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Aggressivity, Narcissism, and Self-Destructiveness in the Psychotherapeutic RelaNew Developments in the Psychopathology and Psychotherapy of Severe Personality Disorders$
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Otto F. Kernberg

Print publication date: 2004

Print ISBN-13: 9780300101805

Published to Yale Scholarship Online: October 2013

DOI: 10.12987/yale/9780300101805.001.0001

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PRINTED FROM YALE SCHOLARSHIP ONLINE (www.yale.universitypressscholarship.com). (c) Copyright Yale University Press, 2020. All Rights Reserved. An individual user may print out a PDF of a single chapter of a monograph in YSO for personal use.date: 25 February 2020

A Severe Sexual Inhibition in a Patient with Narcissistic Personality Disorder

A Severe Sexual Inhibition in a Patient with Narcissistic Personality Disorder

Chapter:
(p.154) Chapter 9 A Severe Sexual Inhibition in a Patient with Narcissistic Personality Disorder
Source:
Aggressivity, Narcissism, and Self-Destructiveness in the Psychotherapeutic Rela
Author(s):

Otto F. Kernberg

Publisher:
Yale University Press
DOI:10.12987/yale/9780300101805.003.0009

This chapter describes a case involving severe sexual inhibition in a patient with narcissistic personality disorder. The case highlights how the analysis of oedipal conflicts gradually resolved a severe and extended inhibition of sexual desire that developed in the course of analytic treatment. The enactment in the countertransference of castration anxiety against which the patient was successfully defending himself by projective identification produced an extended stalemate, which was resolved once the countertransference was transformed into transference interpretations.

Keywords:   narcissistic personality disorders, sexual inhibition, countertransference, oedipal conflicts, castration anxiety

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