G. Ivey, Transference-counter-transference constellations and enactments in the psychotherapy of destructive narcissism, BR J MED PS, 72, 1999, pp. 63-74
Destructive narcissism, characterized by a perverse alliance between the se
lf and an omnipotent bad internal object, constitutes a serious obstacle to
psychoanalytic psychotherapy. This paper draws together various object rel
ations theories of destructive narcissism, and presents a case study of a f
ailed psychotherapy to illustrate the transference-counter-transference con
stellations and their associated enactments in treatment of this disturbanc
e.