Dealing with narcissistic and borderline defenses that block healthy relating can be quite challenging when dealing with couples. This short course will address ways to creatively apply core aspects of Rossi's mind-body approach to develop treatment plans and interventions that can facilitate the containment of these defenses and help reorganize the dynamics of the couple system. The integration of the psychodynamic system and cognitive behavioral perspectives will be addresses throughout the course.
What if our therapeutic goals of improving self-esteem, developing a stable and coherent sense of self, and expressing our authentic feelings all turn out to be misguided? What if they inadvertently feed the cultural enthusiasm for celebrity and success that makes so many of us miserable? This presentation will examine how mindfulness practices can be harnessed in psychotherapy to reexamine our conventional sense of self, leading both us and our clients toward greater well-being, wisdom, and compassion.
Some narcissists want to be adored without giving much in return. Others make outrageous demands. Couples therapists are continually challenged to remain centered and not get derailed by their defensive styles. In this workshop, we will discuss how to promote recovery and repair, how to confront and how to increase differentiation to sustain long-term change.
This introduction to a developmental-psychobiological approach for working with personality disordered couples will provide attendees with a powerful new method that continues to show good success. This approach focuses on a two-person psychobiological model using attachment, developmental neuroscience and arousal regulation, and moves the clinician from a conflict-content model to a deficit process model focusing on real-time enactments of dysregulation.
Comparisons have been made between severe avoidant attachment and disorders of the self such as antisocial personality, schizoid personality, and narcissistic personality. Each of these disorders, including avoidant attachment, can be grouped together as one-person psychological organizations in that they operate outside of a truly interactive dyadic system, and primarily rely upon themselves for stimulation and calming via auto-regulation. The chronic need for “alone time” can take many surprising forms throughout the lifespan, directly impacting romantic relationships.
Couples come to therapy saying “we can’t communicate.” It sounds simple. Yet what does this really mean? Closer examination often reveals trauma, chronic hostility, narcissistic entitlement, or long-term conflict avoidance. And resolution requires internal self-development that may be resisted by one or both partners. This advanced workshop will use video segments to demonstrate the intricacies of resolving predictable communication breakdowns and supporting couples development.
For decades, psychoanalytic models of individual therapy were retrofitted into marital treatment models. These approaches tended to be ineffective with character disordered partners. With the recent emergence of polytheoretical, psychobiological approaches to couple therapy, the clinician can now be more effective with character disordered partners. This two hour workshop will help clinicians differentiate between those partners who are psychoneurotic, insecurely attached, or undifferentiated, a
In this paper, Dr. Masterson gives an understanding of the intrapsychic structure of Narcissistic Personality Disorder and how it finds clinical expression through the disorders of the self triad. Clinical cases are presented to illustrate how the therapeutic intervention of mirroring interpretation of narcissistic vulnerability helps the patient to convert transference acting-out to therapeutic alliance and transference, thereby creating the condition for psychoanalytic psychotherapy.
This workshop comprises three elements: A one-hour videotape demonstrating the use of mirroring interpretation of narcissistic vulnerability to establish a therapeutic alliance, discussion of the tape, and supervision of cases presented by the audience.
Indications and contraindications for supportive and psychodynamic approaches to pathological narcissism will be outlined. Essential techniques of these modalities for narcissistic patients will be described, and alternative approaches examined.