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The Psychoanalytic Psychotherapy of Narcissistic Personality Disorder
Psychoanal 2010;21:81-88
Published online December 31, 2010
© 2010 Korean Association of Psychoanalysis.

Moo-Suk Lee

Lee Moosuk Psychoanalytic Office
Abstract
The author reviewed the psychoanalytic psychotherapy of the narcissistic personality disorders from the perspective of self psy?chology and presented two cases from literature. The first case, treated by Rothstein for 5 years, was not analyzable, since the per?son had impaired reality testing and had been unable to develop self-object transference. The second case of patient Mr. Z, was analyzed by Kohut successively. Kohut tried a new technique in psychoanalysis of narcissistic personality disorders, which he named, “Self Psychology”. His new psychoanalytic technique for narcissistic personality disorder entails the following treat?ment processes: first, the analyst’s empathic understanding of the patient’s psychological dynamism; second, the patient’s devel?oping self object transference; third, optimal frustration for the patient; fourth, the analyst’s interpretation; and finally, transmut?ing internalization by the patient. Kohut emphasized empathic immersion of a therapist, when treating patients with narcissistic personality disorder.
Keywords : Narcissistic personality disorder · Self psychology · Psychoanalytic psychotherapy.

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