This book views the role of narcissism in analytic theory beginning with the writings of Freud and examines the conceptual changes that occurred with the development of ego psychology and object relations theory.

With this revised edition Dr. Rothstein expands his discussion of patients considered to be narcissistic personality disordered in order to discuss the issue of clinical limits. This is illustrated by case material from two attempts at the analysis of patients with latent psychosis. Discussions of countertransference and humiliation have also been added.