Transform Your Relationship with a Narcissist
Since the 1970s there has been an increased interest in narcissistic and borderline character disturbances. Heinz Kohut's psychology of the self in the understanding of narcissism and Otto Kernberg's application of psychoanalytic object relations theory to the development of psychoanalytic techniques in the treatment of borderline patients gained center stage. Their observations have profoundly influenced notions of the nature and kind of transference manifestations that appear in treatment.
In addition, integrating the APA classification of personality disorders with a dimensional model of general personality structure has a number of advantages, notably the incorporation of the considerable amount of basic science research on personality into our understanding of disorders of personality. Blashfield and Intoccia (2000) conducted a computer search of the personality disorder research literature and concluded that there were five disorders (dependent, narcissistic, obsessive-compulsive, paranoid, and passive-aggressive) that had very small literatures (p. 473). The only personality disorder whose literature is clearly alive and growing is that of borderline personality disorder (p. 473). They characterized the literature concerning the dependent, narcissistic, obsessive-compulsive, paranoid, passive-aggressive, schizoid, and histrionic personality disorders as being dead or dying (p. 473).
Finally, Cluster C, the anxious and fearful cluster, includes the Avoidant, Dependent, and Obsessive-Compulsive Personality Disorders. In addition to general criteria for Personality Disorders, each disorder has its own polythetic criterion where an individual must have some minimum number (ranging from 3 to 5 for various disorders) from among a larger number (ranging from 7 to 9 across disorders) of symptoms.
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