Psychoanalytic Psychotherapy of The Covert / Closet Narcissistic Personality Disorder - Excellent Summary
Psychoanalytic Psychotherapy of The Covert Narcissistic Personality Disorder (Closet): A Developmental Self and Object Relations Approach By JAMES MASTERS A therapist baffled by a therapeutic impasse with a “borderline” patient Asks for a consultation and gives a good description of the patient’s clinical picture: depression, difficulty with self-assertion, clinging in relationships and with the therapist, difficulties with anger and impulse control, an inadequate sense of self, and denial of self-destructive behavior. The diagnosis of borderline personality disorder of the self seemed correct, and the therapist used the appropriate therapeutic intervention of confrontation. However, the patient, rather than integrating the confrontations to develop a therapeutic alliance, instead responded either by attacking the therapist and becoming more and more resistant, or by seeming to integrate the confrontations, but without a change in affect or the developi...