Homework assignments in relational psychoanalytic treatment of personality disorders: A case study of a patient with narcissistic personality disorder.
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| Title: | Homework assignments in relational psychoanalytic treatment of personality disorders: A case study of a patient with narcissistic personality disorder. |
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| Authors: | Magistrale, Giuseppe (AUTHOR), Hasson‐Ohayon, Ilanit (AUTHOR), Lysaker, Paul H. (AUTHOR), Dimaggio, Giancarlo (AUTHOR) |
| Source: | Journal of Clinical Psychology. Apr2024, Vol. 80 Issue 4, p871-883. 13p. |
| Subjects: | Narcissistic personality disorder, Narcissism, Personality disorders, Patient experience, Homework, Caregivers |
| Abstract: | Homework assignments, or specific tasks patients are asked to engage in or complete between sessions, are a controversial topic among psychoanalysts. While many argue these interventions contradict psychoanalytic principles, others believe they can help address problems and promote coping skills. We propose that homework can be a legitimate aspect of relational psychoanalysis when used in a way that is attuned to the patient's experience and that homework may be an important component of treating personality disorders (PD). We present the case of a man diagnosed with narcissistic PD. He often felt superior to and reported that he despised others, though the core self‐image was of fragile. He embraced the role of the omnipotent caregiver, which came with boredom and anger and lack of satisfaction in his social life. The patient tried to control therapy, asserting that he could psychoanalyze himself. As a result, therapy was stalled and progress was limited. At this point, the therapist asked him to complete homework assignments that encouraged him to refrain from his compulsive caregiving to better understand what motivated this behavior. Through this process, the patient came to realize he acted out of avoidance, as he did not want to disclose his own vulnerabilities and flaws. At that point he was able to experience relationships while adopting different stances and finding new meanings. We argue that homework can be fully integrated into the relational psychoanalytic repertoire to improve self‐reflection and foster change in patients with PD. [ABSTRACT FROM AUTHOR] |
| Copyright of Journal of Clinical Psychology is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Psychology and Behavioral Sciences Collection |
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| Header | DbId: pbh DbLabel: Psychology and Behavioral Sciences Collection An: 175919394 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Homework assignments in relational psychoanalytic treatment of personality disorders: A case study of a patient with narcissistic personality disorder. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Magistrale%2C+Giuseppe%22">Magistrale, Giuseppe</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Hasson‐Ohayon%2C+Ilanit%22">Hasson‐Ohayon, Ilanit</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Lysaker%2C+Paul+H%2E%22">Lysaker, Paul H.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Dimaggio%2C+Giancarlo%22">Dimaggio, Giancarlo</searchLink> (AUTHOR) – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Journal+of+Clinical+Psychology%22">Journal of Clinical Psychology</searchLink>. Apr2024, Vol. 80 Issue 4, p871-883. 13p. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22Narcissistic+personality+disorder%22">Narcissistic personality disorder</searchLink><br /><searchLink fieldCode="DE" term="%22Narcissism%22">Narcissism</searchLink><br /><searchLink fieldCode="DE" term="%22Personality+disorders%22">Personality disorders</searchLink><br /><searchLink fieldCode="DE" term="%22Patient+experience%22">Patient experience</searchLink><br /><searchLink fieldCode="DE" term="%22Homework%22">Homework</searchLink><br /><searchLink fieldCode="DE" term="%22Caregivers%22">Caregivers</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: Homework assignments, or specific tasks patients are asked to engage in or complete between sessions, are a controversial topic among psychoanalysts. While many argue these interventions contradict psychoanalytic principles, others believe they can help address problems and promote coping skills. We propose that homework can be a legitimate aspect of relational psychoanalysis when used in a way that is attuned to the patient's experience and that homework may be an important component of treating personality disorders (PD). We present the case of a man diagnosed with narcissistic PD. He often felt superior to and reported that he despised others, though the core self‐image was of fragile. He embraced the role of the omnipotent caregiver, which came with boredom and anger and lack of satisfaction in his social life. The patient tried to control therapy, asserting that he could psychoanalyze himself. As a result, therapy was stalled and progress was limited. At this point, the therapist asked him to complete homework assignments that encouraged him to refrain from his compulsive caregiving to better understand what motivated this behavior. Through this process, the patient came to realize he acted out of avoidance, as he did not want to disclose his own vulnerabilities and flaws. At that point he was able to experience relationships while adopting different stances and finding new meanings. We argue that homework can be fully integrated into the relational psychoanalytic repertoire to improve self‐reflection and foster change in patients with PD. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Journal of Clinical Psychology is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
| PLink | https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=175919394 |
| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1002/jclp.23600 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 13 StartPage: 871 Subjects: – SubjectFull: Narcissistic personality disorder Type: general – SubjectFull: Narcissism Type: general – SubjectFull: Personality disorders Type: general – SubjectFull: Patient experience Type: general – SubjectFull: Homework Type: general – SubjectFull: Caregivers Type: general Titles: – TitleFull: Homework assignments in relational psychoanalytic treatment of personality disorders: A case study of a patient with narcissistic personality disorder. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Magistrale, Giuseppe – PersonEntity: Name: NameFull: Hasson‐Ohayon, Ilanit – PersonEntity: Name: NameFull: Lysaker, Paul H. – PersonEntity: Name: NameFull: Dimaggio, Giancarlo IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 04 Text: Apr2024 Type: published Y: 2024 Identifiers: – Type: issn-print Value: 00219762 Numbering: – Type: volume Value: 80 – Type: issue Value: 4 Titles: – TitleFull: Journal of Clinical Psychology Type: main |
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