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Pathological narcissism in childhood
Journal of the American Psychoanalytic Association
|January 1, 1984
Summary
Childhood narcissistic pathology, stemming from family dynamics, is a defensive self-formation, not infantile regression. Interpretation effectively resolves this condition in children.
Area of Science:
- Child Psychology
- Psychoanalytic Theory
Background:
- Narcissistic pathology can manifest in childhood.
- Family dynamics may play a role in its development.
Observation:
- Case study of 'Matt' demonstrates childhood narcissistic pathology.
- Pathology served a defensive function.
- Progressed from normal infantile narcissism towards development.
Findings:
- Narcissistic pathology is a pathological self-formation for defense, not regression or untamed infantile narcissism.
- Childhood narcissistic pathology can be effectively resolved through interpretation.
- Countertransference is peculiar and pivotal in treatment.
Implications:
- Theoretical: Reframes pathogenesis of narcissistic pathology.
- Clinical: Highlights interpretive treatment efficacy for childhood narcissistic pathology.
- Clinical: Emphasizes the importance of countertransference in treating narcissistic disorders.