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Medical Treatment
Individual Psychotherapy.
Most psychiatrists will, as a practical matter, treat most of their severely narcissistic patients for symptoms related to crises and relatively external Axis I diagnoses, rather than in an effort to address the personality disorder itself. The therapist must be aware of the importance of narcissism to the contiguity of the patient's psyche, refrain from confronting the need for self-aggrandizement, and help the patient use his or her narcissistic characteristics to reconstitute an intact self-image. Positive transference and therapeutic alliance should not be relied upon, since the patient may not be able to acknowledge the real humanness of the therapist but may have to see him/her as either superhuman or devalued.
Those patients who do not terminate treatment after symptom relief has been obtained may wish help for some of the problems related to their personality disorder, such as interpersonal difficulties or depression. The therapist must have a good understanding of the principles of the narcissistic personality style, both for interpretation to the patient and for use in combating countertransference. Goals for ordinary psychotherapy should not be too great, since the source of these patients' difficulties lies deep in pathological development.
by Phillip W. Long, M.D.
Narcissistic Personality Disorder.
Causes: Narcissistic Personality Disorder.
Hospitalization:
Treatment on Narcissistic Personality Disorder.
Psychosocial Treatment:
Treatment on Narcissistic Personality Disorder.
Individual Psychotherapy:
Treatment on Narcissistic Personality Disorder.
Group Therapy:
Treatment on Narcissistic Personality Disorder.
Narcissistic Parents:
It's effect on the offspring.
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