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Related Experiment Videos

Technical problems in the analysis of a pseudo-compliant patient

R R Malcolm

    The International Journal of Psycho-Analysis
    |January 1, 1981
    PubMed
    Summary

    This clinical paper analyzes defensive narcissistic personality traits, focusing on pseudo-compliance. This behavior helps patients avoid dependency by projecting negative feelings onto external objects.

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    Expiation as a defense.

    International journal of psychoanalytic psychotherapy·1980

    Area of Science:

    • Psychology
    • Clinical Psychology
    • Psychoanalysis

    Background:

    • Narcissistic personality disorder (NPD) is characterized by grandiosity, a need for admiration, and a lack of empathy.
    • Defensive mechanisms are crucial in understanding NPD, often manifesting in complex interpersonal dynamics.

    Observation:

    • This paper details a clinical case study focusing on a specific defensive strategy termed 'pseudo-compliance'.
    • Pseudo-compliance involves superficial agreement without genuine engagement, observed during therapeutic sessions.
    • This behavior serves to maintain psychological distance and manage intense internal conflicts.

    Findings:

    • The patient exhibited pseudo-compliance to manage a splitting defense mechanism.
    • This involved idealizing the analyst while projecting persecutory aspects of the relationship onto external objects.
    • The core function was to avoid terrifying feelings of dependency.

    Implications:

    • Understanding pseudo-compliance offers insights into the treatment of narcissistic personality disorders.
    • Therapeutic strategies may need to address the underlying fear of dependency and the use of projection.
    • This analysis highlights the importance of recognizing subtle defensive maneuvers in clinical practice.

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