Clinical Practice SWES Practice Exam

What is a common trait for individuals with narcissistic personality disorder as it relates to their therapists?

1. They often feel angry towards their therapist

2. They do not see their therapist as a real person

3. They have unrealistic expectations of their therapist

4. They appreciate their therapist's support openly

The correct answer is: They have unrealistic expectations of their therapist

Individuals with narcissistic personality disorder often exhibit unrealistic expectations of their therapist. This stems from their overarching need for admiration and their sense of entitlement, which can lead them to believe that therapists should cater to their needs in a manner that reinforces their self-image. They may expect their therapist to validate them excessively, provide constant reassurance, or respond to their demands in specific ways that align with their inflated self-perception. This expectation can complicate the therapeutic relationship, as it runs contrary to the collaborative and patient-centered nature of effective psychotherapy. Therapists often need to work through these unrealistic expectations, helping patients to understand the nature of healthy relationships and the mutual respect required in therapy. In contrast, the other options highlight aspects that might not consistently apply, such as feelings of anger or lack of recognition of the therapist’s humanity, which can vary for different individuals. While an appreciation for their therapist's support may occur, it is not a defining trait of individuals with this disorder as their relationships typically revolve around their needs rather than genuine gratitude or acknowledgment of others.