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The therapist should discriminate between real change in the intrapsychic organization of his patients and apparent behavioral improvement. The narcissist finds in the therapy groups a stage for his exhibitionism. If he exploits
the group, he should be transferred to individual treatment. He is likely to display enthusiastic volubility in interviews, and the source of this and its effect on other patients should be perceived.
The interaction that occurs is therapeutic because it provides tangible reality, serves as a mirror, limits ego boundaries, facilitates relatedness, and stimulates enactment of past affectladen experiences, which leads to unearthing of traumatic events. Group interviews cannot respect individual sensitivities. Interaction, to be productive, must be reviewed so that the past is recalled and its connections with present conflicts clarified. Such interaction is the nexus of therapy and not its essence.