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June 1975

Narcissism and the Readiness for Psychotherapy Termination

Author Affiliations

From the Department of Psychiatry, Michael Reese Hospital and Medical Center, and Pritzker School of Medicine, University of Chicago.

Arch Gen Psychiatry. 1975;32(6):695-699. doi:10.1001/archpsyc.1975.01760240023001

The readiness for termination of psychotherapy is considered from the perspective of the importance of the narcissistic features. After a guiding theoretical orientation, several case vignettes are presented that illustrate outstanding changes in the patient's self seen during the terminal phase of psychotherapy. These include the re-experiencing of narcissistic injury, a different response to interpretation, and a substantial alteration in the reaction to disappointment.