THE DEPENDENT SELF IN NARCISSISTIC PERSONALITY DISORDER IN COMPARISON TO DEPENDENT PERSONALITY DISORDER: A DIALOGICAL ANALYSIS (1/2)

https://www.reddit.com/r/zeronarcissists/comments/1gu223s/the_dependent_self_in_narcissistic_personality/

created by theconstellinguist on 18/11/2024 at 10:48 UTC*

6 upvotes, 1 top-level comments (showing 1)

Salvatore, G., Carcione, A., & Dimaggio, G. (2012). The dependent self in narcissistic personality disorder in comparison to dependent personality disorder: A dialogical analysis. *International Journal for Dialogical Science*, *6*(1), 31-49.

1: http://www.sakkyndig.com/psykologi/artvit/salvatore2012.pdf

2: http://www.sakkyndig.com/psykologi/artvit/salvatore2012.pdf

3: https://narcissismresearch.miraheze.org/wiki/AIReactiveCodependencyRageDisclaimer

4: https://narcissismresearch.miraheze.org/wiki/AIReactiveCodependencyRageDisclaimer

1. In spite of these adaptive manifestations, dependency can be maladaptive. Psychiatric classification has generally labelled dependency “Dependent Personality Disorder”, but empirical evidence supports the notion that maladaptive dependency symptoms are positively related to the majority of DSM-IV PDs from all three clusters. A disorder in which only a few thinkers have noted the presence of severe aspects of unhealthy dependency is Narcissistic Personality Disorder.

1. This is completely lacking in the DSM description of the disorder. In this paper we highlight maladaptive dependency features in NPD and comparing them with unhealthy dependency in DPD. Our analysis will make use of diary and session fragments involving patients with severe manifestations of both NPD and DPD, and will be carried out within the framework of Dialogical Self Theory.

1. In spite of the adaptive value of relying on others, dependency can be maladaptive. Bornstein (2005) distinguishes between unhealthy and healthy dependency: the former characterized by intense, undermodulated strivings, exhibited without the necessary reflexive effort across a broad range of situations and the latter by strivings – even intense – exhibited selectively (i.e. in some contexts but not others) and flexibly (i.e. in situation-appropriate ways).

1. Bornstein (1992, 1993, 1996) described an interactionist model of unhealthy interpersonal dependency, according to which dependency consists of four primary components: cognitive, i.e. a perception of oneself as powerless and ineffectual and of others as powerful and potent; motivational or a strong desire for guidance, approval and support from others; affective, i.e. becoming anxious when required to function autonomously; and behavioural, displayed in the use of an array of relationship-facilitating self-presentation strategies to strengthen ties to others, such as ingratiation and supplication.

1. Psychiatric classification has generally labelled dependency “Dependent Personality Disorder” (DPD; American Psychiatric Association, 2000), in which the fundamental dimension is a pervasive and excessive need to be taken care of, leading to submissive and clinging behaviour and fears of separation in a variety of contexts.

1. This pattern provokes subjective suffering and interpersonal malfunctioning (Carcione & Conti, 2007). A more fine-grained analysis shows that many other personality disorders (PD) feature aspects of unhealthy dependency, with borderline, histrionic and avoidant being the most obvious examples and all of them co-occurring frequently with DPD.

1. These data suggest not only that current DPD diagnostic categories lack discriminant validity (Bornstein, 1998) but also confirm Bowlby’s intuitions that dependency is a typical human functioning and malfunctioning dimension (Benjamin, 1996; Fernandez-Alvarez, 2000).

1. A disorder in which only a few thinkers (Kohut, 1971, 1977) have noted the presence of severe aspects of unhealthy dependency is Narcissistic PD (NPD). This is completely lacking in the DSM description of the disorder (2000), which stresses the pervasiveness of grandiosity, need for admiration, lack of empathy, disdain and envy. Kernberg’s description contains similar features and pinpoints a grandiose and envious individual, prone to anger and seeking others’ attention and admiration (Kernberg, 1974, 1975).

1. NPD sufferers are often seen as self-reliant, independent, unable to form attachment bonds and, at the end of the day, not needing others’ help when in distress.

1. Clinical observations and social psychology research suggest instead that NPD patients tend to fall into fragmented (Kohut, 1971, 1977) dissociated or angry (Dimaggio, Semerari, Falcone, et al., 2002; Dimaggio, Nicolò, Fiore et al., 2008) states when they consider others are not supporting their plans or they feel rejected. Without support from others they tend to become passive or shut-off and thus unable to pursue their life goals (Robins & Beer, 2001). This leads us to think that many aspects of narcissism pathology can be seen to be unhealthy dependency and that, once issues more closely related to grandiose aspects of the self or self-esteem have been dealt with successfully, the main goal of psychotherapy should be to promote autonomy and a stronger sense of personal agency (Dimaggio, in press).

1. This may sound counterintuitive and the resemblance between the prototypical patient with overt dependent features, such as persons with DPD, who are submissive, cling to others and fear abandonment and negative judgment, and prototypical NPD sufferers, who in moments of distress tend to contemptuously shut themselves in a cocoon or an ivory tower (Modell, 1984), leaving the rest of humanity out, may not be at all clear.

1. In a narcissistic individual’s grandiosity and hypervitality Kohut (1971, 1977) sees low self-esteem, a deep sense of being unworthy, neglected and rejected and an incessant longing for feedback that denotes a burning longing for reassurance. Kohut sees a vulnerable individual, in whom the self tends to fragment owing to a lack of empathetic feedback to its affective needs early in development. Clinging to a grandiose self-image is the only choice available when faced with the possibility of the self fragmenting. In Kohut’s description, therefore, investing in a grandiose self represents an adaptive reaction to a failure to develop a healthy dependency. In a relationship an individual can experience a state of mutual idealisation and recognition, a sort of ideal cohabitation enhancing the worth, power and omnipotence of both self and other (Kohut, 1971; 1977; Ornstein, 1998).

1. When narcissists find themselves in difficult situations, they experience an unpleasant arousal, which automatically drives them to get close to others for protection.

Comments

Comment by Forward-Pollution564 at 19/11/2024 at 15:17 UTC

2 upvotes, 1 direct replies

I don’t know how to thank you for that sub. I was lost, I couldn’t understand people in raisedbynarcissist sub or other channels and subs for allegedly narcissistic abuse survivors, I could not relate to any of these stories as they didn’t indicate abuse by individuals with narcissistic psychopathology a least from my experience. You are the source of such profound knowledge on the topic