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Cited by 143Personality Disorders and PsychopathologyPsychoanalysis and Psychopathology ResearchPersonality Traits and Psychology

The DOI matches its Crossref record; 18 of the 19 references it cites were found in a registry or an index.

The Almost Untreatable Narcissistic Patient

Kernberg, Otto F.·2007·Journal of the American Psychoanalytic Association
DOI 10.1177/00030651070550020701
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Abstract

Clinical experience in the Personality Disorders Institute at Weill Cornell Medical College suggests that patients with borderline personality organization and a narcissistic personality disorder have a more serious prognosis than all other personality disorders functioning at the borderline level, and that those who in addition present significant antisocial behavior have an even worse prognosis (Clarkin, Yeomans, and Kernberg 1999; Stone 1990). This negative trend culminates in a group of practically untreatable patients with antisocial personality disorder, who represent the most severe cases of pathological narcissism. There are also patients with severe narcissistic personality disorder, functioning at an overt borderline level with significant antisocial features, but not presenting an antisocial personality disorder proper, who at times respond to treatment, while others do not. These patients are explored here, with a focus on particular psychotherapeutic techniques that have proven helpful, as well as on the limits of these technical approaches.

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Crossref · 10.1177/00030651070550020701

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Citations

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Show all 19 references

Research works printed but not linked: 7

  1. Cooper, A. ( 1985). The masochistic-narcissistic character. In Masochism: Current Psychoanalytic and Psychotherapeutic Perspectives, ed. R.A. Glick & D.I. Meyers Hillsdale, NJ: Analytic Press, pp. 117—138.
  2. Hinshelwood, R.D., 1994, Clinical Klein
  3. ——— (1984). Technical aspects in the psychoanalytic treatment of narcissistic personalities. In Severe Personality Disorders: Psychotherapeutic Strategies. New Haven: Yale University Press, pp. 197—209.
  4. 1992, International Journal of Psychoanalysis, 73, 13
  5. ——— (1997). Pathological narcissism and narcissistic personality disorders: Theoretical background and diagnostic classification. In Disorders of Narcissism: Diagnostic, Clinical, and Empirical Implications , ed. E.F. Ronningstam. Washington, DC: American Psychiatrtic Press, pp. 29—51.
  6. Rosenfeld, H., 1987, Impasse and Interpretation: Therapeutic and Anti-therapeutic Factors in the Psychoanalytic Treatment of Psychotic, Borderline and Neurotic Patients
  7. Stone, M.H., 1990, The Fate of Borderline Patients

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Metadata

Authors
Kernberg, O. F.
Affiliations
NewYork–Presbyterian Hospital (US)
Corresponding author
Kernberg, Otto F.
Venue
Journal of the American Psychoanalytic Association
Publisher
SAGE Publications
Published
2007-06
Volume
55
Issue
2
Pages
503-539
ISSN
  • 0003-0651 (ISSN-L)
  • 1941-2460
DOI
10.1177/00030651070550020701
OpenAlex
W2090114408
Cited by
143
References
19
Citations by year
2026: 9 · 2025: 8 · 2024: 9 · 2023: 8 · 2022: 14 · 2021: 9 · 2020: 8 · 2019: 2 · 2018: 6 · 2017: 7 · 2016: 7 · 2015: 7 · 2014: 8 · 2013: 9 · 2012: 11
FWCI
3.62
Type
journal article
Language
en
Open access
closed
Licence
journals.sagepub.com/page/policies/text-and-data-mining-license (tdm)
Locations
  • Journal of the American Psychoanalytic Association (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
  • Social Sciences › Psychology › Clinical Psychology › Psychoanalysis and Psychopathology Research
  • Social Sciences › Psychology › Clinical Psychology › Personality Traits and Psychology
Keywords
narcissistic personality disorder, borderline personality organization, antisocial personality disorder, pathological narcissism, treatment resistance, psychotherapeutic techniques, prognosis, antisocial behavior, borderline personality disorder
MeSH terms
Adult, Antisocial Personality Disorder, Borderline Personality Disorder, Countertransference, Defense Mechanisms, Female, Humans, Male, Middle Aged, Personality Disorders, Physician-Patient Relations, Prognosis, Psychoanalytic Theory, Psychoanalytic Therapy, Sick Role, Suicide, Attempted, Transference, Psychology, Unconscious, Psychology, Treatment Failure

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