{"id":"https://openalex.org/W2587312808","doi":"https://doi.org/10.1186/s40479-017-0054-8","title":"Intersect between self-esteem and emotion regulation in narcissistic personality disorder - implications for alliance building and treatment","display_name":"Intersect between self-esteem and emotion regulation in narcissistic personality disorder - implications for alliance building and treatment","publication_year":2017,"publication_date":"2017-02-07","ids":{"openalex":"https://openalex.org/W2587312808","doi":"https://doi.org/10.1186/s40479-017-0054-8","mag":"2587312808","pmid":"https://pubmed.ncbi.nlm.nih.gov/28191317","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/5296946"},"language":"en","primary_location":{"id":"doi:10.1186/s40479-017-0054-8","doi":"https://doi.org/10.1186/s40479-017-0054-8","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s40479-017-0054-8","pdf_url":"https://bpded.biomedcentral.com/track/pdf/10.1186/s40479-017-0054-8","source":{"id":"https://openalex.org/S4210220560","display_name":"Borderline Personality Disorder and Emotion Dysregulation","issn_l":"2051-6673","issn":["2051-6673"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","doyens","jufo-1","ki-jl-1","norway-1","poland-70","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Borderline Personality Disorder and Emotion Dysregulation","raw_type":"journal-article"},"volume":null,"type":"review","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://bpded.biomedcentral.com/track/pdf/10.1186/s40479-017-0054-8","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5048415017","display_name":"Elsa F. Ronningstam","orcid":"https://orcid.org/0000-0002-7615-962X","observed_orcids":["https://orcid.org/0000-0002-7615-962X"]},"institutions":[{"id":"https://openalex.org/I136199984","display_name":"Harvard University","ror":"https://ror.org/03vek6s52","country_code":"US","type":"education","lineage":["https://openalex.org/I136199984"]},{"id":"https://openalex.org/I2801148111","display_name":"McLean Hospital","ror":"https://ror.org/01kta7d96","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2801148111"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Elsa Ronningstam","raw_affiliation_strings":["Harvard Medical School, Belmont, USA","McLean Hospital, AOPC Mailstop 109,115 Mill Street, Belmont, MA 02478 USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Harvard Medical School, Belmont, USA","institution_ids":["https://openalex.org/I136199984"]},{"raw_affiliation_string":"McLean Hospital, AOPC Mailstop 109,115 Mill Street, Belmont, MA 02478 USA","institution_ids":["https://openalex.org/I2801148111"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5048415017"],"corresponding_institution_ids":["https://openalex.org/I136199984","https://openalex.org/I2801148111"],"apc_list":{"value":2790,"currency":"USD","value_usd":2790},"apc_paid":{"value":2790,"currency":"USD","value_usd":2790},"fwci":0.4718,"has_fulltext":true,"cited_by_count":57,"citation_normalized_percentile":{"value":0.44535692,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":89,"max":99},"biblio":{"volume":"4","issue":"1","first_page":"3","last_page":"3"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11093","display_name":"Personality Disorders and Psychopathology","score":0.9663000106811523,"subfield":{"id":"https://openalex.org/subfields/3203","display_name":"Clinical Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T11093","display_name":"Personality Disorders and Psychopathology","score":0.9663000106811523,"subfield":{"id":"https://openalex.org/subfields/3203","display_name":"Clinical Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T11040","display_name":"Personality Traits and Psychology","score":0.02669999934732914,"subfield":{"id":"https://openalex.org/subfields/3203","display_name":"Clinical Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T11132","display_name":"Psychoanalysis and Psychopathology Research","score":0.00419999985024333,"subfield":{"id":"https://openalex.org/subfields/3203","display_name":"Clinical Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/narcissistic-personality-disorder","display_name":"narcissistic personality disorder","score":1.0},{"id":"https://openalex.org/keywords/self-esteem","display_name":"self-esteem","score":0.8500000238418579},{"id":"https://openalex.org/keywords/emotion-regulation","display_name":"emotion regulation","score":0.9990000128746033},{"id":"https://openalex.org/keywords/therapeutic-relationship","display_name":"therapeutic relationship","score":0.9470000267028809},{"id":"https://openalex.org/keywords/pathological-narcissism","display_name":"pathological narcissism","score":0.8730000257492065},{"id":"https://openalex.org/keywords/self-enhancement","display_name":"self-enhancement","score":0.9739999771118164},{"id":"https://openalex.org/keywords/hyperresponsiveness","display_name":"hyperreactivity","score":0.8980000019073486},{"id":"https://openalex.org/keywords/need-for-control","display_name":"need for control","score":0.9950000047683716},{"id":"https://openalex.org/keywords/treatment-engagement","display_name":"treatment engagement","score":0.5649999976158142}],"concepts":[{"id":"https://openalex.org/C505070042","wikidata":"https://www.wikidata.org/wiki/Q186529","display_name":"Narcissism","level":2,"score":0.9114039540290833},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.7893103361129761},{"id":"https://openalex.org/C2778431023","wikidata":"https://www.wikidata.org/wiki/Q878249","display_name":"Alliance","level":2,"score":0.7496265172958374},{"id":"https://openalex.org/C2778232494","wikidata":"https://www.wikidata.org/wiki/Q1060310","display_name":"Narcissistic personality disorder","level":4,"score":0.7035733461380005},{"id":"https://openalex.org/C187288502","wikidata":"https://www.wikidata.org/wiki/Q641118","display_name":"Personality","level":2,"score":0.5624334812164307},{"id":"https://openalex.org/C542102704","wikidata":"https://www.wikidata.org/wiki/Q183257","display_name":"Psychotherapist","level":1,"score":0.5093463659286499},{"id":"https://openalex.org/C2778319590","wikidata":"https://www.wikidata.org/wiki/Q10981881","display_name":"Self-esteem","level":2,"score":0.4756835699081421},{"id":"https://openalex.org/C8597951","wikidata":"https://www.wikidata.org/wiki/Q17285927","display_name":"Sadistic personality disorder","level":4,"score":0.4274924099445343},{"id":"https://openalex.org/C2780600973","wikidata":"https://www.wikidata.org/wiki/Q2712836","display_name":"Borderline personality disorder","level":2,"score":0.4149479269981384},{"id":"https://openalex.org/C70410870","wikidata":"https://www.wikidata.org/wiki/Q199906","display_name":"Clinical psychology","level":1,"score":0.38182511925697327},{"id":"https://openalex.org/C2777308609","wikidata":"https://www.wikidata.org/wiki/Q270673","display_name":"Personality disorders","level":3,"score":0.3160226345062256},{"id":"https://openalex.org/C77805123","wikidata":"https://www.wikidata.org/wiki/Q161272","display_name":"Social psychology","level":1,"score":0.283696711063385},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.0},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.0}],"mesh":[],"locations_count":5,"locations":[{"id":"doi:10.1186/s40479-017-0054-8","doi":"https://doi.org/10.1186/s40479-017-0054-8","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s40479-017-0054-8","pdf_url":"https://bpded.biomedcentral.com/track/pdf/10.1186/s40479-017-0054-8","source":{"id":"https://openalex.org/S4210220560","display_name":"Borderline Personality Disorder and Emotion Dysregulation","issn_l":"2051-6673","issn":["2051-6673"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","doyens","jufo-1","ki-jl-1","norway-1","poland-70","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Borderline Personality Disorder and Emotion Dysregulation","raw_type":"journal-article"},{"id":"pmh:oai:europepmc.org:4167694","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/5296946","pdf_url":null,"source":{"id":"https://openalex.org/S4306400806","display_name":"Europe PMC (PubMed Central)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1303153112","host_organization_name":"European Bioinformatics Institute","host_organization_lineage":["https://openalex.org/I1303153112"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":null,"raw_type":"Text"},{"id":"pmh:oai:pubmedcentral.nih.gov:5296946","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/5296946","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Borderline Personal Disord Emot Dysregul","raw_type":"Text"},{"id":"pmid:28191317","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/28191317","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Borderline personality disorder and emotion dysregulation","raw_type":"Journal Article"},{"id":"pmh:oai:dash.harvard.edu:1/31731770","doi":null,"is_oa":true,"landing_page_url":"http://nrs.harvard.edu/urn-3:HUL.InstRepos:31731770","pdf_url":null,"source":{"id":"https://openalex.org/S4306401540","display_name":"Digital Access to Scholarship at Harvard (DASH) (Harvard University)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I136199984","host_organization_name":"Harvard University","host_organization_lineage":["https://openalex.org/I136199984"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"","raw_type":"Journal Article"}],"best_oa_location":{"id":"doi:10.1186/s40479-017-0054-8","doi":"https://doi.org/10.1186/s40479-017-0054-8","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s40479-017-0054-8","pdf_url":"https://bpded.biomedcentral.com/track/pdf/10.1186/s40479-017-0054-8","source":{"id":"https://openalex.org/S4210220560","display_name":"Borderline Personality Disorder and Emotion Dysregulation","issn_l":"2051-6673","issn":["2051-6673"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","doyens","jufo-1","ki-jl-1","norway-1","poland-70","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Borderline Personality Disorder and Emotion Dysregulation","raw_type":"journal-article"},"sustainable_development_goals":[{"score":0.98580002784729,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W2587312808.pdf","grobid_xml":"https://content.openalex.org/works/W2587312808.grobid-xml"},"referenced_works_count":66,"referenced_works":["https://openalex.org/W644514844","https://openalex.org/W1512033414","https://openalex.org/W1518592599","https://openalex.org/W1564844155","https://openalex.org/W1576697763","https://openalex.org/W1579978527","https://openalex.org/W1585210072","https://openalex.org/W1632851051","https://openalex.org/W1663856996","https://openalex.org/W1676768304","https://openalex.org/W1686402552","https://openalex.org/W1691878424","https://openalex.org/W1746025821","https://openalex.org/W1838506815","https://openalex.org/W1893315799","https://openalex.org/W1974341093","https://openalex.org/W1999383880","https://openalex.org/W2006920039","https://openalex.org/W2011039532","https://openalex.org/W2012066396","https://openalex.org/W2014948846","https://openalex.org/W2015631034","https://openalex.org/W2020031086","https://openalex.org/W2040337583","https://openalex.org/W2052818743","https://openalex.org/W2055333835","https://openalex.org/W2056667528","https://openalex.org/W2073482807","https://openalex.org/W2074201105","https://openalex.org/W2077901520","https://openalex.org/W2090114408","https://openalex.org/W2100354065","https://openalex.org/W2101729106","https://openalex.org/W2106624714","https://openalex.org/W2109422324","https://openalex.org/W2110817221","https://openalex.org/W2120562596","https://openalex.org/W2121454967","https://openalex.org/W2127729753","https://openalex.org/W2128063201","https://openalex.org/W2129857877","https://openalex.org/W2132530708","https://openalex.org/W2132855614","https://openalex.org/W2134781345","https://openalex.org/W2136026104","https://openalex.org/W2137489876","https://openalex.org/W2139817599","https://openalex.org/W2145579493","https://openalex.org/W2150232152","https://openalex.org/W2157212202","https://openalex.org/W2159816312","https://openalex.org/W2164060715","https://openalex.org/W2167453298","https://openalex.org/W2168503133","https://openalex.org/W2171629010","https://openalex.org/W2237236644","https://openalex.org/W2260037200","https://openalex.org/W2282111106","https://openalex.org/W2333611337","https://openalex.org/W2413219372","https://openalex.org/W2463385764","https://openalex.org/W4243692416","https://openalex.org/W4297574313","https://openalex.org/W4405057324","https://openalex.org/W4405057353","https://openalex.org/W4405057478"],"related_works":["https://openalex.org/W2282111106","https://openalex.org/W4404578512","https://openalex.org/W3011366893","https://openalex.org/W4307216258","https://openalex.org/W4396701782","https://openalex.org/W4206563734","https://openalex.org/W6996582694","https://openalex.org/W7108245832","https://openalex.org/W2338628782","https://openalex.org/W2134781345"],"abstract_inverted_index":{"Building":[0],"an":[1],"alliance":[2,46,102],"with":[3,5,110],"patients":[4,76],"pathological":[6],"narcissism":[7,82],"or":[8],"narcissistic":[9,129],"personality":[10,130],"disorder,":[11],"NPD,":[12],"can":[13,27,85],"be":[14,28,116],"challenging":[15],"and":[16,21,34,47,58,62,71,89,103,113,123,126],"include":[17],"avoidance,":[18],"negative":[19],"reactivity":[20,70],"disruptions.":[22],"A":[23],"main":[24],"contributing":[25],"factor":[26],"the":[29,78,96,100],"complex":[30],"interaction":[31],"between":[32],"emotion":[33,63],"self-esteem":[35,61],"regulation,":[36],"which":[37,75],"affects":[38],"patients'":[39],"ability":[40],"to":[41,66,118],"engage":[42],"in":[43,52,60,95,106,128],"a":[44],"therapeutic":[45,101],"treatment.":[48,107],"Recent":[49],"studies,":[50],"especially":[51],"neuroscience":[53],"have":[54,86],"identified":[55],"functional":[56],"characteristic":[57],"compromises":[59],"regulation":[64],"related":[65],"NPD.":[67],"Self-enhancement,":[68],"hyper":[69],"need":[72],"for":[73],"control,":[74],"within":[77],"range":[79],"of":[80,98],"disordered":[81],"often":[83],"present,":[84],"different":[87],"roots":[88],"underpinnings":[90],"that":[91],"require":[92],"thorough":[93],"exploration":[94],"process":[97],"building":[99],"promote":[104],"change":[105],"Clinical":[108],"examples":[109],"treatment":[111],"implications":[112],"strategies":[114],"will":[115],"discussed":[117],"highlight":[119],"both":[120],"internal":[121],"fluctuations":[122],"external":[124],"features":[125],"shifts":[127],"functioning.":[131]},"counts_by_year":[{"year":2026,"cited_by_count":1},{"year":2025,"cited_by_count":5},{"year":2024,"cited_by_count":8},{"year":2023,"cited_by_count":10},{"year":2022,"cited_by_count":10},{"year":2021,"cited_by_count":10},{"year":2020,"cited_by_count":3},{"year":2019,"cited_by_count":4},{"year":2018,"cited_by_count":5},{"year":2017,"cited_by_count":1}],"updated_date":"2026-11-07T11:25:07.637180","created_date":"2017-02-17T00:00:00"}