by Ember » Mon Sep 01, 2014 1:53 pm
I identified as a narcissist before I read any books about it. Significant personal experiences, curiosity about my inability to function and perusing the Internet were my impetus. But I did read many informative books after this, which helped me to understand myself in even greater detail.
I find that much of the progress in the treatment of Cluster B disorders has occurred in psychodynamic psychology rather than cognitive or behavioral psychology, with a few exceptions such as Dialectical Behavior Therapy; and of course there are hybrid approaches like Schema Therapy. Unfortunately, many disregard psychodynamic psychotherapy because it is rooted in Freudian psychoanalysis, which was in many ways proto- or pseudo-scientific, and is in many ways incompatible with scientific approaches to the study of mental processes because of its origin in Continental philosophy. Nonetheless, modern psychodynamic professionals have sought to base the contemporary field in evidence, and there has been much success in this regard. One particularly interesting development is the field of neuropsychoanalysis, dedicated to finding neural correlates for some of the concepts proposed within psychoanalysis.
Now, as for books, in keeping with this line of evidence-based inquiry, I recommend Dr. N. Gregory Hamilton's Self and Others: Object Relations Theory in Practice to orient oneself in the psychodynamic literature. This book includes only one chapter on narcissistic personality disorder itself, but is a great introduction and will also introduce you to Kohut's self psychology, which as I have said elsewhere, frames all human development, healthy and pathological, in narcissistic terms. No doubt understanding this would be very useful in any endeavor to understand the literature on this disorder more fully. It also provides a more detailed explanation of Margaret Mahler's studies on her separation-individuation theory than ever I have seen, which provide some of the most reliable evidence as to the veracity of object relations theory and its corollaries. If you want to learn more about psychodynamic psychology after this, I recommend the works of Dr. Glen O. Gabbard. To my knowledge, Hamilton and Gabbard were colleagues at the Menninger Foundation. Gabbard takes this insistence upon evidence even further by emphasizing the interdependence of psychological and biological approaches to the study of the mind. I recommend Long-term Psychodynamic Psychotherapy: A Basic Text, Psychodynamic Psychiatry in Clinical Practice and Management of Countertransference With Borderline Patients. As an example of the sorts of things you may read, within Long-term Psychodynamic Psychotherapy, he draws comparisons between the psychodynamic concepts of conscious and unconscious mind and the neurological concepts of implicit and explicit memory. I found Psychodynamic Psychiatry useful as an elaboration of the concepts outlined in Self and Others, as it is intended for graduate students, medical students and psychiatric residents; it is a very general book. Management of Countertransference misleads one in its title I would say, as I consider it a great text on the concept of transference in general, not only on the emotional reactions of therapists to their borderline patients. I find it helped me better understand the behavior of all pathological individuals.
It's ironic; the physicists condemn the psychologists for their lack of empiricism, the behavioral and cognitive psychologists condemn the psychodynamic psychologists for their lack of empiricism, and yet the neuroscientists and neurologists are not so averse to psychodynamic concepts because Freud himself was a neurologist, and where the brain was in many ways a black box in his time, noninvasive imaging techniques provide a brand of empirical inquiry that never was available in the past. The conflict of empirical science and directly inobservable mind may yet be resolved by the study of the brain.
"Like many intellectuals, he was incapable of saying a simple thing in a simple way." - Marcel Proust