves, the first one is five more, the first of which is to experience more things, actively do things, take the initiative to take responsibility, face the consequences openly, regardless of success or failure, it is good for treatment, for narcissists, failure may have more therapeutic significance. Wang Yangming also said that one must grind on things.  ”I think of myself three times a day… I seek for people but I am not faithful? To make friends for friends and not trust? To pass on not to learn?” “See the virtuous and think of the virtuous, see the unvirtuous and introspection.” “Self-thickness and thin blame on others, is far from resentment.” These are recent Guangzhou subway slogans, especially for narcissists to learn and ponder. But I guess there is not much attention to these slogans, everyone in the subway is lowering their heads to brush WeChat.  In the current situation, I estimate that the prevalence of narcissistic personality disorder will increase, and severe narcissists often need to experience major setbacks before they can make substantial changes, which is a blessing in disguise, but the cost is usually very heavy, and the negative impact on one’s career, future, marriage and family can be huge and far-reaching. The key to prevention is in the family, in the parents, and parents should learn how to educate their children by heart. Some people say that the essence of education is the self-cultivation of parents, and from a certain point of view, it is also right.