Dependence and narcissistic resistances in the psychoanalytic process

This paper describes narcissistic resistances, defining them on the basis of their effect on the mental processes involved in the analytic interaction. Based on the different resistance patterns observed, I describe two clinical configurations, here called 'autistic' and 'narcissistic' pattern, correlating their defensive mechanisms with their psychopathological and transference characteristics. The hypothesis is proposed, that the resolution, through interpretation, of a narcissistic resistance, frequently gives way to associations centred on denial of dependence, or the catastrophic consequences of it being accepted; and present clinical material in support of these assertions. I describe the countertransferential vicissitudes posed by these resistances to the analyst; and also advance some tentative ideas regarding the identification processes of these patients.