This 23-minute video features a TFP session during the early phase of inpatient treatment focused on the narcissistic defenses and the difficulties of the patient to engage in the hospital treatment. The young patient presents with a narcissistic personality disorder with depression and learning disorder, and the session explores the evolving negative transference. The therapist demonstrates TFP techniques like clarification, confrontation and transference interpretation to address the narcissistic dilemma (being special but not attached), devaluation of others and the therapist and the wish for resonance defended off by the narcissistic defenses. This segment is useful for illustrating the treatment of a narcissistic inner conflict as it is externalized and the technique of integration of split off aspects of the personality.
ISTFP.ORG
Advancing Treatment of Borderline Personality Disorder