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Narcissistic Personality Disorder, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
Narcissistic Personality Disorder, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
Narcissistic Personality Disorder, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
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Narcissistic Personality Disorder, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions

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This book describes Narcissistic Personality Disorder, Diagnosis and Treatment and Related Diseases
Narcissistic personality disorder is a personality disorder in which a person has:
1. An extreme sense of self-importance
2. An excessive preoccupation with themselves
3. A lack of empathy for others
Narcissistic Personality Disorder (NPD) is a personality disorder in which the patient is engrossed in their own personal power, prestige and vanity.
The disorder was called after a mythological Greek character called Narcissus who felt in love with his own reflection in a lake.
Causes:
1. Genetics:
There are inherited characteristics from parents including oversensitive temperament.
2. Trauma:
Childhood trauma is a frequent experience of many people with a diagnosis of personality disorder and particularly early and severe abuse.
3. Family Context:
The environment that children grow up in has a large effect on their personalities as adults.
Symptoms
A person with this disorder may:
1.Respond to criticism with rage, shame, or humiliation
2.Take benefit of other people to achieve his or her own goals
3.Have excessive feelings of self-importance
4.Exaggerate achievements and talents
5.Preoccupied with unrealistic fantasies of success, power, beauty, intelligence, or ideal love
6.Have unreasonable expectations of favorable treatment
7.Need constant attention and admiration or positive reinforcement from others
8.Have no regards for the feelings of others
Diagnosis:
Narcissistic personality disorder is diagnosed using a psychological evaluation
No specific laboratory studies are used to diagnose narcissistic personality disorder (NPD).
These personality tests are normally either:
1.Self-report questionnaires given directly to the patient or
2.Semi-structured interviews done by the doctor
Treatment:
Long-term, consistent outpatient care is the treatment method of choice, normally involving a combination of psychotherapy and medicine treatment.
Methods for psychotherapy are:
1.Individual psychotherapy (specifically, psychoanalytic psychotherapy)
Mainstay of treatment; schools of thought are:
a. Object-relations approach and
b. Self-psychology approach, and
c. Various combinations of the 2 approaches
2.Group therapy
3.Family therapy
4.Couples therapy
5.Cognitive-behavioral therapy (CBT; in particular, schema-focused therapy)
6.Short-term objective-focused psychotherapy
No psychiatric medicines are adapted specifically toward the treatment of NPD.
Patients with this disorder often benefit from the use of psychiatric medicines to help relieve certain symptoms linked with the disorder or to treat concomitant axis I diagnoses.
Hospitalization should only be used as a temporary measure to permit stabilization of environmental stressors, adjustment of medication dosages, or both
The 2 main disciplines of thought in this regard are
1.Object-relations approach and
2.Self-psychology approach
In the first method, the job of the therapist is to actively interpret the patient’s narcissistic defenses while at the same time illuminating the patient’s negative transferences.
The end goal of therapy was to eliminate or decrease the patient’s pathologic grandiose self through direct confrontation.
By contrast, the second method advised a more empathic approach, with the therapist actually encouraging the patient’s grandiosity and promoting the development of idealization in the transference.
The end goal was to bolster the patient’s inherently deficient self-structure.
Presently, most doctors embrace a style that fuses elements of both
Medicines that can be combined with psychotherapy:
1.Antidepressants-SSRI
2.Antipsychotics
3.Mood stabilizers

TABLE OF CONTENT
Introduction
Chapter 1 Narcissistic Personality Disorder

LanguageEnglish
PublisherKenneth Kee
Release dateSep 24, 2018
ISBN9780463650639
Narcissistic Personality Disorder, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
Author

Kenneth Kee

Medical doctor since 1972.Started Kee Clinic in 1974 at 15 Holland Dr #03-102, relocated to 36 Holland Dr #01-10 in 2009.Did my M.Sc (Health Management ) in 1991 and Ph.D (Healthcare Administration) in 1993.Dr Kenneth Kee is still working as a family doctor at the age of 74However he has reduced his consultation hours to 3 hours in the morning and 2 hours inthe afternoon.He first started writing free blogs on medical disorders seen in the clinic in 2007 on http://kennethkee.blogspot.com.His purpose in writing these simple guides was for the health education of his patients which is also his dissertation for his Ph.D (Healthcare Administration). He then wrote an autobiography account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.comThis autobiography account “A Family Doctor’s Tale” was combined with his early “A Simple Guide to Medical Disorders” into a new Wordpress Blog “A Family Doctor’s Tale” on http://ken-med.com.From which many free articles from the blog was taken and put together into 1000 eBooks.He apologized for typos and spelling mistakes in his earlier books.He will endeavor to improve the writing in futures.Some people have complained that the simple guides are too simple.For their information they are made simple in order to educate the patients.The later books go into more details of medical disorders.He has published 1000 eBooks on various subjects on health, 1 autobiography of his medical journey, another on the autobiography of a Cancer survivor, 2 children stories and one how to study for his nephew and grand-daughter.The purpose of these simple guides is to educate patient on health disorders and not meant as textbooks.He does not do any night duty since 2000 ever since Dr Tan had his second stroke.His clinic is now relocated to the Buona Vista Community Centre.The 2 units of his original clinic are being demolished to make way for a new Shopping Mall.He is now doing some blogging and internet surfing (bulletin boards since the 1980's) startingwith the Apple computer and going to PC.The entire PC is upgraded by himself from XT to the present Pentium duo core.The present Intel i7 CPU is out of reach at the moment because the CPU is still expensive.He is also into DIY changing his own toilet cistern and other electric appliance.His hunger for knowledge has not abated and he is a lifelong learner.The children have all grown up and there are 2 grandchildren who are even more technically advanced than the grandfather where mobile phones are concerned.This book is taken from some of the many articles in his blog (now with 740 posts) A Family Doctor’s Tale.Dr Kee is the author of:"A Family Doctor's Tale""Life Lessons Learned From The Study And Practice Of Medicine""Case Notes From A Family Doctor"

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    Book preview

    Narcissistic Personality Disorder, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions - Kenneth Kee

    Narcissistic Personality Disorder,

    A

    Simple

    Guide

    To

    The Condition,

    Diagnosis,

    Treatment

    And

    Related Conditions

    By

    Dr Kenneth Kee

    M.B.,B.S. (Singapore)

    Ph.D (Healthcare Administration)

    Copyright Kenneth Kee 2018 Smashwords Edition

    Published by Kenneth Kee at Smashwords.com

    Dedication

    This book is dedicated

    To my wife Dorothy

    And my children

    Carolyn, Grace

    And Kelvin

    This book describes Narcissistic Personality Disorder, Diagnosis and Treatment and Related Diseases which is seen in some of my patients in my Family Clinic.

    (What The patient Need to Treat Narcissistic Personality Disorder)

    This eBook is licensed for your personal enjoyment only. This eBook may not be re-sold or given away to other people. If you would like to share this book with another person, please purchase an additional copy for each reader.

    If you’re reading this book and did not purchase it, or it was not purchased for your use only, then please return to Smashwords.com and purchase your own copy.

    Thank you for respecting the hard work of this author.

    Introduction

    I have been writing medical articles for my blog: http://kennethkee.blogspot.com (A Simple Guide to Medical Disorder) for the benefit of my patients since 2007.

    My purpose in writing these simple guides was for the health education of my patients.

    Health Education was also my dissertation for my Ph.D (Healthcare Administration).

    I then wrote an autobiolographical account of his journey as a medical student to family doctor on his other blog: http://afamilydoctorstale.blogspot.com.

    This autobiolographical account A Family Doctor’s Tale was combined with my early A Simple Guide to Medical Disorders into a new Wordpress Blog A Family Doctor’s Tale on http://kenkee481.wordpress.com.

    From which many free articles from the blog was taken and put together into 800 eBooks.

    Some people have complained that the simple guides are too simple.

    For their information they are made simple in order to educate the patients.

    The later books go into more details of medical disorders.

    The first chapter is always from my earlier blogs which unfortunately tends to have typos and spelling mistakes.

    Since 2013, I have tried to improve my spelling and writing.

    As I tried to bring the patient the latest information about a disorder or illness by reading the latest journals both online and offline, I find that I am learning more and improving on my own medical knowledge in diagnosis and treatment for my patients.

    Just by writing all these simple guides I find that I have learned a lot from your reviews (good or bad), criticism and advice.

    I am sorry for the repetitions in these simple guides as the second chapters onwards have new information as compared to my first chapter taken from my blog.

    I also find repetition definitely help me and maybe some readers to remember the facts in the books more easily.

    I apologize if these repetitions are irritating to some readers.

    Chapter 1

    Narcissistic personality disorder

    What is Narcissistic Personality Disorder?

    Narcissistic personality disorder is a personality disorder in which a person has:

    1. An extreme sense of self-importance

    2. An

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