How Group Analysis Cures: An Exploration of Narcissistic Rage in Group Treatment

This paper addresses the use of group analysis in treating individuals for whom chronic narcissistic rage is a prominent feature of their character. Such individuals are often especially suspicious of participating in group experiences, as their sensitivity to slight and circumscribed empathy for others often leaves them vulnerable to being attacked and ostracized in groups. Their history often reveals experiences in which they were either the scapegoat of the family or of the playground, often both. Such individuals, however, may also long for inclusion and acceptance, and thus participation in a therapeutic group may be a particularly important part of their continued development. An extended clinical vignette illustrates how such work occurs within a therapeutic group using a self-psychological model. Narcissistic rage as manifested within the group-as-a-whole or groupself is also examined.