@article{ref1,
title="[Disturbed regulation of self-esteem in patients with overt versus covert self-destructive behaviour]",
journal="Zeitschrift fur Psychosomatische Medizin und Psychotherapie",
year="2003",
author="Fliege, Herbert and Becker, Janine and Weber, Cora and Schoeneich, Frank and Klapp, Burghard F. and Rose, Matthias",
volume="49",
number="2",
pages="151-163",
abstract="OBJECTIVES: According to psychoanalytic models self-harming patients are characterised by an unstable self-system and a disturbed regulation of self-esteem. This is presumed to be denied or dissociated to a greater degree by those who harm themselves secretly (factitious patients) as compared to those who show open self-harm. It is hypothesised and empirically tested that self-destructive patients have more profound disorders of narcissistic self-regulation than patients without self-destruction, and that this should be more evident in patients with overt self-destructive behaviour. METHODS: The sample consists of 354 psychosomatic patients, 32 of whom demonstrated self-destructive behaviour (18 exclusively overt and 6 exclusively covert types of behaviour, according to Willenberg et al.). The narcissism inventory was applied. RESULTS: Self-destructive patients showed higher levels on the &quot;threatened self&quot;-dimension than psychosomatic patients without self-harm. Overtly self-harming patients showed a higher degree of narcissistic self-regulation than covertly self-destructive patients. CONCLUSIONS: This supports theoretical assumptions of a disturbed regulation of self-esteem in self-destructive patients, especially in overtly self-harming patients.<p /><p>Language: de</p>",
language="de",
issn="1438-3608",
doi="10.13109/zptm.2003.49.2.151",
url="http://dx.doi.org/10.13109/zptm.2003.49.2.151"
}