DSW Showcase Student Presentation

Imani Dalcoe

She Get It From Her Mama: Understanding the Shared Etiology of Narcissistic and Borderline Personality Disorders Comorbidity

Concentration - Clinical Social Work

Abstract

This presentation deep-dives into the complicated relationship between narcissistic personality disorder (NPD) and Borderline Personality Disorder (BPD), highlighting the shared etiological factors as well as the diagnostic and therapeutic challenges posed by such a comorbidity. Pulling from a systematic literature review and empirical research, the presentation will explore the genetic, environmental, and psychological underpinnings of the disorders. The presentation will then discuss how early childhood experiences, attachment disruptions, and certain socio-environmental factors contribute to the development of NPD and BPD comorbidity. The presentation will then explore the implications of the findings for clinical practice, underscoring the need for a refined diagnostic tool as well as tailored treatment plans. Following, the presenter will then discuss the importance of an integrated diagnostic and therapeutic approach that accommodates the complexities of NPD and BPD comorbidity with the goal of increasing clinical efficacy and improving patient outcomes. Participants will gain insights into advanced strategies for managing the clinical challenges associated with such a comorbidity, informed by the latest research and clinical innovations in the field of social work.

Biography

Imani Aonginea Dymond Dalcoe, AAS, BSW, MSW, is a Saint Louis native and U.S. Army veteran, skilled mental health professional, and Doctor of Social Work (DSW) candidate at the University of Kentucky. She holds an Associate of Applied Science in Human Services with a Certificate in Addiction Services (Cum Laude) from Saint Louis Community College, a Bachelor of Social Work (Magna Cum Laude) from the University of Missouri-St. Louis, and a Master of Social Work (Magna Cum Laude) from the University of Southern California.

Ms. Dalcoe serves as an adolescent and adult telehealth therapist with Barrington Behavioral Health and Wellness, where she applies her expertise in trauma-informed care to provide compassionate, evidence-based support to clients facing diverse psychological challenges. Her clinical approach emphasizes the profound impact of trauma on mental health, integrating interventions designed to foster healing and resilience.

As a doctoral candidate, Ms. Dalcoe’s research focuses on the shared etiology of narcissistic and borderline personality disorders (NPD and BPD), with a particular emphasis on the interplay of genetic, environmental, and psychological factors. Her capstone project seeks to enhance understanding and therapeutic approaches for individuals navigating these co-occurring conditions.

Ms. Dalcoe’s academic and professional journey is marked by distinction, including honors at every stage of her education. She remains committed to advancing mental health care through trauma-informed practices and scholarly contributions, helping individuals build stronger foundations for emotional and psychological well-being.