Evidence suggests that narcissism and borderline personality disorder are associated with each other. This naturalistic study investigated the predictive value of grandiose and vulnerable narcissism on the development of the therapeutic alliance in short-term psychodynamic treatment across 12 weeks. The sample consisted of 99 patients with borderline personality disorder. Narcissism was assessed with the Pathological Narcissism Inventory at treatment onset. The therapeutic alliance was rated with the Scale to Assess Therapeutic Relationships by both patient and therapist at four time points during treatment. Results showed a significant predictive value of vulnerable narcissism on the therapeutic alliance, revealing a more beneficial progression for patients with higher vulnerable narcissism. Grandiose narcissism had no predictive value on the therapeutic alliance. The study strengthens the clinical utility of the concept of vulnerable narcissism towards the evaluation of treatment processes in borderline personality disorder.
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Article Synopsis
- The study analyzed how different types of narcissistic and borderline personality traits affected reactions to romantic infidelity in a group of Israeli community members (997 participants).
- Researchers identified four forms of narcissism: extraverted, antagonistic, neurotic, and communal, each with distinct emotional responses to infidelity scenarios.
- It was found that neurotic narcissism led to stronger negative emotional reactions in high-threat situations, while antagonistic and communal narcissism impacted relationship evaluations more in low-threat contexts, highlighting the complex dynamics of personality traits in romantic relationships.
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