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Schwartz, L. (1974). Narcissistic Personality Disorders—A Clinical Discussion. J. Amer. Psychoanal. Assn., 22:292-306.

(1974). Journal of the American Psychoanalytic Association, 22:292-306

Narcissistic Personality Disorders—A Clinical Discussion

Lester Schwartz, M.D.


Two questions were raised: First, can we differentiate cases of narcissistic personality disorder? Second, if there is a separate category of such cases, are there clear-cut narcissistic transference phenomena? Material has been presented supportive of the position that predominantly narcissistic disorders can be described and that it is useful to consider narcissistic transference developments. Special emphasis has been placed on early magic breast-phallus fantasies and primitive sadomasochistic fantasies as indicators of specifically narcissistic pathology. The role of defective reality testing was touched on. A number of technical issues were also raised.

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