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November 2021

Transference-counter-transference constellations and enactments in the psychotherapy of destructive narcissism

Journal/Book: Brit J Med Psychol. 1999; 72: St Andrews House, 48 Princess Rd East, Leicester, Leics, England Le1 7Dr. British Psychological Soc. 63-74.

Abstract: Destructive narcissism, characterized by a perverse alliance between the self and an omnipotent bad internal object, constitutes a serious obstacle to psychoanalytic psychotherapy. This paper draws together various object relations theories of destructive narcissism, and presents a case study of a failed psychotherapy to illustrate the transference-counter-transference constellations and their associated enactments in treatment of this disturbance.

Note: Article Ivey G, Univ Natal, Dept Psychol, POB 18091, ZA-4014 Dalbridge, SOUTH AFRICA


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