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Case Notes

Name: Pieter de Groot

Session Number: 1

Comments: The patient’s lack of affect is notable. He is unwilling to engage and shows a disturbing level of passivity. Nevertheless, he has a high opinion of his own capabilities. The only subject on which he seems willing to discourse is his own intellectual superiority. His self-image is grandiose in the extreme.

His demeanour is not justified by his achievement, which seems best described as mediocre. However, his view of his capacities has been bolstered by a nexus of colleagues who, for unspecified reasons, have demonstrated a lack of willingness to question his own valuation of himself. He cites their failure in this respect as a demonstration of support for his own estimation of his standing in the community.

The patient lacks insight into his own condition.

Therapeutic Action: Altered state therapy initiated.