Narcissistic temptations to cross boundaries and how to manage them.
The narcissism of analysts is considered here from the perspective of the narcissistic temptations of boundary crossing. The literature on boundary crossing in psychoanalysis has focused minimally on the more ordinary, nonsexual temptations analysts face with their patients. Narcissistic temptations with particularly impressive patients are explored. What analysts find impressive in their patients depends both on what patients bring and on what analysts need. This paper aims to heighten analysts' awareness of their narcissistic needs in treating patients who tempt them too much. The goal is for analysts to be able to catch and then examine their narcissistic excitement with such patients in order to avoid compromising the treatment. Danger signs and ways of managing the problems they point toward are presented.
Coen
Stanley J
SJ
Columbia University Center for Psychoanalytic Training and Research, USA. sjcoenmd@aol.com
D000124:Achievement; D001364:Awareness; D003220:Conflict, Psychological; D003379:Countertransference; D005201:Fantasy; D006801:Humans; D009289:Narcissism; D010817:Physician-Patient Relations; D011209:Power, Psychological; D011573:Psychoanalytic Interpretation; D011575:Psychoanalytic Therapy / Q000379:methods*; D012017:Referral and Consultation