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Research Article

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

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Pages 179-192 | Received 02 May 2022, Accepted 12 Mar 2023, Published online: 12 Apr 2023

References

  • Bateman, A. W. & Fonagy, P. (Eds.). (2019). Handbook of mentalizing in mental health practice. American Psychiatric Publishing.
  • Bateman, A. W. (1998). Thick- and thin-skinned organisations and enactment in borderline and narcissistic disorders. International Journal of Psychoanalysis, 79(1), 13–25.
  • Caligor, E., Kernberg, O., Clarkin, J., & Yeomans, F. (2018). Psychodynamic therapy for personality pathology: Treating self and interpersonal functioning. American Psychiatric Publishing.
  • Caligor, E., Levy, K. N., & Yeomans, F. E. (2015). Treatment in psychiatry: Narcissistic personality disorder. The American Journal of Psychiatry, 172(5), 415–422. https://doi.org/10.1176/appi.ajp.2014.14060723
  • Clarkin, J. F., Caligor, E., Stern, B., & Kernberg, O. F. (2016). The Structured Interview for Personality Organization-Revised (STIPO-R) [ Unpublished manuscript]. Department of Psychiatry, Weill Cornell Medical College, Download from www.borderlinedisorders.com.
  • Clarkin, J. F., Levy, K. N., Lenzenweger, M., & Kernberg, O. F. (2007). Evaluating three treatments for borderline personality disorder: A multiwave study. The American Journal of Psychiatry, 164(6), 922–928. https://doi.org/10.1176/ajp.2007.164.6.922
  • Diamond, D. & Hersh, R. (2020). Transference-focused psychotherapy for narcissistic personality disorder: An object relations approach. Journal of Personality Disorders, 34(Supplement), 159–176. https://doi.org/10.1521/pedi.2020.34.supp.159
  • Diamond, D., Yeomans, F. E., Stern, B. L., & Kernberg, O. F. (2022). Treating pathological narcissism with transference-focused psychotherapy. The Guilford Press.
  • Diamond, D., Yeomans, F. E., Stern, B., Levy, K. N., Hörz, S., Doering, S., Clarkin, J. F., Delaney, J., & Clarkin, J. F. (2013). Transference focused psychotherapy for patients with comorbid narcissistic and borderline personality disorder. Psychoanalytic Inquiry, 33(6), 527–551. https://doi.org/10.1080/07351690.2013.815087
  • Doering, S., Horz, S., Rentrop, M., Fishcer-Kern, M., Schuster, P., Benecke, C., Buchheim, A., Martius, P., & Buchheim, P. (2010). Transference-focused psychotherapy v. treatment by community psychotherapists for borderline personality disorder: Randomised controlled trial. British Journal of Psychiatry, 196(5), 389–395. https://doi.org/10.1192/bjp.bp.109.070177
  • Hersh, R., Caligor, E., & Yeomans, F. (2017). Fundamentals of transference-focused psychotherapy: Applications in psychiatric and medical settings. Springer.
  • Joseph, B. (1985). Transference: The total situation. International Journal of Psychoanalysis, 66, 447–454.
  • Kanter-Bax, O., Neranzis, G., & Lee, T. (2022). An aid to learning psychodynamic psychotherapy for trainee psychiatrists in the UK: Use of transference focused psychotherapy. BJPsych Bulletin, 46(1), 57–63. https://doi.org/10.1192/bjb.2020.129
  • Kernberg, O. F. (1984). Severe personality disorders: Psychotherapeutic strategies. Yale University Press.
  • Kernberg, O. F. (2007). The almost untreatable narcissistic patient. Journal of the American Psychoanalytic Association, 55(2), 503–539. https://doi.org/10.1177/00030651070550020701
  • Kernberg, O. F. (2008). The destruction of time in pathological narcissism. International Journal of Psychoanalysis, 89(2), 299–312. https://doi.org/10.1111/j.1745-8315.2008.00023.x
  • Kernberg, O. F. (2014). An overview of the treatment of severe narcissistic pathology. International Journal of Psychoanalysis, 95(5), 865–888. https://doi.org/10.1111/1745-8315.12204
  • Kernberg, O. F., Yeomans, F. E., Clarkin, J. F., & Levy, K. N. (2008). Transference focused psychotherapy: Overview and update. International Journal of Psychoanalysis, 89(3), 601–620. https://doi.org/10.1111/j.1745-8315.2008.00046.x
  • Klein, M. (1952) The origins of the transference. In R. Money-Kyrle (Ed.), The writings of Melanie Klein, vol 3: Envy and gratitude and other works (pp. 55). Virago Press (1988).
  • Lee, T. & Hersh, R. (2019). Managing the clinical encounter with patients with borderline personality disorder in a general psychiatry setting: Key contributions from Transference-Focused Psychotherapy (TFP). BJPsych Advances, 25(4), 229–236. https://doi.org/10.1192/bja.2018.63
  • Levy, K. N. (2012). Subtypes, dimensions, levels, and mental states in narcissism and narcissistic personality disorder. Journal of Clinical Psychology: In Session, 68(8), 886–896. https://doi.org/10.1002/jclp.21893
  • National Collaborating Centre for Mental Health. (2009). Borderline personality disorder. The NICE guideline on treatment and Management.
  • Perkins, A., Ridler, J., Browes, D., Peryer, G., Notley, C., & Hackmann, C. (2018). Experiencing mental health diagnosis: A systematic review of service user, clinician, and carer perspectives across clinical settings. The Lancet Psychiatry, 5(9), 747–764. https://doi.org/10.1016/S2215-0366(18)30095-6
  • Radcliffe, J. & Yeomans, F. (2019). Transference‐focused psychotherapy for patients with personality disorders: Overview and case example with a focus on the use of contracting. British Journal of Psychotherapy, 35(1), 4–23. https://doi.org/10.1111/bjp.12421
  • Rosenfeld, H. (1987). Afterthought: Changing theories and changing techniques in psychoanalsyis. In Impasse and interpretation (pp. 265–279). The New Library of Psychoanalysis.
  • Steiner, J. (1993a). Problems of psychoanalytic technique: Patient-centered and analyst-centered interpretations. In Psychic retreats (pp. 131–148). Routledge.
  • Steiner, J. (1993b). A theory of psychic retreats. In Psychic retreats (pp. 1–13). Routledge.
  • Van den Bosch, J. & Lee, T. (in press). Using Transference-Focused Psychotherapy (TFP) principles in the National Health Service (NHS) in the United Kingdom (UK). In R. Hersh & D. Panfilis (Eds.), Implementing psychiatric care for personality disorders with principles of transference-focused psychotherapy. Springer Nature.
  • Yeomans, F. E., Clarkin, J. F., & Kernberg, O. F. (2015). Transference-focused psyhotherapy for borderline personality disorder: A clinical guide. American Psychiatric Publishing.
  • Yeomans, F. E., Delaney, J. C., & Levy, K. N. (2017). Behavioral activation in TFP: The role of the treatment contract in transference-focused psychotherapy. Psychotherapy, 54(3), 260–266. https://doi.org/10.1037/pst0000118

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