Fragile Selves: Working with Narcissistic and Borderline States of Mind

Learning Objectives
  1. To be able to describe the historical development of the concepts of and treatment of Narcissistic and Borderline Personality Disorder.
  2. To be able to identify the two types of narcissistic presentations and to differentiate these from Borderline Personality Disorder.
  3. To explain how disorganized early attachment affects brain development and impacts the ability to self-regulate affect in people with NPD or BPD.
  4. To be able to discuss the different ways in which developmental trauma neglect and abuse influence the aetiology of Narcissistic and Borderline Personality Disorders.
  5. To be able to describe why cognitive therapies are less effective with patients who have affect-regulation deficits.
  6. To be able to describe why Sigmund Freud thought narcissistic people were untreatable and to evaluate this belief in relation to Donald Winnicott's ideas.
  7. To be able to list the 6 elements of Ronald Fairbairn's structural model and their relationship to each other in the therapeutic encounter.
  8. To be able to discuss whether transference-based therapies are more successful in improving the experience and functioning of borderline patients than other modalities.
  9. To be able to creatively apply and integrate the different understandings and approaches to working with narcissistic and borderline traits into your clinical work.