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Narcissism From Within: The Difference Between Healthy Self-Esteem and a Pathological Self

Author: Roza Fileva-Hadzhova

Narcissism From Within: The Difference Between Healthy Self-Esteem and a Pathological Self

Are you tired of articles with sensational headlines such as "How to recognise if you're in a relationship with a narcissist?", "The narcissistic personality — its impact on others" — all kinds of texts that leave you feeling as though every other person has narcissistic personality disorder?

Narcissism is, in fact, a natural part of human development, because we all need a sense of self-worth, confidence, and recognition. Narcissism is the foundation of early psychological development — a phase in which the libido is directed toward the self before interest in other people develops (Freud, 1914).

Normal Narcissism: The Foundation of a Healthy Self

Psychoanalysts such as S. Freud and M. Klein describe the early infantile narcissistic phase as a natural and adaptive stage of development, characterised by:

  • Focus on the self: The infant experiences pleasure from its own actions and sensations.
  • Formation of the primary self: This phase lays the groundwork for self-respect and psychological integrity.
  • Object relations: Gradually the child begins to distinguish itself from significant others. Early bonds shape its capacity to build a stable sense of self-worth and autonomy.

The Role of Mirroring and Idealised Objects

Heinz Kohut extends the understanding of narcissism by viewing it not as egocentricity but as a key stage in the construction of a stable and adaptive self. He describes two primary mechanisms:

1. Mirroring

  • The child needs significant others to reflect its achievements and capabilities.
  • Adequate "mirroring" involves recognition and positive feedback.
  • In the absence of such reflection, a fragile self develops that constantly seeks external validation.
  • Through mirroring, self-respect and inner stability are built.

2. Idealisation of the Object

  • The child idealises significant figures and experiences them as powerful and capable of protecting it.
  • Through this process a sense of security and support is formed.
  • Over time these qualities are integrated into the self as internal resources.
  • Adequate idealisation supports the development of resilience, empathy, and the capacity for reciprocity.

Significance for Mental Health

When the needs for mirroring and idealisation are met, a cohesive and stable self is formed. It sustains realistic empathy, allows for easier adaptation in social interactions, and provides inner confidence without dependence on constant external approval.

Borderline Narcissistic Type: When Narcissism Becomes a Difficulty

Otto Kernberg describes pathological narcissism as a condition in which the mechanisms that support the self become distorted. Key characteristics:

  1. Fragile, dependent self-esteem — Self-worth depends on external attention and admiration.
  2. Splitting — Others are perceived as either "all good" or "all bad".
  3. Idealisation and devaluation — There is a rapid shift from idealisation to devaluation.
  4. Limited empathy — Others are frequently experienced as a means of maintaining one's own sense of worth.

How Psychotherapy Can Help

  • Building a more stable self — developing inner supports, autonomy, and durable self-respect.
  • Awareness of and working through defence mechanisms — overcoming splitting and polarised perceptions.
  • Developing empathy and reciprocity — a more realistic understanding of self and others.

References

  1. Freud, S. (1914). On narcissism: An introduction. London: Hogarth Press.
  2. Mahler, M., Pine, F., & Bergman, A. (1975). The psychological birth of the human infant. New York: Basic Books.
  3. Kohut, H. (1971). The analysis of the self. New York: International Universities Press.
  4. Kohut, H. (1977). The restoration of the self. New York: International Universities Press.
  5. Kernberg, O. F. (1975). Borderline conditions and pathological narcissism. New York: Jason Aronson.

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Narcissism: From Normal Development to Borderline Narcissistic Disorder – Psychotherapy | Emotional Consult