A narcissistic reaction in a six-year-old girl with a seizure disorder

A six-year-old girl with a three-year history of seizures came to psychotherapy because of a progressively worsening behavior disorder. She was adjudged to have a severe reactive narcissistic disorder in response to her uncontrollable seizures. During the complex clinical course of her combined conditions, two different styles of psychotherapy were employed. Their relevance to the psychotherapy of the narcissistic conditions of childhood is explored.