Psychology and Psychotherapy: Theory, Research and Practice

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Volume 53 Issue 2 (June 1980), Pages 95-192

The narcissistic core as a focus in the group therapy of the borderline patient (pages 137-143)

An approach to the group psychotherapy of the hospitalized borderline patient is described. Drawing on recent formulations of the narcissistic constellation in these patients a focal interpretative approach is used emphasizing the defensive nature of the chronic rage, devaluation and self‐interest of these patients. This allows the beginnings of group cohesiveness to be established based on shared hurt and damaged self‐image, and facilitates the utilization of the various treatment modalities which are necessary in the long‐term treatment of this group. These issues are illustrated with examples drawn from group sessions.

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