"Dr. Karasu, known as an expert in treating the wealthy and powerful, recognized a common pitfall among his peers: Rich people can be seductive. "The therapist wants to identify with the patients and comes to see it as his role to help them get more wealthy," he said. [...] it can be hard to resist the temptation to sycophantically adopt their point of view."It used to be that my patients were the children of the rich: inheritors, people who suffered from the neglect of jet-setting parents or from the fear that no matter what they did, they would never measure up to their father's accomplishments," he recalled. "Now I see so many young people - people in their 30s and 40s - who've made the money themselves."
Dr. Stone said those two kinds of patients tended to have different problems: "In my experience, there was a high incidence of depression in the people who were born rich. And by contrast, the people today who are making a fortune are so often narcissistic in a way that excludes depression."
Dr. Karasu and several of his peers voiced a concern that a rich person today was ever more inclined to view his or her psychotherapist as nothing more than a highly skilled member of his personal army.
He added: "It's King Ludwig Syndrome. In the 19th century, Bernhard von Gudden was the psychiatrist for the Bavarian royal family and began to treat King Ludwig II, who was psychotic. In the end, the two of them drowned in a boat. So I teach my people who are treating wealthy people, 'Don't get in your patients' boats.' "
From: http://www.nytimes.com/2008/07/07/nyregion/07therapists.html?_r=2&ei=5087&em=&en=f3c64fc677840da0&ex=1215576000&oref=slogin&pagewanted=all
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