Transference relationship between the therapist and the patient is considered to be of pivotal importance in clinical analysis. It is through the patient's past memories that the therapist is able to locate, extract, and - in the case of successful therapy - replace the repressed or traumatic contents with psychically stable reactions. However, narcissistic patients have been notoriously defined as “unanalysable” due to their inability of forming transference relationships. Ego psychology treatments that are built around interpreting psychological defences almost always fail in this instance because they are perceived as unempathic interventions, often causing the patients to re-experience previous trauma. Analysts such as Margolis and Kohut propose that inability to develop object-transference, as well as narcissistic psychopathology, are caused by parental failures and lack of empathy in early development. The main aim of this paper is to explore the challenges of working with narcissistic patients in analysis, specifically focusing on the three defensive mechanisms typical to patients with Narcissistic Personality Disorder: projection, denial, and distortion. As such, the aim of this paper is to propose and clinically illustrate Kohut's “narcissistic transference” as a viable and important method, capable of providing a structure building function for narcissistic patients.