In this paper the author presents a case of a narcissistic adolescent boy with crippling anxieties and multiple inhibitions, where the contributing intergenerational history of self-difficulties had infiltrated the parental couple's “selfdyad” in a way that could not be adequately contained. Having lost much of the capacity for the mutual selfobject relatedness that is required for a good enough selfdyad regulation, the parents' introjects were then split off and re-projected into their child. The author demonstrates a way of working in the treatment with the use of multiple psychoanalytic therapies, individual, couple, and family modalities. Furthermore, he elaborates a rationale for such a format, especially for those cases in which the intergenerational family projection-linking functions are especially salient and continue to exert a negative influence on the identified patient.