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Narcissistic Defenses in the Distortion of Free Association and Their Underlying Anxieties

2015/07/01 by Otto F. Kernberg
Arts and Humanities · Psychology · #Mental Health and Psychiatry #Personality Disorders and Psychopathology #Psychotherapy Techniques and Applications

paper · doi:10.1002/psaq.12022

crossref issued 2015/07/01 · crossref published 2015/07/01 · crossref published-print 2015/07/01 · openalex publication_date 2015/07/01 · crossref created 2015/07/21 · crossref published-online 2017/09/21 · crossref deposited 2018/06/29 · openalex created_date 2025/10/10 · crossref indexed 2026/07/28 · openalex updated_date 2026/07/29

Abstract

This paper examines particular distortions in the process of free association characteristics of patients with narcissistic personality disorders. The author proposes that the dominant narcissistic transference developments typical of the early and middle phases of the analytic treatment of these patients are reflected in these distortions of free association. This paper gathers the various patterns that these defensive distortions present, along with technical interventions geared to deal with them.

Citations