This book fills an important gap in the clinical literature, offering a contemporary view on pathological narcissism and presenting an innovative therapeutic approach. Leading authors explore the specific challenges of treating patients with narcissistic traits or narcissistic personality disorder, who withdraw from reality into narcissistic grandeur, endangering their lives and relationships. The assessment processes and therapeutic strategies have been adapted from transference-focused psychotherapy (TFP), a manualized, evidence-based treatment for borderline personality disorder. Rich case material illustrates how TFP-N enables clinicians to engage patients more deeply in therapy and help them overcome relational and behavioral problems at various levels of severity. The volume integrates psychodynamic theory and research with findings from social cognitive science, attachment, and neurobiology.