Simona Trifu

Simona Trifu

University of Bucharest, Romania

Title: Malignant narcissistic dimension in antisocial acts: Implications for psychiatry


Simona Trifu is a licensed psychiatrist, Ph.D. in Clinical Psychology, 2002, at University of Bucharest. She did Ph.D. in Medicine at UMF Carol Davila Bucharest. She is Associate Professor, at the Faculty of Psychology and Educational Sciences, University of Bucharest, lecturer at the Faculty of Medicine (Psychiatry department), at the University of Medicine and Pharmacy, Bucharest and Medical Director of the Clinical Hospital for Psychiatry Alex Obregia Bucharest. She is a member of IPA (International Psychoanalytical Association). She has published 4 books and over 170 papers and articles on psychiatry and clinical psychology.


Currently, the antisocial personality disorder is placed at the far right of a continuum in what concerns the cluster B personality disorders. Since one hundred years ago, the psychotic core / the psychotic potential has been brought up into discussion due to a lack of testing the sense of reality after going over a certain threshold. Of course, transient psychotic decomposition certainly occurs, as we will make mention of it in this presentation. In this paper, we are going to refer to several clinical examples of female patients from the psychiatric hospital Prof. Dr. Alex. Obregia in Bucharest, who have been under prolonged hospitalization, due to certain articles regarding the code of criminal procedure that states the incumbency of admission and treatment, subsequent to committing certain potentially antisocial acts. This is the case presentation of five women, an explanatory perspective inspired by the Treaty of Psychodynamic Psychiatry by Glen O. Gabbard, the primitive functioning of these women raising suspicions over a disharmony of personality situated at the edge of narcissistic (in the malignant sense of the word) and antisocial. Explanatory concepts raise discussions regarding the primitive mental functioning, immature defense mechanisms, thought and behavior features such as: projective identification, grandiose self design, narcissistic collusion, false self, twins, the capacity to unconsciously feel the pulsing movements of the other, and last, but not least, transference – counter-transference dynamic. The aspect of adequacy / temporary loss of contact with reality should not be overlooked; the intelligence and intellectual dimension of these patients, assessing the antisocial acts and their consequences, the possibility of functioning from a social point of view and the quality of the compensation resources will be analyzed even deeper. The study has an evaluative and explanatory perspective, with comparative implications and rich reference to specialized literature.

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