Paranoid refers to the central paranoid anxiety, the fear of invasive malevolence. This is experienced as coming from the outside, but ultimately derives from the projection out of the death instinct. Paranoid anxiety can be understood in terms of anxiety about imminent annihilation and derives from a sense of the destructive or death instinct of the child. In this position before the secure internalisation of a good object to protect the ego, the immature ego deals with its anxiety by splitting off bad feelings and projecting them out. However, this causes paranoia. Schizoid refers to the central defense mechanism: splitting, the vigilant separation of the good object from the bad object.