Narcissistic-identitarian suffering is at the centre of many current clinics and concerns a wide range of disorders. More broadly, it refers to a set of problems that hinder, in an intermittent or lasting way and to varying degrees, the subjective identity of individuals and the psychological processes that are linked to it. The treatment of narcissistic identity pathologies reveals a double relationship during the transference-countertransference process that refers to deep layers of identity. Illustrated with a clinical case study, this article posits that this double relationship, in its different modalities, plays the role of a transference attractor that supports potential transformations of the identity. The emergence of this double relationship during transference and the painful affects that come with it, can allow the patient, with the support of the reflexive function of a clinician able to survive the patient's destructivity, to reorganize his/her relationship to him/herself and to the other.