Simon Robert I
Program in Psychiatry and Law, Georgetown University, Washington, DC, USA.
Harv Rev Psychiatry. 2002 Jan-Feb;10(1):28-36. doi: 10.1080/10673220216206.
Individuals with trauma-associated narcissistic symptoms (referred to in this paper by the acronym TANS for simplicity) display a discrete cluster of psychological symptoms that can closely mimic those of PTSD. In TANS, the underlying vulnerability to traumatic stress usually stems from a narcissistic personality disorder or narcissistic personality traits. However, narcissistic symptoms associated with an external traumatic event may be reflexively and erroneously attributed to PTSD, no matter how small or insignificant the traumatic stressor. Mistaking TANS for PTSD usually results in treatment failure. In litigation, distinguishing between TANS and PTSD assists the trier of fact in determining causation and assessing damages.
患有创伤相关自恋症状的个体（为简洁起见，本文用首字母缩写词TANS指代）表现出一组离散的心理症状，这些症状可能与创伤后应激障碍（PTSD）的症状极为相似。在TANS中，创伤应激的潜在易感性通常源于自恋型人格障碍或自恋型人格特质。然而，与外部创伤事件相关的自恋症状可能会被反射性地且错误地归因于PTSD，无论创伤应激源多么微小或微不足道。将TANS误诊为PTSD通常会导致治疗失败。在诉讼中，区分TANS和PTSD有助于事实认定者确定因果关系并评估损害赔偿。
