Transcription
The narcissistic personality disorder is one of the severe personality disorder that presents borderline personality organization as a secondary defense against the fragmenting of one's self-concept and of one's concept of significant others.
And all this struggle between idealized and persecutoist segments of experience, they have managed to construct what we call a pathological grandio self that is constituted by combination of ideal aspects of the self. Ideal aspects of others that have been incorporated as if one possessed them. and ideal aspirations of the self as if one had achieved them.
While at the same time one's need of others is denied, is devalued. Others are devalued. We don't need them. We are fine. I'm just great by myself. I don't need anybody else.
There is an in ideal internal world of grandiosity and self-sufficiency and the rest of the world is constituted by depreciated worthless people. Those who are great and one still has to admire in order to incorporate everything they have and those who are potential enemies one has to fight off.
That structure means that the person seems to be integrated in a way. is not divided and becomes quite secure. They look much better than this other severe personality disorders. They show on the surface self-satisfaction, grandiosity, excessive concern with themselves, a tremendous need to be admired but without any mutuality of the relationships.
So there is an abnormal love of the self, incapacity to love others, an internal sense of grandiosity and emptiness at the same time.
In the treatment, their uh grandiosity becomes the dominant transference issue. They have to show their superiority to the therapist and keep themselves superior to the therapist because the only alternative is then if they would need the therapist it means that the therapist is superior to them and they would feel immediately inferiorized, humiliated.
So there is an long-term struggle who is going to be superior, who is going to be inferior without a capacity for real dependency that gradually has to be clarified and and resolved and then the underlying problem of severe splits between idealized and persecuto relationship come to the four. The underlying borderline structure against which the narcissistic structure was a defense.