A grandiose person will look for a therapist only if depressive episodes come to his aid and force him to do so. As long as the grandiose defense is effective, this form of disturbance exerts no pressure through visible suffering, except when other members of the family (spouse or children) have to seek psychotherapeutic help for depression or psychosomatic disorders. In therapeutic work, we encounter grandiosity only when it is coupled with depression. On the other hand, we see depression in almost all our patients, either in the form of a manifest illness or in distinct phases of depressive
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