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APC Narcissism Dr. Ramani Durvasula, PhD
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The presentation titled "Narcissism in the Context of Substance Use Disorders" by Dr. Ramani Durvasula explores the overlap between narcissism and substance use disorders (SUDs). It highlights the challenges that maladaptive personality styles, particularly narcissism, pose in the assessment, treatment, and long-term management of individuals with SUDs. The presentation emphasizes the need for personality variables to be incorporated into treatment planning, as they significantly impact relapse management and treatment engagement. Although there is limited empirical research on the overlap between narcissism and substance use, most clinicians recognize the complications this pattern can present in treatment. The presentation provides an overview of narcissism, including the DSM-based Alternative Model for Personality Disorders (AMPD) formulation, the different subtypes of narcissism, and its relationship to antisocial personality disorder/psychopathy. It also discusses the challenges clinicians may face in working with clients with co-occurring narcissism and substance use, such as feelings of helplessness and frustration. Additionally, it addresses intersectional issues related to race, social class, and economic status. The presentation outlines the learning objectives, including understanding diagnostic definitions of narcissistic personality disorder, familiarity with different narcissistic subtypes, and understanding the relationship between narcissism and substance use/addiction. It also emphasizes the importance of considering narcissism in treatment planning and provides tips for maximizing clinician efficacy in working with this population.
Keywords
Narcissism
Substance Use Disorders
Personality Styles
Assessment
Treatment
Relapse Management
Alternative Model for Personality Disorders
Narcissistic Subtypes
Co-occurring Narcissism and Substance Use
Clinician Efficacy
The content on this site is intended solely to inform and educate medical professionals. This site shall not be used for medical advice and is not a substitute for the advice or treatment of a qualified medical professional.
Funding for this initiative was made possible by cooperative agreement no. 1H79TI086770 and grant no. 1H79TI085588 from SAMHSA. The views expressed in written conference materials or publications and by speakers and moderators do not necessarily reflect the official policies of the Department of Health and Human Services; nor does mention of trade names, commercial practices, or organizations imply endorsement by the U.S. Government.
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