The narcissistic disturbance of a person is based on the pathology of self and objects relations, which results in maladaptability, i.e. disturbances in functional behaviour and/or in the subject's constant feeling of alienation and suffering. The caracteristics of pathological narcissism is the binary organization of the personality, whereby the false, grandiose self covers the true self, which is extremely fragile and vulnerable. The affected feeling of subject's own worth is hidden behind the omnipotent attitude, which allows the narcissisticaly disturbed person to sustain the feeling of selfimportance, speciality and perfection. The diffusion of identity is consequent upon the pathology of objects' relations, which is presented by disability of the disturbed person to adequately integrate the "good" and "bad" images of the self or the object into the whole person - and is due to domination of unneutralized libidinal and aggressive investments. The fusion of exclusively good aspects creates the grandiose self, meanwhile the bad aspects are projected in anvironment and the subject remains split in two parts: one which is good and accepted and the other which is bad and unaccepted. This fenomemon leads also to deficiency of mature values system and constitutes specific moral profile of the narcissisticaly disturbed person. The personal development derives toward formation of the narcisistic disturbance if a child grows up in the circumstance with too many or too oftenfrustrations produced by objects, which are important for the child - or if the content od diad child - mother relationship is unadequate. In those cases the child cannot develop the basic trust in him- or herself and the surroundings which is the fondation stone for developing the healthy and positive valuation of the self. In the process of therapeutic work with narcissisticaly disturbed persons there are some specific transfer and countertransfer phenomena and the basic ones are also mentioned in the report.