title: Dependence and narcissistic resistances in the psychoanalytic process.
abstract: This paper describes narcissistic resistances, defining them on the basis of their effect on the mental processes involved in the analytic interaction. Based on the different resistance patterns observed, I describe two clinical configurations, here called 'autistic' and 'narcissistic' pattern, correlating their defensive mechanisms with their psychopathological and transference characteristics. The hypothesis is proposed, that the resolution, through interpretation, of a narcissistic resistance, frequently gives way to associations centred on denial of dependence, or the catastrophic consequences of it being accepted; and present clinical material in support of these assertions. I describe the countertransferential vicissitudes posed by these resistances to the analyst; and also advance some tentative ideas regarding the identification processes of these patients.
mesh_terms: D000328:Adult; D002648:Child; D003142:Communication; D003674:Defense Mechanisms; D003858:Dependency, Psychological; D005260:Female; D006801:Humans; D008297:Male; D009289:Narcissism; D010551:Personality; D011574:Psychoanalytic Theory; D011575:Psychoanalytic Therapy