This article reviewed the traditional psychoanalytic theories of the develo
pment and maintenance of prejudiced attitudes and affects. To this body of
understanding, the authors offered a self psychological perspective. They d
escribed the treatment of Sandy, a woman who presented with extreme express
ions of prejudice, to illustrate how self psychology provides a framework f
or understanding the narcissistic roots of her prejudice and a therapeutic
stance for promoting the transformation of her prejudiced attitudes and aff
ects. From this perspective, prejudice is understood not as the displacemen
t or projection of aggression, but as an expression of a vulnerable, fragme
ntation-prone self-organization struggling to overcome a traumatic developm
ental history.