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

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2023-04-03 DOI:10.1080/02668734.2023.2191264

Tennyson Lee, Kenneth N. Levy

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引用次数: 0

摘要

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

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

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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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.