The relationships of patients with borderline and narcissistic personality disorders move through predictable stages. Initially there is idealization and overvaluation of the object and then disappointment when unrealistic needs are not met
The nurse can predict that the final stages will be: a. devaluation and rejection of the object.
b. forgiveness and reinvestment in the object.
c. reaction formation to the object and distancing.
d. projection and incorporation of the object into a delusion.
A
Devaluation and rejection are based on narcissistic injury. Based on the tendency to see people as all good or all bad, devaluation and rejection of the all-bad object are logical to the person.
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