Table 85-2 Paradigms for the psychoanalytic treatment of narcissistic personality disorder
| Table 85-2 Paradigms for the psychoanalytic treatment of narcissistic personality disorder | ||
|
Characteristic |
Kohut self psychology |
Kernberg ego psychology- object relations |
| Psychopathology | Developmental arrest | |
| Deficit in structure of self | Defensive structure | |
| Grandiose self | ||
| Core affect(s) defended against | Shame | Envy and rage |
| Transference | Mirroring, idealizing, twinship | Devaluing, pathological idealization |
| Therapeutic strategy | Empathic encouragement of grandiosity and idealization | |
| Understanding of "microempathic failures" | Interpretation of grandiose defenses and of transference | |
| Therapeutic goal | Building of deficient self structure | Resolution of pathological grandiose self |