Cohen N A
Int J Psychoanal. 1982;63(Pt 2):149-55.
In this paper I have focused attention on a particular group of patients who by the very nature of their narcissistic disorder often do not seek help until they are elderly. I have indicated through clinical material the nature of intrapsychic conflicts, a failure to achieve and work through depressive anxieties that interfere with the successful resolution of problems related to mourning; this does not allow for adequate adaptation to ageing and poses problems with regard to the evaluation and prognosis of such patients for psychoanalytic therapy.
在本文中，我关注的是一类特殊的患者群体，他们由于自恋型障碍的本质特征，往往直到年老才寻求帮助。我通过临床资料指出了内心冲突的本质，即未能达成并解决那些干扰与哀悼相关问题成功解决的抑郁焦虑；这使得无法充分适应衰老，并给这类患者的精神分析治疗评估和预后带来问题。
