Waller Glenn, Sines Jennie, Meyer Caroline, Foster Emma, Skelton Anna
Eating Disorders Section, Institute of Psychiatry, King's College, University of London, London, England.
Int J Eat Disord. 2007 Mar;40(2):143-8. doi: 10.1002/eat.20345.
This study examined the associations between eating pathology and narcissism in an eating-disordered group. Narcissism was conceptualized in terms of both its core element (entitlement, grandiosity) and the narcissistic defenses that are used to maintain self-esteem.
Seventy non-clinical and 84 eating-disordered patients completed a measure of the different elements of narcissism, and a standardized measure of eating pathology.
The eating-disordered group scored higher than the non-clinical women on the measures of core narcissism and of the narcissistically abused style ("poor me" defense). The pattern of dimensional associations between narcissism and eating pathology was highly similar across the clinical and nonclinical groups, with the narcissistic defenses playing the strongest role. The poisonous pedagogy style ("bad you" defense) was positively associated with restrictive attitudes toward eating, while the narcissistically abused style was positively associated with restraint, eating concern, body shape concern, and body weight concern.
The narcissistic defenses are particularly relevant in understanding the eating disorders. Implications for future research are outlined, and suggestions are made about the need to assess and respond to these associations in treatment.
本研究调查了饮食失调群体中饮食病理学与自恋之间的关联。自恋从其核心要素（特权感、夸大）以及用于维持自尊的自恋防御机制两方面进行概念化。
70名非临床个体和84名饮食失调患者完成了一项关于自恋不同要素的测量，以及一项饮食病理学标准化测量。
在核心自恋和自恋受虐风格（“可怜的我”防御机制）测量中，饮食失调群体得分高于非临床女性。自恋与饮食病理学之间的维度关联模式在临床组和非临床组中高度相似，其中自恋防御机制发挥的作用最强。有毒教育风格（“坏的你”防御机制）与对饮食的限制态度呈正相关，而自恋受虐风格与克制、饮食担忧、体型担忧和体重担忧呈正相关。
自恋防御机制在理解饮食失调方面尤为重要。概述了对未来研究的启示，并就治疗中评估和应对这些关联的必要性提出了建议。
