Schema therapy, an integrative model of psychotherapy developed by young, klosko, and Weishaar (2003), was developed to treat personality and chronic symptom disorders. Included in this thoughtfully assembled, evidencebased approach to treatment (giesen-Bloo et al., 2006) are elements from gestalt, object relations, psychodynamic, cognitive-behavioral, and emotion-focused therapies. One of the hallmark features of schema therapy is the concept of (adaptive) limited reparenting. Emphasis is placed on (a) identifying core unmet needs and attachment ruptures in the patient's early development and (b) working to help the patient get those needs met. Although no specific clinical trials of schema therapy for narcissistic personality disorder (NPD) have been conducted, anecdotal observations and reports suggest that it may have potential as an effective treatment.This chapter discusses the use of schema therapy for NPD. We begin by discussing the primary tenets of schema therapy and then illustrate how this can be applied to the treatment of NPD.

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Schema Therapy (ST) is a comprehensive approach deriving from cognitive behavioral therapy (CBT) for the treatment of chronic personality problems. ST extends CBT in 3 major issues: 1. The Schema-Mode-Model. 2. The therapeutic relationship. 3. The intensive use of experiential techniques. Schemas are persistent, rigid, and dysfunctional patterns preventing the patient from further personal emotive-interpersonal development. The central focus of the therapeutic process is the relationship between the therapist and the patient. Supported by the therapeutic relationship the patient gets in touch with painful childhood experiences. In ST, the core schemas are identified, put into a biographical context, and weakened by using several specific therapeutic techniques including experiential methods and strategies taken from Gestalt therapy that enrich traditional CBT techniques.

Gängige Therapiemethoden gelten für Patienten mit Persönlichkeitsstörungen gemeinhin als wenig effektiv, woraus im Umgang mit dieser Patientengruppe nicht selten ein latenter therapeutischer Nihilismus resultiert. Fiedler [1] warnt explizit vor dem damit einhergehenden Problem der "selbsterfüllenden Prophezeiung" des Therapieversagens. Insbesondere trifft dies für die narzisstische Persönlichkeitsstörung (NPS) zu.Dieses Dokument wurde zum persönlichen Gebrauch heruntergeladen. Vervielfältigung nur mit Zustimmung des Verlages.