Similar individuals often display conflict with authority figures, anti-social acts and manipulative interpersonal stratagems. They may be able to form only superficial and shallow relationships. Similar individuals are often seen as very resentful and suspicious of others. It is likely that this patient feels frequently mistreated. A careful appraisal should differentiate between reality situations and fixed beliefs which may have delusional qualities.
Projection is a prominent defense.
Feelings of persecution and ideas of reference may be present. The open expression of hostility and anger is likely. She has a tendency to impulsively act out sexual conflicts and wishes. Manifestations of such behavior depend on several variables such as occasions for action, age, and social status. She appears to place a great deal of emphasis on feminine interests.