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Narcissism

Narcissism is a self–centered personality style characterized as having an excessive preoccupation with oneself and one's own needs, often at the expense of others.[1][2]

For the clinical disorder, see Narcissistic personality disorder.

Narcissism exists on a continuum that ranges from normal to abnormal personality expression.[3] While many psychologists believe that a moderate degree of narcissism is normal and healthy in humans, there are also more extreme forms, observable particularly in people who are excessively self-absorbed, or who have a mental illness like narcissistic personality disorder (NPD), where the narcissistic tendency has become pathological,[3][4] leading to functional impairment and psychosocial disability.[5]

A sexual perversion,

A normal developmental stage,

A symptom in psychosis, and

A characteristic in several of the object relations [subtypes].

[10]

The term narcissism is derived from Narcissus, a character in Greek mythology best known from the telling in Roman poet Ovid's Metamorphoses, written in 8 CE. Book III of the poem tells the mythical story of a handsome young man, Narcissus, who spurns the advances of many potential lovers. When Narcissus rejects the nymph Echo, who was cursed to only echo the sounds that others made, the gods punish Narcissus by making him fall in love with his own reflection in a pool of water. When Narcissus discovers that the object of his love cannot love him back, he slowly pines away and dies.[6]


The concept of excessive selfishness has been recognized throughout history. In ancient Greece, the concept was understood as hubris.[7] Some religious movements such as the Hussites attempted to rectify what they viewed as the shattering and narcissistic cultures of recent centuries.[8]


It was not until the late 1800s that narcissism began to be defined in psychological terms.[9] Since that time, the term has had a significant divergence in meaning in psychology. It has been used to describe:


In 1889, psychiatrists Paul Näcke and Havelock Ellis used the term "narcissism", independently of each other, to describe a person who treats their own body in the same way in which the body of a sexual partner is ordinarily treated. Narcissism, in this context, was seen as a perversion that consumed a person's entire sexual life.[9] In 1911 Otto Rank published the first clinical paper about narcissism, linking it to vanity and self-admiration.[11][9]


In an essay in 1913 called "The God-complex", Ernest Jones considered extreme narcissism as a character trait. He described people with the God-complex as being aloof, self-important, overconfident, auto-erotic, inaccessible, self-admiring, and exhibitionistic, with fantasies of omnipotence and omniscience. He observed that these people had a high need for uniqueness.[12][13][14]


Sigmund Freud (1914) published his theory of narcissism in a lengthy essay titled "On Narcissism: An Introduction". For Freud, narcissism refers to the individual's direction of libidinal energy toward themselves rather than objects and others. He postulated a universal "primary narcissism", that was a phase of sexual development in early infancy – a necessary intermediate stage between auto-eroticism and object-love, love for others. Portions of this 'self-love' or ego-libido are, at later stages of development, expressed outwardly, or "given off" toward others. Freud's postulation of a "secondary narcissism" came as a result of his observation of the peculiar nature of the schizophrenic's relation to themselves and the world. He observed that the two fundamental qualities of such patients were megalomania and withdrawal of interest from the real world of people and things: "the libido that has been withdrawn from the external world has been directed to the ego and thus gives rise to an attitude which may be called narcissism."[15][16] It is a secondary narcissism because it is not a new creation but a magnification of an already existing condition (primary narcissism).


In 1925, Robert Waelder conceptualized narcissism as a personality trait. His definition described individuals who are condescending, feel superior to others, are preoccupied with admiration, and exhibit a lack of empathy.[17] Waelder's work and his case study have been influential in the way narcissism and the clinical disorder narcissistic personality disorder are defined today. His patient was a successful scientist with an attitude of superiority, an obsession with fostering self-respect, and a lack of normal feelings of guilt. The patient was aloof and independent from others, had an inability to empathize with others, and was selfish sexually. Waelder's patient was also overly logical and analytical and valued abstract intellectual thought over the practical application of scientific knowledge.[18]


Karen Horney (1939) postulated that narcissism was on a spectrum that ranged from healthy self-esteem to a pathological state.[17]


The term entered the broader social consciousness following the publication of The Culture of Narcissism by Christopher Lasch in 1979.[19] Since then, social media, bloggers, and self-help authors have indiscriminately applied "narcissism"[20] as a label for the self-serving and for all domestic abusers.[21][22]

Characteristics

Normal and healthy levels of narcissism

Some psychologists suggest that a moderate level of narcissism is supportive of good psychological health. Self-esteem works as a mediator between narcissism and psychological health. Therefore, because of their elevated self-esteem, deriving from self-perceptions of competence and likability, high narcissists are relatively free of worry and gloom.[23]

Destructive levels of narcissism

While narcissism, in and of itself, can be considered a normal personality trait, high levels of narcissistic behavior can be harmful to both self and others.[24][25] Destructive narcissism is the constant exhibition of a few of the intense characteristics usually associated with pathological narcissistic personality disorder such as a "pervasive pattern of grandiosity", which is characterized by feelings of entitlement and superiority, arrogant or haughty behaviors, and a generalized lack of empathy and concern for others.[2] On a spectrum, destructive narcissism is more extreme than healthy narcissism but not as extreme as the pathological condition.[26]

Expressions of narcissism

Primary expressions

Two primary expressions of narcissism have been identified: grandiose ("thick-skinned") and vulnerable ("thin-skinned"). Recent accounts posit that the core of narcissism is self-centred antagonism (or "entitled self-importance"), namely selfishness, entitlement, lack of empathy, and devaluation of others.[33] Grandiosity and vulnerability are seen as different expressions of this antagonistic core, arising from individual differences in the strength of the approach and avoidance motivational systems.[34]

Clearly defining the difference between normal and pathological narcissism,

[63]

Understanding the role of self-esteem in narcissism,

[63]

Reaching a consensus on the classifications and definitions of sub-types such as "grandiose" and "vulnerable dimensions" or variants of these,

[63]

Understanding what are the central versus peripheral, primary versus secondary features/characteristics of narcissism,

Determining if there is consensual description,

[63]

Agreeing on the factors,[63]

etiological

Deciding what field or discipline narcissism should be studied by,

[63]

Agreeing on how it should be assessed and measured, and

[63]

Agreeing on its representation in textbooks and classification manuals.

[63]

There has been an increased interest in narcissism and narcissistic personality disorder (NPD) in the last 10 years.[63] There are areas of substantial debate that surround the subject including:


This extent of the controversy was on public display in 2010–2013 when the committee on personality disorders for the 5th Edition (2013) of the Diagnostic and Statistical Manual of Mental Disorders recommended the removal of Narcissistic Personality from the manual. A contentious three-year debate unfolded in the clinical community with one of the sharpest critics being John Gunderson, MD, the person who led the DSM personality disorders committee for the 4th edition of the manual.[64]

Compensation

Empathy

Entitlement

Grandiosity

Self-esteem