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Tijdschrift voor Psychiatrie

Publication date: 2006-01
Volume: 48 Pages: 59 - 64
ISSN: 0303-7339


Michiels, Kathleen
Vermote, Rudi


Adult, Humans, Identification (Psychology), Male, Narcissism, Psychoanalytic Interpretation, Psychoanalytic Therapy, Psychometrics, Psychotherapy, Group, Psychiatry


It is extremely doubtful whether a patient diagnosed with malignant narcissism will respond positively to analytic therapy, particularly group therapy. The prospects for recovery are not favourable because a patient with malignant narcissism has a tendency to destroy everything that is good, including the therapeutic relationship, and this destructiveness can seriously undermine the treatment of other patients. Nevertheless, in this article a case is presented that illustrates that long-term analytic in-patient treatment can be successful. The theoretical background to the diagnosis is outlined so that readers will be able to understand the nature of the treatment.