19/10/2026
What a fantastic seminar!
On Friday 16 October, we welcomed Dr Otto Kernberg, Dr Frank Yeomans and Dr Diana Diamond back to TR Together for an insightful discussion exploring the treatment of narcissistic personality disorder. It was a rich and engaging session, filled with expert clinical insights, thought-provoking discussion and excellent questions from our international audience.
A huge thank you to our speakers and facilitator, Prof Aner Govrin, for such a stimulating discussion.
Here are our five key takeaways from the seminar:
1. The pathological grandiose self as an organising structure
The pathological grandiose self is not simply a defence against low self-esteem, but an organising structure that consolidates idealised self-representations while disavowing dependency, inferiority and aggression. By projecting unwanted aspects onto others, it sustains a precarious sense of superiority while obstructing the integration of contradictory self- and object representations.
2. Use the therapeutic relationship to reveal unconscious object relations
Transference-focused psychotherapy explores how internalised self–other relationships emerge in the consulting room. Recognising these patterns as they unfold can help patients integrate split-off aspects of themselves and others.
3. Attend to the timing and form of interpretation
Interpretations experienced as criticism can intensify resistance. Beginning with clarification and exploration of the patient's immediate experience of the therapist can build understanding before moving towards deeper interpretations.
4. Countertransference, projective identification and technical neutrality
The therapist's countertransference may provide an entry point into affects the patient cannot yet recognise or tolerate, particularly through projective identification. The challenge is to resist reciprocal devaluation or idealisation, maintaining technical neutrality while using these responses to inform the gradual clarification, confrontation and interpretation of the transference.
5. Recognise the challenges of relinquishing grandiosity & tolerating dependency
As grandiosity loosens, painful feelings of emptiness, vulnerability and dependency may emerge. Helping patients tolerate these experiences can support greater emotional integration and more realistic relationships with themselves and others.
Thank you again to everyone who joined us.
You can explore what's coming up next here: https://trtogether.com/events