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Aronson, Jason Inc.
The Impact of Narcissism: The Errant Therapist on a Chaotic Quest / Edition 1

The Impact of Narcissism: The Errant Therapist on a Chaotic Quest / Edition 1

by Peter L. Giovacchini


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The Impact of Narcissism: The Errant Therapist on a Chaotic Quest / Edition 1

While many recent advances in dynamic psychotherapy are clinically relevant, others represent change for its own sake, offer little clinical data to support their theoretical constructs, and are primarily motivated by therapists' need to enhance themselves. Narcissism plays an increasingly important role as a defensive adaptation and a characterological trait in the majority of patients seen today. It is a powerful force that often dominates treatment. Focusing on the interplay of narcissism and countertransference, Dr. Giovacchini demonstrates with numerous clinical examples how the intrapsychic focus is deepened when explored in this context. His frank discussion of transference-countertransference feelings enriches clinical vistas and enables therapists to be more creative and autonomous.

Product Details

ISBN-13: 9780765702340
Publisher: Aronson, Jason Inc.
Publication date: 01/28/2000
Pages: 324
Product dimensions: 6.42(w) x 9.26(h) x 1.27(d)

About the Author

Peter L. Giovacchini, M.D., is Professor Emeritus, Department of Psychiatry, University of Illinois College of Medicine. He is a training and supervising analyst and founder of the Center for Psychoanalytic Studies in Chicago. Dr. Giovacchini has published more than 200 papers and 25 books. He is in the private practice of psychoanalysis in Chicago.

Table of Contents

1.The Decline and Resurrection of the Intrapsychic Focus1
The Golden Era of Psychoanalysis and Societal Factors6
Rigidity of the Classical Position: Changing Cultural Scene and the Clinician's Dilemma7
Multiple Perspectives and Mental Phenomena10
Conflict about and Resistance to the Intrapsychic Focus11
2.The Many Faces of the Errant Therapist on a Quixotic Quest19
New Directions and Changes23
Philosophers at the Gate28
3.The New Faces35
Intersubjectivity: Old Wine in Murky Bottles37
Self Psychology: The Narcissistic Pinnacle53
The Relational Approach--Open Vistas78
4.Narcissistic Investments and Clinical Dividends93
The Two Analyses of Mrs. A.95
Narcissism: Its Extent and Variability111
Narcissistic Imbalance and Fusion122
5.Narcissism and Countertransference145
Countertransference, Benign and Malignant148
Countertransference, the Self Representation, and the Professional Ego-Ideal160
Countertransference and Interminable Therapy: Technical and Superego Problems197
Countertransference and the Silent Patient207
Countertransference and the Superego222
6.Structural and Dynamic Aspects of the Therapeutic Process229
The Self-Observing Function and Psychic Structure233
Factitious Therapeutic Settings and Goals235
Painful Regressed States and Extensions of Technical Perspectives242
The Observational Platform259
The Therapeutic Venue: The Transitional Space264
7.Degrees of Narcissism and Creativity273
The Therapeutic Journey275
Narcissistic Need to Create Structure278
Psychic Birth and Narcissistic Involvement: Shaw's Plays281

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