Narcissistic personality disorder and depression

Mgr. Zuzana Sedláčková, prof. MUDr. Ján Praško Pavlov, CSc., PhDr. Marie Ocisková, Ph.D., MUDr. Dana Kamarádová, Ph.D., doc. MUDr. Klára Látalová, Ph.D.

Psychiatr. praxi 2015; 16(3e)  

Narcissistic personality disorder is characterized by grandiosity, a belief in personal uniqueness and exclusivity, a need for limitlessadmiration or an insufficient level of empathy. Comorbid disorder of anxiety or affective spectrum is easily developed in case of failure,reverse or overload. Some of the most common comorbidities are depression or dysthymia, which significantly impair the adaptationand ability to cope with injury or failure and increase the risk of suicide. In case of comorbid depressive disorder the treatment is primarilyfocused on alleviating depressive symptoms, usually by using antidepressants. However, residual depressive symptoms...

Justice and psychotherapy

Mgr. et Mgr. Jana Vyskočilová, prof. MUDr. Ján Praško Pavlov, CSc.

Psychiatr. praxi 2015; 16(3e): e11-e35  

Justice is one of the basic concepts of a good order in human relations. Justice is a regulatory idea for organizing society thatpreceded the law and appeared as well as in animals. The sense of justice is already seen in young children. The ability to altruisticbehavior, sense of justice, reciprocity, and mutual assistance, are probably genetically determined as dispositions, which arethen further developed during education, or during education may be deformed. Issues of justice in psychotherapy frequentlyoccur but may not be reflected in therapy. Justice sometimes appears directly in what the client is saying (mostly about injustice),but more often...

Freedom and psychotherapy

Mgr. et Mgr. Jana Vyskočilová, prof. MUDr. Ján Praško Pavlov, CSc., MUDr. Aleš Grambal, MUDr. Daniela Jelenová, MUDr. Andrea Cinculová

Psychiatr. praxi 2015; 16(3e): e36-e52  

The problems of the client, who comes to the therapy, may be related to his/her freedom of choice. Lack of freedom may contributeto onset and maintenance of the problems. Psychotherapy can be understood as a process of client management to actively increasingthe independence, mainly from destructive habits, self-limiting attitudes, compulsive acts and other symptoms. In CBT terms,the freedom is always relative. The idea of absolute freedom is caused by cognitive distortion – black and white vision. CBT does notdiscuss the general freedom, but decision-making in particular situations in client’s life. The therapist helps the client to understandthe...

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Psychiatr. praxi 2015; 16(3e)