February 12, 2012 â Dr. Frank Yeomans - Borderline Personality ...

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Transference-Focused Psychotherapy (TFP) with Narcissistic Pathology • The goal of TFP with narcissistic pathology: neutralization and dismantling of the Pathological Grandiose Self through the integration of the parts of the self that are split off • This is complicated by the tenaciousness of the defensive process reinforcing the Pathological Grandiose Self and the tremendous sensitivity to humiliation, shame, inferiority, submission
Obstacles to TFP with Narcissistic Patients Treatment Contract • Patient’s defensive grandiosity often leads to - A retreat from life’s challenges - Feeling exempt from demands or obligations - A cavalier attitude toward treatment (why submit) • Importance of addressing secondary gain - Patient may depend on social services or family - “Can not” vs. “will not” function • Managing suicidality / self-injury
Page 1 and 2: Narcissistic Pathology as Understoo
Page 3 and 4: Readings - 2 • Diamond D, Yeomans
Page 5 and 6: NPD/BPD: How are they related • N
Page 7 and 8: Maintaining self-esteem - an intern
Page 9 and 10: Another psychological issue at play
Page 11 and 12: What is healthy narcissism • Appr
Page 13 and 14: What is pathological narcissism - 1
Page 15 and 16: Narcissism: Two Sides • Thick ski
Page 17 and 18: BPO: consequences and clinical impl
Page 19 and 20: Treatment: Reminder of the Theory t
Page 21 and 22: Narcissistic Psychopathology The Pa
Page 23 and 24: Narcissistic Object Relations Dyad:
Page 25: The Goal: Normal Organization
Page 29 and 30: Principle Obstacle to Treatment wit
Page 31 and 32: An attempt to address the obstacles
Page 33: A Key Role of Reflective Functionin

February 12, 2012 â Dr. Frank Yeomans - Borderline Personality ...

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February 12, 2012 â Dr. Frank Yeomans - Borderline Personality ...