Treating Narcissistic Personality Disorders: a case illustration of key clinical contributions from Transference Focused Psychotherapy for psychoanalytic practitioners

IF 1.2 Q1 PSYCHOLOGY, PSYCHOANALYSIS

Psychoanalytic Psychotherapy Pub Date : 2023-04-03 DOI:10.1080/02668734.2023.2191264

Tennyson Lee, Kenneth N. Levy

引用次数: 0

Abstract

Narcissistic Personality Disorder (NPD) is complex and difficult to treat. Whilst there is no research based evidence for the specific treatment of NPD, there is an evidence base for psychotherapeutic approaches to Borderline Personality Disorder (BPD) which includes Transference Focused Psychotherapy (TFP). TFP is a contemporary object relations approach which has been developed to treat patients with a Borderline Personality Organization, which includes narcissistic personality structures. TFP therefore stands to contribute to the treatment of NPD. We introduce main tenets of TFP, and how TFP views narcissism. We then present a case illustration to illustrate aspects of TFP which are key clinical contributions in treating NPD. These include assessment of personality organization, the treatment contract, transference, countertransference, use of clarification and interpretation, technical neutrality, therapist centered interpretations, the treatment frame and consideration of the stage of treatment

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治疗自恋型人格障碍：以转移为中心的心理治疗对精神分析从业者的关键临床贡献为例

自恋型人格障碍(NPD)是一种复杂且难以治疗的疾病。虽然没有针对NPD的具体治疗的研究证据，但有针对边缘型人格障碍(BPD)的心理治疗方法的证据基础，其中包括以移情为重点的心理治疗(TFP)。TFP是一种当代客体关系方法，用于治疗包括自恋型人格结构的边缘型人格组织患者。因此，TFP有助于NPD的治疗。我们介绍TFP的主要原则，以及TFP如何看待自恋。然后，我们提出一个案例说明，说明TFP在治疗NPD的关键临床贡献方面。这些包括人格组织评估、治疗合同、移情、反移情、澄清和解释的使用、技术中立、以治疗师为中心的解释、治疗框架和对治疗阶段的考虑

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Psychoanalytic Psychotherapy PSYCHOLOGY, PSYCHOANALYSIS-

CiteScore

1.30

自引率

37.50%

发文量

期刊介绍： Psychoanalytic Psychotherapy publishes original contributions on the application, development and evaluation of psychoanalytic ideas and therapeutic interventions in the public health sector and other related applied settings. The Journal aims to promote theoretical and applied developments that are underpinned by a psychoanalytic understanding of the mind. Its aims are consonant with those of the Association for Psychoanalytic Psychotherapy in the NHS (APP in the NHS) in promoting applied psychoanalytic work and thinking in the health care system, across the whole age range.