Pathological narcissism psychosis and delusions

One of the most important symptoms of pathological narcissism (the Narcissistic Personality Disorder) is grandiosity. Grandiose fantasies (megalomaniac delusions of grandeur) permeate every aspect of the narcissist's personality. They are the reason that the narcissist feels entitled to special treatment which is typically incommensurate with his real accomplishments. The Grandiosity Gap is the abyss between the narcissist's self-image (as reified by his False Self) and reality.

When Narcissistic Supply is deficient, the narcissist de-compensates and acts out in a variety of ways. Narcissists often experience psychotic micro-episodes during therapy and when they suffer narcissistic injuries in a life crisis. But can the narcissist "go over the edge"? Do narcissists ever become psychotic?

Some terminology first:

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".

And what are delusions and hallucinations?

A 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".

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".

Granted, the narcissist's hold on reality is tenuous (narcissists sometimes fail the reality test). Admittedly, narcissists often seem to believe in their own confabulations. They are unaware of the pathological nature and origin of their self-delusions and are, thus, technically delusional (though they rarely suffer from hallucinations, disorganised speech, or disorganised or catatonic behaviour). In the strictest sense of the word, narcissists appear to be psychotic.

But, actually, they are not. There is a qualitative difference between benign (though well-entrenched) self-deception or even malignant con-artistry – and "losing it".

Pathological narcissism should not be construed as a form of psychosis because:

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. The narcissist consciously chooses to adopt one version of the events, an aggrandising narrative, a fairy-tale existence, a "what-if" counterfactual life. He is emotionally invested in his personal myth. The narcissist feels better as fiction than as fact – but he never loses sight of the fact that it is all just fiction.

Throughout, the narcissist is in full control of his faculties, cognisant of his choices, and goal-orientated. His behaviour is intentional and directional. He is a manipulator and his delusions are in the service of his stratagems. Hence his chameleon-like ability to change guises, his conduct, and his convictions on a dime.

Narcissistic delusions rarely persist in the face of blanket opposition and reams of evidence to the contrary. The narcissist usually tries to convert his social milieu to his point of view. He attempts to condition his nearest and dearest to positively reinforce his delusional False Self. But, if he fails, he modifies his profile on the fly. He "plays it by ear". His False Self is extemporaneous – a perpetual work of art, permanently reconstructed in a reiterative process designed around intricate and complex feedback loops.

Though the narcissistic personality is rigid – its content is always in flux. Narcissists forever re-invent themselves, adapt their consumption of Narcissistic Supply to the "marketplace", attuned to the needs of their "suppliers". Like the performers that they are, they resonate with their "audience", giving it what it expects and wants. They are efficient instruments for the extraction and consumption of human reactions.

As a result of this interminable process of fine tuning, narcissists have no loyalties, no values, no doctrines, no beliefs, no affiliations, and no convictions. Their only constraint is their addiction to human attention, positive or negative.

Psychotics, by comparison, are fixated on a certain view of the world and of their place in it. They ignore any and all information that might challenge their delusions. Gradually, they retreat into the inner recesses of their tormented mind and become dysfunctional.

Narcissists can't afford to shut out the world because they so heavily depend on it for the regulation of their labile sense of self-worth. Owing to this dependence, they are hypersensitive and hypervigilant, alert to every bit of new data. They are continuously busy rearranging their self-delusions to incorporate new information in an ego-syntonic manner.

This is why the Narcissistic Personality Disorder is insufficient grounds for claiming a "diminished capacity" (insanity) defence. Narcissists are never divorced from reality – they crave it, and need it, and consume it in order to maintain the precarious balance of their disorganised, borderline-psychotic personality. All narcissists, even the freakiest ones, can tell right from wrong, act with intent, and are in full control of their faculties and actions.

The world s greatest lie

"Everyone believes the world's greatest lie..." says the mysterious old man.

"What is the world's greatest lie?" the little boy asks.

The old man replies, "It's this: that at a certain point in our lives, we lose control of what's happening to us, and our lives become controlled by fate. That's the world's greatest lie."

(An excerpt from The Alchemist by Paulo Coelho. A fable about following your dreams.)

Do you believe you have no control over your life? Are you who you are today, by choice or by fate? Will a change in your actions create a change in your life? Many people have given up on their dreams... they say, "Dreaming is only for the rich. When you have money, you can dream. When you have no money, don't dream."

That's true... not everyone is lucky enough to be born with a silver spoon. If you are lacking in funds, it's going to be difficult to start living life the way you want to. Money buys you freedom to follow your passions. But you don't have to give up on your dreams, just because you lack money. Depending on where you are brought up, you will face limitations depending on your family finance, culture, and environment. Some of us are born to have easy lives, while some are born to take a more challenging path. Perhaps the limitations and obstacles you face today are part of your journey -- you must overcome them to grow stronger on the path to achieving your goals.

When we are young, we all seem to have clear idea of what we want to be when we grow up. But somewhere along the way, these dreams get buried under the reality of daily living. The focus shifts from 'living the dream' to just 'finding a good job with a stable income'. "Survival first", as they call it. The sad part is that many people spend much of their lives doing what they don't like, so they can finally earn enough to start doing what they do like. I say, that's a great way to bury your happiness and turn into an economic slave. Doing what you dislike, day after day, will numb the sense of joy within you. Soon you will feel that your life has no greater purpose, and there is nothing to look forward to but work, work, work.... You will have forgotten how much fun it is to spend your time doing the things you like to do.

*~The Secret to Living Your Dreams~*

It's painful if you don't make enough money to live comfortably. But what’s more painful is if the work you do has no meaning to you. Everyday you can drag yourself to work, perform meaningless actions, and then drag yourself back home. Apart from sleeping, work takes up the majority of our time. So if you're not enjoying your work, you're not enjoying your life. And life is so short, isn't it? We probably have less than a hundred years to make our mark in this world. And you never know... you fail to look while crossing the road and BOOM! You could be gone tomorrow. So why spend your life doing something you don't like to do? We don't slog three-quarters of our lives just so we can enjoy one-quarter... we might not live that long. Realize that the essence of your life is happening right now -- you are walking a path; making your journey through life. And if the work you do, is not designed to help you fulfill your higher purpose in life, then perhaps you are walking in the wrong direction. No point taking this path... change direction.

For your dream to stay alive, you have to act on it. It's like a fire that grows brighter and stronger if you fan its flames and keep adding wood. If you leave the fire alone, never doing anything to keep it alive, it will burn itself out. When you fail to act on your dreams, they die.

A little girl called Leanne wants to be a ballerina. But her family is poor and unable to afford the fees of the fine arts dance school. Her father tells her not to dream because dreaming is only for the rich. But her mother says, "Lea, you can be whatever you want to be. As long as you put your heart into it, and never give up. Always hold on to your dreams because when there's a will, there's a way."

Leanne remembered her mother's words. She paid her way through a college degree in the fine arts, using money she earned from working full-time. She was talent scouted by the Royal Dance and Music Theatre of England, where she began her illustrious career as a ballerina. Earning in British pounds, she made more than enough to support her family and give them a comfortable lifestyle.

Leanne had a choice... to fervently believe in her dreams, and do whatever it takes to achieve it, or believe the World's Greatest Lie... that at some point in her life, she lost control, and fate took over. She had to have the courage to step up to her dreams, and not give up just because she lacked money. If she listened to her father and put her love aside because dreaming was only for the rich, then she wouldn't have lived to experience her passion. She would pass on from this world, with the music still left within her... buried under some obscure belief that she could never make money doing what she loved to do.

There is music within you, and you only need to coax it out. The daily grind forces us to forget what we love to do. Imagine you're retired… You have enough money to live comfortably, but not to splurge. How would you spend your time? What activities would you find purpose in? What would you do to amuse yourself? If you have an idea of what you would love to do but are not doing, then schedule some time everyday to do it. Making time for what you love is just like fanning the flames of your passion -- the fire can only grow stronger. It's what will bring a sense of purpose and meaning into your life; that spark of joy and wonder.

The happiest people are those who enjoy their work. They've managed to make money doing what they love to do, just like Leanne. And this can happen for you... if you are willing to reject the World's Greatest Lie. Realize that you always have control over your actions, and therefore your results. The only time your start to fail in life, is when you stop believing in your ability to make a difference. You don't need a silver spoon; you don't need to be a genius. What you need is a sincere belief in yourself and willingness to take action towards your dreams. Believe me, you have what it takes. Just follow what British Prime Minister, Winston Churchill said in World War II: "...never give up, never give up." And you'll win the war.