Homework assignments in relational psychoanalytic treatment of
personality disorders: A case study of a patient with narcissistic
personality disorder
Abstract
Homework assignments in psychoanalysis are contentious; some believe
they contradict psychoanalytic principles, while others argue they
enhance coping skills. We propose that homework can be a legitimate
aspect of relational psychoanalysis when used in a way that is attuned
to the patient’s experience and that homework may be an important
component of treating personality disorders. We present the case of a
man diagnosed with narcissistic personality disorder to illustrate this:
the patient, wrestling with social relations and control dynamics within
therapy, was assigned homework aimed at curbing his compulsive
caregiving and exploring its underlying motives. This exercise led him
to understand his actions stemmed from avoidance of exposing his
vulnerabilities. Subsequently, he was able to engage with relationships
from diverse perspectives and discover new meanings. We advocate that
homework tasks can be successfully incorporated into the relational
psychoanalytic approach, fostering self-reflection and facilitating
transformative change in patients with personality disorders.