ABSTRACT

The analytic literature, as well as pop psychology and sensationalism, have monopolized the media on the subject of narcissistic disorders. Timing and the way therapists deal with the patient can be highly sensitive issues. The main theme is the focus on communication, reintroducing the language of empathology and distinguishing fantasy from reality or truth from lies. Truth is an important aspect of communication. For Wilfred Bion, finding truth is a complete love relationship. Truth, he stated, comes from living in the experience of “O” without memory or desire. The truth, for Bion is the patient moving from a state of omnipotence to realization of dependency. In the paranoid–schizoid position, the patient resists facing he needs treatment until he comes to the realization at some point in the treatment that the therapist does have something of value to offer.