A Personal Perspective on the Treatment of Three Cases of Narcissistic Vulnerability

Abstract

ABSTRACT This article is a response to the commentaries of Nancy McWilliams (2012) and Kenneth Levy (2012) concerning my treatment of three patients—Alex, Brian, and Candace—whose presenting difficulties included a narcissistic personality disturbance and who were treated using Mitchell's (1988) integrated treatment model. In addition to responding to particular points raised by McWilliams' more "artistic" and Levy's more "scientific" perspectives, I provide a more personal context and view of my experience in providing therapy to these three patients.