Secondary passive narcissism, often found with latent or overt homosexuality, paranoia, psychosomatic illness, and character disorders, tends to produce an apparently good social adjustment since individuals with this attitude are usually undemanding, noncompetitive, and even charming. In individual therapy, their improvement is often meager because of their inability to cathect objects. In psychotherapeutic groups this inability is pointed out by fellow members as asocial and pathological. The anguish such interpretations cause the patient can be worked out in individual sessions, while the hostility to the therapist and fellow patients from whom the patient shrinks can be expressed with comparative safety vicariously or openly in the group setting.