Notes
Slide Show
Outline
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Narcissistic Resistances and Antisocial Behaviors
  • Pamela A. Foelsch, PhD
  • Clinical Assistant Professor of Psychology in Psychiatry
  • Weill Medical College of Cornell University
  • November 16, 2002


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Narcissistic Pathology
  • Continuum
    • Superego pathology
    • Projective defenses
    • Ego-syntonic aggression
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Spectrum
  • Antisocial Personality Disorder
  • Syndrome of Malignant Narcissism
  • Narcissistic Personality Disorder


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Antisocial Personality Disorder
  • Preeminence of hatred in internalized object relations,
  • the need to destroy good objects out of intense envy
  • Absence of any internal set of values
  • Poor prognosis
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Syndrome of Malignant Narcissism
  • Ability to maintain some idealized object representations protected from the need to destroy
  • Capacity for loyalty
  • Strong paranoid trends
  • Ego-syntonic aggression
  • Better prognosis
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Narcissistic Personality Disorder
  • Capacity to recognize good in others
  • Subject to envious attacks
  • Maintain an internalized value system
  • Positive Prognosis
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Intrapsychic Structure
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Effect of Structure on Treatment