Depression and grandiosity: Clinical and theoretical issues in the treatment of narcissistic disturbances
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The literature on the interrelationship of grandiosity and depression is reviewed. A review of Alice Miller's theories here promotes the understanding of the narcissistic core of depression. Clinical vignettes serve to demonstrate the close links between grandiose ideation and melancholia in the form of “masked grandiosity” lurking behind the depressive manifest picture. Object loss, in line with the formulations suggested in this paper, is but one form of a narcissistic loss; recovery from a depressive episode, paradoxically, depends on the renovation of the narcissistic supplies and on the giving up, through the mourning process, of narcissistic elements.
KeywordsPublic Health Social Psychology Depressive Episode Close Link Theoretical Issue
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