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Brunner-Routledge

The Narcissistic/Borderline Couple: New Approaches to Marital Therapy

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Understanding the Narcissistic Couple in Therapy

In this second edition of her groundbreaking book, Dr. Joan Lachkar addresses the ever-changing faces and phases of narcissism within the context of marital therapy and discusses the new developments in the treatment of marital conflict. Drawing from many different theoretical frameworks, mainly self-psychology (Kohut) and object relations (Klein), the works of D.W, Winnicott, and Kernberg are expanded to further explain why couples stay in painful, conflictual, never-ending relationships (traumatic bonding). The new chapters, case illustrations, and updated treatment sequences are invaluable to both beginning and experienced clinicians. The Narcissistic / Borderline Couple is an essential text for every marital therapist, offering an improved understanding of marital pathology within the framework of our changing world.

Defining Narcissistic Couples

Narcissistic couples typically involve one partner exhibiting traits of narcissistic personality disorder. This characteristic can create intense dynamics within the relationship, where one partner often seeks admiration while showing little empathy towards the other's needs. However, understanding these patterns is crucial, because, with appropriate therapy, couples can learn to navigate their differences and communicate more effectively.

The Role of Therapy

Therapy plays a significant role in aiding narcissistic couples. Effective marital therapy encourages both partners to express their feelings openly and learn new coping mechanisms. Joan Lachkar's approaches often involve exploring past experiences that shape current behaviors. Therefore, through structured sessions, couples can begin to understand each other better, leading to healthier interactions and emotional support.

Innovative Techniques for Improvement

Innovative techniques in therapy, such as role-playing and guided discussions, can be particularly beneficial for narcissistic couples. These strategies allow each partner to step into the other's shoes, fostering empathy and understanding. Furthermore, therapists can introduce mindfulness practices to help partners focus on their emotional responses. This way, couples can start addressing their issues collaboratively, which is essential for relationship growth and stability.


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