Alfred Adler's description of the case of Vaslav Nijinsky in light of current diagnostic standards.
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Biomedical subjects
Publications and source records attributed to H L Ansbacher.
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Alfred Adler's significance for the concept of narcissism is presented with reference to four aspects: 1) Adler's theory of masculine protest was evidently a factor influencing Freud to turn toward the phenomenon of narcissism. 2) Present-day understanding of narcissism shows remarkable similarity to Adler's views on psychodynamics and neurotic egocentricity. 3) Some contemporary criticisms of Freud's theory of narcissism are very similar to Adler's criticism. 4) Adler's theory of social interest permits subsumption of narcissism under lack of social interest rather than acceptance of it as an expression of innate socially negative tendencies.
This is a previously unpublished work by Alfred Adler that was written in 1936 as a preface to The Diary of Vaslav Nijinsky. A theory of schizophrenia is described in which characteristic prepsychotic features, especially lack of social interest and oversensitivity to real and imagined slights, lead to increasing irrationalism and preoccupation with grandiose ideas. The establishment of a cooperative therapeutic relationship and the instilling of hope are presented as central factors for successful treatment.
In his preface to The Diary of Vaslav Nijinsky, Alfred Adler (1) found his theory of the dynamics of schizophrenia supported in the Diary, (2) alluded to Nijinsky's prepsychotic personality, and (3) briefly touched on the possibility and conditions of recovery. To add to the understanding of Adler's "Preface," this discussion (1) expands his theory of schizophrenia, (2) gives some concrete data of Nijinsky's prepsychotic personality, (3) describes two episodes of recovery subsequent to the "Preface," and (4) introduces an important aspect of Adler's theory, which he had to omit out of consideration for Nijinsky's wife, Romola-namely, her role in her husband's disorder. With the larger theoretical and historical context established. Adler's "Preface" can be appreciated for its predictive validity.
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