Narcissistic rage: The Achilles’ heel of the patient with chronic physical illness
Identifieur interne : 000424 ( Main/Exploration ); précédent : 000423; suivant : 000425Narcissistic rage: The Achilles’ heel of the patient with chronic physical illness
Auteurs : Thomas Hyphantis [Grèce] ; Augustina Almyroudi [Grèce] ; Vassiliki Paika [Grèce] ; Panagiota Goulia [Grèce] ; Konstantinos Arvanitakis [Canada]Source :
- Patient preference and adherence [ 1177-889X ] ; 2009.
Abstract
Based on the psychoanalytic reading of Homer’s
Url:
PubMed: 19936167
PubMed Central: 2778434
Affiliations:
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Ioannina</wicri:regionArea><wicri:noRegion>Ioannina</wicri:noRegion></affiliation></author><author><name sortKey="Almyroudi, Augustina" sort="Almyroudi, Augustina" uniqKey="Almyroudi A" first="Augustina" last="Almyroudi">Augustina Almyroudi</name><affiliation wicri:level="1"><nlm:aff id="af1-ppa-3-239">Department of Psychiatry, Medical School, University of Ioannina, Ioannina, Greece;</nlm:aff><country xml:lang="fr">Grèce</country><wicri:regionArea>Department of Psychiatry, Medical School, University of Ioannina, Ioannina</wicri:regionArea><wicri:noRegion>Ioannina</wicri:noRegion></affiliation></author><author><name sortKey="Paika, Vassiliki" sort="Paika, Vassiliki" uniqKey="Paika V" first="Vassiliki" last="Paika">Vassiliki Paika</name><affiliation wicri:level="1"><nlm:aff id="af1-ppa-3-239">Department of Psychiatry, Medical School, University of Ioannina, Ioannina, Greece;</nlm:aff><country xml:lang="fr">Grèce</country><wicri:regionArea>Department of Psychiatry, Medical School, University of Ioannina, Ioannina</wicri:regionArea><wicri:noRegion>Ioannina</wicri:noRegion></affiliation></author><author><name sortKey="Goulia, Panagiota" sort="Goulia, Panagiota" uniqKey="Goulia P" first="Panagiota" last="Goulia">Panagiota Goulia</name><affiliation wicri:level="1"><nlm:aff id="af1-ppa-3-239">Department of Psychiatry, Medical School, University of Ioannina, Ioannina, Greece;</nlm:aff><country xml:lang="fr">Grèce</country><wicri:regionArea>Department of Psychiatry, Medical School, University of Ioannina, Ioannina</wicri:regionArea><wicri:noRegion>Ioannina</wicri:noRegion></affiliation></author><author><name sortKey="Arvanitakis, Konstantinos" sort="Arvanitakis, Konstantinos" uniqKey="Arvanitakis K" first="Konstantinos" last="Arvanitakis">Konstantinos Arvanitakis</name><affiliation wicri:level="4"><nlm:aff id="af2-ppa-3-239">Canadian Institute of Psychoanalysis, McGill University, Montreal, Canada;</nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>Canadian Institute of Psychoanalysis, McGill University, Montreal</wicri:regionArea><placeName><settlement type="city">Montréal</settlement><region type="state">Québec</region></placeName><orgName type="university">Université McGill</orgName></affiliation><affiliation wicri:level="3"><nlm:aff id="af3-ppa-3-239">Departments of Philosophy and Psychiatry, McGill University Health Centre, Montreal, Canada</nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>Departments of Philosophy and Psychiatry, McGill University Health Centre, Montreal</wicri:regionArea><placeName><settlement type="city">Montréal</settlement><region type="state">Québec</region></placeName></affiliation></author></analytic><series><title level="j">Patient preference and adherence</title><idno type="eISSN">1177-889X</idno><imprint><date when="2009">2009</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Based on the psychoanalytic reading of Homer’s <italic>Iliad</italic> whose principal theme is “Achilles’ rage” (the semi-mortal hero invulnerable in all of his body except for his heel, hence “Achilles’ heel” has come to mean a person’s principal weakness), we aimed to assess whether “narcissistic rage” has an impact on several psychosocial variables in patients with severe physical illness across time. In 878 patients with cancer, rheumatological diseases, multiple sclerosis, inflammatory bowel disease, and glaucoma, we assessed psychological distress (SCL-90 and GHQ-28), quality of life (WHOQOL-BREF), interpersonal difficulties (IIP-40), hostility (HDHQ), and defense styles (DSQ). Narcissistic rage comprised DSQ “omnipotence” and HDHQ “extraverted hostility”. Hierarchical multiple regressions analyses were performed. We showed that, in patients with disease duration less than one year, narcissistic rage had a minor impact on psychosocial variables studied, indicating that the rage was rather part of a “normal” mourning process. On the contrary, in patients with longer disease duration, increased rates of narcissistic rage had a great impact on all outcome variables, and the opposite was true for patients with low rates of narcissistic rage, indicating that narcissistic rage constitutes actually an “Achilles’ Heel” for patients with long-term physical illness. These findings may have important clinical implications.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Melville, H" uniqKey="Melville H">H Melville</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Freud, S" uniqKey="Freud S">S Freud</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Gomez, Ea" uniqKey="Gomez E">EA Gomez</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Freud, S" uniqKey="Freud S">S Freud</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Freud, S" uniqKey="Freud S">S Freud</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Sandler, J" uniqKey="Sandler J">J Sandler</name></author><author><name sortKey="Person, Es" uniqKey="Person E">ES Person</name></author><author><name sortKey="Fonagy, P" uniqKey="Fonagy P">P 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sort="Arvanitakis, Konstantinos" uniqKey="Arvanitakis K" first="Konstantinos" last="Arvanitakis">Konstantinos Arvanitakis</name></region><name sortKey="Arvanitakis, Konstantinos" sort="Arvanitakis, Konstantinos" uniqKey="Arvanitakis K" first="Konstantinos" last="Arvanitakis">Konstantinos Arvanitakis</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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