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case of patient “H”, studied by Sunny Stras, family therapy seemed to be the best way to treat narcissistic personality disorder in formerly abused children. Patient H is a “second generation Iranian” who is extroverted yet appears “out of place”; he tells stories of how he “held a gun to his father’s head” and “pushed his ex-wife out of a moving car” (Stras). As an Iranian, presence is very important as one mistake brings shame upon the whole family, so the pressure is already heavy on patient H’s family. During his therapy sessions with his family, it is clear that he was abused by his father as he continued to live in a “strict, tight notch Iranian household” (Stras). His mother seemed to be holding a “facade of perfection” as the stories of familial troubles and abuse were revealed. Family therapy is a way of comforting the narcissistic damage of trauma and abandonment; the daily reality of “tumultuous rage” caused by the patient’s father’s rage and high expectations pushed him to the edge (Stras). During family therapy, the family is taught to communicate with each other empathic words in order to move towards self-actualization for not only patient H but his family as well. The fragile state that patient H is in takes effort, meditation, self-reflection, and removing the “defensive, self-absorbed” state from the mind. Family therapy has helped patient H over several sessions kick his opiate addiction and soothe anger towards his family and others surrounding him thus making it easier to sustain relationships (Stras). The high-maintenance and vie for perfection from family is extremely similar to the cases of the children of stage parents who psychologically damage their children’s minds. Some researchers believe that... ... middle of paper ... or the neglectful parenting style that lacks communication in general (Kets de Vries). The parenting styles that ignite consistent praise of a child do not create as many issues for the child as it does for the parent (Kets de Vries). One of the main causes of NPD is the neglectful or abusive childhoods that often lack communication; this lack of communication involves either one or both of the sides not being able to communicate (Ronningstam). The way the interpersonal relationships are formed for the egotistical child who spends their childhood getting what they want and being told they are extraordinary is not a feasible reason that leads to instability of relationships, fluctuation of esteem, shame of oneself, and need for admiration; the “perfect child” would most likely exhibit some of the main defining characteristics of narcissistic personality disorder.
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