Abstract
Narcissistic men that engage in out-of-control extra-marital sex can be challenging to treat when their cultural background reinforces their misogyny and sense of entitlement, as it does among ultra-Orthodox Jewish men. A case study illustrates the challenges for a female clinician helping an unfaithful, married, narcissistic ultra-Orthodox Jewish male refrain from seeing prostitutes. He devalued the approach of his female therapist and the client had to learn that he was not entitled to women's love and respect, but that he needed to earn it by transcending his egocentrism and demonstrating empathy rather than contempt for women.