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Kernberg, O.F. (1970). Factors in the Psychoanalytic Treatment of Narcissistic Personalities. J. Amer. Psychoanal. Assn., 18:51-85.

(1970). Journal of the American Psychoanalytic Association, 18:51-85

Factors in the Psychoanalytic Treatment of Narcissistic Personalities

Otto F. Kernberg, M.D.


A general hypothesis regarding the etiology of the narcissistic personality structure is proposed, involving the relationships between pathological narcissism and pathological object relationships. Technical problems in the psychoanalytic treatment of narcissistic personalities are examined—especially their typical transference resistances—and prognostic criteria are outlined.

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