
Contents
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Introduction Introduction
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Masochistic Personality/Self-defeating Personality Style Masochistic Personality/Self-defeating Personality Style
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Clinical Presentations of Masochistic/Self-defeating Personality Style Clinical Presentations of Masochistic/Self-defeating Personality Style
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The Masochistic/Self-defeating Personality Style with Features of Other Personality Styles The Masochistic/Self-defeating Personality Style with Features of Other Personality Styles
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Case 1. Ms. B: Masochistic or Self-Defeating Personality Style with Histrionic Features; Recurrent Victimization in Romantic Relationships Case 1. Ms. B: Masochistic or Self-Defeating Personality Style with Histrionic Features; Recurrent Victimization in Romantic Relationships
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Case 2. Mr. S: Masochistic or Self-Defeating Personality Style with Obsessive and Dependent Features; Victimization and Pervasive Disappointment in a Man with Chronic Depressive Traits Case 2. Mr. S: Masochistic or Self-Defeating Personality Style with Obsessive and Dependent Features; Victimization and Pervasive Disappointment in a Man with Chronic Depressive Traits
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Case 3. Mr. R: Obsessional Character with Depressive and Masochistic Features; the Need to Suffer as the Price of Pleasure Case 3. Mr. R: Obsessional Character with Depressive and Masochistic Features; the Need to Suffer as the Price of Pleasure
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Other Common Behavioral Patterns in Patients with Masochistic/Self-defeating Style Other Common Behavioral Patterns in Patients with Masochistic/Self-defeating Style
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Psychodynamic Theories of Masochism as a Guide to Treatment Psychodynamic Theories of Masochism as a Guide to Treatment
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Arnold Copper: On Masochism Arnold Copper: On Masochism
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Otto Kernberg: On Masochism Otto Kernberg: On Masochism
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Eve Caligor: On Masochism Eve Caligor: On Masochism
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Analysis of the Three Case Studies Analysis of the Three Case Studies
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Clinical Challenges in the Treatment of Masochistic/Self-defeating Personality Styles Clinical Challenges in the Treatment of Masochistic/Self-defeating Personality Styles
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Transference, Countertransference, and Therapeutic Action Transference, Countertransference, and Therapeutic Action
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Other Psychodynamic Considerations with Masochistic Patients Other Psychodynamic Considerations with Masochistic Patients
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Collaborative Treatments Collaborative Treatments
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Eye Movement Desensitization and Reprocessing (EMDR) Eye Movement Desensitization and Reprocessing (EMDR)
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Psychodynamic Treatment Process Psychodynamic Treatment Process
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Secrecy Secrecy
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Further Treatment Considerations Further Treatment Considerations
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Therapeutic Effectiveness Therapeutic Effectiveness
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Treatments of the Case Studies Treatments of the Case Studies
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Case 2: Mr. S Case 2: Mr. S
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Case 3: Mr. R Case 3: Mr. R
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Conclusion Conclusion
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References References
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25 Masochistic/Self-defeating Personality Styles
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Published:December 2021
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Abstract
Patients with masochistic/self-defeating personality styles show recurrent and persistent patterns of pain, suffering, failure, loss, and disappointment in many facets of their lives. Psychodynamic explanatory theories of masochism can guide the clinician through the slow, difficult, and often discouraging treatment process. Combining aspects of cognitive-behavioral and psychodynamic treatment approaches may offer significant tools in the therapeutic process over long periods of time. Clinicians must pay close attention to the profound unconscious painful attachments that define these patients’ inner lives, and to the significant, difficult countertransference reactions that inevitably arise. This recognition is essential in sustaining effective treatments.
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