Every once in a while, a new diagnostic label emerges into mass consciousness and people start to use it (and misuse it) as a synonym for bad behavior.
This year’s label seems to be “Narcissist.” I thought that it might be useful to clarify what mental health professionals mean when they talk about narcissism.
What is Narcissistic Personality Disorder?
Narcissistic Personality Disorder (NPD) is the name for a series of coping strategies that began as an adaptation to a childhood family situation that left the person with unstable self-esteem, the inability to regulate their self-esteem without external validation, and low empathy.
As with all three of the major categories of personality disorders—Borderline, Narcissistic, and Schizoid—people with NPD also lack “whole object relations” and “object constancy.”
Whole Object Relations:
This is the capacity to see oneself and others in a stable and integrated way that acknowledges both the person’s good and bad qualities.
This is the ability to maintain a positive emotional connection to someone that you like while you are angry, hurt, frustrated, or disappointed by his or her behavior.
Without “whole object relations” and “object constancy” people with NPD can only see themselves and other people in one of two ways: either they are special, unique, omnipotent, perfect, and entitled (High Status); or they are defective, worthless, garbage (Low Status).
This means that the person struggling with Narcissistic issues cannot hold onto his or her good opinion and good feelings about someone, once he or she notices the other person has a flaw. The other person goes from being special and put on a pedestal to being devalued as “nothing special.”
Narcissists often seesaw back and forth between these two. When they are feeling good about you (or more accurately, you are making them feel good about themselves), they see you as special.
Then you do something that they do not like, such as say “no” to one of their requests, and suddenly you are now all-bad and worthless.
Later on, you may do something that makes them feel good again, and they are back again to seeing you as special.
Normal vs Pathological Narcissism
Unfortunately, in the English language, the word “narcissism” has come to mean two entirely different things, depending on whether it is being used formally as a diagnosis, as in NPD, or informally as a synonym for positive self-regard.
I am often asked, “Isn’t a little bit of narcissism healthy and normal?” I would like to clarify that distinction before I go on.
Normal, Healthy Narcissism:
This is a realistic sense of positive self-regard that is based on the person’s actual accomplishments. It is relatively stable because the person has assimilated into their self-image the successes that came as a result of their actual hard work to overcome real-life obstacles.
Because it is based on real achievements, normal, healthy narcissism is relatively impervious to the minor slights and setbacks that we all experience as we go through life.