Psihodinamska objašnjenja odnosa borderline-a i narcisa

master's thesis

• Title (english): A psychodynamic explanation of the relationship between a borderline and a narcissist
• Author: Filip Mustač
• Mentor: Darko Marčinko (mentor)
• Committee member: Milena Skočić Hanžek (predsjednik povjerenstva)
• Committee member: Dražen Begić (član povjerenstva)
• Committee member: Darko Marčinko (član povjerenstva)
• Granter: University of Zagreb; School of Medicine; (Department of Psychiatry and Psychological Medicine); Zagreb
• Defense date and country: 2018-07-13, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Clinical Medical Sciences; Psychiatry

Abstract

Narcistični poremećaj ličnosti sve je češći u današnjem društvu, pogotovo ako u obzir ne uzimamo isključivo potpuno razvijen poremećaj ličnosti, već i samo pojedine crte ličnosti poput konstantne potrebe za divljenjem i potvrdom drugih. Granični poremećaj ličnosti (borderline) termin je za emocionalno nestabilnu ličnost s uistinu nepredvidivim promjenama raspoloženja. Cilj je ovog rada pružiti osnovni pregled narcističnog i graničnog poremećaja ličnosti, pogotovo kroz suvremena psihodinamska objašnjenja njihovog funkcioniranja. Neizostavni u ovoj problematici su Otto Friedmann Kernberg i Joan Lachkar te su njihovi doprinosi detaljno razjašnjeni u ovom radu. Raspravlja se i o odnosu borderline-a i narcisa te komplementarnosti tih dviju patologija u ljubavnom i seksualnom odnosu. Specifični fenomeni kojima se treba posvetiti u poremećajima ličnosti kao što su sram, perfekcionizam i suicidalnost te njihova međusobna povezanost također su približeni u ovom radu. Dotaknuti su i razlozi ulaska u kriminalne i nasilne aktivnosti, što se povezuje s dobiti kojom imaju od toga. Nadalje, opisana je i osveta, kako na individualnoj, tako i na grupnoj, socijalnoj razini, kao i njeno moguće razrješenje te trnovit put izlaska iz nje i kako krenuti put oprosta i pomirenja, to jest zdravo žalovanje. Opisuje se i socijalni aspekt narcizma, narcizam u društvu, kulturi i postavlja se pitanje je li nas društvo tjera da svi budemo savršeni, narcistični. Terapija je i dalje izazov, no postoje razvijene terapijske tehnike koje se primjenjuju u izjednačavanju vanjskog i unutarnjeg realiteta kod narcističnog i graničnog poremećaja ličnosti. Jedna od novijih i intrigantnijih definitivno je mentalizacija, odnosno terapija bazirana na mentalizaciji (MBT) koja pruža nadu u budućnost liječenja ovih poremećaja ličnosti.

Abstract (english)

Narcissistic personality disorder has become increasingly more prevalent in today's society; especially if we do not only take into account the full-blown personality disorder itself, but also just certain narcissistic personality traits such as constant need for admiration and confirmation from others. Borderline personality disorder describes an emotionally unstable personality with truly unpredictable mood swings. The aim of this thesis is to provide a basic overview of the narcissistic and borderline personality disorders, particularly through current psychodynamic explanations of their functioning. The cornerstone works in this area have been presented by Otto Friedmann Kerneberg and Joan Lackhar, and are explained in depth. There is also a discussion on the relationship between a borderline and a narcissist and how they complement each other in both, sexual and love relationships. Specific phenomena to be paid attention to in these personality disorders – shame, perfectionism and suicidality and their inter-connectedness are also addressed. This paper additionally touches on motives for criminal and violent activities and what kind of gains people suffering from NPD and BPD obtain. Furthermore, this thesis describes revenge - on personal as well as group and social level, in addition to its possible dissolution and the rocky way out, and how to start the process of forgiveness and reconciliation, and healthy mourning. There is a description of the social aspect of narcissism, nacissism in society and culture, and a question of whether the society itself forces us into perfectionism and narcissism. Therapy for BPD and NPD is still a challenge, however there are some developed therapeutic techniques that have been used to equalize these patients' external and internal realities. One of the newer and more intriguing ones is definitely mentalization , namely Mentalization Based Therapy- MBT which offers some hope in the future of treatment of these personality disorders.

• Keywords: narcistični poremećaj ličnosti; granični poremećaj ličnosti; odnos narcis/borderline; osveta; narcizam u kulturi
• Keywords (english): narcissistic personality disorder; borderline personality disorder; narcissisic/borderline relationship; revenge; narcissism in culture
• Language: croatian
• URN:NBN: urn:nbn:hr:105:003847
• Study programme: Title: Medicine; Study programme type: university; Study level: integrated undergraduate and graduate; Academic / professional title: doktor/doktorica medicine (doktor/doktorica medicine)
• Type of resource: Text
• File origin: Born digital
• Access conditions: Open access
• Created on: 2019-01-02 13:08:40