It requires enormous patience and courage to tolerate the confusion, ambiguity, and chaos that arise in the treatment of children and adolescents with narcissistic disturbances. Their provocations and enactments, their omnipotent and grandiose fantasies, and their formidable defenses challenge the therapist, as does working with their parents, who may suffer from similar disturbances and may not always cooperate with the treatment. The purpose of this collection is to provide the professional with a deeper understanding of these problems. The clinical and theoretical wealth of this book will go a long way toward informing clinicians about recent advances that may help them deal better with the inevitable transference-countertransference crises that these treatments provoke.