In this video Bob Cooke will concentrate in detail on the general considerations of working with the Narcissistic Personality Disorder.
He will look at Elinor Greenbergs overall treatment stages as well as ‘talking’ through other ideas of working with NPD.
The Clinical treatment of working with the Narcissistic Personality Disorder was a specialism of Kohut,the originator,of Self Psychology.(1960)
Kohut wrote in articles on working with the Narcissistic Personality Disorder That the clinician needs to use Empathy and “Caring” confrontations as the major Methodology when working therapeutically with these types of clients.
Greenberg talked about the idea of Empathic Attunement as being central when working with the Narcissistic Personality Disorder.
Greenberg talked about definate Treatment stages that a Therapist should consider when working with this population.
Her general considerations are as follows:
2.Allow Idealising and Mirroring Transferences to unfold.
3.To facilitate an understanding of how the Past and Present connect.
4.The Recognition stage.
5. The Working through stage.
6.The lost paradise
Bob ,in this video,talks us through the above stages, and talks about how you can put the Clinical theory into Clinical practice.
The above Treatment stages are a good guide for anyone looking at, or is working with Narcissistic Personality Disorder clients.
In the discussion bob also talks about his clinical experience in working with this population and specific case studies.
In Transactional Analysis terminolgy the therapist needs,especially at the beginning of treatment ,to use mainly the Nurturing channel to “come alongside” the client and in the establishment of a working alliance with the Narcissistic client.
For many, this is the most important consideration.
More often, or not ,the Narcissistic Personality Disorder clients do not present for Psychotherapy as their main Life Position, on the OK corral is I am OK you are not OK. This position however very much covers up a extreme ‘alone’ person which is in hiding!