"Bipolar" Narcissist: Euphoric, Dysphoric Fantasies

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Narcissism is fantasy defense gone awry and writ large.

Mediated via cognitive distortions such as grandiosity, internalization, and hyperreflexivity lead to impaired reality testing (examples)

Fantasy can be euphoric or dysphoric

Euphoric fantasy indistinguishable from manic phase in Bipolar Disorder and involves grandiosity via inflation and incorporation.

Involves internal locus of control and autoplastic defenses.

Separation-individuation is a case of euphoric fantasy.

Dysphoric fantasy indistinguishable from depression and involves grandiosity via paranoia and referential ideation.

Involves external locus of control and alloplastic defenses.

Devaluation of a persecutory object, narcissistic injury, and narcissistic mortification are all cases of dysphoric fantasy.

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