In the preceding chapter I indicated that group psychotherapy is the treatment of choice for many narcissistic patients, often accompanied by some form of concomitant treatment. The rationale for this point of view is twofold. First, group psychotherapy presents patients with the dual task of not only disclosing their own personal struggles but also requires them to devote an interest in the struggles of others in the group. Second, the group situation challenges patients’ needs to be the center of attention and expects them to share the attention of the group and the therapist. Thus the group highlights some of the major character defects of narcissistic persons and provides them with an opportunity to understand better the nature of their own pathology as a first step towards making significant behavior change.