11/17/2023 0 Comments Pathological narcissism symptomsNarcissistic delusions rarely persist in the face of blanket opposition and reams of evidence to the contrary. Hence his chameleon-like ability to change guises, his conduct, and his convictions on a dime.ģ. He is a manipulator and his delusions are in the service of his stratagems. His behaviour is intentional and directional. Throughout, the narcissist is in full control of his faculties, cognizant of his choices, and goal-orientated. The narcissist feels better as fiction than as fact - but he never loses sight of the fact that it is all just fiction.Ģ. He is emotionally invested in his personal myth. The narcissist consciously chooses to adopt one version of the events, an aggrandizing narrative, a fairy-tale existence, a "what-if" counterfactual life. The narcissists is usually fully aware of the difference between true and false, real and make-belief, the invented and the extant, right and wrong. Pathological narcissism should not be construed as a form of psychosis because:ġ. ![]() There is a qualitative difference between benign (though well-entrenched) self-deception or even malignant con-artistry - and "losing it". In the strictest sense of the word, narcissists appear to be psychotic. They are unaware of the pathological nature and origin of their self-delusions and are, thus, technically delusional (though they rarely suffer from hallucinations, disorganized speech, or disorganized or catatonic behaviour). Admittedly, narcissists often seem to believe in their own confabulations. "Granted, the narcissist's hold on reality is tenuous (narcissists sometimes fail the reality test). "A hallucination is a "sensory perception that has the compelling sense of reality of a true perception but that occurs without external stimulation of the relevant sensory organ. The narrowest definition of psychosis, according to the DSM-IV-TR, is "restricted to delusions or prominent hallucinations, with the hallucinations occurring in the absence of insight into their pathological nature".Īnd what are delusions and hallucinations?Ī delusion is "a false belief based on incorrect inference about external reality that is firmly sustained despite what almost everyone else believes and despite what constitutes incontrovertible and obvious proof or evidence to the contrary. But can the narcissist "go over the edge"? Do narcissists ever become psychotic?Some terminology first: ![]() Narcissists often experience psychotic micro-episodes during therapy and when they suffer narcissistic injuries in a life crisis. When narcissistic supply is deficient, the narcissist decompensates and acts out in a variety of ways. The grandiosity gap is the abyss between the narcissist's self-image (as reified by his False Self) and reality. They are the reason that the narcissist feels entitled to special treatment which is typically incommensurate with his real accomplishments.
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