Psychoanalytic Grand Rounds at Stanford: The Dual Faces of Narcissism

Psychoanalytic Grand Rounds at Stanford 2013 - 2014

Title: The Dual Faces of Narcissism
Date: Friday, May 23, 2014
Time: 12:15pm - 01:30pm
Presenter: Karen Mary Johnson, MD
Co-Chairs: Maureen Ruffell, M.D.
Location: Stanford's Psychiatry and Behavioral Sciences Building, Room 1211
401 Quarry Road
Stanford, CA 94304
Program Fee: Free
CME/CE: 1.25 CME/CE Credits are avaialble for $ 15.00 or $ 12.50

Narcissistic patients tend to arouse strong counter-transferences in their therapists with their often impenetrable arrogance and/or their pervasive self-deprecation.  Dealing with these feelings on the part of the patient and the therapist is an integral part of the treatment of such patients.  Alice Miller, in her 1979 paper in the International Journal of Psychoanalysis describes how, when the arrogant or self-deprecating narcissistic defenses are penetrated, the patients can fall into a bleak and empty state of despair.  These various self states can be very difficult to handle.  This presentation will address these issues and illustrate them with a dramatic case of a narcissistic man.


Course Objectives:

  1. Participants will be able to discuss the differences and similarities between the grandiose and the depleted narcissist.
  2. Participants will be able to outline and describe and underlying psychodynamics of the condition of Narcissism.
  3. Participants will be able to apply therapeutic techniques that are effective in the condition of Narcissism as illustrated by vignettes from an analysis of a narcissistic man.


CE LogoThe San Francisco Center for Psychoanalysis is accredited by the Institute for Medical Quality/California Medical Association (IMQ/CMA) to provide continuing medical education for physicians. The San Francisco Center for Psychoanalysis takes responsibility for the content, quality and scientific integrity of this CME activity.

PHYSICIANS: The San Francisco Center for Psychoanalysis designates this educational activity for a maximum of 1.25 credits as listed for each individual program, AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity. This credit may also be applied to the CMA Certification in Continuing Medical Education.

LCSWs/MFTs: The San Francisco Center for Psychoanalysis is a provider approved by the Board of Behavioral Sciences, Provider Number PCE623, for 1.25 CE credits on an hour for hour basis.

PSYCHOLOGISTS: Psychologists attending SFCP events approved for CME credits may report AMA PRA Category 1 Credit(s)™ toward their CE requirements and are now able to directly submit their verification letters at the end of each renewal cycle using the MCEP credit reporting form that can be found on the internet at:

REGISTERED NURSES: The San Francisco Center for Psychoanalysis is a provider approved by the California Board of Registered Nursing, Provider Number 02677, on an hour for hour basis.

SFCP is approved by the American Psychological Association to sponsor continuing education for psychologists. SFCP maintains responsibility for this program and its contents.

Commercial Support: None

Faculty Disclosure: The following moderators and planning committee members have disclosed NO financial interest/arrangement or affiliation with commercial companies who have provided products or services, relating presentation(s) or commercial support for this continuing medical education activity: Maureen Smith Ruffell, MD and Karen Mary Johnson, MD. All conflicts of interest have been resolved in accordance with the ACCME Updated Standards for Commercial Support.

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