This article identifies guiding principles in effective psychotherapies of patients with narcissistic personality disorder (NPD) and cautions against some common pitfalls. Individual psychotherapies of NPD patients were examined by both authors, who tested whether or not some principles, recommended in the literature, effectively promote these therapies and help these patients in moving forward with their lives and with effective therapy use. The authors identify a number of principles that were associated with more positive therapy development: helping patients identify goals and direction of their therapies, promoting a sense of agency, promoting a shift of focus to sense of vulnerability, and anticipating difficulty in developing and maintaining the treatment alliance. Common mistakes in these treatments are engaging in a power struggle with the patient, overindulging the grandiosity of the patient, directly challenging the grandiosity of the patient, and ignoring treatment-interfering behaviors. Identification of principles of effective therapies with NPD patients can help with the development of more effective treatment approaches for NPD.

中文翻译：

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自恋型人格障碍患者治疗中的注意事项

本文确定了对自恋型人格障碍 (NPD) 患者进行有效心理治疗的指导原则，并对一些常见陷阱提出了警告。两位作者都检查了 NPD 患者的个体心理治疗，他们测试了文献中推荐的一些原则是否有效地促进了这些治疗，并帮助这些患者继续他们的生活和有效的治疗使用。作者确定了一些与更积极的治疗发展相关的原则：帮助患者确定他们治疗的目标和方向，促进代理感，促进将注意力转移到脆弱感，以及预测发展和维持治疗的困难。治疗联盟。这些治疗中的常见错误是与患者进行权力斗争，过度放纵患者的浮夸，直接挑战患者的浮夸，无视干预治疗的行为。确定 NPD 患者有效治疗的原则有助于开发更有效的 NPD 治疗方法。