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Abstract
Pathological narcissism represents a significant mental health issue that social workers are likely to encounter in general and counselling practice settings. Although a vast conceptual literature exists, practical reviews for non-specialist social workers are limited. This paper provides an overview of pathological narcissism, including the grandiose and vulnerable sub-types of this self-regulation impairment. Key points regarding interventions for pathological narcissism are highlighted, with case vignettes illustrating these issues in clinical practice.