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Fernando, J.L. (2000). Superego Analysis in Narcissistic Patients with Superego Pathology. Canadian J. Psychoanal., 8(1):99-117.

(2000). Canadian Journal of Psychoanalysis, 8(1):99-117

Superego Analysis in Narcissistic Patients with Superego Pathology

Joseph L Fernando

A view of narcissistic personality disorder that sees the disorder as a consequence of a primary fixation on childhood omnipotence, a fixation that interferes during early latency with the integration of a portion of the superego into the personality, is used as a basis for a discussion of the analysis of the superego in these patients. Clinical material is presented from two patients who had a marked tendency to externalize their guilt and superego as a defence against fully facing and internalizing the limits of reality and morality This form of externalizing transference puts great pressure on the analyst and especially works on the analyst's own sense of guilt about being an authority figure, as the patients attempt to get the analyst to play the part their parents played in their childhood, in not helping them to face limits.

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