Posted by Zo on July 6, 2001, at 23:29:33
In reply to Re: no more silly arguments :-) » Zo, posted by Elizabeth on July 6, 2001, at 22:48:41
> Farm area?
Next to heavily-sprayed apple orchard.> > NPDs and meds. . my two favorite subjects. Not > >that we'll ever find out what works for the >disorder, *the* subset Least Likely To Seek Help. LOL.
>
> Less likely than antisocials, you think?
>
> -elizabethI would think so, yes, because of the Grandiosity as primary defense structure...rather rules out *needing* any help, categorically. Also, they cover *very* well.
Just happened across this:
http://www.mhc.com/Algorithms/Depression/personal.htm#Narcissistic
There has been increased awareness of and interest in this personality disorder since Kohut proposed the usefulness of specific new techniques of psychotherapy. Formal studies actually show a low rate of presence of narcissistic personality disorder in depressed patients, and a relatively higher rate in successfully remitted depressed patients.1 However, Kohut2 and an older literature describe a chronic dysthymia in narcissistic patients that reflects their pervasive lack of pleasure in life, lack of humor, lack of empathy for others, emptiness, hypochondriasis, but strong mood-responsiveness to admiration. Experience in clinical consultation reveals there are many such patients who fail adequate initial pharmacotherapy and that they are over-represented among persistently depressed, non-melancholic patients.3
A review of the literature reveals no clues as to whether continued sequential trials of medication will be helpful for such patients, but local experience is that they remain treatment-resistant to medication. One patient responded to bupropion. They do seem to gradually respond to long term psychotherapy if they remain committed to it.
poster:Zo
thread:67040
URL: http://www.dr-bob.org/babble/20010701/msgs/69241.html