By John S. Ogrodniczuk
Pathological narcissism has lengthy been one in every of the main not easy stipulations to regard in psychotherapy. Given the reluctance of many narcissistic consumers to go into into remedy and the original frustrations those consumers can engender in these dedicated to supporting them, even pro therapists may possibly locate themselves short of specialist guidance.
In this booklet, this day s such a lot favourite thinkers and scientific specialists on pathological narcissism tackle the demanding situations dealing with therapists who paintings with narcissistic consumers. They hint the background of our realizing of narcissism, from historic delusion to Freud and next psychodynamic techniques. in addition they supply clinicians with a finished advisor to remedy that covers positive factors of the affliction, prognosis, and review, in addition to particular concerns within the very important components of transference and countertransference. specifically, they emphasize that narcissism is an eminently treatable sickness that may be approached utilizing quite a few healing versions.
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Extra resources for Understanding and Treating Pathological Narcissism
Tends to feel misunderstood, mistreated, or victimized. Lacks close friendships and relationships. Tends to ruminate; may dwell on problems, replay conversations in his/her mind, become preoccupied with thoughts about what could have been, etc. Is articulate; can express self well in words. Tends to feel like an outcast or outsider. Appears to feel privileged and entitled; expects preferential treatment. 1 Q-Factors: Subtypes of Narcissism (Continued) Tends to feel s/he is inadequate, inferior, or a failure.
We labeled the third subtype high functioning/exhibitionistic narcissism, reflecting the fact that individuals with high loadings on this Q-factor are grandiose, self-centered, and competitive and feel entitled, but they also have a number of healthy characteristics; they are articulate, energetic, interpersonally comfortable, and achievement oriented. , Westen, 1990). Patients who match this subtype have an exaggerated sense of self-importance and feelings of privilege but are also articulate, energetic, and outgoing.
Psychological Inquiry, 15, 150–153. Dickinson, K. , & Pincus, A. L. (2003). Interpersonal analysis of grandiose and vulnerable narcissism. Journal of Personality Disorders, 17, 188–207. 22146 Freud, S. (1914). On narcissism: An introduction. In J. Strachey (Ed. ), The standard edition of the complete psychological works of Sigmund Freud, 14, 111–140. Gabbard, G. O. (1989). Two subtypes of narcissistic personality disorder. Bulletin of the Menninger Clinic, 53, 527–532. Gabbard, G. O. (1998). Transference and countertransference in the treatment of narcissistic patients.