APA_Path_Narcissism_title_APA Path_Narcissism Title 10/11/12 6:41 PM Page 1 Understanding and Treating Pathological Narcissism 13091-00_FM_3rdPgs.indd 2 10/17/12 11:58 AM APA_Path_Narcissism_title_APA Path_Narcissism Title 10/11/12 6:41 PM Page 2 Understanding and Treating Pathological Narcissism EDITED BY John S. Ogrodniczuk American Psychological Association Washington, DC Copyright © 2013 by the American Psychological Association. All rights reserved. Except as permitted under the United States Copyright Act of 1976, no part of this publication may be reproduced or distributed in any form or by any means, including, but not limited to, the process of scanning and digitization, or stored in a database or retrieval system, without the prior written permission of the publisher. Published by To order American Psychological Association APA Order Department 750 First Street, NE P.O. Box 92984 Washington, DC 20002 Washington, DC 20090-2984 www.apa.org Tel: (800) 374-2721; Direct: (202) 336-5510 Fax: (202) 336-5502; TDD/TTY: (202) 336-6123 Online: www.apa.org/pubs/books E-mail: [email protected] In the U.K., Europe, Africa, and the Middle East, copies may be ordered from American Psychological Association 3 Henrietta Street Covent Garden, London WC2E 8LU England Typeset in Goudy by Circle Graphics, Inc., Columbia, MD Printer: United Book Press, Baltimore, MD Cover Designer: Minker Design, Sarasota, FL The opinions and statements published are the responsibility of the authors, and such opin- ions and statements do not necessarily represent the policies of the American Psychological Association. Library of Congress Cataloging-in-Publication Data Understanding and treating pathological narcissism / edited by John S. Ogrodniczuk. p. cm. Includes bibliographical references and index. ISBN 978-1-4338-1234-7 — ISBN 1-4338-1234-7 1. Narcissism—Treatment. 2. Personality disorders—Treatment. I. Ogrodniczuk, John S. RC553.N36U53 2013 616.85’854—dc23 2012022517 British Library Cataloguing-in-Publication Data A CIP record is available from the British Library. Printed in the United States of America First Edition DOI: 10.1037/14041-000 13091-00_FM_3rdPgs.indd 4 10/17/12 11:58 AM CONTENTS Contributors ............................................................................................... ix Acknowledgments ..................................................................................... xi Introduction ................................................................................................ 3 John S. Ogrodniczuk I. Introduction to Narcissism .......................................................... 13 Chapter 1. Historical Overview of Pathological Narcissism ............. 15 Brin F. S. Grenyer II. Diagnosis and Assessment .......................................................... 27 Chapter 2. Defining Narcissistic Subtypes ........................................ 29 Eric Russ and Jonathan Shedler Chapter 3. Narcissism in the DSM ..................................... 45 Kenneth N. Levy, Kevin B. Meehan, Nicole M. Cain, and William D. Ellison v 13091-00_FM_3rdPgs.indd 5 10/17/12 11:58 AM Chapter 4. Narcissism in the Psychodynamic Diagnostic Manual .... 63 Eve Caligor Chapter 5. Prototypical Formulation of Pathological Narcissism ... 81 Mardi Horowitz Chapter 6. The Pathological Narcissism Inventory ........................ 93 Aaron L. Pincus III. Clinical Features of Pathological Narcissism ........................... 111 Chapter 7. Interpersonal Problems of Narcissistic Patients .......... 113 John S. Ogrodniczuk and David Kealy Chapter 8. Affect Regulation and Mentalization in Narcissistic Personality Disorder ................................. 129 Serge Lecours, Rachel Briand-Malenfant, and Emilie Descheneaux Chapter 9. Conflicts and Defenses in Narcissistic Personality Disorder .................................................... 147 J. Christopher Perry and Michelle D. Presniak Chapter 10. Pathological Narcissism and the Risk of Suicide ........ 167 Paul S. Links Chapter 11. Sex and Race–Ethnic Differences in Psychiatric Comorbidity of Narcissistic Personality Disorder ....... 183 Attila J. Pulay and Bridget F. Grant IV. Treatment Considerations and Approaches ............................. 205 Chapter 12. Countertransference Issues in the Treatment of Pathological Narcissism ............................................ 207 Glen O. Gabbard Chapter 13. Maintaining Boundaries in the Treatment of Pathological Narcissism .......................................... 219 Andrew F. Luchner Chapter 14. Transference-Focused Psychotherapy for Narcissistic Personality ................................................ 235 Barry L. Stern, Frank Yeomans, Diana Diamond, and Otto F. Kernberg vi contents 13091-00_FM_3rdPgs.indd 6 10/17/12 11:58 AM Chapter 15. Kohut’s Self Psychology Approach to Treating Pathological Narcissism ............................... 253 M. David Liberman Chapter 16. Treating Pathological Narcissism With Short-Term Dynamic Psychotherapy ......................... 269 Manuel Trujillo Chapter 17. Schema Therapy for Pathological Narcissism: The Art of Adaptive Reparenting .............................. 285 Wendy T. Behary and Eva Dieckmann Chapter 18. Cognitive Behavioral Perspectives on the Theory and Treatment of the Narcissistic Character ................ 301 Arthur Freeman and Suzy Fox Index ....................................................................................................... 321 About the Editor ..................................................................................... 337 contents vii 13091-00_FM_3rdPgs.indd 7 10/17/12 11:58 AM 13091-00_FM_3rdPgs.indd 8 10/17/12 11:58 AM CONTRIBUTORS Wendy T. Behary, MSW, The Cognitive Therapy Center of New Jersey, Springfield Rachel Briand-Malenfant, PhD, Université de Montréal, Montréal, Quebec, Canada Nicole M. Cain, PhD, Long Island University, Brooklyn Campus, Brooklyn, NY Eve Caligor, MD, New York University School of Medicine, New York, NY Emilie Descheneaux, Doctoral Candidate, Université de Montréal, Montréal, Quebec, Canada Diana Diamond, PhD, City University of New York, New York-Presbyterian Hospital, and Weill Cornell Medical College, New York, NY Eva Dieckmann, MD, University of Freiburg, Freiburg, Baden-Württemberg, Germany William D. Ellison, MS, The Pennsylvania State University, University Park Suzy Fox, PhD, Loyola University Chicago, Chicago, IL Arthur Freeman, PhD, Midwestern University, Downers Grove, IL Glen O. Gabbard, MD, Baylor College of Medicine, Bellaire, TX Bridget F. Grant, PhD, National Institute on Alcohol Abuse and Alcoholism, Bethesda, MD ix 13091-00_FM_3rdPgs.indd 9 10/17/12 11:58 AM