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Narcissism and Its Discontents

Diagnostic Dilemmas and Treatment Strategies With Narcissistic Patients
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The definition of narcissism can be a moving target. Is it an excess of self-love? Profound insecurity? Low self-esteem? Too much self-esteem? Because of the multifaceted nature of narcissistic personality disorder (NPD), treating this disorder presents clinicians with a range of wholly unique challenges. Narcissism and Its Discontents recognizes the variable nature of NPD and provides a template for adjusting treatment to the patient rather than shoehorning the patient into a manualized treatment that may prove to be less effectual. This guide offers clinicians strategies, including transference and countertransference, to deal with the complex situations that often arise when treating narcissistic patients, among them, patient entitlement, disengagement, and envy. The authors provide a skillful integration of research and psychoanalytic theory while also addressing psychotherapeutic strategies that are less intensive but also useful -- being cognizant of the fact that a majority of patients do not have access to psychoanalysis proper. A chapter on the cultural aspects of narcissism addresses the recent societal fascination with NPD in the discourse on politics and celebrity, particularly in the age of social media. Regardless of the treatment setting -- psychoanalysis, psychotherapy, pharmacotherapy, partial hospital, or inpatient -- clinicians will find a wealth of approaches to treating a diverse and challenging patient population in Narcissism and Its Discontents.
About the AuthorsPrefacePart I: Diagnostic DilemmasChapter 1. Narcissism and Its DiscontentsChapter 2. The Cultural Context of NarcissismChapter 3. Modes of RelatednessPart II: Treatment StrategiesChapter 4. Beginning the TreatmentChapter 5. Transference and CountertransferenceChapter 6. Tailoring the Treatment to the PatientChapter 7. Specific Treatment StrategiesChapter 8. TerminationIndex
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