Suffering of the Spouses of Narcissistic Perverts: About Two Cases

IntroductionThe narcissistic perversion is a psychoanalytical term resulting from the association of 2 Freudian notions: perversion and narcissism. The concept of narcissistic pervert has no clinical validity. The companions of the narcissistic perverts undergo moral suffering, often unknown by their entourage.ObjectivesWe suggest studying the trajectory of life of two wives of narcissistic perverts.AimsEmphasize the peculiarities of the narcissistic perverse personality.MethodsWe are going to postpone 2 clinical cases of spouses of narcissistic perverts.ResultsCase 1: Mrs. A., 60-year-old, divorced once. Mother of a girl. She met her current husband during the marriage of her daughter. At the beginning of their common life, Mr. M. was loving and in the small care with his wife. After three months of the marriage, Mrs. A. reported the change of character of her husband who became aggressive, decreasing her and taking her away from her family. He seized all her goods. She is actually getting a divorce.Case 2: Mrs. R., 27-year-old, married Mr. C. after 9 months of knowledge. At the beginning of their marriage, they had a good agreement. Forced to stay at home to take care only of domestic spots, she reported a real-life experience of neglect and emotional carelessness, she felt belittled and isolated. At present engaged in a divorce procedure after been physically assaulted threatened with death.Both women consulted for depression.ConclusionThe narcissistic perversion is a personality problem which affects as well the person involved but especially his entourage. When you are in connection with a narcissistic pervert, even after leaving him, you never recover from it.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Download Full-text

Hoarding disorders: Two different clinical presentations

European Psychiatry ◽

10.1016/j.eurpsy.2017.01.1383 ◽

2017 ◽

Vol 41 (S1) ◽

pp. S746-S746

Author(s):

A. Samico ◽

D. Mota ◽

Â. Venâncio ◽

L. Ribeiro

Keyword(s):

Age Of Onset ◽

Health Hazard ◽

The Elderly ◽

Psychiatric Facility ◽

Obsessive Compulsive ◽

Her Family ◽

Compulsive Disorder ◽

History Of ◽

Competing Interest ◽

Clinical Cases

IntroductionHoarding disorders (HD) have increasingly become a public health hazard. It usually emerges during two broad life periods: in early age-of-onset is usually associated with obsessive-compulsive disorder (OCD); in the elderly, it can be due to psychiatric and organic disorders, unrelated to OCD.ObjectivesOur objective is to increase medical awareness and to highlight that both young and elderly people may suffer from this condition.AimsThe aim of this presentation is to address HD and its different presentations.MethodsPresentation of two clinical cases of HD and pathology revision.ResultsA 30-year-old woman was hoarding litter, food and several items in a systematic way, become aggressive when her family tried to clean the house and was admitted several times in a psychiatric facility for cleanliness of her house. She had a history of depressive symptoms and severe OCD, with obsessive thoughts and several verification behaviors. A 78-year-old woman, with history of cerebral vascular disease, was self-neglected, living in a filthy home, with hoarding of litter and many worthless objects in a disorganized way, become aggressive after her relatives try to enter her house and refused to get help of any kind. Later on, she was admitted in a psychiatric facility and diagnosed with vascular dementia.ConclusionsTimely diagnosis and proper management of these two variations of HD will allow more advanced studies in this matter and more effective pharmacological and psychotherapeutic treatments. These clinical cases reinforce the importance of practical guidelines for appropriate approach of these patients with complex and multidimensional needs.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Download Full-text

Integrated treatment in schizophrenia: A psychodynamic approach

European Psychiatry ◽

10.1016/j.eurpsy.2016.01.2132 ◽

2016 ◽

Vol 33 (S1) ◽

pp. S575-S576

Author(s):

M. Cianciulli ◽

L. Ciampa ◽

F. Gucci

Keyword(s):

Peer Support ◽

Life Experience ◽

Real Life ◽

Health Department ◽

Integrated Treatment ◽

Stable Relationship ◽

Life Functioning ◽

Schizophrenic Patients ◽

Competing Interest ◽

Mental Health Department

IntroductionThe severe disability of schizophrenia and its impairment in real-life functioning can improve with a treatment that stimulates personal resources such as peer-support by psychologist according to Cordiale and Montinari psychoanalytic model (2012) in a multidisciplinary team.ObjectivesSupportive and narcissistic relationships sharing real life experience, according the cohesion of Self (Kohut 1971), promotes identification processes and improves pharmacological and psychiatrist treatment.MethodsStudy participants were recruited for one year, according to diagnostic criteria of DSM V, from schizophrenic patients (n = 12) of a Mental Health Department and of a private psychiatric department (DH) in an age between 23 and 36 years, tested by SAT-P and GAF scale.ResultsAll patients were treated with second generation antipsychotic and an integrated treatment with peer-support, (Galderisi et al., 2014).ConclusionsThe valiance of real-life functioning in patients with schizophrenia depends on an integrated intervention that assures a function of flexible and not coercive restraint, allowing to stable relationship with territorial agency (network) (Chiesa, 2008).Disclosure of interestThe authors have not supplied their declaration of competing interest.

Download Full-text