Abstract：
UNASSIGNED: The study was set out to establish the potential for psychotherapy to effect improvements in patients with narcissistic personality disorder (NPD). Eight patients with NPD who improved in treatment were identified. Consensus clinician/investigator diagnostic scores from before and after the psychotherapies were retroactively established on the Diagnostic Interview for Narcissism (DIN) and the Diagnostic Statistic Manual for Psychiatric Disorders, 5th Edition (DSM-5) Personality Disorder Section II criteria. Psychosocial functioning (work or school, romantic relationships) before and after the psychotherapies was retroactively evaluated as well. At the completion of the therapies after 2.5 to 5 years, all patients had improved, no longer met DIN or DSM-5 criteria for NPD, and showed better psychosocial functioning. Symptomatic improvements were associated with large effect sizes. In conclusion, changes in NPD can occur in treatment after 2.5 to 5 years. Future research should identify patient characteristics, interventions, and common processes in such improved cases that could help with development of treatments.
摘要：
■该研究旨在确定心理治疗改善自恋型人格障碍（NPD）患者的潜力。确定了八名在治疗中有所改善的NPD患者。在自恋诊断访谈（DIN）和精神疾病诊断统计手册中追溯建立了心理治疗前后的共识临床医生/研究者诊断评分，第五版(DSM-5)人格障碍第二节标准。社会心理功能（工作或学校，浪漫关系）在心理治疗前后也进行了追溯评估。在2.5至5年后完成治疗时，所有病人都有好转,不再符合NPD的DIN或DSM-5标准，并表现出更好的社会心理功能。症状改善与大效应大小相关。总之,NPD的变化可以在2.5至5年后的治疗中发生。未来的研究应该确定患者的特征，干预措施，以及在这种改善的病例中的共同过程，可以帮助治疗的发展。
