In this episode, Quillette’s Zoe Booth sits down with Dr Giancarlo Dimaggio—an internationally recognised psychiatrist and psychotherapist best known for his work on metacognitive therapy and the treatment of personality disorders. Based in Rome, Dr Dimaggio is the co-founder of the Centre for Metacognitive Interpersonal Therapy and has published extensively on narcissistic, borderline, and avoidant personality disorders. With a Hirsch index of 56, he is one of Italy’s most highly cited psychotherapists. He also serves as Editor-in-Chief of the Journal of Clinical Psychology: In Session and as a Senior Associate Editor of the Journal of Psychotherapy Integration.

Their conversation explores the intricacies of narcissistic personality disorder and the broader challenges of diagnosing and treating personality disorders. They unpack common misconceptions about narcissism, reflect on how early experiences shape personality, and examine what makes therapy effective for patients often deemed "difficult to treat."

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