The Paranoid Patient - A Case Study

 

"Personality Disorders Revisited" (450 pages e-book) - click HERE to purchase! 

By: Dr. Sam Vaknin

http://samvak.tripod.com/covers.jpg

Malignant Self Love - Buy the Book - Click HERE!!!

Relationships with Abusive Narcissists - Buy the e-Books - Click HERE!!!


READ THIS: Scroll down to review a complete list of the articles - Click on the blue-coloured text!
Bookmark this Page - and SHARE IT with Others!



Subscribe to narcissisticabuse
Powered by groups.yahoo.com


Notes of first therapy session with Dale G., male, 46, diagnosed with Paranoid Personality Disorder (PPD)

 

Dale's first enquiry is whether I am in any way associated either with the government or with his former employer. He doesn't seem reassured by my negative response. He eyes me skeptically and insists that I inform him if things change and I do become entangled with his persecutors. Why do I treat him pro bono? He suspects some ulterior motives behind my altruism and inexplicable generosity. I explain to him that I donate 25 hours a month to the community. "It's good for your image, gives you access to local bigwigs, I bet." - he retorts, accusingly. He refuses to allow me to tape record our conversation.

 

I set some boundaries by reminding him that the therapy session is about him, not me. He nods sagely: it's all part of an intricate scheme to "subdue" him and place him "under firm control". Why would "they" want to do that? Because he knows too much, having exposed fraud, lies, and deceit in the highest places. He has done all this from his position as a sanitary worker at the municipality? - I enquire. He is visibly offended: "There are more secrets in people's trash than in the CIA!" - he exclaims - "You think that your academic degree makes you more clever than I am or somehow superior to me?"

(continued below)


This article appears in my book "Malignant Self-love: Narcissism Revisited"

Click HERE to buy the print edition from Barnes and Noble

Click HERE to buy the print edition from the publisher and receive a BONUS PACK

Click HERE to buy electronic books (e-books) and video lectures (DVDs) about narcissists, psychopaths, and abuse in relationships

Click HERE to buy the ENTIRE SERIES of sixteen electronic books (e-books) about narcissists, psychopaths, and abuse in relationships

 

Click HERE for SPECIAL OFFER 1 and HERE for SPECIAL OFFER 2

 

Follow me on Twitter, Facebook (my personal page or the book’s), YouTube

 


 

I remind him that therapy was more or less forced on him by his long-suffering wife. Is she one of "them"? He sniggers. Well? "Yes," - he rages - "they got to her, too. She used to be on my side." His phones are tapped, his mail intercepted and inspected, there was a mysterious fire in his apartment only days after he complained against a senior law enforcement officer. Wasn't it the antiquated television set that burst into flames? "If you care to believe such nonsense." - he eyes me with pity.

 

When was the last time he went out with friends? He has to think hard to come up with an answer: "Four years ago." Why so long? Is he a recluse by nature? Not at all, he is actually gregarious. So, why the social isolation? Part of his defense. You never know when something you have said in company will be used against you. His so-called friends have been asking him too many intrusive questions lately. They insisted on meeting in new venues at odd times and he got suspicious.

 

So, what is he doing all alone at home? He laughs bitterly: "Won't they love to know my next moves!" He isn't going to give them the pleasure of evincing his strategy. All he is willing to say is that "they" will pay dearly for having underestimated him and for having turned his life "into a long nightmare in hell". Who are "they"? His superiors at the sanitary department. They reassigned him to a dangerous part of town, working night shifts, effectively demoting him from team foreman to "common janitor". He will never forgive them. But wasn't this a temporary arrangement owing to manpower shortages? "That's what they said at the time"- he admits reluctantly.

 

At the end of the session he insists on inspecting my phone jacks and the under-surfaces of my desk. "You can never be too careful." - he half apologizes.

 

Read more about the Paranoid Personality Disorder - click on the links:

 

Paranoid Personality Disorder

 

The Delusional Way Out

 

 Grandiosity and Intimacy - The Roots of Paranoia


Click on these links to learn more:

Sadistic Personality Disorder

The Narcissist as a Sadist

Other People's Pain (Narcissism, Sadism, and Masochism)

The Misanthropic Altruist (Philanthropy as Sadistic Narcissism)

Case Studies

The Narcissist

The Psychopath

The Borderline

The Schizoid

The Histrionic

The Avoidant

The Schizotypal

The Obsessive-Compulsive

The Dependent

The Masochist

Negativistic (Passive-Aggressive)

The Sadist

The Depressive


Many additional Frequently Asked Questions (FAQs) about Personality Disorders - click HERE!


Copyright Notice

This material is copyrighted. Free, unrestricted use is allowed on a non commercial basis.
The author's name and a link to this Website must be incorporated in any reproduction of the material for any use and by any means.


Go Back to Home Page!

Malignant Self Love - Narcissism Revisited

More Journal Entries

Frequently Asked Questions about Pathological Narcissism

Excerpts from the Archive of the Narcissism List

The Narcissism List Home Page

Philosophical Musings

World in Conflict and Transition

Internet: A Medium or a Message?

Write to me: palma@unet.com.mk  or narcissisticabuse-owner@yahoogroups.com