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Case study of narcissistic personality disorder
Narcissistic personality disorder theses
Case study of narcissistic personality disorder
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Dr. Gregory House Case Study
Dr. Gregory House, M.D. is the Head of the Diagnostic Medicine team at Princeton-Plainsboro Hospital located in New Jersey. Dr. Gregory House, who is often referred to as just House, can be characterized as a narcissistic, cynical, and ill-tempered misanthropist. However, despite all these characteristics, House continually proves to be a natural medical genius that seems to never fail at diagnosing a medical mystery. House’s routine use of Vicodin, due to a previous yet chronic leg injury, eventually develops into an addiction to opioids. According to the Diagnostic and Statistical Manual of Mental Disorders (5th ed.; DSM–5; American Psychiatric Association, 2013) this addiction can be classified as opioid use
The story of Christopher McCandless is that of an over-ambitious youth trying to find himself. Chris’ story, as told in detail in Into the Wild by Jon Krakauer, ended tragically in his death within the Alaskan wilderness many months after running away from home with no contact to his family. In Krakauer’s work, he recounts interactions between Chris during his travels and multiple strangers. In this, one may conclude that Christopher McCandless is simply a reckless narcissist, who is selfish and privileged enough to think he can do and get away with whatever he wants. This is, in an emotional analysis, incorrect. Chris was subject to a severe Icarus complex, his ambitions being more than his body and life can handle. He refuses to contact his
Hud Bannon seems to be a top fitting man. He shows actions of stomping through life without a care in the world. His specialties are giving his opinions through every situation, which usually involve his own scenarios or simple statements of his mind set. Hud is sure of himself that his way is the most outstanding and lifesaving method through everything. He is confident that his words will make their way to the heart of any individual. Confidence is always something to be proud of, but in this case, it can get you to a lot of trouble. Narcissism can be quite unhealthy not only to the individual suffering with it, but also their surrounding environment, whether the place or people.
There exists rich and extensive literature on pharmaceutical use, chronic pain, morality, and the relationships create...
Upon hearing the word “narcissist”, many people may come to mind--from the original Narcissus to celebrities, it is easy to characterize someone as narcissistic. However, the name Chris McCandless is extremely unlikely to be the primary response to this question. A determined and intelligent young adult, McCandless died in the Alaskan wilderness at just 24. A review of Into the Wild by Jon Krakauer mentions the unclear portrayal of McCandless being either an idealist or a narcissist. Yet, due to McCandless’ ambition and motivation, along with his ability to live life on his own terms, McCandless should be regarded a noble idealist rather than a reckless narcissist.
The documentary states that over 27,000 deaths a year are due to overdose from heroin and other opioids. According to the Center for Disease Control and Prevention in 2015 prescription pain relievers account for 20,101 overdose deaths, and 12,990 overdose deaths are related to heroin (Rudd et al., 2010-2015). The documentary’s investigation gives the history of how the heroin epidemic started, with a great focus on the hospice movement. We are presented with the idea that once someone is addicted to painkillers, the difficulty in obtaining the drug over a long period of time becomes too expensive and too difficult. This often leads people to use heroin. This idea is true as a 2014 survey found that 94% of respondents who were being treated for opioid addiction said they chose to use heroin because prescription opioids were “more expensive and harder to obtain (Cicero et al., 2014).” Four in five heroin users actually started out using prescription painkillers (Johns, 2013). This correlation between heroin and prescription painkiller use supports the idea presented in the documentary that “prescription opiates are heroin prep school.”
Almost one hundred years ago, prescription drugs like morphine were available at almost any general store. Women carried bottles of very addictive potent opiate based pain killers in their purse. Many individuals like Edgar Allen Poe died from such addictions. Since that time through various federal, state and local laws, drugs like morphine are now prescription drugs; however, this has not stopped the addiction to opiate based pain killers. Today’s society combats an ever increasing number of very deadly addictive drugs from designer drugs to narcotics to the less potent but equally destructive alcohol and marijuana. With all of these new and old drugs going in and out of vogue with addicts, it appears that the increase of misuse and abuse is founded greater in the prescription opiate based painkillers.
Narcissistic Personality Disorder Arrogance; an insulting way of thinking or behaving that comes from believing that you are better, smarter, or more important than other people. Arrogance is an attitude that can describe any individual with overbearing pride. However, American Psychiatric Association notes that people who are also narcissistic are frequently described as cocky, self-centered, manipulative, and demanding. According to Paul J. Hannig, Ph.D, Narcissistic Personality Disorder is “a pervasive pattern of grandiosity (in fantasy or behavior), need for admiration, and lack of empathy” (Ashmun). By examining the relationships, behaviors, and internal conflicts within, Willa Cather’s Paul’s Case, Paul’s “case” can be diagnosed as Narcissistic Personality Disorder.
In medical school/pharmacology school, medical professionals are taught to treat severe pain with opioids. However, opioids should be prescribed with the possibility of future dependency in mind. Physicians often struggle with whether they should prescribe opioids or seek alternative methodologies. This ethical impasse has led may medical professionals to prescribe opioids out of sympathy, without regard for the possibility of addiction (Clarke). As previously stated, a way to address this is use alternative methods so that physicians will become more acquainted to not not treating pain by means of opioid
Almost everybody on Long Island, and probably all around the world, has been prescribed a drug by a doctor before— whether it was to knock out a nasty virus, or relieve pain post injury or surgery. However, what many people don’t realize is that these drugs can have highly addictive qualities, and more and more people are becoming hooked, specifically teenagers. But when does harmlessly taking a prescription drug to alleviate pain take the turn into the downward spiral of abuse? The answer to that question would be when the user begins taking the drug for the “high” or good feelings brought along with it—certainly not what it was prescribed for (1). The amount of teens that abuse prescription medications has been rapidly increasing in recent
U.S. Department of Health and Human Services. Mental Health: A Report of the Surgeon General. Rockville, MD: U.S. Department of Health and Human Services; Substance Abuse and Mental Health Services Administration, Center for Mental Health Services, National Institutes of Health, National Institute of Mental Health, 1999.
The toxicity of success is portrayed through famous literary works such as The Great Gatsby and The Death of a Salesman, while dealing with an overarching theme of American success. F. Scott Fitzgerald beautifully portrays a wealthy upper class society in The Great Gatsby, which has extreme corruption, hidden by it’s allure, while much of this upper class is pompous and selfish, as well as being so heavily judgemental that is it difficult to be accepted by these people. Arthur Miller’s The Death of a Salesman uses the narcissistic Willy Loman to shine light on the capitalist, middle class America, who’s life revolves around superficial success, which represents the overall flaw in the capitalist system: proclivity; this leads
One of the characters that portray Dr.Greg’s use of the id is his drug addiction problem, which started way before he suffered a leg injury; he abuses substances such as cocaine for recreational purposes despite the fact that he is a medical practitioner who knows the dire impacts they have on one’s health. His unconventional therapeutic drive, which strives to do what other physicians deem impossible, is also a reflection of the id character. His dependence on Vicodin, a narcotic pain killer, after suffering necrosis in his leg also shows the id’s need to satisfy his immediate desire of soothing the pain he experiences from the condition; however, the use of the drug is also part of the ego character, as it is a realistic medical intervention to severe pain.
The rate of death due to prescription drug abuse in the U.S. has escalated 313 percent over the past decade. According to the Congressional Quarterly Transcription’s article "Rep. Joe Pitt Holds a Hearing on Prescription Drug Abuse," opioid prescription drugs were involved in 16,650 overdose-caused deaths in 2010, accounting for more deaths than from overdoses of heroin and cocaine. Prescribed drugs or painkillers sometimes "condemn a patient to lifelong addiction," according to Dr. Tom Frieden, director of the U.S. Centers for Disease Control and Prevention. This problem not only affects the lives of those who overdose but it affects the communities as well due to the convenience of being able to find these items in drug stores and such. Not to mention the fact that the doctors who prescribe these opioids often tend to misuse them as well. Abusing these prescribed drugs can “destroy dreams and abort great destinies," and end the possibility of the abuser to have a positive impact in the community.
U.S. Department of Health and Human Services. (1999). Mental Health: A Report of the Surgeon General. Rockville, MD: U.S. Department of Health and Human Services, Substance Abuse and Mental Health Services Administration, Center for Mental Health Services, National Institutes of Health, National Institute of Mental Health. Retrieved from http://www.surgeongeneral.gov/library/mentalhealth/pdfs/front.pdf
Dr. House is arrogant, rude, and considers all patients lying idiots. He will do anything, illegal or otherwise, to ensure that his patients get the investigation and treatment he knows they need. House disregards his patients’ autonomy whenever he deems it necessary. The series follows the life of anti-social, pain killer addict, witty and arrogant medical doctor Gregory House with only half a muscle in his right leg.