| Abstract: | Chronic self-derogation is a common clinical problem, often difficult to treat. It is not a by-product of low self-esteem, but a coping strategy used to: (1) block impulsivity and overcome psychic immobilization, (2) ward off the hostility and aggression of others, and (3) defend against experiences of helplessness, humiliation, and shame. Successful treatment requires the exploration of the underlying presence of conflict, anxiety, helplessness, and threat, and the acquisition of alternate means of mastery and control. |
