心理学
自恋型人格障碍
心理治疗师
心理化
自恋
移情
人格障碍
边缘型人格障碍
人格
临床心理学
心理干预
虐待狂人格障碍
反移情
心理治疗
精神科
社会心理学
作者
J. Blue Bird,Eve Caligor
摘要
Abstract The following case study provides a description of the transference‐focused psychotherapy (TFP) treatment of a young man diagnosed with narcissistic personality disorder (NPD). TFP is an individual, psychodynamic therapy developed to treat a range of personality disorders. TFP is evidence‐based for the treatment of borderline personality disorder and has been adapted for the treatment of NPD. This case illustrates the application of the strategies and techniques of TFP to treatment of NPD as well as challenges clinicians may face in arriving at timely diagnosis of the disorder. Although no specific treatment for NPD has been empirically validated, TFP utilizes the therapeutic techniques identified across modalities for successful treatment of pathological narcissism. This report describes how treatment interventions such as goal setting, developing a therapeutic alliance, using a treatment contract and addressing treatment interfering behaviors contributed to this patient's improvement in self‐reflection, formation of healthier and more flexible ideas about self and other, increased self‐agency, tolerance of normative disillusionments and increase in empathy.
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