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KMID : 0385320010120010009
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Journal of Korean Psychoanalytic Society
2001 Volume.12 No. 1 p.9 ~ p.20
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Diagnosis and Self-Psychological Psychotherapy of the Narcissistic Personality Disorder
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Sohn Jin-Wook
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Abstract
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In this article I have discussed the status of narcissism and narcissistic personalty disorder in psychiatric diagnosis. The criteria for the diagnosis in DSM system were reviewed. The diagnostic criteria according to self psychology were then described, which emphasized the development of a selfobject transference in the psychotherapy. The concepts of the selfobject and selfobject transference were examined. Two subtypes of narcissistic personality disorder(oblivious and hypervigilant, or narcissistic behavior disorder and narcissistic personality disorder) were described. In discussing the psychotherapy the original contributions of Heinz Kohut were reviewed and more recent work by others was cited. Optimal responsiveness, optimal frustration, transmuting internalization, and criterion and consolidation of self structure were described as major elements in the self-psychological theory of therapy. The central importance of empathy as the mode of inquiry into the subjective experience of the patient was examined. The self-psychological understanding of aggression and rage as a reaction to frustration from empathic failure, as well as the view of defenses and resistances as protective maneuvers to maintain the self, was described. There was a discussion of the importance of understanding and explaining as phases of interventions or interpretations. Clinical materials were offered to illustrate the concepts discussed.
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KEYWORD
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Narcissistic personality disorders, Diagnosis, Self-psychological psychotherapy
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