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.
This workshop will describe the various clinical syndromes reflecting narcissistic personality disorders, and the corresponding prognostic indicators for psychodynamic psychotherapy. The typical transference developments of these patients will be outlined, and corresponding technical interventions described. The relevance for the love life of these patients will be explored and treatment implications described.
This workshop summarizes the strategy and tactics of psychodynamic psychotherapy with these patients. The role of interpretation, transference analysis, technical neutrality and countertransferenece will be emphasized. Specific technical approaches will be summarized, particularly contract setting, management of suicidal threats, paranoid regression and dishonesty in patients' communication. Finally, supportive psychotherapy with those patients who cannot be treated with an exploratory approach will be outlined.