There has long existed the inclination on the part of analysts to exaggerate the pathology of their patients, a device both consciously and unconsciously driven by analysts' desires to defensively accent their own strengths. Patients are plagued with illness and we analysts, of course, are not. Assault by diagnosis is particularly suspect when working with high functioning narcissistic and manic patients, a sub group of patients toward whom analysts often feel powerful feelings of envy.
Presenter: Irwin Hirsch, PhD
Discussant: Robert S. White, MD
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