Arshile Gorky was born in poverty as Vosdanig Adoian around 1903 in the Armenian town of Khorkom, near Van City in Ottoman Turkey, during a period of cruel Turkish persecution of the Armenians that eventually ended in the horrible slaughter of the Armenian people that shocked the civilized world. Gorky’s life story immediately brings to mind Deutsch’s concept of the "as-if" personality (1), but Gorky disintegrated into fragmentation, psychotic depression, and suicide at the end of his life. There was, however, one significant difference between Gorky and the patient with the type of borderline or narcissistic personality disorder one commonly sees in clinical practice: Gorky was an authentic genius. He remained unassimilated, intransigent, chauvinistic toward women, and absurdly proud and arrogant. After the development of rectal cancer necessitating a colostomy, he deteriorated into a life of violence, paranoia, and overt borderline impulse disorder. No better example could be found of my description (2) of how an artist’s neurotic, borderline, or psychotic psychopathology hampers the artist’s creativity throughout life and wrecks any chance for finding the appropriate mirroring and audience that artists need to stabilize a sense of self and stimulate the full potential of their creative talents.