By F. Rotgers, et. al.
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Extra resources for Antisocial Personality Disorder - A Practitioner's Guide...
In this way, he will convince the therapist of his progress; he can continue to act out in the community; and, depending upon how good he is at it, he might even be able to convince the therapist to advocate for him when he inevitably gets in trouble (neutral but ineffectual). The third scenario is that Frank will succeed in humiliating and upsetting the therapist but he or she will feel it necessary to continue to work with him. In this case, there are either endless power struggles which Frank relies on to maintain distance or the therapist will take the victim role 26 ANTISOCIAL PERSONALITY DISORDER allowing Frank the sadistic stance (abusive).
And within this safety and security, repetition compulsions can be transformed from unconscious fragmented id impulses to conscious and fully experienced emotion. Only now, when the client is able to verbalize, will the therapist learn of the specifics of what he or she already knows. The events can then be retained and reintegrated into memory as past experience (Chu, 1991) as interpersonal boundaries are strengthened. Each time a trauma represented by a repetition compulsion is delivered into consciousness, grief must be experienced for the attachment that did not happen when it was needed.
Meloy, J. Reid. (1988). The psychopathic mind: Origins, dynamics and treatment. Northvale, NJ: Jason Aronson. Mitchell, Stephen A. (1988). Relational concepts in psychoanalysis: An integration. Cambridge, MA: Harvard University Press. , & Fine, B. ). (1990). Psychoanalytic terms and concepts. New Haven, CT: American Psychoanalytic Association and Yale University Press. 46 ANTISOCIAL PERSONALITY DISORDER Morrison, Andrew P. (1989). Shame: The underside of narcissism. Hillsdale, NJ: Analytic Press.