title: The narcissistic core as a focus in the group therapy of the borderline patient.
abstract: An approach to the group psychotherapy of the hospitalized borderline patient is described. Drawing on recent formulations of the narcissistic constellation in these patients a focal interpretative approach is used emphasizing the defensive nature of the chronic rage, devaluation and self-interest of these patients. This allows the beginnings of group cohesiveness to be established based on shared hurt and damaged self-image, and facilitates the utilization of the various treatment modalities which are necessary in the long-term treatment of this group. These issues are illustrated with examples drawn from group sessions.
mesh_terms: D000328:Adult; D001714:Bipolar Disorder / Q000523:psychology / Q000628:therapy; D006801:Humans; D008875:Middle Aged; D009289:Narcissism; D011615:Psychotherapy, Group / Q000379:methods*; D011889:Rage; D012559:Schizophrenia / Q000628:therapy; D012565:Schizophrenic Psychology; D012569:Schizotypal Personality Disorder / Q000523:psychology / Q000628:therapy*