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DR. BONIME'S DISCUSSION OF "PARANOID PSYCHODYNAMICS" touches perceptively on a number of central issues in forms of the paranoid psychopathology and provides ample basis for discussion. I will confine the remarks in my discussion to one aspect of his treatment, namely the connection of the dynamics of narcissism with paranoid states, and include some comments on the clinical material he presents.
It should be noted, first of all, that while the concept of paranoid process hovers in the background of the reflections on paranoid psychodynamics, it remains an unfocused and nonspecific background set whose properties never seem to come to bear on or play any significant role in the drama of paranoia. The process note is struck in the first paragraph, but the theme is subsequently abandoned. I say this with regret, since it is my conviction that some