Narcissism vs. Borderline: A Psychological Showdown

In this episode, Dr. David Puder interviews Dr. Frank Yeomans, a leading expert in Transference-Focused Psychotherapy (TFP) and personality disorders, to explore the treatment of Borderline Personality Disorder (BPD) and Narcissistic Personality Disorder (NPD). They discuss object relations theory, identity diffusion, splitting, and the therapeutic relationship in TFP. Dr. Yeomans shares clinical insights on working with paranoid, devaluing, and omnipotent transferences, highlighting how therapists can navigate idealization, devaluation, and therapeutic neutrality. They also compare TFP with other psychodynamic approaches and discuss the role of aggression in mentalization and personality integration.

• Learn how TFP helps patients develop a stable identity
• Understand the differences between BPD and NPD treatment
• Explore the role of transference in psychotherapy

Tune in for a deep dive into psychodynamic therapy with one of the field’s top experts!

By listening to this episode, you can earn 2.0 Psychiatry CME Credits.

Link to blog

Link to YouTube video