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Additional resources for Antisocial Personality Disorder - A Practitioner's Guide...

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The techniques’ purposes are to intervene in the cycle of narcissistic injury: to protect the therapist from acting on his or her anger and to reduce Frank’s reliance on enraging and distancing people. The five main types of narcissistic assault therapists experience when working with clients with antisocial/narcissistic personality disorder are: arrogant and contemptuous behavior designed to make the therapist feel inadequate and stupid, chronic lying, constant attempts to get the therapist to violate boundaries (demandingness, entitlement, and grandiosity), the client’s extreme self-absorption, and the potential for serious acting-out behavior.

If I accept what he says, Frank will let his defenses down (perhaps initially because he thinks I am stupid for believing him). I would be establishing a therapeutic alliance while simultaneously obtaining more information. A stance of evenly suspended attention (Moore & Fine, 1990) helps to avoid over-reliance on the categorization of truth versus falsehood. Clients’ communications are far too complex to be reduced in such a simplistic manner, particularly when the client is so unable to communicate directly.

Traumatic relationships and serious mental disorders. Chichester, England: John Wiley & Sons. Balint, Michael. (1968). The basic fault. London: Tavistock. Reprinted 1979. New York: Brunner/Mazel. Bowlby, John. (1982). ). New York: Basic Books. Bromberg, Philip M. (1998). Standing in the spaces: Essays on clinical process, trauma & dissociation. Hillsdale, NJ: The Analytic Press. ). (1986). Essential papers on obiect relations. New York: New York University Press. Casement, Patrick J. (1985). Learning from the patient.

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