Psychiatric Quarterly

, Volume 51, Issue 4, pp 257–270 | Cite as

Treatment of narcissistic problems in time-limited psychotherapy

  • Jeffrey L. Binder


Time-limited psychotherapy is being used with an expanding variety of emotional disorders, often as the treatment of choice. Clinical experience indicates that this form of treatment can produce major and enduring improvements. Persons suffering from major narcissistic problems generally are assumed to be impervious to time-limited treatments. However, long-term treatment is becoming less feasible because of financial considerations. Time-limited psychotherapy can provide circumscribed symptomatic relief by fostering increased use of defensive intellectualization and related ego-coping skills. Transference interpretations directed toward connecting maladaptive behavior patterns outside of therapy to past childhood relationship patterns proved most effective.


Public Health Clinical Experience Symptomatic Relief Behavior Pattern Childhood Relationship 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Malan DH:A Study of Brief Psychotherapy. London, Tavistock, 1963.Google Scholar
  2. 2.
    Malan DH:The Frontier of Brief Psychotherapy. New York, Plenum, 1976.Google Scholar
  3. 3.
    Kernberg O:Borderline Conditions and Pathological Narcissism. New York, Jason Aronson, 1975.Google Scholar
  4. 4.
    Kohut H:The Analysis of the Self. New York, International Universities Press, 1971.Google Scholar
  5. 5.
    Altman LL: A case of narcissistic personality disorder: the problem of treatment.Int Psychoanal 56: 187–195, 1975.Google Scholar
  6. 6.
    Alexander F, French T:Psychoanalytic Therapy. New York, Ronald Press, 1946.Google Scholar
  7. 7.
    Gill M: Psychoanalysis and exploratory psychotherapy.Am Psychoanal Assoc 2: 771–797, 1954.Google Scholar
  8. 8.
    Appelbaum S: Parkinson's law in psychotherapy.Int J Psychanal Psychother 4: 426–436, 1975.Google Scholar

Copyright information

© Human Sciences Press 1979

Authors and Affiliations

  • Jeffrey L. Binder
    • 1
    • 2
  1. 1.University of Virginia School of MedicineUSA
  2. 2.Blue Ridge Community Health CenterCharlottesville

Personalised recommendations