Narcissistic rage: The Achilles' heel of the patient with chronic physical illness.

Patient Preference and Adherence
Thomas HyphantisKonstantinos Arvanitakis

Abstract

Based on the psychoanalytic reading of Homer's Iliad 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, ...Continue Reading

References

Oct 1, 1991·Acta Psychiatrica Scandinavica·G GaryfallosA Garyfallos
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Apr 17, 2004·Quality of Life Research : an International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation·S M SkevingtonUNKNOWN WHOQOL Group
Feb 5, 2005·Journal of Gastroenterology·Thomas N HyphantisVenetsanos G Mavreas
Nov 7, 2006·Journal of Psychosomatic Research·Chrisavgi PappaVenetsanos Mavreas
May 22, 2007·Seminars in Arthritis and Rheumatism·Thomas N HyphantisAlexandros A Drosos

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Citations

May 1, 2019·Inflammatory Bowel Diseases·Daniela LeoneGionata Fiorino

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Methods Mentioned

BETA
biopsy

Software Mentioned

SPSS
Statistical Package for the Social Sciences ( SPSS )

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