Psychotherapeutic approaches to masochism

Self-defeating personality disorder (SDPD) is quite well defined in the appendix of DSM-III-R, and preliminary research indicates that it is a robust entity with a high prevalence. The hallmark of the SDPD or masochistic character is the mechanism of "injustice collecting," a behavioral syndrome that can be readily identified. However, a number of special difficulties arise in the treatment of SDPD. These are identified, and techniques for handling them are described. A knowledge of the psychodynamics of this disorder is at least helpful and probably necessary to conduct successful psychotherapy.