Forman M
Hillside J Clin Psychiatry. 1981;3(1):45-59.
The Narcissistic Personality Disorder in males is described in terms of the presenting picture and the psychodynamics involving unconscious phallic narcissistic transferences and wishes. A regression to preoedipal phallic narcissism is reconstructed as having occurred in childhood. The permanency of this regression prior to analysis gives an impression of great tenacity and pathology, as if the narcissism had been arrested in its development. However, oedipal dynamics and transference neuroses do emerge from repression after several years of analysis. A hypothesis is proposed in agreement with the findings of Edgcumbe and Burgner (1975) that a preoedipal phase of phallic narcissism is a regular and universal phase of childhood development. A further hypothesis is offered based on the implications of the findings of Narcissistic Personality Disorder, that a two-step sequence of narcissistic development, followed by object libidinal development, occurs in the oral, anal, and phallic erotogenic zones. This hypothesis suggests the idea of three different types of Narcissistic Personality Disorders: the oral, the anal, and the phallic varieties.
男性自恋型人格障碍是根据临床表现以及涉及无意识阴茎自恋转移和愿望的心理动力学来描述的。童年期发生了向前俄狄浦斯阴茎自恋的退行被重建。在分析之前这种退行的持续性给人一种极具韧性和病态的印象，仿佛自恋在其发展过程中被停滞了。然而，经过数年分析后，俄狄浦斯动力学和移情神经症确实从压抑中浮现出来。提出了一个与埃奇库姆和伯格纳（1975年）的研究结果一致的假设，即阴茎自恋的前俄狄浦斯阶段是儿童发展的一个正常且普遍的阶段。基于自恋型人格障碍研究结果的启示，进一步提出一个假设，即在口腔、肛门和阴茎性感区会出现一个两步的自恋发展序列，随后是客体力比多发展。这个假设提出了三种不同类型的自恋型人格障碍的概念：口腔型、肛门型和阴茎型。
