Abstract
A case is used as an illustration of the relationships between rejection and self-fragmentation in the narcissistically vulnerable person. Severe cases of nuclear self-fragmentation will lead to depersonalization. Panic reactions are often indicators of severe nuclear fragmentation. Repair begins after the patient can experience nuclear fragmentation without fear of permanent dissolution of self (psychosis). Self repair, by adding self structure, can begin when these states are tolerated and transmuting internalization can begin. Many of these cases would have been considered untreatable, and diagnosed as borderline, prior to the understanding of the concept of the nuclear self.
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