APC: Narcissism: Dr. Ramani Durvasula, PhD-Slides

Slides

Pdf Summary

This document is a part of the Addiction Psychiatry Advanced Psychotherapy Curriculum and focuses on narcissism in the context of substance use disorders. The speaker, Dr. Ramani Durvasula, provides an overview of narcissism, its relationship with substance use disorders, and the overlap with other personality disorders like antisocial personality disorder and psychopathy. The presentation emphasizes the importance of considering personality in treatment planning, as it can significantly complicate assessment, treatment, and long-term management of individuals with substance use disorders.<br /><br />The document discusses the various subtypes of narcissism, including grandiose, vulnerable, and malignant narcissism, and their different motivations for substance use. It also highlights the challenges of working with narcissistic clients, including their high rates of therapy dropout and the impact on therapist burnout. The presentation suggests a range of treatment approaches, such as transference-focused psychotherapy, attachment frameworks, and trauma-informed practices. It also offers tips for clinicians, such as building a strong therapeutic alliance, setting boundaries, and using a variety of intervention techniques.<br /><br />Overall, the document emphasizes the complexity of working with narcissistic clients with substance use disorders and encourages clinicians to integrate personality assessment into treatment planning and have realistic expectations for outcomes. It also addresses the impact of narcissism on treatment teams, clients' families, and the importance of considering intersectional issues related to race, social class, and economic status.

Keywords

narcissism

substance use disorders

personality disorders

treatment planning

grandiose narcissism

vulnerable narcissism

malignant narcissism

therapy dropout

therapist burnout

attachment frameworks

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