Factors in the Psychoanalytic Treatment of Narcissistic Personalities

  title={Factors in the Psychoanalytic Treatment of Narcissistic Personalities},
  author={Otto Kernberg},
  journal={Journal of the American Psychoanalytic Association},
  pages={51 - 85}
  • O. Kernberg
  • Published 1 January 1970
  • Psychology
  • Journal of the American Psychoanalytic Association
N THIS PAPER I shall discuss the etiology, diagnosis, prognosis, and some factors in the treatment of patients with narcissistic I personality structure. I do not expect to treat the subject exhaustively, but I hope to shed new light on certain areas. This paper deals mainly with the clinical problem of narcissism, and such metapsychological considerations as will be presented shortly have to do only with the etiology of pathological narcissism and not with the broader issue of the theory of… 
Theories of The Treatment of Narcissistic Personalities
  • V. Spruiell
  • Psychology
    Journal of the American Psychoanalytic Association
  • 1974
This paper aims to tease out, not systems, but some specific ideas-12 arbitrarily chosen issues that relate to diagnosis, basic conceptions, and therapeutic techniques in the psychoanalysis of so-called narcissistic personalities that derive from a consideration of the two previous presentations.
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Object Relations Theories on Narcissistic Personality Disorder
Patients with narcissistic personality disorders have difficulties in developing emotional relationships with their analysts due to narcissistic withdrawal. The patients devalue and depreciate their
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The supportive and psychodynamic psychotherapy treatment approach that was utilized, and how Self-Psychology and Object Relations Theory provided a useful framework to bring help and relief to this patient, as he prepared to face the end of his life.
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Narcissistic Personality Disorders—A Clinical Discussion
  • L. Schwartz
  • Psychology
    Journal of the American Psychoanalytic Association
  • 1974
My clinical impression is that there is a category of cases with personality disorders that might best be considered from the viewpoint of narcissistic pathology. The cases I wish to consider are
Malignant Narcissism in Relation to Clinical Change in Borderline Personality Disorder: An Exploratory Study
The heuristic potential of the malignant narcissism construct is discussed and the utility of a dimensional approach to this construct is explored, especially in reference employing personality traits/processes to better understand pathological configurations and personality disturbance.
Contrasting Viewpoints Regarding the Nature and Psychoanalytic Treatment of Narcissistic Personalities: A Preliminary Communication
  • O. Kernberg
  • Psychology
    Journal of the American Psychoanalytic Association
  • 1974
The clinical characteristics of narcissistic personalities are described and areas of agreement and disagreement regarding the metapsychological assumptions and treatment are focused on.
The Psychoanalytic Psychotherapy of Narcissistic Personality Disorder
The author reviewed the psychoanalytic psychotherapy of the narcissistic personality disorders from the perspective of self psychology and presented two cases from literature. The first case, treated


  • L. Stone
  • Psychology
    Journal of the American Psychoanalytic Association
  • 1954
The remarkable and steadfast conservatism of Freud regarding the therapeutic application of his discovery appears in several places in his writings. TVe may generalize briefly to the effect that
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The Psychoanalytic Theory of Neurosis, Fenichel's classic text, summarized the first half century of psychoanalytic investigation into psychopathology and presented a general psychoanalytic theory of
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On Narcissism: An Introduction
The present translation is based on the one published in 1925. The title of this paper would have been more literally translated 'On the Introduction of the Concept of Narcissism'. Freud had been
The loving and beloved superego in Freud's structural theory.
  • R. Schafer
  • Psychology
    The Psychoanalytic study of the child
  • 1960
(1960). The Loving and Beloved Superego in Freud's Structural Theory. The Psychoanalytic Study of the Child: Vol. 15, No. 1, pp. 163-188.
The Nightingale
IN case you have received no earlier communication to a similar effect, you may possibly think it worth while to record that I heard a nightingale twice on the I4th instant, in a plantation by the
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    The International journal of psycho-analysis
  • 1964
The concept of the representational world.