Abstract：
The following case study provides a description of the transference-focused psychotherapy (TFP) treatment of a young man diagnosed with narcissistic personality disorder (NPD). TFP is an individual, psychodynamic therapy developed to treat a range of personality disorders. TFP is evidence-based for the treatment of borderline personality disorder and has been adapted for the treatment of NPD. This case illustrates the application of the strategies and techniques of TFP to treatment of NPD as well as challenges clinicians may face in arriving at timely diagnosis of the disorder. Although no specific treatment for NPD has been empirically validated, TFP utilizes the therapeutic techniques identified across modalities for successful treatment of pathological narcissism. This report describes how treatment interventions such as goal setting, developing a therapeutic alliance, using a treatment contract and addressing treatment interfering behaviors contributed to this patient\'s improvement in self-reflection, formation of healthier and more flexible ideas about self and other, increased self-agency, tolerance of normative disillusionments and increase in empathy.
摘要：
以下案例研究提供了对被诊断为自恋型人格障碍（NPD）的年轻人的以移情为中心的心理治疗（TFP）治疗的描述。TFP是一个个体，心理动力疗法用于治疗一系列人格障碍。TFP是治疗边缘性人格障碍的循证证据，已适用于NPD的治疗。此案例说明了TFP的策略和技术在NPD治疗中的应用，以及临床医生在及时诊断该疾病时可能面临的挑战。尽管没有对NPD的具体治疗方法进行经验验证，TFP利用跨模式确定的治疗技术来成功治疗病理性自恋。本报告描述了治疗干预措施，如目标设定，发展一个治疗联盟，使用治疗合同和解决治疗干扰行为有助于该患者自我反省的改善，形成关于自我和他人的更健康、更灵活的想法，增加自我代理，对规范性幻灭的宽容和同理心的增加。
