Abstract

This effort might be seen as an exploration of therapeutic impotence with a borderline personality in a treatment procedure that went on for a ten-year period. The main body of the paper is on the first four years of treatment which were intense in terms of the frequency of sessions and in terms of the successful efforts of the designated patient to frustrate the therapist and undo the treatment. The orientation of the therapist was based on the theory and technique of psychoanalytic developmental psychology so the patient's negativism and resistance were interpreted as his effort to maintain his ego boundaries. The blows to the therapist's professional narcisism were a measure of the patient's degree of pathological narcissism and low self-esteem.

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