In the years 2011 to 2013 I was in psychotherapy with a psychiatry resident who had a problem with my “know it all” attitude.   He criticized a writing I had prepared that summarized my personality problems as I saw them. The resident accused me of sabotaging my therapy. He said the writing was a sign of my resistance.

I recently came across a paper written by a psychoanalyst that described a patient of his as follows: “She used manic defenses to be always correct and better than her analyst. Any interpretations I made, she had already thought of. This was to prevent the breakdown of her omnipotence and to avoid the loss of her fragile, idealized object.”

In psychoanalysis, the analyst analyzes the patient’s behavior.  Psychiatry residents simply criticize the patient’s behavior.