Narcissism at a Glance

What is Pathological Narcissism?

Primary Narcissism, in psychology is a defense mechanism, common in the formative years (6 months to 6 years old). It is intended to shield the infant and toddler from the inevitable hurt and fears involved in the individuation-separation phase of personal development.

Secondary or pathological narcissism is a pattern of thinking and behaving in adolescence and adulthood, which involves infatuation and obsession with one's self to the exclusion of others. It manifests in the chronic pursuit of personal gratification and attention (narcissistic supply), in social dominance and personal ambition, bragging, insensitivity to others, lack of empathy and/or excessive dependence on others to meet his/her responsibilities in daily living and thinking. Pathological narcissism is at the core of the narcissistic personality disorder.

The term narcissism was first used in relation to human psychology by Sigmund Freud after the figure of Narcissus in Greek mythology. Narcissus was a handsome Greek youth who rejected the desperate advances of the nymph Echo. As a punishment, he was doomed to fall in love with his own reflection in a pool of water. Unable to consummate his love, Narcissus pined away and changed into the flower that bears his name, the narcissus.

Other major psychiatrists who contributed to the theory are Melanie Klein, Karen Horney, Heinz Kohut, Otto F. Kernberg, Theodore Millon, Elsa F. Ronningstam, John Gunderson, Robert Hare, and Stephen M. Johnson.

Origins of pathological narcissism

Whether pathological narcissism are the results of genetic programming (see Jose Lopez, Anthony Bemis and others) or of dysfunctional families and faulty upbringing or of anomic societies and disruptive socialisation processes - is still an unresolved debate. The scarcity of scientific research, the fuzziness of the diagnostic criteria and the differential diagnoses make it unlikely that this will be settled soon one way or the other.