Abstract
This article critically examines some of the major psychoanalytic writings on the relationship between physical disability and narcissism. Tracing the evolution of thought about narcissism from Freud's original formulation to a self-psychological approach, it considers and contrasts pain, illness, and adult disability on the one hand and early onset disability on the other. The conclusion reached is that disability and narcissism are related in complex ways, depending on a variety of physical, developmental, and environmental factors. Thus, clinicians must avoid making a priori assumptions in work with disabled patients, for such assumptions may be countertransferential.
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References
Adler, A. (1933).Social interest: A challenge to mankind. New York: Capricorn Books.
Asch, A., & Rousso, H. (1982). Therapists with disabilities: Theoretical and clinical issues. Unpublished paper presented at conference of the same title, New York, New York, October 30, 1982.
Castelnuovo-Tedesco P. (1981). Psychological consequences of physical defects: A psychoanalytic perspective.International Review of Psychoanalysis, 8, 145–54.
Cath, S., Glud, E., & Blane, H. (1957). The role of body image in psychotherapy with the physically handicapped.Psychoanalytic Review, 44, 34–40.
Freud, A. (1952). The role of body illness in the mental life of children.Psychoanalytic Study of the Child, 7, 69–82.
Freud, S. (1914). On narcissism: An introduction.Standard Edition, Vol. 14.
Freud, S. (1916). Some character-types met with in psychoanalytic work.Standard Edition, Vol. 14.
Freud, S. (1933). New introductory lectures.Standard Edition, Vol. 14.
Kris Study Group, Beres/Calder Section. (1971). The influence of early childhood illness and defect on analyzability. Unpublished paper presented in 1971 to the New York Psychoanalytic Institute, New York, New York.
Kohut, H. (1972). Thoughts on narcissism and narcissistic rage.Psychoanalytic Study of the Child, 27, 360–400.
Kohut, H., & Wolf, E. (1978). Disorders of the self and their treatment: An outline.International Journal of Psychoanalysis, 59, 413–425.
Lerman, A. (1979). Narcissism and the physical rehabilitation patient.American Journal of Psychoanalysis, 39, 265–272.
Lussier, A. (1980). The physical handicap and the body ego.International Journal of Psychoanalysis, 61, 179–185.
Niederland, W. G. (1965). Narcissistic ego impairment in patients with early physical malformations.Psychoanalytic Study of the Child, 20, 518–534.
Stolorow, R. (1975). Toward a functional definition of narcissism.International Journal of Psychoanalysis, 56, 179–185.
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Rousso, H. The relationship between physical disability and narcissism: A critique of the literature. Clin Soc Work J 13, 5–17 (1985). https://doi.org/10.1007/BF00755374
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DOI: https://doi.org/10.1007/BF00755374