Shame and Narcissim: Therapeutic Relevance of Conflicting Dimensions of Excessive Self Esteem, Pride, And Pathological Vulnerable Self‪.‬

Abstract Shame and rage are principal emotional manifestations that intertwine in narcissistic personality disorder (NPD). In this article, the dimensions of shame and serious vulnerability are studied as they conflict with the dimensions of pride and excessive self-esteem. Suggestions are made for the psychotherapeutic handling and constructive utilization of narcissistic shame. More research is needed into the conflicting dimensions of the internal world of persons with NPD and the intrapsychic, psychosocial, cultural, religious, ethnic, and neurobiological dimensions (and the interplay between them) of the shame-rage mechanism in order to provide more adequate assessment and treatment programs.