Show Notes
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Treating Pathological Narcissism with Transference-Focused Psychotherapy is a specialized clinical text in psychodynamic psychotherapy, personality disorder treatment, and psychoanalytic psychology. Written by Diana Diamond with major contributors in the Transference-Focused Psychotherapy tradition, it presents an adaptation of TFP for narcissistic personality disorder and broader forms of pathological narcissism. The book is aimed primarily at clinicians, supervisors, and researchers who already have some familiarity with personality organization, object relations theory, and the treatment of severe personality pathology. Its purpose is not to offer a general self-help account of narcissism, but to explain how narcissistic defenses, grandiosity, shame, aggression, and impaired relatedness can be understood and treated within a structured therapeutic frame. The text stands at the intersection of psychoanalytic theory and clinical technique, drawing on object relations, attachment-informed thinking, diagnostic assessment, and the management of transference and countertransference. Its central contribution is a focused model for working with patients often considered difficult to engage and difficult to treat.