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That right there is the failure mode of Attitude 2; when we get out of the perfectly safe cases I mentioned above and into the more extreme versions, it starts looking a lot like making snap judgments about how all of a patient’s problems reduce to a single personality flaw, and then interpreting everything about the patient in that light.Narcissism is probably the most popular, but other such flaws include “patient is regressing and wants to act like a child and have other people take care of her”, “patient is just looking for attention”, and “patient is obsessive and demands complete control over everything”.

In fact, he only gets nauseous on school days when he has a particular gym class.The mother calls the school, and the school takes care of the bully.After that the kid is no longer nauseous in the mornings. A woman goes to a plastic surgeon asking him to fix her nose, which she insists is hideously deformed.The plastic surgeon thinks the nose looks perfectly normal and asks her to be cleared by a psychiatrist before surgery.


The psychiatrist diagnoses the woman with body dysmorphic disorder, a delusional belief that one of their body parts is unbearably ugly.The psychiatrist interrupted her and said that she was perpetuating this dynamic to feed her own narcissism.


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