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Sorry to say hope is very low. Narcissistic Personality Disorder While grandiosity is the diagnostic hallmark of pathological Narcissism, there is research evidence that pathological narcissism occurs in two forms, (a) a grandiose state of mind in young adults that can be corrected by life experiences, and (b) the stable disorder described in DSM-IV, which is defined less by grandiosity than by severely disturbed interpersonal relations. The preferred theory seems to be that narcissism is caused by very early affective deprivation, yet the clinical material tends to describe narcissists as unwilling rather than unable, thus treating narcissistic behaviors as volitional -- that is, narcissism is termed a personality disorder, but it tends to be discussed as a character disorder. This distinction is important to prognosis and treatment possibilities. If NPD is caused by infantile damage and consequent developmental short-circuits, it probably represents an irremediable condition. On the other hand, if narcissism is a behavior pattern that's learned, then there is some hope, however tenuous, that it's a behavior pattern that can be unlearned. The clinical literature on NPD is highly theoretical, abstract, and general, with sparse case material, suggesting that clinical writers have little experience with narcissism in the flesh. There are several reasons for this to be so: -- The incidence of NPD is estimated at 1% in the general population, though I haven't been able to discover the basis of this estimate. -- Narcissists rarely enter treatment and, once in treatment, progress very slowly. We're talking about two or more years of frequent sessions before the narcissist can acknowledge even that the therapist is sometimes helpful. It's difficult to keep narcissists in treatment long enough for improvement to be made -- and few people, narcissists or not, have the motivation or the money to pursue treatment that produces so little so late. -- Because of the influence of third-party payers (insurance companies), there has been a strong trend towards short-term therapy that concentrates on ameliorating acute troubles, such as depression, rather than delving into underlying chronic problems. Narcissists are very reluctant to open up and trust, so it's possible that their NPD is not even recognized by therapists in short-term treatment. Purely anecdotal evidence from correspondents and from observations of people I know indicates that selective serotonin-reuptake inhibitors, such as Prozac, aggravate narcissists' grandiosity and lack of social inhibition. It has also been suggested that self-help literature about bolstering self-esteem and getting what you want out of life or that encourages the feeling of victimization has aggravating effects on NPD thinking and behavior. -- Most clinical writers seem unaware that narcissists' self-reports are unreliable. This is troubling, considering that lying is the most common complaint about narcissists and that, in many instances, defects of empathy lead narcissists to wildly inaccurate misinterpretations of other people's speech and actions, so that they may believe that they are liked and respected despite a history of callous and exploitative personal interactions.

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17y ago
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12y ago

You can be healed over time, like all pain and loss.Dont have contact with the N - seek counselling and let yourself know, it simply isn't your fault.I have a Ex N and for a long time I thought Id never heal. I share a child with him. I reserved the game on him, I ignored him and I did not show him my pain. Him thinking I was ok, KILLED HIM. I know the feeling of wanting to be healed but it isn't something that wiljust happen. Yopu need to put work into it,worry about yourself and remember that your better than he is. Your heart will heal, trust me!I spent 6 years with mine, telling myself it was all me, never him. He was right - I was wrong. I couldn't live without him... Blah blah blahMy world rocks without him, Im myself again, Im happy and most of all with time I moved on, as will you dear!I wish you well

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Q: What hope is there for a narcissistic personality in recovering?
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