ABSTRACT
The omnipotent-object-grandiose-self fused unit consisted of an idealized, omnipotent object representation that provided admiration for perfect performance and compliance. The grandiose-self- representation was one of being unique and special when performing for and in compliance with the object. "A disembodied heart that couldn't contract." The abandonment depression was seen mostly in the aggressive attacks of the object representation. The depressive element was held in check by the detachment defense. The patient appeared to have a closet narcissistic disorder with a history of alcohol abuse, questionable posttraumatic stress disorder, and possible sexual abuse. The psychotherapy began by interpreting and investigating the defenses against selfactivation: the focus on the object and the intensive attacking attitude of the object.
