Janusz Bernadetta, Bergmann Jörg R, Matusiak Feliks, Peräkylä Anssi
Department of Family Therapy and Psychosomatics, Jagiellonian University, Medical College, Kraków, Poland.
Faculty of Sociology, Bielefeld University, Bielefeld, Germany.
Front Psychol. 2021 Jan 25;11:596842. doi: 10.3389/fpsyg.2020.596842. eCollection 2020.
Four couple therapy first consultations involving clients with diagnosed narcissistic problems were examined. A sociologically enriched and broadened concept of narcissistic disorder was worked out based on Goffman's micro-sociology of the self. Conversation analytic methods were used to study in detail episodes in which clients resist to answer a therapist's question, block or dominate the development of the conversation's topic, or conspicuously display their interactional independence. These activities are interpreted as a pattern of controlling practices that were prompted by threats that the first couple therapy consultation imposes upon the clients' self-image. The results were discussed in the light of contemporary psychiatric discussions of narcissism; the authors suggest that beyond its conceptualization as a personality disorder, narcissism should be understood as a pattern of interactional practices.
对四例涉及被诊断患有自恋问题的来访者的夫妻治疗首次咨询进行了研究。基于戈夫曼的自我微观社会学，构建了一个在社会学层面丰富和拓展的自恋障碍概念。运用会话分析方法，详细研究了来访者拒绝回答治疗师问题、阻碍或主导对话主题发展，或显著表现出其互动独立性的片段。这些行为被解释为一种控制行为模式，是首次夫妻治疗咨询对来访者自我形象构成的威胁所引发的。根据当代精神病学对自恋的讨论对研究结果进行了探讨；作者们认为，除了将自恋概念化为一种人格障碍之外，还应将其理解为一种互动行为模式。
