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THERAPIST: I think that, for you to have fewer of the kinds of problems you’ve been having, and in order to be a better person in general, you need to make some changes in the kind of person you are – some basic changes in your personality. And, of course, you didn’t hear me say you were a bad person. How long have you had a problem putting on the brakes? I think you need to stop all the very destructive behavior that I outlined for you on the worksheets I gave you, and which I’m sending to your therapist as well. Now, my question to you, if you remember, is how long you’ve had this problem…. People who always see themselves as superior to others hate to see the field of “play” (i.e. They especially hate it when someone else in is a position of greater power or authority.

Although I didn’t give him a name in the book, for the sake of discussion, we’ll call the person in the following vignette “Tom.” He was referred to me by another therapist for evaluation and recommendations about a treatment plan. THERAPIST: As we talked about the first time, I’m a psychologist. CLIENT: And you can tell all this after just a couple of visits? And there’s something else really interesting: he didn’t get upset and pretty much let it slide completely by when I said I thought he thought too much of himself and didn’t think enough about others.A growing assortment of new apps and websites now make it possible to get prescription contraceptives without going to the doctor.The development has potential to be more than just a convenience for women already on birth control.After all the back and forth power-jockeying, impression-managing, manipulation, and game-playing, once sufficiently cornered and overwhelmed by the evidence of his lifelong problem and served notice that he could change how he operates if only he would make the choice to do so at any given moment, Tom finally does evidence some change.He does this when he admits what I’ve said all along is a problem (i.e.He also didn’t see a problem with his “me first and everybody else should be able to fend themselves” attitude, either.

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