Identifying and Treating Narcissistic Disorders

Seating is limited. Registration is required.

Registration is a two-part process, and both parts must be completed to register. First, complete the registration form below. Next, click “Add Registration to Cart and Check Out”. (Even if the registration is free, you must complete the “Check Out” process.) You will receive an email confirmation of your registration. If you do not receive an email confirmation immediately after the “Check Out” process, your registration is not confirmed; Please contact Drew Brydon ( for assistance.

Seating is limited. If you register but cannot attend, please email Drew Brydon to release your seat reservation. Thank you.

This course is designed to expand and integrate clinicians' knowledge and understanding of pathological narcissism and narcissistic personality disorder, and how to apply interventions in treatment of patients with a range of narcissistic personality functioning and associated psychiatric conditions.

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8 Sessions: Tuesdays, Dec 4, 11, 18, 2018; Jan 8, 15, 22, 29, Feb 5, 2019

7:30 PM - 9:00 PM

BPSI, 141 Herrick Road

Newton Centre, MA 02459

This course is only for licensed mental health clinicians and trainees on the path to licensure. Continuing education credits are offered for physicians, psychologists, and social workers.

Identifying and Treating Narcissistic Disorders


Pathological narcissism and narcissistic personality disorder are challenging conditions to treat in psychotherapy. This course will focus on identifying patients struggling with these conditions, the developmental origins, and approaches and interventions to promote change in psychotherapy.



Elsa Ronningstam, PhD -- Psychoanalyst Member, and Faculty of the Psychoanalytic Training, and Explorations in Mind programs, BPSI. Private practice in Belmont.


Igor Weinberg, PhD -- Psychotherapy Student Member, and Faculty of the Explorations in Mind program, BPSI.


Learning Objectives
After attending this course, participants will be able to:

  1. Summarize the scope and focus of environmental psychology as it relates to climate
  2. Identify signs, patterns and problems associated with pathological narcissism.
  3. Recognize fluctuations and regulation of self, emotions, self-esteem and identity related to disordered narcissism.
  4. Recognize signs of avoidant and dismissive attachment, and early role assignments.
  5. Assess the impact of comorbid mental conditions and life events on narcissistic disorder.
  6. Discuss psychoanalytic theories and treatment modalities for narcissistic personality disorder.
  7. Apply strategies and interventions in alliance building and early treatment of patients with narcissistic disorder.
  8. Recognize transference, countertransference and attachments
  9. Discuss clinical applications and assess approaches to promote engagement in treatment and change in patients with pathological narcissism and narcissistic personality disorder.


Diamond, D. and Meehan K. B. (2018) Attachment and object relations in patients with narcissistic personality disorder: Implications for therapeutic process and outcome. Journal of Clinical Psychology, 69(11):1148-1159.

Gabbard, G. (2000). Transference and Countertransference in the treatment of narcissistic patients. In Ronningstam, E, Ed. Disorders of Narcissism - Diagnostic, Clinical and Empiricial Implications. Northvale, NJ: Jazon Aronson.

Gabbard, G. and Holly, C. (2018). Narcissism and its discontents. Washington, D. C.: American Psychoanalytic Association Publishing.

Kernberg, O. (2007). The almost untreatable narcissistic patient. Journal of the American Psychoanalytic Association, 55(2):503-539.

Ronningstam, E. (2012). Alliance building and the diagnosis of Narcissistic Personality Disorder. Journal of Clinical Psychology, 68(8):949-953.




7:30 pm - 8:30 pm: Lecture/Presentation; 8:30 pm - 9:00 pm: Group Discussion.

Continuing Education

Physicians: This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the American Psychoanalytic Association and the Boston Psychoanalytic Society and Institute. The American Psychoanalytic Association is accredited by the ACCME to provide continuing medical education for physician. The American Psychoanalytic Association designates this Live Activity for a maximum of 12 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. IMPORTANT DISCLOSURE INFORMATION FOR ALL LEARNERS: None of the planners and presenters of this CME program have any relevant financial relationships to disclose

Psychologists: The Boston Psychoanalytic Society and Institute is approved by the American Psychological Association to sponsor continuing education for psychologists. The Boston Psychoanalytic Society and Institute maintains responsibility for this program and its content. This program fulfills the requirements for 12 hours of CE.

Please note: Per APA requirements, psychologists must attend 100% of a course in order to be eligible for continuing education credit.

Social Workers: Application for social work continuing education has been submitted. Please contact us at or 617-266-0953 for the status of the social work CE accreditation. 

Please note: Per NASW requirements, social workers must attend 80% of a course in order to be eligible for continuing education credit.

Licensed Mental Health Clinicians: NBCC credits are not available for this course.

Please note: Licensed Mental Health Clinicians may request continuing education credit on an individual basis from NBCC, through their Continuing Education Credit Verification process.

Cancellation Policies & Procedures
Any program participant requesting their individual program registration be canceled, must submit their request in writing via email to Drew Brydon at For fee-based events, a request for cancellation (and refund using the original form of payment) must be received no later than 48 hours in advance of the event. Requests received later than 48 hours prior to the event will not be processed or accepted. All approved refunds are subject to a $10.00 administrative fee.

If BPSI cancels an event, all registrants will receive a full refund of fees paid (no administration charge) no later than two business days following the scheduled date of the event, using the original form of payment.

Grievance Policy
Please address any questions or concerns about your experience at this or any program or event you have attended at the Boston Psychoanalytic Society and Institute to the Program Chair, via the Senior Administrator/Director of Continuing Education, BPSI, 141 Herrick Road, Newton Centre, MA 02459;; 617.266.0953.

The Boston Psychoanalytic Society and Institute, Inc., 141 Herrick Road, Newton Centre, MA 02459, does not discriminate on the basis of race, creed, color, sex, age, sexual orientation, national origin or handicap in the admissions, administration of its educational programs, scholarship and loan programs or employment.





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