Abstract
Two kinds of patients frequently present with problems in handling remorse. The impulsive patient shows a lack of remorse due to the attenuated development of a self-referential conceptual classification system that results in a deficit in self-evaluation and self-control. The compulsive patient shows a superfocused and overcontrolled cognitive style that does not permit the integration of experience as a whole, and thus leads to the insufficient resolution of remorse. Both of these kinds of patients are deficient in the cognitive faculty of reflectivity. The neurocognitive dynamics that subserve these two cognitive styles are outlined and some comments on treatment are offered.
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