The solipsist patient

The aim of this paper is to widen the clinician's understanding of a narcissistic type, the solipsist (one alone with the self) who is treatable because he or she is the healthiest of narcissists yet a challenge to psychotherapy because the solipsist allows no one to be with him or her. Countertransference is discussed as a primary factor for the therapist to understand and control. The handling of the transference is seen as the key to therapeutic success and is illustrated by case examples.