Interview with Otto Kernberg
In this in-depth interview, Otto Kernberg reflects on how the DSM-5 conceptualizes the severity of personality disorders through disturbances in self-functioning and interpersonal relationships. He explores why narcissistic patients often struggle in therapy, particularly due to rigid self-perceptions and difficulties with dependency and vulnerability.
Kernberg discusses contemporary treatment approaches that integrate cognitive behavioral and psychodynamic methods, with special attention to complex and chronic delusional patterns. Drawing on his background and early aspirations as a neurologist, he shares insights from psychiatry and underscores the lasting value of psychoanalytic training. The interview also touches on the personal and professional challenges therapists face when working with severe personality pathology, and the ongoing need for effective, well-founded treatments.
Learning objectives:
-Understand DSM-5’s dimensional view on personality disorder severity
-Gain insight into therapeutic challenges with narcissistic patients
-Explore integrative treatment approaches combining CBT and psychodynamic therapy
-Reflect on the role of psychoanalytic training in modern psychiatry