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Identifier 000397836
Title Ο ευάλωτος εξαρτημένος εαυτός : τρεις μελέτες για τον παθολογικό ναρκισσισμό και την εξάρτηση από ψυχοτρόπους ουσίες
Author Καρακούλα, Παρασκευή
Thesis advisor Σοφία Τριλίβα
Abstract Background: The theoretical background of this dissertation is composed of contemporary psychoanalytic theories which analyze the dynamic processes involved in narcissism, addiction and the inter-relationships of such intrapsychic phenomena. More specifically, Self Psychology’s conceptualizations of narcissism as a distinct developmental line and addiction as a self/ narcissistic disorder helps in integrating broader psychoanalytic thinking regarding the relationship of the two phenomena in a clinically useful way. Previous research has connected Narcissistic Personality Disorder to addiction using DSM defined phenomenology and assessing the prevalence and commorbidity of the disorder. There is a gap in the research literature when it comes to the application of broad and clinically useful understandings derived from psychoanalytic thinking, particularly Self Psychology, in studying pathological narcissism. Aim: The aims of the present dissertation are to confirm the hypothesis that substance dependent individuals are characterized by narcissistic disturbances, to offer an inclusive structural description of their personality profile, and to highlight the predominant themes in their self experience. Method: This dissertation includes three studies employing different, yet complementary methods. In the first study, we test for differences between substance dependent and non dependent individuals regarding individual dimensions of pathological narcissism (vulnerability, grandiosity) with the Pathological Narcissism Inventory. In the second study, we present analytic descriptive data for the substance dependent group with the Rorschach Inkblot Test and, based on these findings, we follow an interpretative personality profile analysis. In the third study, we thematically analyze the interview protocols of people confronting the challenges of substance abuse treatment and rehabilitation focusing on their self experiences. Findings: Comparisons of substance dependent individuals to non substance dependent participants yielded significantly higher scores in the narcissistic vulnerability subscale of the Pathological Narcissism Inventory. The structural personality assessment suggested adequate adjustment and stress control, some thought disturbance better attributed to emotional difficulties and personality style, unstable and conflicted self-perception and self-esteem, difficulties in affect self-regulation, some healthy aspects in their interpersonal relations with concomitant significant problems in dependency and mirroring needs, and preoccupation with aggressiveness. The predominant themes in self experience include: concealment of the vulnerable and shame-ridden self and the significance of one’s image; the defective sense of self and the pressing need for acceptance; detachment and a mechanistic use of others in place of relatedness; and difficulties with affect self-regulation and containing aggression. Conclusions: All three studies highlighted the significant narcissistic disturbances that substance dependent individuals experience. Moreover, these difficulties are more likely to be related to vulnerability than to grandiosity, which appears to comprise a defensive attempt involving the substance. Integrating findings from different methods and theoretical perspectives and expanding clinical assessment beyond the mere use of diagnostic criteria offers a better understanding of the processes involved in clinical phenomena such as narcissism and this, in turn, has far-reaching implications for therapeutic planning and intervening.
Language Greek
Subject Addiction
Pathological narcissism
Παθολογικός ναρκισσισμός
Issue date 2015
Collection   School/Department--School of Social Sciences--Department of Psychology--Doctoral theses
  Type of Work--Doctoral theses
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