Institute of Psychotherapy, Lausanne University Hospital, University of Lausanne, Switzerland.
General Psychiatry Service, Lausanne University Hospital, University of Lausanne, Switzerland.
J Pers Disord. 2020 Mar;34(Suppl):63-79. doi: 10.1521/pedi.2020.34.supp.63.
The present study aims at determining the role for outcome of potential processes of change in psychotherapy for narcissistic personality disorder (NPD). They were examined on three levels: the content, the process, and the relationship. A total of 161 patients suffering with NPD were recruited in a naturalistic setting as part of the present study. They underwent a long- term clarification-oriented psychotherapy. Sessions 15, 20, and 25 were video- or audio-recorded and analyzed with an observer-rated instrument that measures the quality of the interaction processes from the patient's and therapist's perspectives. Different self-report measures were used to assess therapy outcomes. In-session improvement was observed in both patient and therapist processes across sessions. Patient improvement in the three levels of processes was systematically related with outcome. Only partial relationships were found between therapist improvement and outcome. The present study represents the first systematic insight into core changes in patients with NPD undergoing psychotherapy.
本研究旨在确定潜在治疗变化过程的结果在自恋型人格障碍（NPD）的心理治疗中的作用。在三个层面上进行了研究：内容、过程和关系。共有 161 名患有 NPD 的患者在自然环境中作为本研究的一部分被招募。他们接受了长期澄清导向的心理治疗。第 15、20 和 25 次治疗会话进行了视频或音频记录，并使用一种观察者评定工具进行了分析，该工具从患者和治疗师的角度测量了互动过程的质量。不同的自我报告措施用于评估治疗效果。在治疗过程中，患者和治疗师的过程都有所改善。患者在三个层面的过程中的改善与结果呈系统相关。仅发现治疗师的改善与结果之间存在部分关系。本研究代表了对接受心理治疗的 NPD 患者核心变化的首次系统深入了解。
