Mentalization-Based Treatment for Pathological Narcissism: A Handbook

Despite the growing cultural and empirical interest in narcissism and narcissistic personality disorder, therapists often feel confused and overwhelmed about how to help patients struggling with these problems. “Mentalization” refers to the ability to read, access, and reflect on mental states in oneself and other people. Research shows that people with narcissism can suffer from extreme difficulties mentalizing themselves and others, leading to instability in their mood, interpersonal relationships, and sense of self.

Mentalization-based Treatment for Pathological Narcissism: A Handbook provides much needed guidance about how to effectively help patients suffering from narcissistic vulnerabilities. Mentalization-based treatment, or MBT, is an evidence-based therapy for patients with personality disorders, helping patients to reflect on mental states in themselves and others, resulting in significant improvements in everyday functioning.

This book reviews the deficits in mentalizing associated with pathological narcissism, describes how to give the diagnosis of narcissism to patients, outlines how to structure therapy sessions, and offers step-by-step techniques about “what to do and say” when sitting with these patients. Utilizing vibrant case examples and verbatim scripts from actual psychotherapies, the authors explain how to address the most common clinical challenges associated with narcissism: disconnection from emotions; impairments in empathy; rigid thinking; monologues and intellectualization; unstable self-esteem; and tendencies to blame other people for disruptions in their relationships.

Περιεχόμενα:

Mentalization and pathological narcissism
Introduction to pathological narcissism and Mentalization-based Treatment
A mentalization-based model of pathological narcissism
Beginning the treatment
Assessment and diagnosis of pathological narcissism
The therapeutic approach
Therapeutic stance and clinical principles
Content-focused interventions
Context-focused interventions
Process-focused interventions: Pretend mode
Process-focused interventions: Psychic equivalent mode
Process-focused interventions: Teleological mode
Mentalizing the therapeutic relationship: Auxiliary relational techniques
Mentalizing the therapeutic relationship: The interventional pathway
Clinical applications
Moving forward in the treatment
Case example: After the “accident”
Case example: I-mode, me-mode, and we-mode in clinical process
Case example: William the firefighter