Robert P. Drozek, LICSW, is a staff psychotherapist in the Personality Disorders Service and Division of Alcohol, Drugs, and Addiction at McLean Hospital. He serves as a supervisor in the Mentalization-based Treatment (MBT) Clinic at McLean; a teaching associate in the Department of Psychiatry at Harvard Medical School; and an MBT trainer and supervisor through the Anna Freud Centre in London. His publications examine the interface between psychotherapy and ethics, with an emphasis on the role of ethics in the patient's therapeutic change. He is author of the book Psychoanalysis as an Ethical Process (2019). He maintains a private practice in Belmont, Massachusetts.

Brandon T. Unruh, MD, is the medical director of the Gunderson Residence and founding director of the Mentalization-based Treatment (MBT) Clinic at McLean Hospital. He is an instructor in psychiatry at Harvard Medical School, and an MBT trainer and supervisor through the Anna Freud Centre in London. His clinical approach is anchored in the practice of evidence-based treatments for personality disorders, including MBT, dialectical behavior therapy, transference-focused psychotherapy, and good psychiatric management. His core academic publications and interests are in the areas of personality disorders, suicidality, spirituality, and flourishing. He is co-editor of the book Borderline Personality Disorder: A Case-based Approach (2018). He has a private practice in Cambridge, Massachusetts.

Anthony W. Bateman MA, FRCPsych, is a consultant psychiatrist, psychotherapist, and MBT Consultant to the Anna Freud National Centre for Children and Families; a Visiting Professor at University College, London; and an Honorary Professor in Psychotherapy at the University of Copenhagen. With Peter Fonagy, he developed mentalization-based treatment for borderline personality disorder, studying its effectiveness in research trials. He has authored, co-authored, and edited 17 books, including Mentalization-based Treatment for Personality Disorders: A Practical Guide (2016), and Introduction to Psychoanalysis, Second Edition (2021). He has published numerous book chapters, and over 150 peer reviewed research articles on personality disorder and the use of psychotherapy in psychiatric practice.

• Mentalization and pathological narcissism


• Introduction to pathological narcissism and Mentalization-based Treatment


• A mentalization-based model of pathological narcissism


• Beginning the treatment


• Assessment and diagnosis of pathological narcissism


• The therapeutic approach


• Therapeutic stance and clinical principles


• Content-focused interventions


• Context-focused interventions


• Process-focused interventions: Pretend mode


• Process-focused interventions: Psychic equivalent mode


• Process-focused interventions: Teleological mode


• Mentalizing the therapeutic relationship: Auxiliary relational techniques


• Mentalizing the therapeutic relationship: The interventional pathway


• Clinical applications


• Moving forward in the treatment


• Case example: After the "accident"


• Case example: I-mode, me-mode, and we-mode in clinical process


• Case example: William the firefighter