Psychodynamic Psychotherapy for Narcissistic Personality
Abstract
We present an overview of psychoanalytic object relations perspectives on narcissistic pathology, with an emphasis on a form of psychodynamic psychotherapy, Transference Focused Psychotherapy (TFP) designed to treat personality disorders including NPD. We also review therapeutic modifications of TFP that help clinicians effectively treat patients with narcissistic pathology at all levels of personality organization, and provide illustrative case material.
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Processing painful emotions helps narcissists reduce maladaptive behaviors while increasing resilience, self-compassion, and empathy.
“Processing painful emotions has been shown to help narcissists reduce maladaptive behaviors while increasing resilience, self-compassion, and empathy (147).”
From Psychoanalytically informed MDMA-assisted therapy for pathological narcissism: a novel theoretical approach (2025) · cites this paper as [147]
Cites
Kohut, H., & Goldberg, A. I. (1984) · University of Chicago Press eBooks · doi:10.7208/chicago/9780226006147.001.0001 · Cited by 2,623 · see citing works
Borderline Conditions and Pathological Narcissism
Adler, G. (1976) · American Journal of Psychiatry · doi:10.1176/ajp.133.3.353-a · Cited by 2,535 · see citing works
Wink, P. (1991) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.61.4.590 · Cited by 1,107 · see citing works
Evaluating three treatments for borderline personality disorder: a multiwave study
Clarkin, J. F., Levy, K. N., Lenzenweger, M. F., & Kernberg, O. F. (2007) · American Journal of Psychiatry · doi:10.1176/ajp.2007.164.6.922 · Cited by 997 · see citing works
Self-citationForms and Transformations of Narcissism
Kohut, H. (1966) · Journal of the American Psychoanalytic Association · doi:10.1177/000306516601400201 · Cited by 912 · see citing works
Levy, K. N., Meehan, K. B., Kelly, K. M., Reynoso, J. S., Weber, M., Clarkin, J. F., & Kernberg, O. F. (2006) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.74.6.1027 · Cited by 820 · see citing works
Self-citationSteiner, J. (2003) · doi:10.4324/9780203359839 · Cited by 648 · see citing works
[Severe personality disorders].
Florenzano, R. U. (1985) · PubMed · Cited by 465 · see citing works
Doering, S., Hörz, S., Rentrop, M., Fischer-Kern, M., Schuster, P., Benecke, C., Buchheim, A., Martius, P., & Buchheim, P. (2010) · British Journal of Psychiatry · doi:10.1192/bjp.bp.109.070177 · Cited by 440 · see citing works
Psychotherapy for Borderline Personality: Focusing on Object Relations
M.D., M. J. H. (2006) · American Journal of Psychiatry · doi:10.1176/appi.ajp.163.5.944 · Cited by 427 · see citing works
Westen, D. (1997) · American Journal of Psychiatry · doi:10.1176/ajp.154.7.895 · Cited by 330 · see citing works
Essential papers on narcissism
Morrison, A. P. (1986) · New York University Press eBooks · Cited by 243 · see citing works
Psychotherapy for Borderline Personality
Clarkin, J. F., Yeomans, F. E., & Kernberg, O. F. (1998) · Cited by 233 · see citing works
Self-citationNarcissistic Personality Disorder: Facing DSM-V
Ronningstam, E. (2009) · Psychiatric Annals · doi:10.3928/00485713-20090301-09 · Cited by 226 · see citing works
Disorders of Narcissism: Diagnostic, Clinical, and Empirical Implications
Ronningstam, E. (1998) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9798894550312 · Cited by 208 · see citing works
Psychotherapy for Borderline Personality
Swenson, C. R. (2000) · American Journal of Psychiatry · doi:10.1176/appi.ajp.157.6.1031 · Cited by 206 · see citing works
Handbook of Dynamic Psychotherapy for Higher Level Personality Pathology
Kernberg, O. F., & Clarkin, J. F. (2007) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9781615377589 · Cited by 151 · see citing works
The Almost Untreatable Narcissistic Patient
Kernberg, O. F. (2007) · Journal of the American Psychoanalytic Association · doi:10.1177/00030651070550020701 · Cited by 143 · see citing works
Unmet need for services and interventions among adolescents with mental disorders
Wang, P. S., Sherrill, J., & Vitiello, B. (2007) · American Journal of Psychiatry · doi:10.1176/ajp.2007.164.1.1 · Cited by 123 · see citing works
A Primer of Transference-Focused Psychotherapy for the Borderline Patient
Goldstein, W. N. (2003) · American Journal of Psychotherapy · doi:10.1176/appi.psychotherapy.2003.57.2.274 · Cited by 117 · see citing works
Narcissistic States and the Therapeutic Process
Bach, S. (1977) · Medical Entomology and Zoology · Cited by 114 · see citing works
Psychodynamic Psychotherapy for Personality Disorders: A Clinical Handbook
Fonagy, P., & Gabbard, G. O. (2010) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9781615376643 · Cited by 114 · see citing works
Amada, G. (1988) · American Journal of Psychotherapy · doi:10.1176/appi.psychotherapy.1988.42.4.642 · Cited by 111 · see citing works
Narcissistic Personality Disorder: A Review
Ronningstam, E. F. (2005) · doi:10.1002/0470090383.ch4 · Cited by 85 · see citing works
Eleven Deaths of Mr. K.—Contributing Factors to Suicide in Narcissistic Personalities
Ronningstam, E. F., Weinberg, I., & Maltsberger, J. T. (2008) · Psychiatry · doi:10.1521/psyc.2008.71.2.169 · Cited by 67 · see citing works
Doidge, N., Simon, B., Brauer, L., Grant, D. C., First, M., Brunshaw, J., Lancee, W. J., Stevens, A., Oldham, J. M., & Mosher, P. (2002) · Journal of the American Psychoanalytic Association · doi:10.1177/00030651020500021201 · Cited by 66 · see citing works
Gabbard, G. O. (2009) · Psychiatric Annals · doi:10.3928/00485713-20090301-03 · Cited by 62 · see citing works
The Interpretive Process in the Psychoanalytic Psychotherapy of Borderline Personality Pathology
Caligor, E., Diamond, D., Yeomans, F. E., & Kernberg, O. F. (2009) · Journal of the American Psychoanalytic Association · doi:10.1177/0003065109336183 · Cited by 58 · see citing works
Self-citationKernberg and Kohut: A Test of Competing Psychoanalytic Models of Narcissism
Glassman, M. (1988) · Journal of the American Psychoanalytic Association · doi:10.1177/000306518803600302 · Cited by 18 · see citing works
Psychopathologies narcissiques et psychothérapie focalisée sur le transfert (PFT)
Diamond, D., & Yeomans, F. E. (2008) · Santé mentale au Québec · doi:10.7202/018475ar · Cited by 12 · see citing works
Self-citationGlassman, M. B. (1988) · Psychoanalytic Psychology · doi:10.1037/h0085118 · Cited by 11 · see citing works
From Narcissism to Self Pathology: New Pathology or New Perspective on Pathology?
Lachmann, F. M. (1994) · International Forum of Psychoanalysis · doi:10.1080/08037069408410412 · Cited by 2 · see citing works
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Caligor, E., Levy, K. N., & Yeomans, F. E. (2015) · American Journal of Psychiatry · doi:10.1176/appi.ajp.2014.14060723 · Cited by 271 · see citing works
Self-citationEllison, W. D., Levy, K. N., Cain, N. M., Ansell, E. B., & Pincus, A. L. (2013) · Journal of Personality Assessment · doi:10.1080/00223891.2012.742904 · Cited by 137 · see citing works
Self-citationKernberg, O. F., & Yeomans, F. E. (2013) · Bulletin of the Menninger Clinic · doi:10.1521/bumc.2013.77.1.1 · Cited by 108 · see citing works
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Ronningstam, E., & Weinberg, I. (2013) · Focus · doi:10.1176/appi.focus.11.2.167 · Cited by 50 · see citing works
The role of identity instability in the relationship between narcissism and emotional empathy.
Di Pierro, R., Di Sarno, M., Preti, E., Di Mattei, V. E., & Madeddu, F. (2018) · Psychoanalytic Psychology · doi:10.1037/pap0000159 · Cited by 27 · see citing works
Yeomans, F. E., Delaney, J. C., & Levy, K. N. (2017) · Psychotherapy · doi:10.1037/pst0000118 · Cited by 20 · see citing works
Self-citationEmployee Narcissism’s Implications for Performance Management: A Review and Research Directions
Williams, S. D., & Williams, J. (2017) · Organization Management Journal · doi:10.1080/15416518.2017.1383880 · Cited by 13 · see citing works
Transference-Focused Psychotherapy (TFP)
Levy, K. N., Draijer, N., Kivity, Y., Yeomans, F. E., & Rosenstein, L. K. (2019) · Current Treatment Options in Psychiatry · doi:10.1007/s40501-019-00193-9 · Cited by 7 · see citing works
Self-citationAlbert, A. E., & Back, A. L. (2025) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2025.1529427 · Cited by 6 · see citing works
Bird, J., & Caligor, E. (2024) · Journal of Clinical Psychology · doi:10.1002/jclp.23637 · Cited by 5 · see citing works
The Many Complexities in Treating and Studying Narcissism
Levy, K. N. (2012) · Pragmatic Case Studies in Psychotherapy · doi:10.14713/pcsp.v8i3.1774 · Cited by 4 · see citing works
Self-citationClarkin, J. F., Caligor, E., Sowislo, J. F., Diamond, D., & Yeomans, F. E. (2024) · Springer eBooks · doi:10.1007/978-3-031-68062-5_2 · Cited by 2 · see citing works
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Yıldırım, N. K., & Kansu, A. F. (2022) · JOURNAL OF SOCIAL HUMANITIES AND ADMINISTRATIVE SCIENCES · doi:10.29228/joshas.64034 · Cited by 1 · see citing works
Gritti, E. S. (2015) · BOA (University of Milano-Bicocca)
Narcissism and Selection Decisions: Do Narcissists Select Narcissists?
Evitts, R. (2019) · UTC Scholar (University of Tennessee at Chattanooga)
Zeigler‐Hill, V., & Jordan, C. (2013) · doi:10.1093/obo/9780199828340-0113
Narcissistic Phenomena in Patients with Substance Use Disorder: Narrative Review
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Navigating Beyond Interpersonal Manipulation: Insights from Heidegger's Perspective
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Fanti, E., Nitti, G., Pisati, E., Sarno, M. D., Felici, C., Pincus, A. L., Madeddu, F., Preti, E., & Pierro, R. D. (2026) · Current Psychology · doi:10.1007/s12144-026-09815-x
- Authors
- Diamond, D., Yeomans, F., & Levy, K. N.
- Affiliations
- City University of New York (US)
- Venue
- The Handbook of Narcissism and Narcissistic Personality Disorder
- Publisher
- Wiley
- Published
- 2011-07-20
- Pages
- 421-433
- OpenAlex
- W1508696697
- Cited by
- 19
- References
- 32
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 2 · 2023: 1 · 2022: 1 · 2019: 2 · 2017: 3 · 2015: 2 · 2013: 3 · 2012: 2
- Type
- other
- Language
- en
- Open access
- closed
- Topics
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Social Sciences › Psychology › Clinical Psychology › Psychoanalysis and Psychopathology Research
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Keywords
- narcissistic personality disorder, transference-focused psychotherapy, psychodynamic psychotherapy, object relations theory, narcissistic pathology, personality disorders, personality organization
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