The idealization of the object can become so important to the narcissist that in many cases he or she will choose to fault himself or herself, rather than blame the therapist Manfield, In the second type of mirror transference, the twinship or alter-ego transference, the narcissist perceives the therapist to be psychologically similar to himself or herself.
Such a maternal approach allows the narcissist to experience more sympathy towards his or her true feelings and thus gradually the need to withdraw into the narcissistic defense disappears Asper, These primordial images are termed archetypes, and play a significant role in the shaping of the ego.
The narcissist conjures in us images of the mythological character Narcissus who could only love himself, rebuffing anyone who attempted to touch him.
Aware of her intention to conceive a child with a particular father, the mother then goes off to sit alone under a tree. Within the Self we perceive our collective unconscious, which is made up of primordial images, that have been common to all members of the human race from the beginning of life.
Such patients will then likely feel betrayed by the therapist and will respond by withdrawing themselves from the therapist Manfield, Who you are disappoints me, threatens me angers me, overstimulates me.
According to Kernberg if the child is severely frustrated at this stage he or she can adapt by re-fusing or returning to the practicing subphase, which affords him the security of grandiosity and omnipotence Kernberg, The negativized ego than proceeds to compensate for the Self-estrangement by suppressing the personal needs which are inherent in the Self; thus "the negativized ego of the narcissistically disturbed person is characterized by strong defense mechanisms and ego rigidity.
You are not real. The idealizing transference is a more mature form of transference than the mirror transference because idealization requires a certain amount of internal structure i. Johnson, ; Manfield, ; and Masterson, Oftentimes, the narcissist will first develop a mirror transference, and only when his or her internal structure is sufficiently strong will the idealizing transference develop Manfield, The abandoned child within.
This transformation takes place through the process which Kohut terms transmuting internalizations. If this frustration exceeds the coping abilities of the person only slightly the person experiences optimal frustration. The individual who is unable to successfully master the challenges of this stage will sustain a narcissistic injury.
He said, "you forgot your glasses," to which she responded with an expression of surprise and embarrassment saying, "Oh, how clumsy of me.
Specifically, the narcissistic individual chooses to mask his or her damaged personal self by the display of a perfect grandiose front to the world. By idealizing the therapist to whom the narcissist feels connected, the narcissist by association also uplifts himself or herself. Finally, the manic defense is utilized when feelings of worthlessness begin to surface.
The narcissist thus learns to reject himself or herself by hiding what has been rejected by others.Both psychological and pharmacological interventions for people with antisocial personality disorder are poorly researched and direct evidence on the treatment of this population is scarce.
The economic analysis showed that such interventions are potentially cost Clinical evidence for psychological interventions for the treatment of. Narcissism and the narcissistic personality disorder: A comparison of the theories of Kernberg and Kohut Gillian A.
Russell psychological intensity, of the two theories discussed. Carrilio (, p. ) observes how in recent years: The Analysis. Psychotherapy for Narcissistic Personality Disorder. People with narcissism generally try to sustain an image of perfection and personal invincibility for themselves and attempt to project that.
Personality disorders are common ( percent of the general population) and are associated with high personal suffering for those with the disorder and for those in their life.
They also result. Psychological Theories and Psychotherapy of Personality Disorders. energies and (reactive) forces. Flow charts were provided together with a method of analysis, a mathematical physics of the mind.
But this was a mirage. An essential part was missing: the ability to test the hypotheses, which derived from these "theories". Therapeutic. Theories to explain narcissistic personality disorder. Print Reference this. Disclaimer: These fragmentation experiences can often be examined in the therapeutic situation without serious disruptionâ€¦ Finally, patients with a narcissistic personality disorder do not experience the feelings of aloneness experienced by borderline.Download