Mentalization-Based Treatment for Pathological Narcissism: A Comprehensive Guide

Despite the growing interest in narcissism and narcissistic personality disorder, many therapists struggle to provide effective treatment to patients with these complex issues. One key challenge lies in the difficulty of helping patients develop self-awareness and empathy, essential for improving their mental health and relationships.

The Importance of Mentalization in Narcissism Treatment

Mentalization, the ability to understand and reflect on one’s own mental states and those of others, is crucial for emotional regulation, empathy, and stable relationships. Research has shown that individuals with narcissistic personality disorder often struggle with mentalization, leading to difficulties in mood regulation, interpersonal relationships, and self-esteem.

Introducing Mentalization-Based Treatment (MBT)

Mentalization-Based Treatment (MBT) is an evidence-based therapy that helps patients with personality disorders, including narcissistic personality disorder, to develop the skills they need to reflect on mental states in themselves and others. By improving mentalization, MBT enables patients to better understand themselves and others, leading to significant improvements in everyday functioning.

This comprehensive handbook provides therapists with the guidance they need to effectively treat patients with narcissistic vulnerabilities. The book reviews the deficits in mentalizing associated with pathological narcissism, outlines how to structure therapy sessions, and offers step-by-step techniques for addressing common clinical challenges, including:

• Disconnection from emotions
• Impairments in empathy
• Rigid thinking
• Monologues and intellectualization
• Unstable self-esteem
• Tendencies to blame others for relationship disruptions

Through the use of vibrant case examples and verbatim scripts from actual psychotherapies, the authors provide a detailed roadmap for therapists working with patients with narcissistic personality disorder. By following the guidance and techniques outlined in this book, therapists can help their patients develop the skills they need to lead more emotionally stable, empathetic, and fulfilling lives.

Book Details

Author: Robert P. Drozek

Publisher: OUP Oxford

Publication Date: August 15, 2023

Language: English

ISBN: 9780192866134, 9780192690982