

Health Library
October 10, 2025
Question on this topic? Get an instant answer from August.
Ko te Raru Wairua o te Tangata Whakahihi (NPD) tētahi āhuatanga hauora hinengaro e hiahia nui ana te tangata ki te whakamoemiti, kāore hoki e whai whakaaro atawhai ki ētahi atu. E tino whakaaro nui ana ngā tāngata he NPD ki a rātou anō, ā, e whakapono ana rātou he motuhake rātou, he mea motuhake rātou rānei. E tīmata ana tēnei āhuatanga o te whakaaro me te whāinga i te wā taitamariki, ā, e pā ana ki te hononga ki ētahi atu i ō rātou oranga whaiaro me ngā mahi.
Ahakoa ka taea e te katoa te whakaaro nui ki a rātou anō i etahi wā, e hohonu ake te NPD i te whakahihi noa, i te whakapono nui rānei. He āhuatanga mau tonu tēnei e pā kino ana ki ngā whanaungatanga me te mahi o ia rā. Mā te mārama ki tēnei āhuatanga, ka taea e koe te kite i ngā tohu, ā, te mohio hoki ki te wā e hiahiatia ana te tautoko ngaio.
E aro nui ana ngā tohu o te NPD ki te hiahia nui ki te whakamoemiti, me te kore o te whakaaro atawhai ki ētahi atu. He mau tonu ēnei whāinga, ā, e puta mai ana ngā raruraru pono i roto i ngā whanaungatanga, te mahi, me ētahi atu wāhi nui o te oranga.
E whakaatu pinepine ana ngā tāngata he NPD i te whakaaro nui rawa ki a rātou anō. Ka whakamōhio pea rātou i ō rātou mahi, ka tumanako rātou kia whakamoemitihia hei tangata nui ake i ngā mahi e tika ana, ā, e whakapono ana rātou he motuhake rātou, he mea motuhake rātou rānei. Ka kite pea koe i te rapu tonu i te aro me te whakamoemiti mai i ētahi atu.
Ko ēnei ngā tohu matua ka kite pea koe:
E āhua uaua ana ēnei tohu ki ngā tāngata he NPD ki te pupuri i ngā whanaungatanga hauora. Ka uaua pea rātou ki te mārama he aha i mamae ai ētahi atu i ō rātou whāinga, no te mea e whakapono ana rātou he nui ake ō rātou hiahia me ō rātou ngākau i ētahi atu.
E mohio ana ngā tohunga hauora hinengaro ki ngā whakaaturanga rerekē o te NPD, ahakoa he wāhanga katoa rātou o te āhuatanga kotahi. Ko ngā momo e kōrerotia pinepine ana ko te whakahihi nui me te whakahihi ngoikore, ka taea te whakamaarama he aha i rerekē ai te whāinga o ngā tāngata he NPD.
Ko te whakahihi nui te mea e whakaaro ana te nuinga o te iwi ina rongo ratou mo te NPD. He whakakake, he tono, he rapu aro ngā tāngata nei. He ataahua, he whakapono nui rātou i te mata, e tino harikoa ana ki ētahi atu i mua i te kitea o te kore o te whakaaro atawhai.
E rerekē ana te whakahihi ngoikore, e kiia ana ko te whakahihi huna. E mau tonu ana i ēnei tāngata ngā āhuatanga matua o te NPD, engari e whakaatuhia ana i te huarahi ngāwari ake. Ka āhua ngakau māhaki rānei rātou, ahakoa e whakapono ana rātou he nui ake rātou i ētahi atu. He tino pāngia rātou e te whakahē, ā, ka hē pea rātou ina kore e whiwhi i te āhuatanga motuhake e tumanako ana rātou.
Ka whakaatu pea etahi tāngata he NPD i ngā āhuatanga o ngā momo e rua i ngā wā rerekē. E mau tonu ana te āhuatanga taketake – he whakaaro nui ki a rātou anō me te uaua ki te whai whakaaro atawhai ki ētahi atu, ahakoa te whakaatu o ēnei āhuatanga.
Kāore i tino mārama te take pono o te NPD, engari e whakaatu ana te rangahau e puta mai ana i te whakaranu o ngā take ira, taiao, me ngā hinengaro. Pēnei i ngā mate hinengaro maha, pea he hua o ngā pānga maha e mahi tahi ana i ngā wā whanaketanga nui.
He nui te mahi a ngā wheako tamariki ki te whanaketanga o te NPD. Ka taea e te whāngai kore-tuturu – te whakarerekē i waenga i te whakamoemiti nui me te whakahē kino – te whakauru ki tēnei āhuatanga. Ka taea e ngā tamariki e whiwhi ana i te nui rawa o te whakamoemiti, kāore rānei e whiwhi i te whakahē tonu, te whanaketanga i ngā āhuatanga whakahihi hei tiaki i a rātou anō.
He maha ngā take ka taea te whakauru ki te whanaketanga o te NPD:
He mea nui te mārama kaore te whai i ēnei take morearea e whakamana ana ka whanake te NPD. He maha ngā tāngata e wheako ana i ngā tamarikitanga uaua, kāore hoki e whanake i ngā mate hinengaro. Pea he hiahia te whanaketanga o te NPD ki te whakaranu o ngā take e puta ana i ngā wā nui o te whanaketanga hinengaro me te hinengaro.
Kāore ngā tāngata he NPD e rapu awhina anake, no te mea kāore rātou e kite i ō rātou whāinga hei raruraru. E whakapono ana rātou ko ētahi atu te raruraru, ehara i a rātou. Heoi, he wā e nui ai te rapu awhina ngaio.
Ka whakaaro pea koe ki te tautoko ngaio mena ka pā kino ngā āhuatanga NPD ki ngā whanaungatanga, te mahi, te kounga o te oranga rānei. He maha ngā tāngata he NPD ka rapu awhina i te mutunga no te mea he pouri, he manukanuka rānei, ētahi atu āhuatanga hauora hinengaro rānei e whanake ana me te mate hinengaro.
Whakaarohia te whakapā atu ki tētahi tohunga hauora hinengaro mena ka kite koe:
Mena he mema whānau koe, he hoa rānei o tētahi he NPD, ka taea te awhina te rapu tautoko mōu anō. Ka taea e ngā kaiwhakaora te awhina i a koe ki te ako i ngā rohe hauora me ngā rautaki whakaoti mō ēnei whanaungatanga uaua.
He maha ngā take ka piki ake te tūponotanga o te whanaketanga o te NPD, ahakoa te whai i ēnei take morearea kāore e tikanga ka whanake te āhuatanga. Mā te mārama ki ēnei take, ka taea te kite i te wā ka ngoikore pea tetahi ki te whanaketanga i ngā āhuatanga whakahihi.
E āhua he mea nui te whānau i te wā tamariki. Ka taea e ngā tamariki e wheako ana i ngā āhuatanga whāngai nui – te whakamōemiti nui, te whakahē kino rānei – te tūponotanga nui ake ki te whanaketanga o te NPD i te wā pakeke. He mea nui te kore-tuturu i tēnei whanaketanga.
Ko ēnei ngā take morearea matua:
Kua kite hoki ngā kairangahau e tino kitea ana te NPD i ngā tāne i ngā wāhine, ahakoa pea he wāhanga tēnei o te whakaatu me te kite i ngā tohu. E āhua kitea ana te āhuatanga i te wā taitamariki, i te wā pakeke rānei ina ka mau ake ngā āhuatanga o te tangata.
Ka taea e te NPD te arahi ki ngā raruraru nui i ngā wāhi maha o te oranga, ina koa i ngā whanaungatanga me ngā wāhi mahi. E pēnei ana te kore o te whakaaro atawhai me te hiahia tonu ki te whakamoemiti i ngā tāngata, e hanga ana i te huringa o te motu ahakoa te hiahia hohonu o te tangata ki te aro me te whakamana.
Ko ngā raruraru whanaungatanga tētahi o ngā raruraru tino noa. E uaua ana ngā tāngata he NPD ki te pupuri i ngā hononga hoa roa, ngā hononga aroha, ngā hononga whānau rānei, no te mea he uaua ki te kite i ngā tirohanga o ētahi atu me te whakatutuki i ō rātou hiahia ngākau.
Ko ēnei ngā raruraru noa:
Ka taea hoki te kino o te pānga ngākau ki ngā mema whānau me ngā hoa tata. Ka wheako pea rātou i te ahotea, te manukanuka, me ō rātou ake wero hauora hinengaro mai i te ngana ki te pupuri i ngā whanaungatanga me tētahi he NPD. Koia te take ka taea te awhina te whakaora whānau, ngā rōpū tautoko rānei mō te katoa e pā ana.
E hiahia ana te whakatau i te NPD ki te aromatawai whānui e tetahi tohunga hauora hinengaro. Kāore he whakamātautau kotahi mō ngā mate hinengaro – engari, ko te whakatau e hiahia ana ki te tirotiro tika i ngā āhuatanga whāinga i te wā roa, me ngā kōrero taipitopito mo ngā whakaaro, ngā ngākau, me ngā whanaungatanga.
E whakauru ana te tukanga whakatau ki te uiui hauora whānui e ui ana te tohunga hauora hinengaro mo ngā tohu, te hītori whaiaro, me ngā āhuatanga whanaungatanga. Ka hiahia hoki rātou ki te mārama me pēhea te pā o ēnei whāinga ki te oranga o ia rā, me te mau tonu rānei i te wā roa.
Ka whakauru pea te tukanga aromatawai ki:
Ka uaua pea te whakatau no te mea kāore ngā tāngata he NPD e kite i ō rātou whāinga hei raruraru. Ka whakaiti pea rātou i ngā tohu, ka whakahe rānei i ētahi atu mō ō rātou raruraru whanaungatanga. E whakangungua ana ngā tohunga hauora hinengaro ki te kite i ēnei āhuatanga me te mahi i ngā aromatawai tika ahakoa kāore tetahi e tino whakapuaki ana mō ō rātou raruraru.
Ko te maimoatanga mō te NPD e whakauru ana ki te whakaora hinengaro, no te mea kāore he rongoā motuhake mō ngā mate hinengaro. Kāore te whāinga ko te whakarereke katoa i te tangata, engari ko te awhina i a rātou ki te whanaketanga i ngā huarahi hauora ake ki te hono atu ki ētahi atu me te whakahaere i ō rātou ngākau.
Kua whakaatuhia te whakaora āhuatanga Dialectical (DBT) me te whakaora āhuatanga hinengaro (CBT) he pai ki te whakaora i te NPD. E awhina ana ēnei huarahi i ngā tāngata ki te kite i ngā āhuatanga whakaaro uaua me te whanaketanga i ngā pūkenga hou mō te whakahaere i ngā whanaungatanga me ngā ngākau. Ka taea hoki te whai hua te whakaora kaupapa, e aro nui ana ki te whakarereke i ngā āhuatanga hohonu.
Ka whakauru pea ngā huarahi maimoatanga ki:
Ka uaua pea te maimoatanga no te mea e hiahia ana te whakarereke ki te whakaae a te tangata ki ō rātou āhuatanga whāinga me te whakatapua ki te mahi roa. Heoi, mā te kaha tonu me te tautoko ngaio, ka taea e ngā tāngata he NPD te ako ki te whai i ngā whanaungatanga pai ake me te whakahaere pai ake i ngā ngākau.
E hiahia ana te noho me te NPD ki te kaha tonu me te tautoko ngaio, engari ka taea e ngā tāngata te ako ki te whakahaere i ō rātou tohu me te whai i ngā whanaungatanga hauora ake. Ko te matua ko te whanaketanga o te matauranga me te whakamahi i ngā huarahi hou ki te whakaaro ki a koe anō me ētahi atu.
He mea nui te hanga i ngā pūkenga whakaaro atawhai mō te whakahaere i te NPD. Ka whakauru pea tēnei ki te whakamahi i ngā mahi whakaaro, te ako ki te kite i ngā ngākau o ētahi atu, me te mahi ki te mārama me pēhea te pā o ōu whāinga ki ngā tāngata e noho ana ki tō taha. E hiahia ana ēnei pūkenga ki te wā ki te whanaketanga, engari ka taea te whakapai ake i ngā whanaungatanga.
Ko ēnei ngā rautaki awhina:
He mea nui hoki te whakaoti i ētahi atu āhuatanga hauora hinengaro pēnei i te pouri, te manukanuka rānei. Mā te tiaki i tō hauora hinengaro whānui, ka taea te ngāwari ake te mahi i ngā wero e pā ana ki te tangata me te pupuri i te whakaoho e hiahiatia ana mō te whakarereke roa.
E hiahia ana te whakarite mō te hui hauora hinengaro mō te NPD ki te whakaaro mo ō wheako me ō whāinga. No te mea he uaua pea te kite i ngā āhuatanga o te tangata i roto i a tātou anō, he mea awhina te whakaaroaro ki ō whanaungatanga me ētahi atu whakautu kua whiwhi koe mai i ētahi atu.
Whakaarohia te tuhi i ngā tauira motuhake o ngā raruraru whanaungatanga, ngā pakanga mahi rānei kua wheako koe. Whakaarohia ngā āhuatanga i roto i ō mahi ki ētahi atu me ngā wā ka āhua mārama kore koe, ka whakahēngia rānei. Ka awhina ēnei korero i tō tohunga hauora hinengaro ki te mārama pai ake ki tō āhuatanga.
I mua i tō hui, whakaarohia:
Kia mahara he mea toa te rapu awhina, ā, ko te pono ki tō tohunga hauora hinengaro ka arahi ki te maimoatanga tino whai hua. Kei reira rātou hei awhina, ehara i te whakahē, ā, ka tūpato katoa ngā mea e kōrerotia ana e koe.
Ko te NPD tētahi āhuatanga hauora hinengaro uaua e pā ana ki te hononga o te tangata ki ētahi atu me te kite i a rātou anō. Ahakoa ka taea te hanga i ngā wero nui i ngā whanaungatanga me te oranga o ia rā, he mea nui te mahara he āhuatanga whakaora tēnei me te tautoko ngaio tika me te whakatapua whaiaro ki te whakarereke.
Ko te huarahi ki te whakahaere i te NPD e whakauru ana ki te whanaketanga o te matauranga, te ako i ngā pūkenga whakaaro atawhai, me te hanga i ngā āhuatanga whanaungatanga hauora ake. E hiahia ana tēnei tukanga ki te wā me te manawanui, engari ka taea e te nuinga o ngā tāngata he NPD te ako ki te whai i ngā hononga pai ake me te pai ake o te oranga ngākau.
Mena ka kite koe i ēnei āhuatanga i roto i a koe anō, i tētahi e aroha ana koe rānei, ko te whakapā atu mō te awhina ngaio he mahi pai. E whai whakangungu ana ngā tohunga hauora hinengaro me te wheako ki te whakarato i te maimoatanga whai hua me te tautoko i te huarahi o te whakahaere i te NPD.
Ae, ka taea e ngā tāngata he NPD te ako ki te whakarereke i ō rātou āhuatanga whāinga me te whakaora tonu me te whakatapua whaiaro. Ahakoa he mau tonu ngā mate hinengaro, ka taea e te whakaora te awhina i te whanaketanga o ngā pūkenga whakaaro atawhai, ngā tikanga whanaungatanga pai ake, me te whakahaere ngākau. E hiahia ana te whakarereke ki te wā me te kaha, engari he tino taea me te tautoko ngaio.
Kāo, e hohonu ake te NPD i te whakaaro nui ki a koe anō, ki te whakahihi rānei. He āhuatanga mau tonu tēnei e pā kino ana ki ngā whanaungatanga me te mahi o ia rā. Ka taea e te katoa te whakaaro nui ki a rātou anō i etahi wā, engari e whakauru ana te NPD ki te kore o te whakaaro atawhai me te whakaaro nui rawa ki a rātou anō e puta mai ana ngā raruraru pono i ngā wāhi maha o te oranga.
Kāore te nuinga o ngā tāngata he NPD e kite i ō rātou whāinga hei raruraru, ko tetahi wāhanga tēnei o te āhuatanga anō. E whakahe ana rātou ki ētahi atu mō ngā raruraru whanaungatanga, ā, e kite ana rātou i a rātou anō he mārama kore i te whakaae i ō rātou ake mahi i roto i ngā pakanga. E āhua uaua ana tēnei kore o te mārama ki te rapu maimoatanga.
Ka taea e te mamae i te wā tamariki me te whāngai kore-tuturu te whakauru ki te whanaketanga o te NPD, engari kāore e whakamana ana ka puta. Pea he hua o te whakaranu o ngā take ira, taiao, me ngā hinengaro i ngā wā whanaketanga nui te āhuatanga. He maha ngā tāngata e wheako ana i ngā tamarikitanga uaua, kāore hoki e whanake i ngā mate hinengaro.
Kāore he rongoā motuhake mō te NPD anō, engari ka taea e ngā taote te whakahau i ngā rongoā mō ngā āhuatanga e puta tahi ana pēnei i te pouri, te manukanuka rānei. Ko te maimoatanga matua ko te whakaora hinengaro, e awhina ana i ngā tāngata ki te whanaketanga i ngā pūkenga whanaungatanga pai ake me te whakahaere ngākau. Ka taea te awhina te rongoā ina puta tahi ētahi atu āhuatanga hauora hinengaro me te NPD.
6Mpeople
Get clear medical guidance
on symptoms, medications, and lab reports.