Countertransference in the treatment of pathological narcissism.

Explores literature on countertransference reactions experienced in psychodynamic work with narcissistic clients, examines the various therapist–client variables involved in these reactions, and briefly suggests approaches to understanding and resolving them. Common types of narcissistic transference and countertransference include responses to the mirroring transference, idealizing transference, twinship transference, and negative transference. Underlying principles in understanding and effectively utilizing one's countertransference feelings in psychotherapy include differentiating subjective vs objective countertransference and determining whether to interpret these feelings with regard to both the client's developmental needs and phase of treatment. This is especially important in treating narcissistic clients whose self-esteem is fragile and who are, thus, prone to experience shame and rage reactions. (PsycINFO Database Record (c) 2010 APA, all rights reserved)