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Type A coronary-prone behaviour pattern and pathological narcissism.

J T Condon

    The Australian and New Zealand Journal of Psychiatry
    |March 1, 1987
    PubMed
    Summary

    Type A behavior, similar to neurotic repetition, may stem from a deficient self-representation. This psychodynamic view suggests only a subgroup of high achievers with neurotic motivation face increased coronary risk.

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    Area of Science:

    • Psychology
    • Psychiatry
    • Cardiology

    Background:

    • Type A coronary-prone behavior pattern shares traits with neurotic repetition compulsion, often manifesting as maladaptive, compulsive, and inflexible behaviors.
    • Similarities exist between Type A individuals described in behavioral literature and narcissistic individuals in psychoanalytic literature.
    • A deficient self-representation is postulated as a potential underlying factor for Type A behavior.

    Purpose of the Study:

    • To explore the psychodynamic formulation of Type A behavior as a variant of pathological narcissism.
    • To investigate the implications of this formulation for the assessment, prevention, and management of Type A behavior.
    • To identify a specific subgroup of high achievers at increased risk for coronary pathology.

    Main Methods:

    • The study utilizes a psychodynamic perspective, drawing parallels between behavioral and psychoanalytic literature.
    • It involves postulating a deficient self-representation as a core issue in Type A individuals.
    • The approach aims to discriminate a specific subgroup based on neurotic motivation and high arousal.

    Main Results:

    • Type A behavior pattern exhibits characteristics of neurotic repetition compulsion, being maladaptive and non-satisfying.
    • There are notable similarities between Type A individuals and narcissistic individuals.
    • A deficient self-representation is proposed as a key feature of Type A individuals.

    Conclusions:

    • Formulating Type A behavior as pathological narcissism offers insights into assessment, prevention, and management strategies.
    • This psychodynamic perspective may help identify a subgroup of high achievers with neurotic motivation and high arousal.
    • Only this specific subgroup, characterized by neurotic motivation and high arousal, may be at increased risk for coronary pathology.

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