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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." 00:00 Introduction to Personality Disorders 02:01 Understanding Personality Disorders 04:28 Narcissistic Personality Disorder Explained 06:54 The Gender Dynamics of Narcissism 09:31 Types of Narcissism: Grandiose vs Vulnerable 11:59 The Dark Triad and Personality Traits 14:02 The Role of Childhood in Personality Development 16:05 Self-Perception and Personal Narratives 18:00 Changing Personality and the Role of Psychotherapy 20:31 The Evolution of Psychotherapy 22:21 Understanding Transference in Therapy 23:03 The Role of Psychotherapy for Therapists 23:56 Mistrust in Psychotherapy and Society 25:54 Addressing Criminal Behavior through Therapy 26:32 The Impact of Social Media on Trust 30:21 Metacognitive Interpersonal Therapy Explained 31:35 Innovations in Treating Eating Disorders ------ Quillette is an Australian-based online magazine that focuses on long-form analysis and cultural commentary. It is politically non-partisan, but relies on reason, science, and humanism as its guiding values. Quillette was founded in 2015 by Australian writer Claire Lehmann. It is a platform for free thought and a space for open discussion and debate on a wide range of topics, including politics, culture, science, and technology. Quillette has gained attention for publishing articles and essays that challenge modern orthodoxy on a variety of topics, including gender and sexuality, race and identity politics, and free speech and censorship. --- Quillette's revenue comes from our readers. We are a grassroots organisation that relies on voluntary subscriptions and community membership as our primary revenue stream. Support Quillette by becoming a subscriber: https://quillette.com/#/portal/signup Or donate send us a one-off tip: https://quillette.com/#/portal/support We made our website using Ghost, a powerful app for new-media creators to publish, share, and grow a business around their content. It comes with modern tools to build a website, publish content, send newsletters & offer paid subscriptions to members. Try it here: https://ghost.org/?via=claire91