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Shame in patients with narcissistic personality disorder.
Psychiatry Res. 2014 Feb 28; 215(2):429-37.PR

Abstract

Shame has been described as a central emotion in narcissistic personality disorder (NPD). However, there is a dearth of empirical data on shame in NPD. Patients with NPD (N=28), non-clinical controls (N=34) and individuals with borderline personality disorder (BPD, N=31) completed self-report measures of state shame, shame-proneness, and guilt-proneness. Furthermore, the Implicit Association Test (IAT) was included as a measure of implicit shame, assessing implicit shame-self associations relative to anxiety-self associations. Participants with NPD reported higher levels of explicit shame than non-clinical controls, but lower levels than patients with BPD. Levels of guilt-proneness did not differ among the three study groups. The implicit shame-self associations (relative to anxiety-self associations) were significantly stronger among patients with NPD compared to nonclinical controls and BPD patients. Our findings indicate that shame is a prominent feature of NPD. Implications for diagnosis and treatment are discussed.

Authors+Show Affiliations

Department of Psychiatry, Charité - Universitätsmedizin Berlin, Campus Benjamin Franklin, Berlin, Germany; Department of Educational Science and Psychology, Freie Universität Berlin, Berlin, Germany. Electronic address: kathrin.ritter@fu-berlin.de.Department of Psychiatry, Charité - Universitätsmedizin Berlin, Campus Benjamin Franklin, Berlin, Germany; Cluster of Excellence "Languages of Emotion", Freie Universität Berlin, Berlin, Germany; Institute of Psychology, Technische Universität Darmstadt, Germany.Department of Psychiatry II, Ulm University, Germany.Institute of Psychology, Technische Universität Darmstadt, Germany.Department of Psychology, Otto-Friedrich-Universität Bamberg, Germany.Institute of Psychology, Humboldt University Berlin, Berlin, Germany.Asklepios Clinic North - Ochsenzoll, Hamburg, Germany.Cluster of Excellence "Languages of Emotion", Freie Universität Berlin, Berlin, Germany. Electronic address: stefan.roepke@charite.de.

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

24321228

Citation

Ritter, Kathrin, et al. "Shame in Patients With Narcissistic Personality Disorder." Psychiatry Research, vol. 215, no. 2, 2014, pp. 429-37.
Ritter K, Vater A, Rüsch N, et al. Shame in patients with narcissistic personality disorder. Psychiatry Res. 2014;215(2):429-37.
Ritter, K., Vater, A., Rüsch, N., Schröder-Abé, M., Schütz, A., Fydrich, T., Lammers, C. H., & Roepke, S. (2014). Shame in patients with narcissistic personality disorder. Psychiatry Research, 215(2), 429-37. https://doi.org/10.1016/j.psychres.2013.11.019
Ritter K, et al. Shame in Patients With Narcissistic Personality Disorder. Psychiatry Res. 2014 Feb 28;215(2):429-37. PubMed PMID: 24321228.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Shame in patients with narcissistic personality disorder. AU - Ritter,Kathrin, AU - Vater,Aline, AU - Rüsch,Nicolas, AU - Schröder-Abé,Michela, AU - Schütz,Astrid, AU - Fydrich,Thomas, AU - Lammers,Claas-Hinrich, AU - Roepke,Stefan, Y1 - 2013/11/26/ PY - 2012/10/27/received PY - 2013/11/18/revised PY - 2013/11/20/accepted PY - 2013/12/11/entrez PY - 2013/12/11/pubmed PY - 2014/12/15/medline KW - Borderline personality disorder KW - Guilt KW - Implicit association test KW - Narcissistic personality disorder KW - Shame KW - Shame-proneness SP - 429 EP - 37 JF - Psychiatry research JO - Psychiatry Res VL - 215 IS - 2 N2 - Shame has been described as a central emotion in narcissistic personality disorder (NPD). However, there is a dearth of empirical data on shame in NPD. Patients with NPD (N=28), non-clinical controls (N=34) and individuals with borderline personality disorder (BPD, N=31) completed self-report measures of state shame, shame-proneness, and guilt-proneness. Furthermore, the Implicit Association Test (IAT) was included as a measure of implicit shame, assessing implicit shame-self associations relative to anxiety-self associations. Participants with NPD reported higher levels of explicit shame than non-clinical controls, but lower levels than patients with BPD. Levels of guilt-proneness did not differ among the three study groups. The implicit shame-self associations (relative to anxiety-self associations) were significantly stronger among patients with NPD compared to nonclinical controls and BPD patients. Our findings indicate that shame is a prominent feature of NPD. Implications for diagnosis and treatment are discussed. SN - 1872-7123 UR - https://www.unboundmedicine.com/medline/citation/24321228/Shame_in_patients_with_narcissistic_personality_disorder_ DB - PRIME DP - Unbound Medicine ER -