Kealy David, Ogrodniczuk John S, Joyce Anthony S, Steinberg Paul I, Piper William E
1 Department of Psychiatry, University of British Columbia.
2 Department of Psychiatry, University of Alberta.
J Pers Disord. 2015 Jun;29(3):393-407. doi: 10.1521/pedi_2013_27_084. Epub 2013 Feb 11.
Pathological narcissism is associated with maladaptive interpersonal behavior, although less is known regarding the internal relational representations of narcissistic patients. The authors examined the relationship between pathological narcissism and two constructs that reflect internal representations of relational patterns: quality of object relations and attachment style. Patients attending a psychiatric day treatment program (N = 218) completed measures of narcissism, general psychiatric distress, and attachment style in terms of attachment avoidance and anxiety. A semistructured interview was used to assess quality of object relations. Multiple regression analysis was conducted, controlling for general psychiatric distress. Pathological narcissism was associated with anxious attachment, but not with avoidant attachment. Narcissism was also associated with lower levels of quality of object relations. The implications of these results are discussed in terms of internal representations of self-other relations.
病理性自恋与适应不良的人际行为有关，尽管对于自恋型患者的内部关系表征了解较少。作者研究了病理性自恋与反映关系模式内部表征的两个结构之间的关系：客体关系质量和依恋风格。参加精神科日间治疗项目的患者（N = 218）完成了自恋、一般精神痛苦以及依恋回避和焦虑方面的依恋风格测量。采用半结构化访谈来评估客体关系质量。进行了多元回归分析，并控制了一般精神痛苦。病理性自恋与焦虑依恋有关，但与回避型依恋无关。自恋还与较低水平的客体关系质量有关。本文从自我 - 他人关系的内部表征角度讨论了这些结果的意义。
