Abstract
<p><em>To the Editor:</em></p> <p>In the article, &ldquo;The Narcissistic-masochistic Character&rdquo; (<em>Psychiatric Annals.</em> 2009;39(10):904&ndash;912), Arnold M. Cooper, MD, offers an interesting and worthwhile formulation of the narcissistic-masochistic character, a welcome and important contribution to the very important, yet long-neglected, study of masochism in human experience and psychopathology. However, it should be emphasized that Dr. Cooper&rsquo;s formulation is one manifestation of masochistic character pathology among several, and is correctly named &ldquo;narcissistic-masochistic,&rdquo; because what he has described is how masochism can be employed in the service of maintaining a grandiose self in a person with primary narcissistic pathology.</p>
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