Pathological narcissism has lately been getting a lot of attention – and considerable oversimplification. This 2hr 45 minutes lecture is intended to help therapists deepen their understanding of people whose narcissistic qualities are problematic. Using examples, Dr. McWilliams covers the range from normal to highly pathological versions of narcissism (e.g., Kernberg’s “malignant narcissist” and Shaw’s “traumatic narcissist”). The lecture also covers approaches to the treatment of narcissistic individuals, highlighting specific interpersonal processes such as helping the narcissistic person to express normal dependency, remorse, and gratitude. She also suggests some ways to help “victims” of pathological narcissism who are repeatedly devalued and criticized. Case vignettes help to illustrate these topics.