Lippman sees a failure to carry out ego functions as responsible for the outstanding features of psychopathy in children. The extreme narcissism and the instinct-ridden quality of their behavior are subsequent developments, arising from the inability of rejected children to form proper object relationships with the mother in the first year of life. Similar patterns are engendered in turn with the father, siblings, and other persons. As a result the psychopath remains self-centered and does not develop transferences; the outcome is a refusal to consider the well-being of others and a disregard of authority. Social institutions tend further to reject and isolate this type of individual.