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Narcissistic vulnerability is characterized by the tendency to react to slights and disappointments with a significant loss of self-esteem (Kohut 1966; Rothstein 1984; Spezzano 1993). As noted in Chapter 1 (“Introduction”), narcissistic vulnerability has been viewed by generations of analysts as central to the development of depression. Because of its crucial role, it is important to help the patient become aware of this vulnerability and to collaboratively explore its dynamics.
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