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20
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Introduction
Dr Day is a clinical psychologist and lecturer within the School of Psychology at the University of Wollongong. He is active in clinical practice and consults widely to promote effective clinical practice for the treatment of personality disorders. He has a particular research focus on assessment and treatment of personality disorders, with a published focus on narcissistic personality disorder, pathological narcissism, and borderline personality disorder.
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Publications
Publications (20)
Background:
Research into the personality trait of narcissism have advanced further understanding of the pathological concomitants of grandiosity, vulnerability and interpersonal antagonism. Recent research has established some of the interpersonal impacts on others from being in a close relationship with someone having such traits of pathological...
Background
Narcissistic personality disorder (NPD) is known to comprise two distinct but connected phenotypes related to ‘grandiosity’ and ‘vulnerability’, respectively. While evidence suggests differing countertransference responses to narcissism subtype expression, no study has examined this using a qualitative methodology and explored associatio...
Modern diagnostic and classification frameworks such as the ICD‐11 and DSM‐5‐AMPD have adopted a dimensional approach to diagnosing personality disorder using a dual “severity” and “trait” model. As narcissistic personality has historically struggled to be adequately captured in dominant diagnostic systems, this study investigated the utility of th...
Borderline personality disorder (BPD) is a severe mental health condition marked by impairments in self and interpersonal functioning. Stigma from health staff may often result in a reluctance to diagnose, impacting recovery trajectories. Qualitative interviews were conducted with participants (N = 15; M Age = 36.4 years, SD = 7.5; 93.3% female) wi...
Background
While the majority of personality disorder research focuses on adults, research shows that borderline personality disorder (BPD) often emerges in adolescence, highlighting the importance of early intervention for this population. Despite this, there are limited intervention programs tailored specifically for adolescents with BPD, and no...
Objectives
Narcissistic personality disorder as captured in categorical diagnostic systems (e.g., DSM‐5) emphasizes grandiose features more associated with masculine norms and under‐emphasizes vulnerable features more associated with femininity. This poses significant implications in diagnostic outcome and clinical treatment in women with narcissis...
Research has only recently begun to explore narcissism in women using gender-inclusive assessments that move beyond traditional male-centric frameworks associated with grandiosity. Such work indicates gender differences in the onset and expression of narcissism, and risk factors of partner violence perpetration. The pathways to offending in narciss...
Narcissism is a complex multifaceted construct spanning from grandiose to vulnerable features. Grandiose narcissistic attributes encompass overt superiority, exhibition of self-aggrandising tendencies, preoccupation with omnipotence, and a sense of authority. In contrast, core vulnerable features consist of hypervigilance, neuroticism, shame, hyper...
Pathological narcissism encompasses prototypical features of grandiose and vulnerable narcissism presentations which are differently associated with personality functioning and trait domain specifiers in males and females. This chapter begins with a historical review of the concept of narcissism and its evolution, from being seen as a myth to being...
Core impairments in self and other functioning typify individuals with personality disorder. While interpersonal dysfunction is a known element of narcissistic disorders, empirical research investigating intrapersonal elements is lacking. The aim of this study was to investigate the internal representations of individuals with grandiose
and vulnera...
Although recovery from borderline personality disorder (BPD) is common, not all individuals improve over time. This study sought to examine the features that contribute to response or non‐response for individuals at different stages of recovery from BPD over a longitudinal follow‐up. Participants were individuals with a diagnosis of BPD that were f...
Background
Pathological narcissism is a severe mental health condition that includes disturbances in interpersonal functioning. Interpersonal difficulties by those affected include aggressive, domineering, cold and coercive behaviours which often result in strong negative reactions from others. We sought to examine the moment-to-moment patterns tha...
Pathological narcissism is marked by deficits in psychosocial functioning. Difficulties in relationships include instances of aggression, devaluation and control; however, few studies have examined these relationships from the perspective of partners and family members. We studied participants who were in relationships with relatives high in narcis...
Background
Chronic feelings of emptiness is an under-researched symptom of borderline personality disorder (BPD), despite indications it may be central to the conceptualisation, course, and outcome of BPD treatment. This systematic review aimed to provide a comprehensive overview of chronic feelings of emptiness in BPD, identify key findings, and c...
Background/Objective
Intolerance of aloneness is considered a core feature of borderline personality disorder (BPD) that is clinically significant, yet under-researched. This study developed a measure of aloneness for individuals with BPD.
Method
Interviews investigating the experience of aloneness for BPD participants (n = 12) formed the basis fo...
Pathological narcissism is characterized by impaired interpersonal functioning, but few studies have examined the impact of the disorder on those living in a close relationship. Participants (N = 683; comprising romantic partners [77.8%], mothers [8.5%] or other family members [10%]) in a close relationship with a relative with pathological narciss...
