Masterson 2004 Masterson, J.F, Lieberman, A.R. (2004) A ...

Masterson 2004 Masterson, J.F, Lieberman, A.R. (2004) A therapist's guide to the personalitydisorders

A Therapist's Guide to the Personality Disorders

The Masterson Approach A Handbook and Workbook

EDITED BY James F. Masterson. M.D.. & Anne R. Lieberman. L.C.S.W .

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Masterson 2004, s.24

The term object relations refers to the internal representations of self and others with associated affects, and how these structures then influence relationships with one's self and with others. Because of failures in development, a significant difference between people with personality disorders and those without them is that people with personality disorders do not have whole object relations. That is, their internal representations of themselves and others are split into two partunits. Each part-unit has a very extreme, unrealistic, and one-sided view of the self (the part self-representation) and a very extreme, unrealistic, onesided view of the other person (the part objectrepresentation).

Masterson 2004, s.26

NARCISSISTIC PERSONALITY DISORDER DIAGNOSIS CRITERIA DSM-IV

A pervasive pattern of grandiosity (in fantasy or behavior), need for admiration, and lack of empathy, beginning in early adulthood and present in a variety of contexts, as indicated by five (or more) of the following:

1. has a grandiose sense of self-importance (e.g., exaggerates achievements and talents, expects to be recognized as superior without commensurate achievements) 2. is preoccupied with fantasies of unlimited success, power, brilliance, beauty, or ideal love 3. believes that he or she is special" and unique and can only be understood by, or should associate with, other special or high-status people (or institutions) 4. requires excessive admiration 5. has a sense of entitlement, i.e., unreasonable expectations or especially favorable treatment or automatic compliance with his or her expectations 6. is interpersonally exploitative, i.e., takes advantage of others to achieve his or her own ends 7. lacks empathy: is unwilling to recognize or identify wtih the feelings and needs of others 8. is often envious of others or believes that others are envious of him or her

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9. shows arrogant, haughty behaviors or attitudes

PUT OBJECT RELATIONS UNIT OF THI! NARCIS ISTlC PERSONALITY DISORDER

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