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.
State of the Art Address 02:
This address suggests that what is needed in the field of marital intervention is an empirically-based theory about the disasters and masters of marriage. The theory also is an integration of behavioral, object-relations, system and existential approaches to marriage. This theory is described and presented in this address.
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.
This talk first briefly reviews the history of the Developmental, Self and Object Relations theoretical approach to the personality disorders as a preface to exploring the latest additions to the theory, i.e., Attachment Theory and Neurobiological Development of the Self in the Right Brain. Attachment Theory: The work of Ainsworth and others is described leading to the attachment categories in the infant and the adult. Many follow-up studies are presented validating the persistence of the categories over time. Neurobiologic Development of the Self in the Right Brain: The work of Alan Schore, Ph.D. is used to describe the development of the self in the right prefrontal cortex of the brain. Integration: The integration of the two theories with the object relations approach are described and illustrated through therapeutic alliance
To describe the process that integrates the developmental perspective with object relations theory
To illustrate how the personal relates to the professional in the development of a theory
The development and function of the self's capacity for intimacy is described through infancy, childhood and adolescence. The normal process of achieving intimacy is outlined. The illusions of intimacy of Disorders of the Self are then described with detailed clinical presentations of each diagnostic category. The therapeutic interventions necessary to deal with these defenses are then outlined.