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The Developmental 

Psychology of 
Psychopathology 



2nd EDITION 



Sam Vaknin, Ph.D. 



Editing and Design: 

Lidija Rangelovska 



Lidija Rangelovska 
A Narcissus Publications Imprint, Skopje 2006 

Not for Sale! Non-commercial edition. 



© 2002-6 Copyright Lidija Rangelovska. 

All rights reserved. This book, or any part thereof, may not be used or reproduced in 

any manner without written permission from: 

Lidija Rangelovska - write to: 

palma@unet.com,mk or to 

vaknin@link.com.mk 

Find additional articles about personality disorders here - click on the 
links: 

http://www.narcissistic-abuse.com/faqpd.html 

http://www.narcissistic-abuse.com/faq82.html 

http://open- 

site.org/Health/Conditions and Diseases/Psychiatric Disorders/Personality/ 

http://personalitydisorders.suitel01.com/ 

Philosophical Musings and Essays 

http://samvak.tripod.com/culture.html 

Malignant Self Love - Narcissism Revisited 

http://samvak.tripod.com/ 



Created by: LIDIJA RANGELOVSKA 

REPUBLIC OF MACEDONIA 



CONTENTS 

A. Notes on Developmental Psychology 

Brain and Personality 

Psychosexual Stages of Development 

Gender and Personality Disorders 

The Genetic Roots of Personality Disorders 

Defense Mechanisms 

B. Topics in Developmental Psychology 

The Narcissistic Parent 

The Narcissist's Mother 

Born Alien 

Parenting - The Irrational Vocation 

The Development of Narcissists and Schizoids 

Serial Killers 

Sex, or Gender 

The Natural roots of Sexuality 

The Incest Taboo 

The Roots of Pedophilia 

Homosexual and Transsexual Narcissists 

The Insanity of the Defense 

The Author 



Notes on Developmental 
Psychology 



Brain and Personality 

First published here: "Personality Disorders (SuitelOl)" 

By: Dr. Sam Vaknin 

Phineas Gage was a 25 years old construction foreman 
who lived in Vermont in the 1860s. While working on a 
railroad bed, he packed powdered explosives into a hole 
in the ground, using tamping iron. The powder heated and 
blew in his face. The tamping iron rebounded and pierced 
the top of his skull, ravaging the frontal lobes. 

In 1868, Harlow, his doctor, reported the changes to his 
personality following the accident: 

He became "fitful, irreverent, indulging at times in the 
grossest profanity (which was not previously his 
customs), manifesting but little deference to his fellows, 
impatient of restraint or advice when it conflicts with his 
desires, at times pertinaciously obstinate yet capricious 
and vacillating, devising many plans for future operation 
which are no sooner arranged than they are abandoned in 
turn for others appearing more feasible ... His mind was 
radically changed, so that his friends and acquaintances 
said he was no longer Gage." 

In other words, his brain injury turned him into a 
psychopathic narcissist. 

Similarly startling transformation have been recorded 
among soldiers with penetrating head injuries suffered in 
World War I. Orbitomedial wounds made people 
"pseudopsychopathic": grandiose, euphoric, disinhibited, 



and puerile. When the dorsolateral convexities were 
damaged, those affected became lethargic and apathetic 
("pseudodepressed"). As Geschwind noted, many had 
both syndromes. 

The DSM is clear: the brain-injured may acquire traits and 
behaviors typical of certain personality disorders but head 
trauma never results in a full-fledged personality disorder. 

"General diagnostic criteria for a personality disorder: 
F. The enduring pattern is not due to the direct 
physiological effects of a substance (e.g., a drug of abuse, 
a medication) or a general medical condition (e.g., head 
trauma)." (DSM-IV-TR, p.689) 

From my book "Malignant Self-love - Narcissism 
Revisited" : 

"It is conceivable, though, that a third, unrelated 
problem causes chemical imbalances in the brain, 
metabolic diseases such as diabetes, pathological 
narcissism, and other mental health syndromes. There 
may be a common cause, a hidden common denominator 
(perhaps a group of genes). 

Certain medical conditions can activate the narcissistic 
defense mechanism. Chronic ailments are likely to lead 



to the emergence of narcissistic traits or a narcissistic 
personality style. Traumas (such as brain injuries) have 
been known to induce states of mind akin to full-blown 
personality disorders. Such "narcissism", though, is 
reversible and tends to be ameliorated or disappear 
altogether when the underlying medical problem does. 
Other disorders, like the Bipolar Disorder (mania- 
depression) are characterised by mood swings that are 
not brought about by external events (endogenous, not 
exogenous). But the narcissist's mood swings are strictly 
the results of external events (as he perceives and 
interprets them, of course). 

But phenomena, which are often associated with NPD 
(Narcissistic Personality Disorder), such as depression 
or OCD (obsessive-compulsive disorder), are treated with 
medication. Rumour has it that SSRI's (such as 
Fluoxetine, known as Prozac) might have adverse effects 
if the primary disorder is NPD. They sometimes lead to 
the Serotonin syndrome, which includes agitation and 
exacerbates the rage attacks typical of a narcissist. The 
use of SSRI's is associated at times with delirium and 
the emergence of a manic phase and even with psychotic 
microepisodes. 

This is not the case with the heterocyclics, MAO and 
mood stabilisers, such as lithium. Blockers and 



inhibitors are regularly applied without discernible 
adverse side effects (as far as NPD is concerned). 

Not enough is known about the biochemistry of NPD. 
There seems to be some vague link to Serotonin but no 
one knows for sure. There isn 't a reliable non-intrusive 
method to measure brain and central nervous system 
Serotonin levels anyhow, so it is mostly guesswork at this 
stage. " 

Read more about Narcissism and the Bipolar Disorder - 
click HERE! 

Read more about Narcissism and Asperger's Disorder - 
click HERE! 

Back to Table of Contents 



Psychosexual Stages of Personal Development 

First published here: "Personality Disorders (SuitelOl)" 

By: Dr. Sam Vaknin 



The Viennese neurologist, Sigmund Freud, was among the 
first to offer a model of psychological development in 
early childhood (within the framework of psychoanalysis). 
He closely linked the sex drive (libido) to the formation of 
personality and described five psychosexual stages, four 
of which are centered around various erogenous zones in 
the body. 

The pursuit of pleasure ("the pleasure principle") and the 
avoidance of pain drive the infant to explore his or her self 
and the world at large. Pleasure is inextricably linked to 
sexual gratification. In the oral phase (from birth to 24 
months), the baby focuses on the tongue, lips, and mouth 
and derives gratification from breast feeding, thumb 
sucking, biting, swallowing, and other oral exploratory 
activities. 

This is naturally followed by the anal stage (24 to 36 
months). The baby immensely enjoys defecation and 
related bowel movements. But it is also the first time in 
his or her life that the toddler is subjected to the censure 
and displeasure of caretakers. Hitherto unconditionally 
adoring adults now demand that the infant delay 
gratification, relieve himself only in the bathroom, and not 
play with his feces. This experience - of hitherto 
unprecedented adult approbation - can be traumatic. 



The phallic stage (age 3 to 6 years) involves the discovery 
of the penis and clitoris as foci of pleasurable experience. 
This tantalizing novelty is coupled with sexual desire 
directed at the parent of the opposite sex (boys are 
attracted to their mothers and girls, to their fathers). The 
child overtly and covertly competes with the same-sex 
parent for the desired parent's attention: boys joust with 
their fathers and girls with their mothers. These are the 
famous Oedipal and Electra complexes. 

If the parent is insufficiently mature or narcissistic and 
encourages the attentions of the child in acts of covert 
(emotional) and overt (physical) incest, it could lead to the 
development of certain mental health disorders, among 
them the Histrionic, Narcissistic, and Borderline 
personality disorders. Doting, over-indulgence, and 
smothering are, therefore, forms of child abuse. Sexual 
innuendo, treating the child as an adult or substitute 
partner, or regarding one's offspring as an extension of 
one's self also constitute abusive conduct. 

The phallic stage is followed by 6 to 7 years of latent 
sexuality that is rekindled in puberty. Adolescence is a 
period of personal development labeled by Freud the 
genital phase. In the previous rungs of psychosexual 
evolution, the child's own body was the source of sexual 
pleasure. Hitherto, the adolescent and young adult seeks 
sexual gratification from and invests sexual energy in 
others. This object-relatedness is what we call mature 
love. 



Also read these: 



10 



The Pathology of Love - click HERE! 

In Defense of Psychoanalysis - click HERE! 

On Incest - click HERE! 



Many additional Frequently Asked Questions (FAQs) 
about Personality Disorders - click HERE! 

Back to Table of Contents 



11 



Gender Bias 
In Diagnosing Personality Disorders 

First published here: "Personality Disorders (SuitelOl)" 
By: Dr. Sam Vaknin 

Ever since Freud, more women than men sought therapy. 
Consequently, terms like "hysteria' are intimately 
connected to female physiology and alleged female 
psychology. The DSM (Diagnostic and Statistical Manual, 
the bible of the psychiatric profession) expressly professes 
gender bias: personality disorders such as Borderline and 
Histrionic are supposed to be more common among 
women, but the DSM is rather even-handed: other 
personality disorders (e.g., the Narcissistic and Antisocial 
as well as the Schizotypal, Obsessive-Compulsive, 
Schizoid, and Paranoid) are more prevalent among men. 

Why this gender disparity? There are a few possible 
answers: 

Maybe personality disorders are not objective clinical 
entities, but culture-bound syndromes. In other words, 
perhaps they reflect biases and value judgments. Some 
patriarchal societies are also narcissistic. They emphasize 
qualities such as individualism and ambition, often 
identified with virility. Hence the preponderance of 
pathological narcissism among men. Women, on the other 
hand, are widely believed to be emotionally labile and 
clinging. This is why most Borderlines and Dependents 
are females. 

Upbringing and environment, the process of socialization 



12 



and cultural mores all play an important role in the 
pathogenesis of personality disorders. These views are not 
fringe: serious scholars (e.g., Kaplan and Pantony, 1991) 
claim that the mental health profession is inherently 
sexist. 

Then again, genetics may be is at work. Men and women 
do differ genetically. This may account for the variability 
of the occurrence of specific personality disorders in men 
and women. 

Some of the diagnostic criteria are ambiguous or even 
considered "normal" by the majority of the population. 
Histrionics "consistently use physical appearance to draw 
attention to self." Well, who doesn't in Western society? 
Why when a woman clings to a man it is labeled 
"codependence", but when a man relies on a woman to 
maintain his home, take care of his children, choose his 
attire, and prop his ego it is "companionship" (Walker, 
1994)? 

The less structured the interview and the more fuzzy the 
diagnostic criteria, the more the diagnostician relies on 
stereotypes (Widiger, 1998). 

Quotes from the Literature 

"Specifically, past research suggests that exploitive 
tendencies and open displays of feelings of entitlement 
will be less integral to narcissism for females than for 
males. For females such displays may carry a greater 
possibility of negative social sanctions because they 
would violate stereotypical gender-role expectancies for 
women, who are expected to engage in such positive 
social behavior as being tender, compassionate, warm, 



13 



sympathetic, sensitive, and understanding. 

In females, Exploitiveness/Entitlement is less well- 
integrated with the other components of narcissism as 
measured by the Narcissistic Personality Inventory 
(NPI) - Leadership/ Authority, Self-absorption/Self- 
admiration, and Superiority/Arrogance- than in males - 
though 'male and female narcissists in general showed 
striking similarities in the manner in which most of the 
facets of narcissism were integrated with each other'. " 

Gender differences in the structure of narcissism: a 
multi-sample analysis of the narcissistic personality 
inventory - Brian T. Tschanz, Carolyn C. Morf Charles 
W. Turner - Sex Roles: A Journal of Research - Issue: 
May, 1998 

"Women leaders are evaluated negatively if they 
exercise their authority and are perceived as autocratic. " 

Eagly, A. H., Makhijani, M. G., & Klonsky, B. G. (1992). 
Gender and the evaluation of leaders: A meta-analysis. 
Psychological Bulletin, 111, 3-22, and ... 

Butler, D., & Gels, F. L. (1990). Nonverbal affect 
responses to male and female leaders: Implications for 
leadership evaluations. Journal of Personality and 
Social Psychology, 58, 48-59. 

"Competent women must also appear to be sociable and 
likable in order to influence men - men must only 
appear to be competent to achieve the same results with 
both genders. " 

Carli, L. L., Lafleur, S. J., & Loeber, C. C. (1995). 



14 



Nonverbal behavior, gender, and influence. Journal of 
Personality and Social Psychology, 68, 1030-1041. 

Gender and the Narcissist - click HERE! 

Homosexual and Transsexual Narcissists - click HERE! 

Sex and Gender - click HERE! 



Many additional Frequently Asked Questions (FAQs) 
about Personality Disorders - click HERE! 

Back to Table of Contents 



15 



Genetics and Personality Disorders 

First published here: "Personality Disorders (SuitelOl)" 

By: Dr. Sam Vaknin 

Are personality disorders the outcomes of inherited traits? 
Are they brought on by abusive and traumatizing 
upbringing? Or, maybe they are the sad results of the 
confluence of both? 

To identify the role of heredity, researchers have resorted 
to a few tactics: they studied the occurrence of similar 
psychopathologies in identical twins separated at birth, in 
twins and siblings who grew up in the same environment, 
and in relatives of patients (usually across a few 
generations of an extended family). 

Tellingly, twins - both those raised apart and together - 
show the same correlation of personality traits, 0.5 
(Bouchard, Lykken, McGue, Segal, and Tellegan, 1990). 
Even attitudes, values, and interests have been shown to 
be highly affected by genetic factors (Waller, Kojetin, 
Bouchard, Lykken, et al., 1990). 

A review of the literature demonstrates that the genetic 
component in certain personality disorders (mainly the 
Antisocial and Schizotypal) is strong (Thapar and 
McGuffin, 1993). Nigg and Goldsmith found a connection 
in 1993 between the Schizoid and Paranoid personality 
disorders and schizophrenia. 

The three authors of the Dimensional Assessment of 
Personality Pathology (Livesley, Jackson, and Schroeder) 
joined forces with Jang in 1993 to study whether 18 of the 



16 



personality dimensions were heritable. They found that 40 
to 60% of the recurrence of certain personality traits 
across generations can be explained by heredity: 
anxiousness, callousness, cognitive distortion, 
compulsivity, identity problems, oppositionality, 
rejection, restricted expression, social avoidance, stimulus 
seeking, and suspiciousness. Each and every one of these 
qualities is associated with a personality disorder. In a 
roundabout way, therefore, this study supports the 
hypothesis that personality disorders are hereditary. 

This would go a long way towards explaining why in the 
same family, with the same set of parents and an identical 
emotional environment, some siblings grow to have 
personality disorders, while others are perfectly "normal". 
Surely, this indicates a genetic predisposition of some 
people to developing personality disorders. 

Still, this oft-touted distinction between nature and nurture 
may be merely a question of semantics. 

As I wrote in my book, "Malignant Self Love - 
Narcissism Revisited" : 

"When we are born, we are not much more than the 
sum of our genes and their manifestations. Our brain - a 
physical object - is the residence of mental health and its 
disorders. Mental illness cannot be explained without 
resorting to the body and, especially, to the brain. And 
our brain cannot be contemplated without considering 
our genes. Thus, any explanation of our mental life that 
leaves out our hereditary makeup and our 
neurophysiology is lacking. Such lacking theories are 
nothing but literary narratives. Psychoanalysis, for 
instance, is often accused of being divorced from 



17 



corporeal reality. 

Our genetic baggage makes us resemble a personal 
computer. We are an all-purpose, universal, machine. 
Subject to the right programming (conditioning, 
socialization, education, upbringing) - we can turn out 
to be anything and everything. A computer can imitate 
any other kind of discrete machine, given the right 
software. It can play music, screen movies, calculate, 
print, paint. Compare this to a television set - it is 
constructed and expected to do one, and only one, thing. 
It has a single purpose and a unitary function. We, 
humans, are more like computers than like television 
sets. 

True, single genes rarely account for any behavior or 
trait. An array of coordinated genes is required to 
explain even the minutest human phenomenon. 
"Discoveries " of a "gambling gene" here and an 
"aggression gene" there are derided by the more serious 
and less publicity -prone scholars. Yet, it would seem that 
even complex behaviors such as risk taking, reckless 
driving, and compulsive shopping have genetic 
underpinnings. " 

Read More 

Liveslye, W.J., Jank, K.L., Jackson, B.N., Vernon, P.A.. 
1993. Genetic and environmental contributions to 
dimensions of personality disorders. Am. J. Psychiatry. 
150(0 12): 1826-31. 

On Dis-ease - click HERE! 

The Interrupted Self- click HERE! 



The Genetic Roots of Narcissism - Click HERE! 



Many additional Frequently Asked Questions (FAQs) 
about Personality Disorders - click HERE! 

Back to Table of Contents 



19 



Defense Mechanisms 

First published here: "Personality Disorders (SuitelOl)" 

By: Dr. Sam Vaknin 

According to Freud and his followers, our psyche is a 
battlefield between instinctual urges and drives (the id), 
the constraints imposed by reality on the gratification of 
these impulses (the ego), and the norms of society (the 
superego). This constant infighting generates what Freud 
called "neurotic anxiety" (fear of losing control) and 
"moral anxiety" (guilt and shame). 

But these are not the only types of anxiety. "Reality 
anxiety" is the fear of genuine threats and it combines 
with the other two to yield a morbid and surrealistic inner 
landscape. 

These multiple, recurrent, "mini-panics" are potentially 
intolerable, overwhelming, and destructive. Hence the 
need to defend against them. There are dozens of defense 
mechanisms. The most common among them: 

Acting Out 

When an inner conflict (most often, frustration) translates 
into aggression. It involves acting with little or no insight 
or reflection and in order to attract attention and disrupt 
other people's cosy lives. 

Denial 



20 



Perhaps the most primitive and best known defense 
mechanism. People simply ignore unpleasant facts, they 
filter out data and content that contravene their self-image, 
prejudices, and preconceived notions of others and of the 
world. 

Devaluation 

Attributing negative or inferior traits or qualifiers to self 
or others. This is done in order to punish the person 
devalued and to mitigate his or her impact on and 
importance to the devaluer. When the self is devalued, it 
is a self-defeating and self-destructive act. 

Displacement 

When we cannot confront the real sources of our 
frustration, pain, and envy, we tend to pick a fight with 
someone weaker or irrelevant and, thus, less menacing. 
Children often do it because they perceive conflicts with 
parents and caregivers as life-threatening. Instead, they go 
out and torment the cat or bully someone at school or lash 
out at their siblings. 

Dissociation 

Our mental existence is continuous. We maintain a 
seamless flow of memories, consciousness, perception, 
and representation of both inner and external worlds. 
When we face horrors and unbearable truths, we 
sometimes "disengage". We lose track of space, time, and 
the continuum of our identity. We become "someone else" 
with minimal awareness of our surroundings, of incoming 
information, and of circumstances. In extreme cases, some 



21 



people develop a permanently rent personality and this is 
known as "Dissociative Identity Disorder (DID)". 

Fantasy 

Everyone fantasizes now and then. It helps to fend off the 
dreariness and drabness of everyday life and to plan for an 
uncertain future. But when fantasy becomes a central 
feature of grappling with conflict, it is pathological. 
Seeking gratification - the satisfaction of drives or desires 
- mainly by fantasizing is an unhealthy defense. 
Narcissists, for instance, often indulge in grandiose 
fantasies which are incommensurate with their 
accomplishments and abilities. Such fantasy life retards 
personal growth and development because it substitutes 
for true coping. 

Idealization 

Another defense mechanism in the arsenal of the 
narcissist (and, to lesser degree, the Borderline and 
Histrionic) is the attribution of positive, glowing, and 
superior traits to self and (more commonly) to others. 
Again, what differentiates the healthy from the 
pathological is the reality test. Imputing positive 
characteristics to self or others is good, but only if the 
attributed qualities are real and grounded in a firm grasp 
of what's true and what's not. 

Isolation of Affect 

Cognition (thoughts, concepts, ideas) is never divorced 
from emotion. Conflict can be avoided by separating the 
cognitive content (for instance, a disturbing or depressing 
idea) from its emotional correlate. The subject is fully 



22 



aware of the facts or of the intellectual dimensions of a 
problematic situation but feels numb. Casting away 
threatening and discomfiting feelings is a potent way of 
coping with conflict in the short-term. It is only when it 
become habitual that it rendered self-defeating. 

Omnipotence 

When one has a pervading sense and image of oneself as 
incredibly powerful, superior, irresistible, intelligent, or 
influential. This is not an adopted affectation but an 
ingrained, ineradicable inner conviction which borders on 
magical thinking. It is intended to fend off expected hurt 
in having to acknowledge one's shortcomings, 
inadequacies, or limitations. 

Projection 

We all have an image of how we "should be". Freud 
called it the "Ego Ideal". But sometimes we experience 
emotions and drives or have personal qualities which don't 
sit well with this idealized construct. Projection is when 
we attribute to others these unacceptable, discomfiting, 
and ill-fitting feelings and traits that we possess. This way 
we disown these discordant features and secure the right 
to criticize and chastise others for having or displaying 
them. When entire collectives (nations, groups, 
organizations, firms) project, Freud calls it the Narcissism 
of Small Differences. 

Projective Identification 

Projection is unconscious. People are rarely aware that 
they are projecting onto others their own ego-dystonic and 
unpleasant characteristics and feelings. But, sometimes, 



23 



the projected content is retained in the subject's 
awareness. This creates a conflict. On the one hand, the 
patient cannot admit that the emotions, traits, reactions, 
and behaviors that he so condemns in others are really his. 
On the other hand, he can't help but being self-aware. He 
fails to erase from his consciousness the painful 
realization that he is merely projecting. 

So, instead of denying it, the subject explains unpleasant 
emotions and unacceptable conduct as reactions to the 
recipient's behavior. "She made me do it!" is the battle cry 
of projective identification. 

We all have expectations regarding the world and its 
denizens. Some people expect to be loved and appreciated 
- others to be feared and abused. The latter behave 
obnoxiously and thus force their nearest and dearest to 
hate, fear, and "abuse" them. Thus vindicated, their 
expectations fulfilled, they calm down. The world is 
rendered once more familiar by making other people 
behave the way they expect them to. "I knew you would 
cheat on me! It was clear I couldn't trust you!". 

Rationalization or Intellectualization 

To cast one's behavior after the fact in a favorable light. 
To justify and explain one's conduct or, more often, 
misconduct by resorting to ":rational, logical, socially- 
acceptable" explications and excuses. Rationalization is 
also used to re-establish ego-syntony (inner peace and 
self-acceptance). 

Though not strictly a defense mechanism, cognitive 
dissonance may be considered a variant of rationalization. 
It involves the devaluation of things and people very 



24 



much desired but frustratingly out of one's reach and 
control. In a famous fable, a fox, unable to snag the 
luscious grapes he covets, says: "these grapes are 
probably sour anyhow!". This is an example of cognitive 
dissonance in action. 

Reaction Formation 

Adopting a position and mode of conduct that defy 
personally unacceptable thoughts or impulses by 
expressing diametrically opposed sentiments and 
convictions. Example: a latent (closet) homosexual finds 
his sexual preference deplorable and acutely shameful 
(ego-dystonic). He resorts to homophobia. He public 
berates, taunts, and baits homosexuals. Additionally, he 
may flaunt his heterosexuality by emphasizing his sexual 
prowess, or by prowling singles bars for easy pick-ups 
and conquests. This way he contains and avoids his 
unwelcome homosexuality. 

Repression 

The removal from consciousness of forbidden thoughts 
and wishes. The removed content does not vanish and it 
remains as potent as ever, fermenting in one's 
unconscious. It is liable to create inner conflicts and 
anxiety and provoke other defense mechanisms to cope 
with these. 

Splitting 

This is a "primitive" defense mechanism. In other words, 
it begins to operate in very early infancy. It involves the 
inability to integrate contradictory qualities of the same 
object into a coherent picture. Mother has good qualities 



25 



and bad, sometimes she is attentive and caring and 
sometimes distracted and cold. The baby is unable to 
grasp the complexities of her personality. Instead, the 
infant invents two constructs (entities), "Bad Mother" and 
"Good Mother". It relegates everything likable about 
mother to the "Good Mother" and contrasts it with "Bad 
Mother", the repository of everything it dislikes about her. 

This means that whenever mother acts nicely, the baby 
relates to the idealized "Good Mother" and whenever 
mother fails the test, the baby devalues her by interacting, 
in its mind, with "Bad Mother". These cycles of 
idealization followed by devaluation are common in some 
personality disorders, notably the Narcissistic and 
Borderline. 

Splitting can also apply to one's self. Patients with 
personality disorders often idealize themselves 
fantastically and grandiosely, only to harshly devalue, 
hate, and even harm themselves when they fail or are 
otherwise frustrated. 

Read more about idealization followed by devaluation - 
click on the links: 

http://www.narcissistic-abuse.com/fag43.html 

http://www.narcissistic-abuse.com/fag44.html 

http://www.narcissistic-abuse.com/devaluediscard.html 

Sublimation 

The conversion and channelling of unacceptable emotions 
into socially-condoned behavior. Freud described how 



26 



sexual desires and urges are transformed into creative 
pursuits or politics. 

Undoing 

Trying to rid oneself of gnawing feelings of guilt by 
compensating the injured party either symbolically or 
actually. 

Back to Table of Contents 



27 



Topics in Developmental 
Psychology 



28 



The Narcissistic Parent 
By: Dr. Sam Vaknin 



Question: 

Is there a "typical" relationship between the narcissist and 
his family? 

Answer: 

We are all members of a few families in our lifetime: the 
one that we are born to and the one(s) that we create. We 
all transfer hurts, attitudes, fears, hopes and desires - a 
whole emotional baggage - from the former to the latter. 
The narcissist is no exception. 

The narcissist has a dichotomous view of humanity: 
humans are either Sources of Narcissistic Supply (and, 
then, idealised and over-valued) or do not fulfil this 
function (and, therefore, are valueless, devalued). The 
narcissist gets all the love that he needs from himself. 
From the outside he needs approval, affirmation, 
admiration, adoration, attention - in other words, 
externalised Ego boundary functions. 

He does not require - nor does he seek - his parents' or 
his siblings' love, or to be loved by his children. He casts 
them as the audience in the theatre of his inflated 
grandiosity. He wishes to impress them, shock them, 
threaten them, infuse them with awe, inspire them, attract 
their attention, subjugate them, or manipulate them. 



29 



He emulates and simulates an entire range of emotions 
and employs every means to achieve these effects. He lies 
(narcissists are pathological liars - their very self is a false 
one). He acts the pitiful, or, its opposite, the resilient and 
reliable. He stuns and shines with outstanding intellectual, 
or physical capacities and achievements, or behaviour 
patterns appreciated by the members of the family. When 
confronted with (younger) siblings or with his own 
children, the narcissist is likely to go through three 
phases: 

At first, he perceives his offspring or siblings as a threat to 
his Narcissistic Supply, such as the attention of his 
spouse, or mother, as the case may be. They intrude on his 
turf and invade the Pathological Narcissistic Space. The 
narcissist does his best to belittle them, hurt (even 
physically) and humiliate them and then, when these 
reactions prove ineffective or counter productive, he 
retreats into an imaginary world of omnipotence. A period 
of emotional absence and detachment ensues. 

His aggression having failed to elicit Narcissistic Supply, 
the narcissist proceeds to indulge himself in daydreaming, 
delusions of grandeur, planning of future coups, nostalgia 
and hurt (the Lost Paradise Syndrome). The narcissist 
reacts this way to the birth of his children or to the 
introduction of new foci of attention to the family cell 
(even to a new pet!). 

Whoever the narcissist perceives to be in competition for 
scarce Narcissistic Supply is relegated to the role of the 
enemy. Where the uninhibited expression of the 
aggression and hostility aroused by this predicament is 
illegitimate or impossible - the narcissist prefers to stay 
away. Rather than attack his offspring or siblings, he 



30 



sometimes immediately disconnects, detaches himself 
emotionally, becomes cold and uninterested, or directs 
transformed anger at his mate or at his parents (the more 
"legitimate" targets). 

Other narcissists see the opportunity in the "mishap". 
They seek to manipulate their parents (or their mate) by 
"taking over" the newcomer. Such narcissists monopolise 
their siblings or their newborn children. This way, 
indirectly, they benefit from the attention directed at the 
infants. The sibling or offspring become vicarious sources 
of Narcissistic Supply and proxies for the narcissist. 

An example: by being closely identified with his 
offspring, a narcissistic father secures the grateful 
admiration of the mother ("What an outstanding 
father/brother he is"). He also assumes part of or all the 
credit for baby's/sibling's achievements. This is a process 
of annexation and assimilation of the other, a strategy that 
the narcissist makes use of in most of his relationships. 

As siblings or progeny grow older, the narcissist begins to 
see their potential to be edifying, reliable and satisfactory 
Sources of Narcissistic Supply. His attitude, then, is 
completely transformed. The former threats have now 
become promising potentials. He cultivates those whom 
he trusts to be the most rewarding. He encourages them to 
idolise him, to adore him, to be awed by him, to admire 
his deeds and capabilities, to learn to blindly trust and 
obey him, in short to surrender to his charisma and to 
become submerged in his follies-de-grandeur. 

It is at this stage that the risk of child abuse - up to and 
including outright incest - is heightened. The narcissist is 
auto-erotic. He is the preferred object of his own sexual 



31 



attraction. His siblings and his children share his genetic 
material. Molesting or having intercourse with them is as 
close as the narcissist gets to having sex with himself. 

Moreover, the narcissist perceives sex in terms of 
annexation. The partner is "assimilated" and becomes an 
extension of the narcissist, a fully controlled and 
manipulated object. Sex, to the narcissist, is the ultimate 
act of depersonalization and objectification of the other. 
He actually masturbates with other people's bodies. 

Minors pose little danger of criticizing the narcissist or 
confronting him. They are perfect, malleable and 
abundant sources of Narcissistic Supply. The narcissist 
derives gratification from having coital relations with 
adulating, physically and mentally inferior, inexperienced 
and dependent "bodies". 

These roles - allocated to them explicitly and 
demandingly or implicitly and perniciously by the 
narcissist - are best fulfilled by ones whose mind is not 
yet fully formed and independent. The older the siblings 
or offspring, the more they become critical, even 
judgemental, of the narcissist. They are better able to put 
into context and perspective his actions, to question his 
motives, to anticipate his moves. 

As they mature, they often refuse to continue to play the 
mindless pawns in his chess game. They hold grudges 
against him for what he has done to them in the past, 
when they were less capable of resistance. They can 
gauge his true stature, talents and achievements - which, 
usually, lag far behind the claims that he makes. 



32 



This brings the narcissist a full cycle back to the first 
phase. Again, he perceives his siblings or sons/daughters 
as threats. He quickly becomes disillusioned and 
devaluing. He loses all interest, becomes emotionally 
remote, absent and cold, rejects any effort to communicate 
with him, citing life pressures and the preciousness and 
scarceness of his time. 

He feels burdened, cornered, besieged, suffocated, and 
claustrophobic. He wants to get away, to abandon his 
commitments to people who have become totally useless 
(or even damaging) to him. He does not understand why 
he has to support them, or to suffer their company and he 
believes himself to have been deliberately and ruthlessly 
trapped. 

He rebels either passively-aggressively (by refusing to act 
or by intentionally sabotaging the relationships) or 
actively (by being overly critical, aggressive, unpleasant, 
verbally and psychologically abusive and so on). Slowly - 
to justify his acts to himself - he gets immersed in 
conspiracy theories with clear paranoid hues. 

To his mind, the members of the family conspire against 
him, seek to belittle or humiliate or subordinate him, do 
not understand him, or stymie his growth. The narcissist 
usually finally gets what he wants and the family that he 
has created disintegrates to his great sorrow (due to the 
loss of the Narcissistic Space) - but also to his great relief 
and surprise (how could they have let go someone as 
unique as he?). 

This is the cycle: the narcissist feels threatened by arrival 
of new family members - he tries to assimilate or annex 
of siblings or offspring - he obtains Narcissistic Supply 



33 



from them - he overvalues and idealizes these newfound 
sources - as sources grow older and independent, they 
adopt anti narcissistic behaviours - the narcissist devalues 
them - the narcissist feels stifled and trapped - the 
narcissist becomes paranoid - the narcissist rebels and the 
family disintegrates. 

This cycle characterises not only the family life of the 
narcissist. It is to be found in other realms of his life (his 
career, for instance). At work, the narcissist, initially, feels 
threatened (no one knows him, he is a nobody). Then, he 
develops a circle of admirers, cronies and friends which 
he "nurtures and cultivates" in order to obtain Narcissistic 
Supply from them. He overvalues them (to him, they are 
the brightest, the most loyal, with the biggest chances to 
climb the corporate ladder and other superlatives). 

But following some anti-narcissistic behaviours on their 
part (a critical remark, a disagreement, a refusal, however 
polite) - the narcissist devalues all these previously 
idealized individuals. Now that they have dared oppose 
him - they are judged by him to be stupid, cowardly, 
lacking in ambition, skills and talents, common (the worst 
expletive in the narcissist's vocabulary), with an 
unspectacular career ahead of them. 

The narcissist feels that he is misallocating his scarce and 
invaluable resources (for instance, his time). He feels 
besieged and suffocated. He rebels and erupts in a serious 
of self-defeating and self-destructive behaviours, which 
lead to the disintegration of his life. 

Doomed to build and ruin, attach and detach, appreciate 
and depreciate, the narcissist is predictable in his "death 
wish". What sets him apart from other suicidal types is 



34 



that his wish is granted to him in small, tormenting doses 
throughout his anguished life. 

Appendix - Custody and Visitation 

A parent diagnosed with full-fledged Narcissistic 
Personality Disorder (NPD) should be denied custody and 
be granted only restricted rights of visitation under 
supervision. 

Narcissists accord the same treatment to children and 
adults. They regard both as sources of narcissistic supply, 
mere instruments of gratification - idealize them at first 
and then devalue them in favour of alternative, safer and 
more subservient, sources. Such treatment is traumatic 
and can have long-lasting emotional effects. 

The narcissist's inability to acknowledge and abide by the 
personal boundaries set by others puts the child at 
heightened risk of abuse - verbal, emotional, physical, 
and, often, sexual. His possessiveness and panoply of 
indiscriminate negative emotions - transformations of 
aggression, such as rage and envy - hinder his ability to 
act as a "good enough" parent. His propensities for 
reckless behaviour, substance abuse, and sexual deviance 
endanger the child's welfare, or even his or her life. 

Also read 

Narcissistic Parents 

Beware the Children 

Leveraging the Children 

Tell Your Children the Truth 



35 



The Roots of Pedophilia 

The Incest Taboo 

What is Abuse (series) 

Abuse in the Family (series) 

Parenthood - The Irrational Vocation 

The Genetic Underpinnings of Narcissism 

Back to Table of Contents 



36 



The Narcissist's Mother 
By: Dr. Sam Vaknin 

A. The Loved Enemies - An Introduction 

An oft-overlooked fact is that the child is not sure that it 
exists. It avidly absorbs cues from its human environment. 
"Am I present?", "Am I separate?", "Am I being noticed?" 
- these are the questions that compete in his mind with his 
need to merge, to become a part of his caregivers. 

Granted, the infant (ages to 2) does not verbally 
formulate these "thoughts" (which are part cognitive, part 
instinctual). This nagging uncertainty is more akin to a 
discomfort, like being thirsty or wet. The infant is torn 
between its need to differentiate and distinguish its self 
and its no less urgent urge to assimilate and integrate by 
being assimilated and integrated. 

"Just as we know, from the point of view of the 
physiologist, that a child needs to be given certain foods, 
that he needs to be protected against extreme 
temperatures, and that the atmosphere he breathes has 
to contain sufficient oxygen, if his body is to become 
strong and resilient, so do we also know, from the point 
of view of the depth-psychologist, that he requires an 
empathic environment, specifically, an environment that 
responds (a) to his need to have his presence confirmed 



37 



by the glow of parental pleasure and (b) to his need to 
merge into the reassuring calmness of the powerful 
adult, if he is to acquire a firm and resilient self " 
(J. D. Levine and Rona H. Weiss. The Dynamics and 
Treatment of Alcoholism. Jason Aronson, 1994) 

The child's nascent self must first overcome its feelings of 
diffusiveness, of being an extension of its caregivers (to 
include parents, in this text), or a part of them. Kohut says 
that parents perform the functions of the self for their 
child. More likely, a battle is joined from the child's first 
breath: a battle to gain autonomy, to usurp the power of 
the parents, to become a distinct entity. 

The child refuses to let the parents continue to serve as its 
self. It rebels and seeks to depose them and take over their 
functions. The better the parents are at being self-objects 
(in lieu of the child's self) - the stronger the child's self 
becomes, the more vigorously it fights for its 
independence. 

The parents, in this sense, are like a benign, benevolent 
and enlightened colonial power, which performs the tasks 
of governance on behalf of the uneducated and uninitiated 
natives. The more lenient the colonial regime - the more 
likely it is to be supplanted by an indigenous, successful, 
government. 

"The crucial question then is whether the parents are 
able to reflect with approval at least some of the child's 
proudly exhibited attributes and functions, whether they 
are able to respond with genuine enjoyment to his 
budding skills, whether they are able to remain in touch 
with him throughout his trials and errors. And, 
furthermore, we must determine whether they are able to 



38 



provide the child with a reliable embodiment of calmness 
and strength into which he can merge and with a focus 
for his need to find a target for his admiration. Or, stated 
in the obverse, it will be of crucial importance to 
ascertain the fact that a child could find neither 
confirmation of his own worth-whileness nor a target for 
a merger with the idealised strength of the parent and 
that he, therefore, remained deprived of the opportunity 
for the gradual transformation of these external sources 
of narcissistic sustenance into endopsychic resources, 
that is, specifically into sustaining self-esteem and into a 
sustaining relationship to internal ideals. " [Ibid.] 

B. The Narcissistic Personality 

"When the habitual narcissistic gratifications that come 
from being adored, given special treatment, and 
admiring the self are threatened, the results may be 
depression, hypochondriasis, anxiety, shame, self- 
destructiveness, or rage directed toward any other 
person who can be blamed for the troubled situation. 
The child can learn to avoid these painful emotional 
states by acquiring a narcissistic mode of information 
processing. Such learning may be by trial-and-error 
methods, or it may be internalised by identification with 
parental modes of dealing with stressful information. " 
(Jon Mardi Horowitz. Stress Response Syndromes: 
PTSD, Grief and Adjustment Disorders. Third edition. 
New York, NY University Press, 1998) 

Narcissism is fundamentally an evolved version of the 
psychological defence mechanism known as splitting. The 
narcissist does not regard people, situations, entities 
(political parties, countries, races, his workplace) as a 
compound of good and bad elements. He is an "all or 



39 



nothing" primitive "machine" (a common metaphor 
among narcissists). 

He either idealises his objects or devalues them. At any 
given time, the objects are either all good or all bad. The 
bad attributes are always projected, displaced, or 
otherwise externalised. The good ones are internalised in 
order to support the inflated ("grandiose") self-concepts of 
the narcissist and his grandiose fantasies and to avoid the 
pain of deflation and disillusionment. 

The narcissist's earnestness and his (apparent) sincerity 
make people wonder whether he is simply detached from 
reality, unable to appraise it properly or willingly and 
knowingly distorts reality and reinterprets it, subjecting it 
to his self-imposed censorship. The truth is somewhere in 
between: the narcissist is dimly aware of the 
implausibility of his own constructions. He has not lost 
touch with reality. He is just less scrupulous in 
remoulding it and in ignoring its uncomfortable angles. 

"The disguises are accomplished by shifting meanings 
and using exaggeration and minimisation of bits of 
reality as a nidus for fantasy elaboration. The 
narcissistic personality is especially vulnerable to 
regression to damaged or defective self-concepts on the 
occasions of loss of those who have functioned as self- 
objects. When the individual is faced with such stress 
events as criticism, withdrawal of praise, or humiliation, 
the information involved may be denied, disavowed, 
negated, or shifted in meaning to prevent a reactive state 
of rage, depression, or shame. " [Ibid.] 

The second psychological defence mechanism which 
characterizes the narcissist is the active pursuit of 



40 



Narcissistic Supply . The narcissist seeks to secure a 
reliable and continuous supply of admiration, adulation, 
affirmation and attention. As opposed to common opinion 
(which infiltrated literature), the narcissist is content to 
have any kind of attention - good or bad. If fame cannot 
be had - notoriety would do. The narcissist is obsessed 
with his Narcissistic Supply, he is addicted to it. His 
behaviour in its pursuit is impulsive and compulsive. 

"The hazard is not simply guilt because ideals have not 
been met. Rather, any loss of a good and coherent self- 
feeling is associated with intensely experienced emotions 
such as shame and depression, plus an anguished sense 
of helplessness and disorientation. To prevent this state, 
the narcissistic personality slides the meanings of events 
in order to place the self in a better light. What is good is 
labelled as being of the self (internalised) Those 
qualities that are undesirable are excluded from the self 
by denial of their existence, disavowal of related 
attitudes, externalisation, and negation of recent self- 
expressions. Persons who function as accessories to the 
self may also be idealised by exaggeration of their 
attributes. Those who counter the self are depreciated; 
ambiguous attributions of blame and a tendency to self- 
righteous rage states are a conspicuous aspect of this 
pattern. 

Such fluid shifts in meanings permit the narcissistic 
personality to maintain apparent logical consistency 
while minimising evil or weakness and exaggerating 
innocence or control. As part of these manoeuvres, the 
narcissistic personality may assume attitudes of 
contemptuous superiority toward others, emotional 
coldness, or even desperately charming approaches to 
idealised figures. " [Ibid.] 



41 



Freud versus Jung 

Freud was the first to present a coherent theory of 
narcissism. He described transitions from subject-directed 
libido to object-directed libido through the intermediation 
and agency of the parents. To be healthy and functional, 
these transitions must be smooth and unperturbed. 
Neuroses are the outcomes of bumpy or incomplete 
transitions. 

Freud conceived of each stage as the default (or fallback) 
of the next one. Thus, if a child reaches out to his objects 
of desire and fails to attract their love and attention, it 
regresses to the previous phase, to the narcissistic phase. 

The first occurrence of narcissism is adaptative. It "trains" 
the child to love an object, albeit this object is merely his 
self. It secures gratification through the availability, 
predictability and permanence of the loved object 
(oneself). But regressing to "secondary narcissism" is 
maladaptive. It is an indication of failure to direct the 
libido at the "right" targets (at objects, such as the 
parents). 

If this pattern of regression persists and prevails, it leads 
to a narcissistic neurosis. The narcissist stimulates his self 
habitually in order to derive pleasure. He prefers this 
mode of deriving gratification to others. He is "lazy" 
because he takes the "easy" route of resorting to his self 
and reinvesting his libidinal resources "in-house" rather 
than making an effort (and risking failure) to seek out 
libidinal objects other than his self. The narcissist prefers 
fantasyland to reality, grandiose self-conception to 
realistic appraisal, masturbation and fantasies to mature 
adult sex and daydreaming to real life achievements. 



42 



Jung suggested a mental picture of the psyche as a giant 
warehouse of archetypes (the conscious representations of 
adaptative behaviours). Fantasies to him are just a way of 
accessing these archetypes and releasing them. Almost by 
definition, Jungian psychology does not allow for 
regression. 

Any reversion to earlier phases of mental life, to earlier 
coping strategies, or to earlier choices is interpreted by 
Jungians as simply the psyche's way of using yet another, 
hitherto untapped, adaptation strategy. Regressions are 
compensatory processes intended to enhance adaptation 
and not methods of obtaining or securing a steady flow of 
gratification. 

It would seem, though, that there is only a semantic 
difference between Freud and his disciple turned-heretic. 
When libido investment in objects (esp. the Primary 
Object) fails to produce gratification, the result is 
maladaptation. This is dangerous and the default option - 
secondary narcissism - is activated. 

This default enhances adaptation (is adaptative) and is 
functional. It triggers adaptative behaviours. As a by- 
product, it secures gratification. We are gratified when we 
exert reasonable control over our environment, i.e., when 
our behaviours are adaptative. Thus, the compensatory 
process has two results: enhanced adaptation and 
inevitable gratification. 

Perhaps the more serious disagreement between Freud and 
Jung is with regards to introversion. 

Freud regards introversion as an instrument in the service 
of a pathology (introversion is indispensable to 



43 



narcissism, as opposed to extroversion which is a 
necessary condition for libidinal object-orientation). 

As opposed to Freud, Jung regards introversion as a useful 
tool in the service of the psychic quest for adaptation 
strategies (narcissism being one of them). The Jungian 
adaptation repertoire does not discriminate against 
narcissism. To Jung it is as legitimate a choice as any. 

But even Jung acknowledged that the very need to look 
for new adaptation strategies means that adaptation has 
failed. In other words, the search itself is indicative of a 
pathological state of affairs. It does seem that introversion 
per se is not pathological (because no psychological 
mechanism is pathological per se). Only the use made of it 
can be pathological. One tends to agree with Freud, 
though, that when introversion becomes a permanent 
feature of the psychic landscape of a person - it facilitates 
pathological narcissism. 

Jung distinguished introverts (who habitually concentrate 
on their selves rather than on outside objects) from 
extroverts (the converse preference). According to him, 
not only is introversion a totally normal and natural 
function, it remains normal and natural even if it 
predominates one's mental life. 

But surely the habitual and predominant focussing of 
attention upon one's self, to the exclusion of others, is the 
very definition of pathological narcissism. What 
differentiates the pathological from the normal and even 
the welcome is, of course, a matter of degree. 

Pathological narcissism is exclusive and all-pervasive. 
Other forms of narcissism are not. So, although there is no 



44 



healthy state of habitual, predominant introversion, it 
remains a question of form and degree of introversion. 
Often a healthy, adaptative mechanism goes awry. When 
it does, as Jung himself recognised, neuroses form. 

Last but not least, Freud regards narcissism as a point 
while Jung regards it as a continuum (from health to 
sickness). Modern views of narcissism tend to adopt 
Jung's view in this respect. 

Kohut's Approach 

In a way, Kohut took Jung a step further. He said that 
pathological narcissism is not the result of excessive 
narcissism, libido or aggression. It is the result of 
defective, deformed or incomplete narcissistic (self) 
structures. Kohut postulated the existence of core 
constructs which he named the "grandiose exhibitionistic 
self and the "idealised parent imago" [see below]. 

Children entertain notions of greatness (primitive or naive 
grandiosity) mingled with magical thinking, feelings of 
omnipotence and omniscience and a belief in their 
immunity to the consequences of their actions. These 
elements and the child's feelings regarding its parents 
(whom it tars with the same brush of omnipotence and 
grandiosity) coagulate and form these constructs. 

The child's feelings towards its parents are his or her 
reactions to their responses (affirmation, buffering, 
modulation or disapproval, punishment, even abuse). 
These responses help maintain the self-structures. Without 
appropriate parental responses, infantile grandiosity, for 
instance, cannot be transformed into healthy adult 
ambitions and ideals. 



45 



To Kohut, grandiosity and idealisation are positive 
childhood development mechanisms. Even their 
reappearance in transference should not be considered a 
pathological narcissistic regression. 

"You see, the actual issue is really a simple one ...a 
simple change in classical [Freudian] theory, which 
states that autoeroticism develops into narcissism and 
that narcissism develops into object love . . . there is a 
contrast and opposition between narcissism and object 
love. The (forward) movement toward maturation was 
toward object love. The movement from object love 
toward narcissism is a (backward) regressive movement 
toward a fixation point. To my mind (this) viewpoint is a 
theory built into a non-scientific value judgement ... that 
has nothing to do with developmental psychology. " 
(H. Kohut. The Chicago Institute Lectures 1972-1976. 
Marian and Paul Tolpin (Eds.). Analytic Press, 1998) 

Kohut's contention is nothing less than revolutionary. He 
says that narcissism (subject-love) and object-love coexist 
and interact throughout life. True, they wear different 
guises with age and maturation - but they always 
cohabitate. 

Kohut: 

"It is not that the self-experiences are given up and 
replaced by ... a more mature or developmentally more 
advanced experience of objects. " [Ibid.] 

This dichotomy inevitably leads to a dichotomy of 
disorders. Kohut agreed with Freud that neuroses are 
conglomerates of defence mechanisms, formations, 
symptoms, and unconscious conflicts. He even did not 



46 



object to identifying unresolved Oedipal conflicts 
(ungratified unconscious wishes and their objects) as the 
root of neuroses. But he identified a whole new class of 
disorders: the self-disorders. These are the result of the 
perturbed development of narcissism. 

It was not a cosmetic or superficial distinction. Self- 
disorders are the outcomes of childhood traumas very 
much different to Freud's Oedipal, castration and other 
conflicts and fears. These are the traumas of the child 
either not being "seen" (that is not being affirmed by 
objects, especially the Primary Objects, the parents) - or 
being regarded merely as an object for gratification or 
abuse. 

Such children grow up to become adults who are not sure 
that they exist (lack a sense of self-continuity) or that they 
are worth anything (labile sense of self-worth and 
fluctuating or bipolar self-esteem). They suffer from 
depressions , as neurotics do. But the source of these 
depressions is existential (a gnawing sensation of 
emptiness) as opposed to the "guilty conscience" 
depressions of neurotics. 

Such depressions: "...are interrupted by rages because 
things are not going their way, because responses are 
not forthcoming in the way they expected and needed. 
Some of them may even search for conflict to relieve the 
pain and intense suffering of the poorly established self, 
the pain of the discontinuous, fragmenting, 
undercathected self of the child not seen or responded to 
as a unit of its own, not recognised as an independent 
self who wants to feel like somebody, who wants to go its 
own way [see Lecture 22]. They are individuals whose 
disorders can be understood and treated only by taking 



47 



into consideration the formative experiences in 
childhood of the total body-mind-self and its self -object 
environment - for instance, the experiences of joy of the 
total self feeling confirmed, which leads to pride, self- 
esteem, zest, and initiative; or the experiences of shame, 
loss of vitality, deadness, and depression of the self who 
does not have the feeling of being included, welcomed, 
and enjoyed. " 

(Paul and Marian Tolpin (Eds.). The Preface to the 
"Chicago Institute Lectures 1972-1976 ofH. Kohut", 
1996) 

One note: "constructs" or "structures" are permanent 
psychological patterns. But this is not to say that they do 
not change, for they are capable of slow change. Kohut 
and his self-psychology disciples believed that the only 
viable constructs are comprised of self self-object 
experiences and that these structures are lifelong ones. 

Melanie Klein believed more in archaic drives, splitting 
defences and archaic internal objects and part objects. 
Winnicott [and Balint and other, mainly British 
researchers] as well as other ego-psychologists thought 
that only infantile drive wishes and hallucinated oneness 
with archaic objects qualify as structures. 

Karen Homey 's Contributions 

Horney is one of the precursors of the "object relations" 
school of psychodynamics. She observed that one's 
personality was shaped mostly by one's environment, 
society, or culture. She believed that one's relationships 
and interactions with others in one's childhood determine 
both the shape and functioning of one's personality. 



48 



She expanded the psychoanalytic repertoire. She added 
needs to drives. Where Freud believed in the exclusivity 
of the sex drive as an agent of transformation (to which he 
later added other drives) - Horney believed that people 
(children) needed to feel secure, to be loved, protected, 
emotionally nourished and so on. 

She believed that the satisfaction of these needs or their 
frustration early in childhood are as important a 
determinant as any drive. Society came in through the 
parental door. Biology converged with social injunctions 
to yield human values such as the nurturance of children. 

Horney's great contribution was the concept of anxiety. 
Freudian anxiety is a rather primitive mechanism, a 
reaction to imaginary threats arising from early childhood 
sexual conflicts. Horney argued convincingly that anxiety 
is a primary reaction to the child's dependence on adults 
for his survival. 

Children are uncertain (of love, protection, nourishment, 
nurturance) - so they become anxious. They develop 
psychological defences to compensate for the intolerable 
and gradual realisation that adults are merely human and 
are, at times, capricious, arbitrary, unpredictable, 
unreliable. These defences provide both gratification and 
a sense of security. The problem of dangerous dependence 
still exists, but it is "one stage removed". When the 
defences are attacked or perceived to be attacked (such as 
in therapy) - anxiety is reawakened. 

Karen B. Wallant in "Creating Capacity for Attachment: 
Treating Addictions and the Alienated Self" [Jason 
Aronson, 1999] wrote: 



49 



"The capacity to be alone develops out of the baby's 
ability to hold onto the internalisation of his mother, 
even during her absences. It is not just an image of 
mother that he retains but also her loving devotion to 
him. Thus, when alone, he can feel confident and secure 
as he continues to infuse himself with her love. The 
addict has had so few loving attachments in his life that 
when alone he is returned to his detached, alienated self. 
This feeling-state can be compared to a young child's 
fear of monsters without a powerful other to help him, 
the monsters continue to live somewhere within the child 
or his environment. It is not uncommon for patients to 
be found on either side of an attachment pendulum. It is 
invariably easier to handle patients for whom the 
transference erupts in the idealising attachment phase 
than those who view the therapist as a powerful and 
distrusted intruder. " 

So, the child learns to sacrifice a part of his autonomy and 
of his identity in order to feel secure. 

Horney identified three neurotic strategies: submission, 
aggression and detachment. The choice of strategy 
determines the type of neurotic personality. The 
submissive (or compliant) type is a fake. He hides 
aggression beneath a facade of friendliness. The 
aggressive type is fake as well: at heart he is submissive. 
The detached neurotic withdraws from people. This 
cannot be considered an adaptative strategy. 

Horney's is an optimistic outlook. Because biology is only 
one of the forces shaping our adulthood - culture and 
society being the predominant ones - she believes in 
reversibility and in the power of insight to heal. She 
believes that when an adult understands his problem (his 



50 



anxiety), he also acquires the ability to eliminate it 
altogether. 

Yet, clinical experience shows that childhood trauma and 
abuse are difficult to completely erase. Modern brain 
research tends to support this sad view and, yet, offer 
some hope. The brain seems to be more plastic than 
previously imagined - but no one knows when this 
"window of plasticity" shuts. What has been established is 
that the brain is physically impressed with abuse and 
trauma. 

It is conceivable that the brain's plasticity continues well 
into adulthood and that later "reprogramming" (by loving, 
caring, compassionate and empathic experiences) can 
remould the brain permanently. Clearly, the patient has to 
accept his disorder as a given and work around it rather 
than confront it directly. 

After all, our disorders are adaptative and help us to 
function. Their removal may not always be wise or 
necessary to attain a full and satisfactory life. We should 
not all conform to the same mould and experience life the 
same. Idiosyncrasies are a good thing, both on the 
individual level and on the level of the species. 

C. The Issue of Separation and Individuation 

It is by no means universally accepted that children go 
through a phase of separation from their parents and 
through consequent individuation. Most psychodynamic 
theories [especially Klein, Mahler] are virtually 
constructed upon this foundation. The child is considered 
to be merged with his parents until it differentiates itself 
(through object-relations). 



51 



But researchers like Daniel N. Stern dispute this 
hypothesis. Based on many studies, it appears that, as 
always, what seems intuitively right is not necessarily 
right. 

In "The Interpersonal World of the Infant: A View from 
Psychoanalysis and Developmental Psychology" [New 
York, Basic Books - 1985], Stern seems to, inadvertently, 
support Kohut by concluding that children possess selves 
and are separate from their caregivers from the very start. 

In effect, he says that the picture of the child, as proffered 
by psychodynamic theories, is biased by the way adults 
see children and childhood in retrospect. Adult disorders 
(for instance, the pathological need to merge) are 
attributed to children and to childhood. 

This view is in stark contrast to the belief that children 
accept any kind of parents (even abusive) because they 
depend on them for their survival and self-definition. 
Attachment to and dependence on significant others is the 
result of the non-separateness of the child, go the classical 
psychodynamic/object-relations theories. 

The self is a construct (in a social context, some add), an 
assimilation of the oft-imitated and idealised parents plus 
the internalisation of the way others perceive the child in 
social interactions. The self is, therefore, an internalised 
reflection, an imitation, a series of internalised 
idealisations. This sounds close to pathological 
narcissism. Perhaps it is really a matter of quantity rather 
than quality. 

D. Childhood Traumas and the Development of the 
Narcissistic Personality 



52 



Traumas are inevitable. They are an integral and 
important part of life. But in early childhood, especially in 
infancy (ages to 4 years), they acquire an ominous aura 
and an evil interpretation. No matter how innocuous the 
event and the surrounding circumstances, the child's vivid 
imagination is likely to embed it in the framework of a 
highly idiosyncratic horror story. 

Parents sometimes have to be abxsent due to medical or 
economic conditions. They may be too preoccupied to 
stay attuned at all times to the child's emotional needs. 
The family unit itself may be disintegrating with looming 
divorce or separation. The values of the parent may stand 
in radical contrast to those of society. 

To adults, such traumas do not equate abuse. Verbal and 
psychological-emotional abuse or neglect are judged by us 
to be more serious "offences". But this distinction is lost 
on the child. To him, all traumas - deliberately inflicted or 
inevitable and inadvertent life crises - are of equal abusive 
standing, though their severity may differ together with 
the permanence of their emotional outcomes. 

Sometimes even abuse and neglect are the results of 
circumstances beyond the abusive or neglecting parent's 
control. Consider a physically or mentally handicapped 
parent or caregiver, for instance. But the child cannot see 
this as a mitigating circumstance because he cannot 
appreciate it or even plainly understand the causal linkage. 

Where even a child can tell the difference is with physical 
and sexual abuse. These are marked by a co-operative 
effort (offending parent and abused child) at concealment 
and strong emotions of shame and guilt, repressed to the 
point of producing anxiety and "neurosis". The child 



53 



perceives even the injustice of the situation, though it 
rarely dares to express its views, lest it be abandoned or 
severely punished by its abusers. 

This type of trauma which involves the child actively or 
passively is qualitatively different and is bound to yield 
long-term effects such as dissociation or severe 
personality disorders. These are violent, premeditated 
traumas, not traumas by default, and the reaction is bound 
to be violent and active. The child becomes a reflection of 
its dysfunctional family - it represses emotions, denies 
reality, resorts to violence and escapism, disintegrates. 

One of the coping strategies is to withdraw inwards, to 
seek gratification from a secure, reliable and permanently- 
available source: from one's self. The child, fearful of 
further rejection and abuse, refrains from further 
interaction with others. Instead, it builds its own kingdom 
of grandiose fantasies where it is always loved, respected, 
and self-sufficient. This is the narcissistic strategy which 
leads to the development of a narcissistic personality. 

E. The Narcissist's Family 

"For very young children, self-esteem is probably best 
thought to consist of deep feelings of being loved, 
accepted, and valued by significant others rather than of 
feelings derived from evaluating oneself against some 
external criteria, as in the case of older children. Indeed, 
the only criterion appropriate for accepting and loving a 
new-born or infant is that he or she has been born. The 
unconditional love and acceptance experienced in the 
first year or two of life lay the foundation for later self- 
esteem, and probably make it possible for the pre- 
schooler and older child to withstand occasional 



54 



criticism and negative evaluations that usually 
accompany socialisation into the larger community. 

As children grow beyond the preschool years, the larger 
society imposes criteria and conditions upon love and 
acceptance. If the very early feelings of love and 
acceptance are deep enough, the child can most likely 
weather the rebuffs and scoldings of the later years 
without undue debilitation. With increasing age, 
however, children begin to internalise criteria of self - 
worth and a sense of the standards to be attained on the 
criteria from the larger community they observe and in 
which they are beginning to participate. The issue of 
criteria of self-esteem is examined more closely below. 

Cassidy's [1988] study of the relationship between self- 
esteem at age five and six years and the quality of early 
mother-child attachment supports Bowlby's theory that 
construction of the self is derived from early daily 
experience with attachment figures. The results of the 
study support Bowlby's conception of the process 
through which continuity in development occurs, and of 
the way early child-mother attachment continues to 
influence the child's conception and estimation of the 
self across many years. The working models of the self 
derived from early mother-child inter-action organise 
and help mould the child's environment 'by seeking 
particular kinds of people and by eliciting particular 
behaviour from them ' [Cassidy, 1988, p. 133]. Cassidy 
points out that very young children have few means of 
learning about themselves other than through 
experience with attachment figures. She suggests that if 
infants are valued and given comfort when required, 
they come to feel valuable; conversely, if they are 



55 



neglected or rejected, they come to feel worthless and of 
little value. 

In an examination of developmental considerations, 
Bednar, Wells, and Peterson [1989] suggest that feelings 
of competence and the self-esteem associated with them 
are enhanced in children when their parents provide an 
optimum mixture of acceptance, affection, rational 
limits and controls, and high expectations. In a similar 
way, teachers are likely to engender positive feelings 
when they provide such a combination of acceptance, 
limits, and meaningful and realistic expectations 
concerning behaviour and effort [Lamborn et al., 1991]. 
Similarly, teachers can provide contexts for such an 
optimum mixture of acceptance, limits, and meaningful 
effort in the course of project work as described by Katz 
and Chard [1989]." 

(Lilian G. Katz - Distinctions between Self-Esteem and 
Narcissism: Implications for Practice - October 1993 - 
ERIC/EECE Publications) 

F. The Narcissist's Mother - A Suggestion for an 
Integrative Framework 

The whole structure of the narcissistic disorder reflects the 
prototypical relationship with frustrating primary objects 
(usually, the mother or main caregiver). 

The narcissist's "mother" is typically inconsistent and 
frustrating. She thus thwarts the narcissist's ability to trust 
others and to feel secure with them. By emotionally 
abandoning him, she fosters in him fears of being 
abandoned and the nagging sensation that the world is a 
dangerous, hostile, and unpredictable place. She becomes 



56 



a negative, devaluing voice, which is duly incorporated in 
the narcissist's Superego. 

But there is a less traditional view. 

Our natural state is anxiety, the readiness - physiological 
and mental - to "fight or flight". Research indicates that 
the Primary Object (PO) is really the child, rather than its 
mother. The child identifies itself as an object almost at 
birth. It explores itself, reacts and interacts, it monitors its 
bodily reactions to internal and external inputs and 
stimuli. The flow of blood, the peristaltic movement, the 
swallowing reflex, the texture of saliva, the experience of 
excretion, being wet, thirsty, hungry or content - all these 
distinguish the child from its self. 

The child assumes the position of observer and integrator 
early on. As Kohut said, it has both a self and the ability 
to relate to objects. This intimacy with a familiar and 
predictable object (oneself) is a primary source of security 
and the precursor to emerging narcissism. The mother is 
only a Secondary Object (SO). It is this secondary object 
that the child learns to relate to and it has the 
indispensable developmental advantage of being 
transcendental, external to the child. All meaningful 
others are Auxiliary Objects (AO). 

A "good enough" SO helps the child to extend the lessons 
he had learned from his interaction with the PO (his self) 
and apply them to the world at large. The child learns that 
the external environment can be as predictable and safe as 
the internal one. 

This titillating discovery leads to a modification of naive 
or primitive narcissism. It recedes to the background 



57 



allowing more prominent and adaptative strategies to the 
fore. In due time, and subject to an accumulation of the 
right positively reinforcing experiences, a higher form of 
narcissism develops: self-love , a stable sense of self- 
worth, and self-esteem. 

If, however, SO fails or is abusive, the child reverts back 
to the PO and to its primitive form of narcissism. This is 
regression in the chronological sense. But it is also an 
adaptative strategy. 

The emotional consequences of rejection and abuse are 
too difficult to contemplate. Narcissism ameliorates them 
by providing a substitute object. This is an adaptative, 
survival-orientated act. It provides the child with time to 
"come to grips with its thoughts and feelings" and perhaps 
to revert with a different strategy more suited to the new - 
unpleasant and threatening - data. 

So the interpretation of this regression as a failure of 
object love may be wrong. The child merely deduces that 
the SO, the object chosen as the first target of object love, 
was the wrong object. Object love continues to look for a 
different, familiar, object. The child merely replaces one 
object (his mother) with another (his self). The child does 
not relinquish his capacity for object-love. 

If this failure to establish a proper object-relation persists 
and is not alleviated, all future objects are perceived either 
as extensions of the Primary Object (the self), or as 
external objects to be merged with one's self, because they 
are perceived narcissistically. 

There are, therefore, two modes of object perception: 



58 



The narcissistic (all objects are perceived as variations of 
the perceiving self) and the social (all objects are 
perceived as others or self-objects). 

The core (narcissistic) self precedes language or 
interaction with others. As the core self matures it 
develops either into a True Self or into a False Self . The 
two are mutually exclusive (a person possessed by a False 
Self has no functioning True Self). The distinction of the 
False Self is that it perceives others narcissistically. As 
opposed to it, the True Self perceives others socially. 

The child constantly compares his first experience with an 
object (his internalised PO, his self) to his experience with 
his SO. The internalisations of both the PO and the SO are 
modified as a result of this process of comparison. The SO 
is idealised and internalised to form what I call the SEGO 
(loosely, the equivalent of Freud's Superego plus the 
internalised outcomes of social interactions throughout 
life). The internalised PO is constantly modified to justify 
feedback from the SO (for example: "You are loved", or 
"You are a bad boy"). This is the process by which the 
Ideal Ego is created. 

The internalisations of the PO, of the SO and of the 
outcomes of their interactions (for instance, of the results 
of the aforementioned constant comparison between 
them) form what Bowlby calls "working models". These 
are constantly updated representations of both the self and 
of Meaningful Others (what I call Auxiliary Others). 

The narcissist's working models are defective. They 
pertain both to his self and to ALL others. To the 
narcissist, ALL people are meaningful because NO ONE 
really is. This forces the narcissist to resort to crude 



59 



abstractions (imagine the number of working models he 
needs!). 

The narcissist is forced to dehumanise, objectify, 
generalise, idealise, devalue, or stereotype in order to cope 
with the sheer volume of potential interactions with 
meaningful objects (i.e., with everyone!). Trying not to be 
overwhelmed, the narcissist feels superior and inflated - 
because he is the only REAL three-dimensional character 
in his mind. 

Moreover, the narcissist's working models are rigid and 
never updated because he does not feel that he is 
interacting with real objects. How can one feel empathic , 
for instance, towards a representation or an abstraction or 
an object of gratification? How can such representations 
or abstractions grow or change? 

Follows a matrix of possible axes (dimensions) of 
interaction between child and mother. 

The first term in each of these equations of interaction 
describes the child, the second the mother. 

The Mother can be: 



Accepting ("good enough"); 

Domineering; 

Doting/S mothering ; 

Indifferent; 

Rejecting; 

Abusive. 



The Child can be: 



60 



• Attracted; 

• Repelled (due to unjust mistreatment, for 
instance). 

The possible axes or dimensions are: 

Child / Mother 

How to read this table - an example: 

Attraction - Attraction/Accepting 

Means that the child is attracted to his mother, his mother 
is attracted to him and she is a "good enough" (accepting) 
mother. 

1 . Attraction - Attraction/Accepting 
(Healthy axis, leads to self-love) 

2. Attraction - Attraction/Domineering 

(Could lead to personality disorders - PDs - such 
as avoidant, or schizoid, or to social phobia, etc.) 

3. Attraction - Attraction/Doting or Smothering 
(Could lead to Cluster B Personality Disorders) 

4. Attraction - Repulsion/Indifferent 
[passive-aggressive, frustrating] 

(Could lead to narcissism, Cluster B disorders) 

5. Attraction - Repulsion/Rejecting 

(Could lead to personality disorders such as 
paranoid, borderline, etc.) 



61 



6. Attraction - Repulsion/ Abusive 

(Could lead to DID, ADHD, NPD, BPD, AHD, 
AsPD, PPD, etc.) 

7. Repulsion - Repulsion/Indifferent 

(Could lead to avoidant, schizoid, paranoid, etc. 
PDs) 

8. Repulsion - Repulsion/Rejecting 
(Could lead to personality, mood, anxiety 
disorders and to impulsive behaviours, such as 
eating disorders) 

9. Repulsion - Attraction/Accepting 

(Could lead to unresolved Oedipal conflicts and to 
neuroses) 

10. Repulsion - Attraction/Domineering 
(Could have the same results as axis 6) 

1 1 . Repulsion - Attraction/Doting 
(Could have the same results as axis 9) 

This, of course, is a very rough sketch. Many of the axes 
can be combined to yield more complex clinical pictures. 

It provides an initial, coarse, map of the possible 
interactions between the PO and the SO in early childhood 
and the unsavoury results of internalised bad objects. 

This PO/SO matrix continues to interact with AO to form 
the person's self-evaluation (self-esteem or sense of self- 
worth). 



62 



This process - the formation of a coherent sense of self- 
worth - starts with PO/SO interactions within the matrix 
and continues roughly till the age of 8, all the time 
gathering and assimilating interactions with AO 
(=meaningful others). 

First, a model of attachment in relationships is formed 
(approximately the matrix above). This model is based on 
the internalisation of the Primary Object (later, the self). 
Attachment interactions with SO follow and in the wake 
of a critical mass of of interactions with AO, the self is 
formed. 

This process of the formation of self rests on the operation 
of a few critical principles: 

1 . The child, as we said earlier, develops a sense of 
" mother-constancy " . This is crucial. If the child is 
unable predict the behaviour (let alone the 
presence) of his mother from one moment to 
another, it finds it hard to trust anything, predict 
anything and expect anything. Because the self, to 
some extent (some say: to a large extent), is 
comprised of the internalised outcomes of the 
interactions with others - negative experiences are 
be incorporated in the budding self as well as 
positive ones. In other words, a child feels 
loveable and desirable if it is indeed loved and 
wanted. If it is rejected, it is bound to feel 
worthless and worthy only of rejection. In due 
time, the child develops behaviours which yield 
rejection by others and the outcomes of which thus 
conform with his self-perception. 



63 



2. The adoption and assimilation of the judgement of 
others and its incorporation into a coherent sense 
of self-worth and self-esteem. 

3. The discounting or filtering-out of contrarian 
information. Once Bowlby's "working models" are 
formed, they act as selective membranes. No 
amount of external information to the contrary 
alters these models significantly. Granted, shifts in 
relative positions may and do occur in later stages 
of life. A person can feel more or less accepted, 
more or less competent, more or less integrated 
into a given social setting. But these are changes in 
the values of parameters within a set equation (the 
working model). The equation itself is rarely 
altered and only by very serious life crises. 

Reprinted with permission from: 

"For Want of a Better Good" (In process) 

Author: Alan Challoner MA (Phil) MChS 

(Attachment Theory Researcher Counsellor in Adoption 
& Fostering, and associated child development issues. 
MA awarded by thesis on the psychology of handicap - A 
Culture of Ambiguity; 1992): 

"A developmental line for narcissism has been devised by 
Temeles, and it consists of twelve phases that are 
characterised by a particular relationship between self- 
love and object-love and occur in a precise order." 

(Temeles, M.S. - A developmental line for narcissism: 
The path to self-love and object love. In Cohen, Theodore, 



64 



B.; Etezady, M. Hossein; & Pacella, B.L. (Eds.) The 
Vulnerable Child. Volume 1 ; The Vulnerable Child. 
International Univ. Press; Madison, CT, USA - 1993.) 

Proto-Self and Proto-Object 

As the infant is incapable of distinguishing either the self 
or the object as adults do, this phase is marked by their 
absence. However he is competent in certain attributes 
particularly those that allow him to interact with his 
environment. From birth his moments of pleasure, often 
the instrument of infant-mother interaction, are high 
points in the phase. He will try to avoid the low points of 
un-pleasure by creating a bond that is marked by early 
maternal intervention to restore the status quo. 

Beginning Self-Object Differentiation and Object 
Preference 

The second phase can begin as early as the third week, 
and by the fourth month the infant has prescribed his 
favourite individuals (apart from mother). However he is 
still not really discriminating between self and subject. He 
is now ready to engage in a higher state of interaction with 
others. He babbles and smiles and tries to make some 
sense out of his local environment. If he should fail to 
make the sort of contact that he is seeking then he will 
turn away in a manner that is unequivocal in its meaning. 
His main social contact at this stage is by the eye, and he 
makes no bones about his feelings of pleasure or 
displeasure. 

His bond with his mother, at best, is now flowing and, if 
he is fortunate, there is a mutual admiration society 
established. This is not however an isolated practice for 



65 



there is a narcissistic element on both sides that is 
reinforced by the strength of the attachment. His 
continued development allows him to find an increasing 
number of ways in which he might generate, 
autonomously, personal pleasure. He finds delight in 
making new sounds, or indeed doing anything that brings 
him his mother's approbation. He is now almost ready to 
see himself in contrast to others. 

Self -Constancy and Object-Constancy 

The infant is now becoming able to know himself as 
"me", as well as being able to know familiar others as 
"them". His fraternisation with father, siblings and 
grandparents or any other closely adjacent person, endows 
this interaction with a tone of special recognition as "one 
of the gang". This is of vital importance to him because he 
gains a very special feedback from these people. They 
love him and they shown their approbation for his every 
ploy that he constructs in an effort to seal this knot. He is 
now at the beginning of a period when he starts to feel 
some early self-esteem. Again if he is lucky, he will be 
delighted at being himself and in his situation. Also at this 
stage he can often create a special affinity for the same- 
sex parent. He throws up expansive gestures of affection, 
and yet can also become totally self-absorbed in his 
growing confidence that he is on a "winning streak". 

Awareness of a Awareness: Self-Centredness 

This is an extension of the third phase and he is 
continuously becoming more aware of himself and is 
adept at gaining the pleasures he seeks. The phase also 
coincides with the beginning of the decline of maternal 
feeling that he is the best thing on this earth. His activities 



66 



both positive and negative have started to draw on 
maternal resources to the point where they may at times 
be sapping. Thus at the beginning of the child's second 
year the mother starts to realise that the time has come 
when she must "shout the odds". She begins to make 
demands of him and, at times, to punish him, albeit in a 
discrete way. She may not now respond as quickly as she 
did before, or she may not seem quite so adoring as she 
was three months ago. 

The most dynamic intervention that a child can have at 
this time is the fear of the loss of love. He needs to be 
loved so that he can still love himself. This beginning of a 
time of self-reflection needs him to be aware of being 
aware. It is now possible for him to be injured 
narcissistically, for example, perhaps through sibling 
rivalry. His relationship with his same-sex parent takes on 
a new importance. It now goes beyond just a "mutuality 
club". Because he is becoming aware of his limitations, he 
needs to know through this relationship with the same-sex 
parent, just what he may become. This allows his 
narcissistic image of himself to be regularly re-polished 
after any lapses that might have tarnished it. 

Object-Centred Phase: The First Libidinal 
Disappointm ent 

This is what has been described as the Oedipal period, 
when genital and object-directed sexuality comes to the 
fore. He must continue to recover whenever he receives a 
blow to his self-esteem; but more, he must learn not to 
over-compensate. As Temeles puts it, narcissistic supplies 
from both the adored Oedipal object and also the loved 
rival are threatened as the child's libidinal investments are 
sporadically supplanted by negative impulses. [Idem.] 



67 



The child will refresh his relationships on a different 
platform, but nevertheless maintains and is sustained by 
his attachments to his parents, and other subsidiary 
figures. At a time when he begins to divest himself of 
some of the libidinal baggage he may enter into a new 
"love affair" with a peer. The normal pattern is for these to 
disintegrate when the child enters the period of latency, 
and for the interregnum to be typified with a period of 
sexual segregation. By now he is going to school and is 
acquiring a new level of self-sufficiency that continues to 
enhance his narcissism. 

Beginning Prominence of Peer Groups: New Objects 

This phase, which begins sometime in the third year, is 
marked by a resolution of the Oedipal period and a 
lessening of the infant ties with the parents as the child 
turns his attention towards his peers and some other 
special adults (such as teachers or other role models). In 
some respects these new objects start to replace some of 
the narcissistic supplies that he continues to gain from his 
parents. 

This of course has its dangers because other objects can 
be notoriously fickle, especially peers. He is now at a 
stage where he has journeyed into the outside world and is 
vulnerable to the inconstancies of those who now are 
around him in greater numbers. However all is not lost for 
the world revolves in circles and the input that he requires 
from others is shared by the input that they need from 
him. 

On an individual basis therefore if he "falls out" with one 
person then he very quickly will "fall in" with another. 
The real potential problem here is for him to be disliked 



68 



by so many others of his peers that his self-esteem is 
endangered. Sometimes this can be rectified by his 
mastery of other elements; particularly if they contribute a 
steady flow of narcissistic supplies. However the group- 
ideal is of great significance and seems to have become 
more so in recent times. 

The development of a burgeoning independence together 
with a sense of group recognition are both in the nature of 
self-preservation issues. The parental influence, if it has 
been strong and supportive and consistently streaked with 
affection and love, will be the launching pad for an 
adequate personality and a move towards eventual 
independence. 

Beginning Prominence of Self-Assessment: Impact on 
Self-Love 

This pre-adolescent phase encompasses a child who still 
needs the reassurance of his peers, and hereabouts his 
attachments to certain individuals or groups will intensify. 
The assaults on his self-esteem now come from a different 
quarter. There is an increased concentration on physical 
attributes, and other comparisons will be made that might 
diminish or raise his narcissistic supplies. His self- 
confidence can be strained at this time, and whilst the 
same-sex peer is still dominant, the opposite-sex peer 
starts to catch the corner of his eye. 

At this time, when he needs all the support he can gather, 
he may find to his chagrin that a certain ambivalence is 
coming to pass in his relationships with his parents. They 
in turn are discovering a rapidly changing, not so 
compliant, and more independent child. They may be 
astounded by the group ideals that he has adopted, and 



69 



whilst in reality he still needs to receive from them 
abundant narcissistic supplies, the affectionate ties may be 
strained and the expected or desired support may be 
somewhat withered. 

Beginning Sexual Maturity: Importance of the Sexual 
Object 

At this stage ties with parents continue to slacken, but 
there is an important change taking place as the 
affectionate characteristics are converging with libidinal 
ones. The need to be loved is still there and the adolescent 
version of narcissism begins to trail its coat. Gradually the 
narcissistic element is enhanced as the subject becomes 
more self-assured and develops the need to win the frank 
admiration of a sexual object. Hormonal mood swings can 
underlie the degree to which rejection reduces the 
narcissistic supplies. Where there is a blatant over- 
valuation of the self it is often the result of a defence 
mechanism coming in to play to protect the subject. 
Individual subjects compare themselves with others in 
their group and may become aware of either shortcomings 
or advantages that add to the feelings in self-assessment. 
Over-inflated Ego ideals may bring about a negative 
assessment, and the need arises for young people to 
confront themselves with reality. A failure to do this will 
result in a much more severe assault on their narcissism 
later. 

Resurgence of Master Issues: Impact of Self-Love 

Having now experienced the change of love object, and 
tasted the new relations that stem from it, there is a need 
to resume the issues of mastery. These are no longer 
childhood fantasies but are the basic requirements for a 



70 



successful future. On them depend the acquisition of a 
successfully completed education, skill training and 
employment. At this stage narcissistic supplies depend 
upon success, and if this is not obtained legitimately then 
it may be sought by other means. His culture and to some 
extent his peer group will tend to dictate what the criteria 
of success will be. Within some societies there is still a 
gender difference here but it is reducing with time. 
Temeles suggests that, If the woman's narcissistic supplies 
are, in fact, more dependent on maintaining a relationship 
with the libidinal object, then perhaps it reflects a greater 
need to maintain more affectionate ties reminiscent of the 
past. [Idem.] 

When the time comes for parenthood earlier ties tend to 
be reinvigorated; parents become grandparents and the 
cycle begins again. 

The Balance between Self- and Object-Generated 
Narcissistic Supplies 

Each culture has its unit of social characteristics. These 
often revolve around family, work, leisure and on the 
extent to which they are successful will depend the 
amount of contentment and pride that is generated. A 
continuance of narcissistic supplies will continue to flow 
from partners, colleagues, children, parents etc. The more 
success the greater the flow; and the greater the flow the 
more success can be achieved and the better the subject 
will feel about life. The downside of this is when things 
go wrong. We are in a situation generally where many 
people have lost jobs and homes; where marriages have 
broken up and children are separated from one of the 
parents. This causes great stress, a diminution of self- 
esteem and a loss of narcissistic supplies. This may result 



71 



in the loss of the power to sustain an effective life style 
and with a continuing diminution of narcissistic supplies 
the result may bring about a negative aspect to life. 

Accommodation versus Self-Centredness 

The subject has now arrived at middle age. Whatever 
success has been achieved it may well be that he will be at 
the summit of his personal mountain, and the only way 
forward is down. From here on mastery is waning and 
there is a tendency to rely more and more on relationships 
to supply the good feelings. The arrival of grandchildren 
can herald a return to earlier mutuality and may account 
for narcissistic supplies for both generations. In the long- 
term the threat of, or the reality of, a reduction in physical 
capacity or ill-health may play a part in the reduction of 
narcissistic supplies. 

Self versus Object 

Advancing age will develop its threat. Not only is this at a 
personal and physical level, but often it is at an emotional 
level. Long gone are the inter-generational family settings. 
Grand parents, parents and children now not only reside in 
different houses, but in different counties or even different 
countries. The more one is separated and possibly alone 
the more one feels threatened by mortality which is of 
course the ultimate in the loss of narcissistic supplies. 
When loved ones disappear it is important to try to crate 
substitute associations either through re-entering into 
group activities or perhaps the solitary pleasure that can 
be gained from a domestic pet. Loss of the good feelings 
that were present in earlier times can lead to depression. 
This is countered by those who have developed a degree 
of self-sufficiency and who have maintained interests that 



72 



provide a continuance of narcissistic supplies. Once any 
or all of these start to disappear there enters a factor of 
dissimulation, and we can no longer reconcile what we 
were to what we now are. We lose our self-esteem, often 
our will to live, but even though this is not consonant with 
a will to die it often leads to a failure to thrive. 

Also Read 

Warped Reality 

A Letter about Trust 

Self Love and Narcissism 

The Delusional Way Out 

The Discontinuous Narcissist 

The Dual Role of the False Self 

The Narcissist's Object Constancy 

The Narcissist's Reality Substitutes 

The Narcissist's Confabulated Life 

Narcissists, Inverted Narcissists and Schizoids 

Narcissists, Narcissistic Supply and Sources of Supply 

Pathological Narcissism - A Dysfunction or a Blessing? 

Back to Table of Contents 



73 



Born Aliens 
By: Dr. Sam Vaknin 



Neonates have no psychology. If operated upon, for 
instance, they are not supposed to show signs of trauma 
later on in life. Birth, according to this school of thought 
is of no psychological consequence to the newborn baby. 
It is immeasurably more important to his "primary 
caregiver" (mother) and to her supporters (read: father and 
other members of the family). It is through them that the 
baby is, supposedly, effected. This effect is evident in his 
(I will use the male form only for convenience's sake) 
ability to bond. The late Karl Sagan professed to possess 
the diametrically opposed view when he compared the 
process of death to that of being born. He was 
commenting upon the numerous testimonies of people 
brought back to life following their confirmed, clinical 
death. Most of them shared an experience of traversing a 
dark tunnel. A combination of soft light and soothing 
voices and the figures of their deceased nearest and 
dearest awaited them at the end of this tunnel. All those 
who experienced it described the light as the 
manifestation of an omnipotent, benevolent being. The 
tunnel - suggested Sagan - is a rendition of the mother's 
tract. The process of birth involves gradual exposure to 
light and to the figures of humans. Clinical death 
experiences only recreate birth experiences. 

The womb is a self-contained though open (not self- 
sufficient) ecosystem. The Baby's Planet is spatially 
confined, almost devoid of light and homeostatic. The 



74 



fetus breathes liquid oxygen, rather than the gaseous 
variant. He is subjected to an unending barrage of noises, 
most of them rhythmical. Otherwise, there are very few 
stimuli to elicit any of his fixed action responses. There, 
dependent and protected, his world lacks the most evident 
features of ours. There are no dimensions where there is 
no light. There is no "inside" and "outside", "self" and 
"others", "extension" and "main body", "here" and "there". 
Our Planet is exactly converse. There could be no greater 
disparity. In this sense - and it is not a restricted sense at 
all - the baby is an alien. He has to train himself and to 
learn to become human. Kittens, whose eyes were tied 
immediately after birth - could not "see" straight lines and 
kept tumbling over tightly strung cords. Even sense data 
involve some modicum and modes of conceptualization 
(see: "Appendix 5 - The Manifold of Sense") . 

Even lower animals (worms) avoid unpleasant corners in 
mazes in the wake of nasty experiences. To suggest that a 
human neonate, equipped with hundreds of neural cubic 
feet does not recall migrating from one planet to another, 
from one extreme to its total opposition - stretches 
credulity. Babies may be asleep 16-20 hours a day 
because they are shocked and depressed. These abnormal 
spans of sleep are more typical of major depressive 
episodes than of vigorous, vivacious, vibrant growth. 
Taking into consideration the mind-boggling amounts of 
information that the baby has to absorb just in order to 
stay alive - sleeping through most of it seems like an 
inordinately inane strategy. The baby seems to be awake 
in the womb more than he is outside it. Cast into the outer 
light, the baby tries, at first, to ignore reality. This is our 
first defence line. It stays with us as we grow up. 



75 



It has long been noted that pregnancy continues outside 
the womb. The brain develops and reaches 75% of adult 
size by the age of 2 years. It is completed only by the age 
of 10. It takes, therefore, ten years to complete the 
development of this indispensable organ - almost wholly 
outside the womb. And this "external pregnancy" is not 
limited to the brain only. The baby grows by 25 cm and 
by 6 kilos in the first year alone. He doubles his weight by 
his fourth month and triples it by his first birthday. The 
development process is not smooth but by fits and starts. 
Not only do the parameters of the body change - but its 
proportions do as well. In the first two years, for instance, 
the head is larger in order to accommodate the rapid 
growth of the Central Nervous System. This changes 
drastically later on as the growth of the head is dwarfed by 
the growth of the extremities of the body. The 
transformation is so fundamental, the plasticity of the 
body so pronounced - that in most likelihood this is the 
reason why no operative sense of identity emerges until 
after the fourth year of childhood. It calls to mind Kafka's 
Gregor Samsa (who woke up to find that he is a giant 
cockroach). It is identity shattering. It must engender in 
the baby a sense of self-estrangement and loss of control 
over who is and what he is. 

The motor development of the baby is heavily influenced 
both by the lack of sufficient neural equipment and by the 
ever-changing dimensions and proportions of the body. 
While all other animal cubs are fully motoric in their first 
few weeks of life - the human baby is woefully slow and 
hesitant. The motor development is proximodistal. The 
baby moves in ever widening concentric circles from 
itself to the outside world. First the whole arm, grasping, 
then the useful fingers (especially the thumb and 
forefinger combination), first batting at random, then 



76 



reaching accurately. The inflation of its body must give 
the baby the impression that he is in the process of 
devouring the world. Right up to his second year the baby 
tries to assimilate the world through his mouth (which is 
the prima causa of his own growth). He divides the world 
into "suckable" and "insuckable" (as well as to "stimuli- 
generating" and "not generating stimuli"). His mind 
expands even faster than his body. He must feel that he is 
all-encompassing, all-inclusive, all-engulfing, all- 
pervasive. This is why a baby has no object permanence. 
In other words, a baby finds it hard to believe the 
existence of other objects if he does not see them (=if they 
are not IN his eyes). They all exist in his outlandishly 
exploding mind and only there. The universe cannot 
accommodate a creature, which doubles itself physically 
every 4 months as well as objects outside the perimeter of 
such an inflationary being, the baby "believes". The 
inflation of the body has a correlate in the inflation of 
consciousness. These two processes overwhelm the baby 
into a passive absorption and inclusion mode. 

To assume that the child is born a "tabula rasa" is 
superstition. Cerebral processes and responses have been 
observed in utero. Sounds condition the EEG of fetuses. 
They startle at loud, sudden noises. This means that they 
can hear and interpret what they hear. Fetuses even 
remember stories read to them while in the womb. They 
prefer these stories to others after they are born. This 
means that they can tell auditory patterns and parameters 
apart. They tilt their head at the direction sounds are 
coming from. They do so even in the absence of visual 
cues (e.g., in a dark room). They can tell the mother's 
voice apart (perhaps because it is high pitched and thus 
recalled by them). In general, babies are tuned to human 
speech and can distinguish sounds better than adults do. 



77 



Chinese and Japanese babies react differently to "pa" and 
to "ba", to "ra" and to "la". Adults do not - which is the 
source of numerous jokes. 

The equipment of the newborn is not limited to the 
auditory. He has clear smell and taste preferences (he 
likes sweet things a lot). He sees the world in three 
dimensions with a perspective (a skill which he could not 
have acquired in the dark womb). Depth perception is 
well developed by the sixth month of life. 

Expectedly, it is vague in the first four months of life. 
When presented with depth, the baby realizes that 
something is different - but not what. Babies are born 
with their eyes open as opposed to most other animal 
young ones. Moreover, their eyes are immediately fully 
functional. It is the interpretation mechanism that is 
lacking and this is why the world looks fuzzy to them. 
They tend to concentrate on very distant or on very close 
objects (their own hand getting closer to their face). They 
see very clearly objects 20-25 cm away. But visual acuity 
and focusing improve in a matter of days. By the time the 
baby is 6 to 8 months old, he sees as well as many adults 
do, though the visual system - from the neurological point 
of view - is fully developed only at the age of 3 or 4 
years. The neonate discerns some colours in the first few 
days of his life: yellow, red, green, orange, gray - and all 
of them by the age of four months. He shows clear 
preferences regarding visual stimuli: he is bored by 
repeated stimuli and prefers sharp contours and contrasts, 
big objects to small ones, black and white to coloured 
(because of the sharper contrast), curved lines to straight 
ones (this is why babies prefer human faces to abstract 
paintings). They prefer their mother to strangers. It is not 
clear how they come to recognize the mother so quickly. 



78 



To say that they collect mental images which they then 
arrange into a prototypical scheme is to say nothing (the 
question is not "what" they do but "how" they do it). This 
ability is a clue to the complexity of the internal mental 
world of the neonate, which far exceeds our learned 
assumptions and theories. It is inconceivable that a human 
is born with all this exquisite equipment while incapable 
of experiencing the birth trauma or the even the bigger 
trauma of his own inflation, mental and physical. 

As early as the end of the third month of pregnancy, the 
fetus moves, his heart beats, his head is enormous relative 
to his size. His size, though, is less than 3 cm. Ensconced 
in the placenta, the fetus is fed by substances transmitted 
through the mother's blood vessels (he has no contact with 
her blood, though). The waste that he produces is carried 
away in the same venue. The composition of the mother's 
food and drink, what she inhales and injects - all are 
communicated to the embryo. There is no clear 
relationship between sensory inputs during pregnancy and 
later life development. The levels of maternal hormones 
do effect the baby's subsequent physical development but 
only to a negligible extent. Far more important is the 
general state of health of the mother, a trauma, or a 
disease of the fetus. It seems that the mother is less 
important to the baby than the romantics would have it - 
and cleverly so. A too strong attachment between mother 
and fetus would have adversely affected the baby's 
chances of survival outside the uterus. Thus, contrary to 
popular opinion, there is no evidence whatsoever that the 
mother's emotional, cognitive, or attitudinal state effects 
the fetus in any way. The baby is effected by viral 
infections, obstetric complications, by protein 
malnutrition and by the mother's alcoholism. But these - 
at least in the West - are rare conditions. 



79 



In the first three months of the pregnancy, the central 
nervous system "explodes" both quantitatively and 
qualitatively. This process is called metaplasia. It is a 
delicate chain of events, greatly influenced by 
malnutrition and other kinds of abuse. But this 
vulnerability does not disappear until the age of 6 years 
out of the womb. There is a continuum between womb 
and world. The newborn is almost a very developed 
kernel of humanity. He is definitely capable of 
experiencing substantive dimensions of his own birth and 
subsequent metamorphoses. Neonates can immediately 
track colours - therefore, they must be immediately able 
to tell the striking differences between the dark, liquid 
placenta and the colourful maternity ward. They go after 
certain light shapes and ignore others. Without 
accumulating any experience, these skills improve in the 
first few days of life, which proves that they are inherent 
and not contingent (learned). They seek patterns 
selectively because they remember which pattern was the 
cause of satisfaction in their very brief past. Their 
reactions to visual, auditory and tactile patterns are very 
predictable. Therefore, they must possess a MEMORY, 
however primitive. 

But - even granted that babies can sense, remember and, 
perhaps emote - what is the effect of the multiple traumas 
they are exposed to in the first few months of their lives? 

We mentioned the traumas of birth and of self-inflation 
(mental and physical). These are the first links in a chain 
of traumas, which continues throughout the first two years 
of the baby's life. Perhaps the most threatening and 
destabilizing is the trauma of separation and 
individuation. 



80 



The baby's mother (or caregiver - rarely the father, 
sometimes another woman) is his auxiliary ego. She is 
also the world; a guarantor of livable (as opposed to 
unbearable) life, a (physiological or gestation) rhythm 
(=predictability), a physical presence and a social stimulus 
(an other). 

To start with, the delivery disrupts continuous 
physiological processes not only quantitatively but also 
qualitatively. The neonate has to breathe, to feed, to 
eliminate waste, to regulate his body temperature - new 
functions, which were previously performed by the 
mother. This physiological catastrophe, this schism 
increases the baby's dependence on the mother. It is 
through this bonding that he learns to interact socially and 
to trust others. The baby's lack of ability to tell the inside 
world from the outside only makes matters worse. He 
"feels" that the upheaval is contained in himself, that the 
tumult is threatening to tear him apart, he experiences 
implosion rather than explosion. True, in the absence of 
evaluative processes, the quality of the baby's experience 
will be different to ours. But this does not disqualify it as 
a PSYCHOLOGICAL process and does not extinguish the 
subjective dimension of the experience. If a psychological 
process lacks the evaluative or analytic elements, this lack 
does not question its existence or its nature. Birth and the 
subsequent few days must be a truly terrifying experience. 

Another argument raised against the trauma thesis is that 
there is no proof that cruelty, neglect, abuse, torture, or 
discomfort retard, in any way, the development of the 
child. A child - it is claimed - takes everything in stride 
and reacts "naturally" to his environment, however 
depraved and deprived. 



81 



This may be true - but it is irrelevant. It is not the child's 
development that we are dealing with here. It is its 
reactions to a series of existential traumas. That a process 
or an event has no influence later - does not mean that it 
has no effect at the moment of occurrence. That it has no 
influence at the moment of occurrence - does not prove 
that it has not been fully and accurately registered. That it 
has not been interpreted at all or that it has been 
interpreted in a way different from ours - does not imply 
that it had no effect. In short: there is no connection 
between experience, interpretation and effect. There can 
exist an interpreted experience that has no effect. An 
interpretation can result in an effect without any 
experience involved. And an experience can effect the 
subject without any (conscious) interpretation. This means 
that the baby can experience traumas, cruelty, neglect, 
abuse and even interpret them as such (i.e., as bad things) 
and still not be effected by them. Otherwise, how can we 
explain that a baby cries when confronted by a sudden 
noise, a sudden light, wet diapers, or hunger? Isn't this 
proof that he reacts properly to "bad" things and that there 
is such a class of things ("bad things") in his mind? 

Moreover, we must attach some epigenetic importance to 
some of the stimuli. If we do, in effect we recognize the 
effect of early stimuli upon later life development. 

At their beginning, neonates are only vaguely aware, in a 
binary sort of way. 

1. "Comfortable/uncomfortable", "cold/warm", "wet/dry", 
"colour/absence of colour", "light/dark", "face/no face" 
and so on. There are grounds to believe that the distinction 
between the outer world and the inner one is vague at 
best. Natal fixed action patterns (rooting, sucking, 



82 



postural adjustment, looking, listening, grasping, and 
crying) invariably provoke the caregiver to respond. The 
newborn, as we said earlier, is able to relate to physical 
patterns but his ability seems to extend to the mental as 
well. He sees a pattern: fixed action followed by the 
appearance of the caregiver followed by a satisfying 
action on the part of the caregiver. This seems to him to 
be an inviolable causal chain (though precious few babies 
would put it in these words). Because he is unable to 
distinguish his inside from the outside - the newborn 
"believes" that his action evoked the caregiver from the 
inside (in which the caregiver is contained). This is the 
kernel of both magical thinking and Narcissism. The baby 
attributes to himself magical powers of omnipotence and 
of omnipresence (action-appearance). It also loves itself 
very much because it is able to thus satisfy himself and his 
needs. He loves himself because he has the means to make 
himself happy. The tension-relieving and pleasurable 
world comes to life through the baby and then he 
swallows it back through his mouth. This incorporation of 
the world through the sensory modalities is the basis for 
the "oral stage" in the psychodynamic theories. 

This self-containment and self-sufficiency, this lack of 
recognition of the environment are why children until 
their third year of life are such a homogeneous group 
(allowing for some variance). Infants show a 
characteristic style of behaviour (one is almost tempted to 
say, a universal character) in as early as the first few 
weeks of their lives. The first two years of life witness the 
crystallization of consistent behavioural patterns, common 
to all children. It is true that even newborns have an innate 
temperament but not until an interaction with the outside 
environment is established - do the traits of individual 
diversity appear. 



83 



At birth, the newborn shows no attachment but simple 
dependence. It is easy to prove: the child indiscriminately 
reacts to human signals, scans for patterns and motions, 
enjoys soft, high pitched voices and cooing, soothing 
sounds. Attachment starts physiologically in the fourth 
week. The child turns clearly towards his mother's voice, 
ignoring others. He begins to develop a social smile, 
which is easily distinguishable from his usual grimace. A 
virtuous circle is set in motion by the child's smiles, 
gurgles and coos. These powerful signals release social 
behaviour, elicit attention, loving responses. This, in turn, 
drives the child to increase the dose of his signaling 
activity. These signals are, of course, reflexes (fixed 
action responses, exactly like the palmar grasp). Actually, 
until the 1 8th week of his life, the child continues to react 
to strangers favourably. Only then does the child begin to 
develop a budding social-behavioural system based on the 
high correlation between the presence of his caregiver and 
gratifying experiences. By the third month there is a clear 
preference of the mother and by the sixth month, the child 
wants to venture into the world. At first, the child grasps 
things (as long as he can see his hand). Then he sits up 
and watches things in motion (if not too fast or noisy). 
Then the child clings to the mother, climbs all over her 
and explores her body. There is still no object permanence 
and the child gets perplexed and loses interest if a toy 
disappears under a blanket, for instance. The child still 
associates objects with satisfaction/non-satisfaction. His 
world is still very much binary. 

As the child grows, his attention narrows and is dedicated 
first to the mother and to a few other human figures and, 
by the age of 9 months, only to the mother. The tendency 
to seek others virtually disappears (which is reminiscent 
of imprinting in animals). The infant tends to equate his 



84 



movements and gestures with their results - that is, he is 
still in the phase of magical thinking. 

The separation from the mother, the formation of an 
individual, the separation from the world (the "spewing 
out" of the outside world) - are all tremendously 
traumatic. 

The infant is afraid to lose his mother physically (no 
"mother permanence") as well as emotionally (will she be 
angry at this new found autonomy?). He goes away a step 
or two and runs back to receive the mother's reassurance 
that she still loves him and that she is still there. The 
tearing up of one's self into my SELF and the OUTSIDE 
WORLD is an unimaginable feat. It is equivalent to 
discovering irrefutable proof that the universe is an 
illusion created by the brain or that our brain belongs to a 
universal pool and not to us, or that we are God (the child 
discovers that he is not God, it is a discovery of the same 
magnitude). The child's mind is shredded to pieces: some 
pieces are still HE and others are NOT HE (=the outside 
world). This is an absolutely psychedelic experience (and 
the root of all psychoses, probably). 

If not managed properly, if disturbed in some way (mainly 
emotionally), if the separation - individuation process 
goes awry, it could result in serious psychopathologies. 
There are grounds to believe that several personality 
disorders (Narcissistic and Borderline) can be traced to a 
disturbance in this process in early childhood. 

Then, of course, there is the on-going traumatic process 
that we call "life". 



85 



Parenting - The Irrational Vocation 
By: Dr. Sam Vaknin 



The advent of cloning, surrogate motherhood, and the 
donation of gametes and sperm have shaken the 
traditional biological definition of parenthood to its 
foundations. The social roles of parents have similarly 
been recast by the decline of the nuclear family and the 
surge of alternative household formats. 

Why do people become parents in the first place? 

Raising children comprises equal measures of satisfaction 
and frustration. Parents often employ a psychological 
defense mechanism - known as "cognitive dissonance" - 
to suppress the negative aspects of parenting and to deny 
the unpalatable fact that raising children is time 
consuming, exhausting, and strains otherwise pleasurable 
and tranquil relationships to their limits. 

Not to mention the fact that the gestational mother 
experiences "considerable discomfort, effort, and risk in 
the course of pregnancy and childbirth" (Narayan, U., 
and JJ. Bartkowiak (1999) Having and Raising 
Children: Unconventional Families, Hard Choices, and 
the Social Good University Park, PA: The Pennsylvania 
State University Press, Quoted in the Stanford 
Encyclopedia of Philosophy). 

Parenting is possibly an irrational vocation, but humanity 
keeps breeding and procreating. It may well be the call of 
nature. All living species reproduce and most of them 



86 



parent. Is maternity (and paternity) proof that, beneath the 
ephemeral veneer of civilization, we are still merely a 
kind of beast, subject to the impulses and hard- wired 
behavior that permeate the rest of the animal kingdom? 

In his seminal tome, "The Selfish Gene", Richard 
Dawkins suggested that we copulate in order to preserve 
our genetic material by embedding it in the future gene 
pool. Survival itself - whether in the form of DNA, or, on 
a higher-level, as a species - determines our parenting 
instinct. Breeding and nurturing the young are mere safe 
conduct mechanisms, handing the precious cargo of 
genetics down generations of "organic containers". 

Yet, surely, to ignore the epistemological and emotional 
realities of parenthood is misleadingly reductionistic. 
Moreover, Dawkins commits the scientific faux-pas of 
teleology. Nature has no purpose "in mind", mainly 
because it has no mind. Things simply are, period. That 
genes end up being forwarded in time does not entail that 
Nature (or, for that matter, "God") planned it this way. 
Arguments from design have long - and convincingly - 
been refuted by countless philosophers. 

Still, human beings do act intentionally. Back to square 
one: why bring children to the world and burden ourselves 
with decades of commitment to perfect strangers? 

First hypothesis: offspring allow us to "delay" death. Our 
progeny are the medium through which our genetic 
material is propagated and immortalized. Additionally, by 
remembering us, our children "keep us alive" after 
physical death. 



87 



These, of course, are self-delusional, self-serving, 
illusions. 

Our genetic material gets diluted with time. While it 
constitutes 50% of the first generation - it amounts to a 
measly 6% three generations later. If the everlastingness 
of one's unadulterated DNA was the paramount concern - 
incest would have been the norm. 

As for one's enduring memory - well, do you recall or can 
you name your maternal or paternal great great 
grandfather? Of course you can't. So much for that. 
Intellectual feats or architectural monuments are far more 
potent mementos. 

Still, we have been so well-indoctrinated that this 
misconception - that children equal immortality - yields a 
baby boom in each post war period. Having been 
existentially threatened, people multiply in the vain belief 
that they thus best protect their genetic heritage and their 
memory. 

Let's study another explanation. 

The utilitarian view is that one's offspring are an asset - 
kind of pension plan and insurance policy rolled into one. 
Children are still treated as a yielding property in many 
parts of the world. They plough fields and do menial jobs 
very effectively. People "hedge their bets" by bringing 
multiple copies of themselves to the world. Indeed, as 
infant mortality plunges - in the better-educated, higher 
income parts of the world - so does fecundity. 

In the Western world, though, children have long ceased 
to be a profitable proposition. At present, they are more of 



88 



an economic drag and a liability. Many continue to live 
with their parents into their thirties and consume the 
family's savings in college tuition, sumptuous weddings, 
expensive divorces, and parasitic habits. Alternatively, 
increasing mobility breaks families apart at an early stage. 
Either way, children are not longer the founts of 
emotional sustenance and monetary support they allegedly 
used to be. 

How about this one then: 

Procreation serves to preserve the cohesiveness of the 
family nucleus. It further bonds father to mother and 
strengthens the ties between siblings. Or is it the other 
way around and a cohesive and warm family is conductive 
to reproduction? 

Both statements, alas, are false. 

Stable and functional families sport far fewer children 
than abnormal or dysfunctional ones. Between one third 
and one half of all children are born in single parent or in 
other non-traditional, non-nuclear - typically poor and 
under-educated - households. In such families children are 
mostly born unwanted and unwelcome - the sad outcomes 
of accidents and mishaps, wrong fertility planning, lust 
gone awry and misguided turns of events. 

The more sexually active people are and the less safe their 
desirous exploits - the more they are likely to end up with 
a bundle of joy (the American saccharine expression for a 
newborn). Many children are the results of sexual 
ignorance, bad timing, and a vigorous and undisciplined 
sexual drive among teenagers, the poor, and the less 
educated. 



89 



Still, there is no denying that most people want their kids 
and love them. They are attached to them and experience 
grief and bereavement when they die, depart, or are sick. 
Most parents find parenthood emotionally fulfilling, 
happiness-inducing, and highly satisfying. This pertains 
even to unplanned and initially unwanted new arrivals. 

Could this be the missing link? Do fatherhood and 
motherhood revolve around self-gratification? Does it all 
boil down to the pleasure principle? 

Childrearing may, indeed, be habit forming. Nine months 
of pregnancy and a host of social positive reinforcements 
and expectations condition the parents to do the job. Still, 
a living tot is nothing like the abstract concept. Babies 
cry, soil themselves and their environment, stink, and 
severely disrupt the lives of their parents. Nothing too 
enticing here. 

One's spawns are a risky venture. So many things can and 
do go wrong. So few expectations, wishes, and dreams are 
realized. So much pain is inflicted on the parents. And 
then the child runs off and his procreators are left to face 
the "empty nest". The emotional "returns" on a child are 
rarely commensurate with the magnitude of the 
investment. 

If you eliminate the impossible, what is left - however 
improbable - must be the truth. People multiply because it 
provides them with narcissistic supply . 

A Narcissist is a person who projects a (false) image unto 
others and uses the interest this generates to regulate a 
labile and grandiose sense of self-worth. The reactions 
garnered by the narcissist - attention, unconditional 



90 



acceptance, adulation, admiration, affirmation - are 
collectively known as "narcissistic supply". The narcissist 
objectifies people and treats them as mere instruments of 
gratification. 

Infants go through a phase of unbridled fantasy, tyrannical 
behavior, and perceived omnipotence. An adult narcissist, 
in other words, is still stuck in his "terrible twos" and is 
possessed with the emotional maturity of a toddler. To 
some degree, we are all narcissists. Yet, as we grow, we 
learn to empathize and to love ourselves and others. 

This edifice of maturity is severely tested by newfound 
parenthood. 

Babies evokes in the parent the most primordial drives, 
protective, animalistic instincts, the desire to merge with 
the newborn and a sense of terror generated by such a 
desire (a fear of vanishing and of being assimilated). 
Neonates engender in their parents an emotional 
regression. 

The parents find themselves revisiting their own 
childhood even as they are caring for the newborn. The 
crumbling of decades and layers of personal growth is 
accompanied by a resurgence of the aforementioned early 
infancy narcissistic defenses. Parents - especially new 
ones - are gradually transformed into narcissists by this 
encounter and find in their children the perfect sources of 
narcissistic supply, euphemistically known as love. Really 
it is a form of symbiotic codependence of both parties. 

Even the most balanced, most mature, most 
psychodynamically stable of parents finds such a flood of 
narcissistic supply irresistible and addictive. It enhances 



91 



his or her self-confidence, buttresses self esteem, regulates 
the sense of self-worth, and projects a complimentary 
image of the parent to himself or herself. 

It fast becomes indispensable, especially in the 
emotionally vulnerable position in which the parent finds 
herself, with the reawakening and repetition of all the 
unresolved conflicts that she had with her own parents. 

If this theory is true, if breeding is merely about securing 
prime quality narcissistic supply, then the higher the self 
confidence, the self esteem, the self worth of the parent, 
the clearer and more realistic his self image, and the more 
abundant his other sources of narcissistic supply - the 
fewer children he will have. These predictions are borne 
out by reality. 

The higher the education and the income of adults - and, 
consequently, the firmer their sense of self worth - the 
fewer children they have. Children are perceived as 
counter-productive: not only is their output (narcissistic 
supply) redundant, they hinder the parent's professional 
and pecuniary progress. 

The more children people can economically afford - the 
fewer they have. This gives the lie to the Selfish Gene 
hypothesis. The more educated they are, the more they 
know about the world and about themselves, the less they 
seek to procreate. The more advanced the civilization, the 
more efforts it invests in preventing the birth of children. 
Contraceptives, family planning, and abortions are typical 
of affluent, well informed societies. 

The more plentiful the narcissistic supply afforded by 
other sources - the lesser the emphasis on breeding. Freud 



92 



described the mechanism of sublimation: the sex drive, 
the Eros (libido), can be "converted", "sublimated" into 
other activities. All the sublimatory channels - politics and 
art, for instance - are narcissistic and yield narcissistic 
supply. They render children superfluous. Creative people 
have fewer children than the average or none at all. This is 
because they are narcissistically self sufficient. 

The key to our determination to have children is our wish 
to experience the same unconditional love that we 
received from our mothers, this intoxicating feeling of 
being adored without caveats, for what we are, with no 
limits, reservations, or calculations. This is the most 
powerful, crystallized form of narcissistic supply. It 
nourishes our self-love, self worth and self-confidence. It 
infuses us with feelings of omnipotence and omniscience. 
In these, and other respects, parenthood is a return to 
infancy. 



Also read 

Beware the Children 

The Narcissist's Mother 

Born Alien 

The Development of Narcissists and Schizoids 

Back to Table of Contents 



93 



Narcissists, Inverted Narcissists and Schizoids 
By: Dr. Sam Vaknin 

Question: 

Some narcissists are not gregarious. They avoid social 
events and are stay-at-home recluses. Doesn't this 
behaviour go against the grain of narcissism? 

Answer: 

Click here to read the definition of the Schizoid 
Personality Disorder (SPD) in the DSM-IV-TR [2000]. 

Or, as the Howard H. Goldman (Ed.) in the "Review of 
General Psychiatry" [4th Edition. London, Prentice Hall 
International, 1995] puts it: 

"The person with Schizoid Personality Disorder sustains 
a fragile emotional equilibrium by avoiding intimate 
personal contact and thereby minimising conflict that is 
poorly tolerated. " 

Schizoids are often described, even by their nearest and 
dearest, in terms of automata ("robots"). They are 
uninterested in social relationships or interactions and 
have a very limited emotional repertoire. It is not that they 
do not have emotions, but they express them poorly and 
intermittently. They appear cold and stunted, flat, and 
"zombie"-like. 



94 



Consequently, these people are loners. They confide only 
in first-degree relatives, but maintain no close bonds or 
associations, not even with their immediate family. 
Naturally, they gravitate into solitary activities and find 
solace and safety in being constantly alone. Their sexual 
experiences are sporadic and limited and, finally, they 
cease altogether. 

Schizoids are anhedonic - find nothing pleasurable and 
attractive - but not necessarily dysphoric (sad or 
depressed). They pretend to be indifferent to praise, 
criticism, disagreement, and corrective advice (though, 
deep inside, they are not). They are creatures of habit, 
frequently succumbing to rigid, predictable, and narrowly 
restricted routines. 

Intuitively, a connection between SPD and the 
Narcissistic Personality Disorder (NPD) seems plausible. 
After all, narcissists are people who self-sufficiently 
withdraw from others. They love themselves in lieu of 
loving others. Lacking empathy , they regard others as 
mere instruments, objectified "Sources" of Narcissistic 
Supply . 

The inverted narcissist (IN) is a narcissist who "projects" 
his narcissism onto another narcissist. The mechanism of 
projective identification allows the IN to experience his 
own narcissism vicariously, through the agency of a 
classic narcissist. But the IN is no less a narcissist than the 
classical one. He is no less socially reclusive. 

A distinction must be made between social interactions 
and social relationships. The schizoid, the narcissist and 
the inverted narcissist - all interact socially. But they fail 
to form human and social relationships (bonds). The 



95 



schizoid is uninterested and the narcissist is both 
uninterested and incapable to due to his lack of empathy 
and pervasive sense of grandiosity . 

The ethno-psychologist George Devereux [Basic 
Problems of Ethno-Psychiatry, University of Chicago 
Press, 1980] proposed to divide the unconscious into the 
Id (the part that is instinctual and unconscious) and the 
"ethnic unconscious" (repressed material that was once 
conscious). The latter includes all the defence 
mechanisms and most of the Superego. 

Culture dictates what is to be repressed. Mental illness is 
either idiosyncratic (cultural directives are not followed 
and the individual is unique, eccentric, and schizophrenic) 
- or conformist, abiding by the cultural dictates of what is 
allowed and disallowed. 

Our culture, according to Christopher Lasch , teaches us to 
withdraw inwards when confronted with stressful 
situations. It is a vicious circle. One of the main stressors 
of modern society is alienation and a pervasive sense of 
isolation. The solution our culture offers - to further 
withdraw - only exacerbates the problem. 

Richard Sennett expounded on this theme in "The Fall of 
Public Man: On the Social Psychology of Capitalism" 
[Vintage Books, 1978]. One of the chapters in Devereux's 
aforementioned tome is entitled "Schizophrenia: An 
Ethnic Psychosis, or Schizophrenia without Tears". To 
him, the United States is afflicted by what came later to be 
called a "schizoid disorder". 



96 



C. Fred Alford [in Narcissism: Socrates, the Frankfurt 
School and Psychoanalytic Theory, Yale University Press, 
1988] enumerates the symptoms: 

"...withdrawal, emotional aloofness, hyporeactivity 
(emotional flatness), sex without emotional involvement, 
segmentation and partial involvement (lack of interest 
and commitment to things outside oneself), fixation on 
oral-stage issues, regression, infantilism and 
depersonalisation. These, of course, are many of the 
same designations that Lasch employs to describe the 
culture of narcissism. Thus, it appears, that it is not 
misleading to equate narcissism with schizoid disorder. " 
[Page 19] 

The first to seriously consider the similarity, if not 
outright identity, between the schizoid and the narcissistic 
disorders was Melanie Klein. She broke ranks with Freud 
in that she believed that we are born with a fragile, brittle, 
weak and unintegrated Ego. The most primordial human 
fear is the fear of disintegration (death), according to 
Klein. 

Thus, the infant is forced to employ primitive defence 
mechanisms such as splitting, projection and introjection 
to cope with this fear (actually, with the result of 
aggression generated by the Ego). The Ego splits and 
projects this part (death, disintegration, aggression). It 
does the same with the life -related, constructive, 
integrative part of itself. 

As a result of all these mechanics, the infant views the 
world as either "good" (satisfying, complying, responding, 
gratifying) - or bad (frustrating). Klein called it the good 
and the bad "breasts". The child then proceeds to introject 



97 



(internalise and assimilate) the good object while keeping 
out (defending against) the bad objects. The good object 
becomes the nucleus of the forming Ego. The bad object 
is felt as fragmented. But it has not vanished, it is there. 

The fact that the bad object is "out there", persecutory, 
threatening - gives rise to the first schizoid defence 
mechanisms, foremost amongst them the mechanism of 
"projective identification" (so often employed by 
narcissists). The infant projects parts of himself (his 
organs, his behaviours, his traits) unto the bad object. This 
is the famous Kleinian "paranoid-schizoid position". The 
Ego is split. 

This is as terrifying as it sounds but it allows the baby to 
make a clear distinction between the "good object" (inside 
him) and the "bad object" (out there, split from him). If 
this phase is not transcended the individual develops 
schizophrenia and a fragmentation of the self. 

Around the third or fourth month of life, the infant realises 
that the good and the bad objects are really facets of one 
and the same object. He develops the depressive position. 
This depression [Klein believes that the two positions 
continue throughout life] is a reaction of fear and anxiety. 

The infant feels guilty (at his own rage) and anxious (lest 
his aggression harms the object and eliminates the source 
of good things). He experiences the loss of his own 
omnipotence since the object is now outside his self. The 
infant wishes to erase the results of his own aggression by 
"making the object whole again". By recognising the 
wholeness of other objects, the infant comes to realise and 
to experience his own wholeness. The Ego re-integrates. 



98 



But the transition from the paranoid-schizoid position to 
the depressive one is by no means smooth and assured. 
Excess anxiety and envy can delay it or prevent it 
altogether. Envy seeks to destroy all good objects, so that 
others don't have them. It, therefore, hinders the split 
between the good and the bad "breasts". Envy destroys the 
good object but leaves the persecutory, bad object intact. 

Moreover, envy does not allow re-integration 
["reparation" in Kleinian jargon] to take place. The more 
whole the object - the greater the destructive envy. Thus, 
envy feeds on its own outcomes. The more envy, the less 
integrated the Ego is, the weaker and more inadequate it is 
- and the more reason for envying the good object and 
other people. 

Both the narcissist and the schizoid are examples of 
development arrested due to envy and other 
transformations of aggression. 

Consider pathological narcissism. 

Envy is the hallmark of narcissism and the prime source 
of what is known as narcissistic rage. The schizoid self - 
fragmented, weak, primitive - is intimately connected 
with narcissism through envy. Narcissists prefer to 
destroy themselves and to deny themselves rather than 
endure someone else's happiness, wholeness and 
"triumph". 

The narcissist fail his exams in order to frustrate the 
teacher he adores and envies. He aborts his therapy in 
order not to give the therapist a reason to feel gratified. By 
self-defeating and self-destructing , narcissists deny the 
worth of others. If the narcissist fails in therapy - his 



99 



analyst must be inept. If he destroys himself by 
consuming drugs - his parents are blameworthy and 
should feel guilty and bad. One cannot exaggerate the 
importance of envy as a motivating power in the 
narcissist's life. 

The psychodynamic connection is obvious. Envy is a rage 
reaction to not controlling or "having" or engulfing the 
good, desired object. Narcissists defend themselves 
against this acidulous, corroding sensation by pretending 
that they do control, possess and engulf the good object. 
This are the narcissist's "grandiose fantasies (of 
omnipotence or omniscience)". 

But, in doing so, the narcissist must deny the existence of 
any good outside himself. The narcissist defends himself 
against raging, all consuming envy - by solipsistically 
claiming to be the only good object in the world. This is 
an object that cannot be had by anyone, except the 
narcissist and, therefore, is immune to the narcissist's 
threatening, annihilating envy. 

In order to refrain from being "owned" by anyone (and, 
thus, avoid self-destruction in the hands of his own envy), 
the narcissist reduces others to "non-entities" (the 
narcissistic solution), or completely avoids all meaningful 
contact with them (the schizoid solution). 

The suppression of envy is at the core of the narcissist's 
being. If he fails to convince his self that he is the only 
good object in the universe, he is bound to be exposed to 
his own murderous envy. If there are others out there who 
are better than him, he envies them, he lashes out at them 
ferociously, uncontrollably, madly, hatefully and 
spitefully, he tries to eliminate them. 



100 



If someone tries to get emotionally intimate with the 
narcissist, she threatens the grandiose belief that no one 
but the narcissist can possess the good object (that is the 
narcissist himself). Only the narcissist can own himself, 
have access to himself, possess himself. This is the only 
way to avoid seething envy and certain self-annihilation. 
Perhaps it is clearer now why narcissists react as raving 
madmen to anything, however minute, however remote 
that seems to threaten their grandiose fantasies, the only 
protective barrier between themselves and their lethal, 
seething envy. 

There is nothing new in trying to link narcissism to 
schizophrenia. Freud did as much in his "On Narcissism" 
[1914]. Klein's contribution was the introduction of 
immediately post-natal internal objects. Schizophrenia, 
she proposed, was a narcissistic and intense relationship 
with internal objects (such as fantasies or images, 
including fantasies of grandeur). She proposed a new 
language. 

Freud suggested a transition from (primary, object-less) 
narcissism (self-directed libido) to objects relations 
(objects directed libido). Klein suggested a transition from 
internal objects to external ones. While Freud thought that 
the denominator common to narcissism and schizoid 
phenomena is a withdrawal of libido from the world - 
Klein suggested it was a fixation on an early phase of 
relating to internal objects. 

But is the difference not merely semantic? 

"The term 'narcissism ' tends to be employed 
diagnostically by those proclaiming loyalty to the drive 
model [Otto Kernberg and Edith Jacobson, for instance 



101 



- SV] and mixed model theorists [Kohut], who are 
interested in preserving a tie to drive theory. 'Schizoid' 
tends to be employed diagnostically by adherents of 
relational models [Fairbairn, Guntrip], who are 
interested in articulating their break with drive theory... 
These two differing diagnoses and accompanying 
formulations are applied to patients who are essentially 
similar, by theorists who start with very different 
conceptual premises and ideological affiliations. " 

(Greenberg and Mitchell. Object Relations in 
Psychoanalytic Theory. Harvard University Press, 
1983) 

Klein, in effect, said that drives (e.g., the libido) are 
relational flows. A drive is the mode of relationship 
between an individual and his objects (internal and 
external). Thus, a retreat from the world [Freud] into 
internal objects [as postulated by object relations theorists 
and especially the British school of Fairbairn and Guntrip] 

- is the drive itself. 

Drives are orientations (to external or internal objects). 
Narcissism is an orientation (a preference, we could say) 
towards internal objects - the very definition of schizoid 
phenomena as well. This is why narcissists feel empty, 
fragmented, "unreal", and diffuse. It is because their Ego 
is still split (never integrated) and because they had 
withdrawn from the world (of external objects). 

Kernberg identifies these internal objects with which the 
narcissist maintains a special relationship with the 
idealised, grandiose images of the narcissist's parents. He 
believes that the narcissist's very Ego (self-representation) 
had fused with these parental images. 



102 



Fairbairn's work - even more than Kernberg's, not to 
mention Kohut's - integrates all these insights into a 
coherent framework. Guntrip elaborated on it and together 
they created one of the most impressive theoretical bodies 
in the history of psychology. 

Fairbairn internalised Klein's insights that drives are 
object-orientated and their goal is the formation of 
relationships and not primarily the attainment of pleasure. 
Pleasurable sensations are the means to achieve 
relationships. The Ego does not seek to be stimulated and 
pleased but to find the right, "good", supporting object. 
The infant is fused with his Primary Object, the mother. 

Life is not about using objects for pleasure under the 
supervision of the Ego and Superego, as Freud suggested. 
Life is about separating, differentiating, individuating, and 
achieving independence from the Primary Object and the 
initial state of fusion with it. Dependence on internal 
objects is narcissism. Freud's post-narcissistic (anaclitic) 
phase of life can be either dependent (immature) or 
mature. 

The newborn's Ego is looking for objects with which to 
form relationships. Inevitably, some of these objects and 
some of these relationships frustrate the infant and 
disappoint him. He compensates for these setbacks by 
creating compensatory internal objects. The initially 
unitary Ego thus fragments into a growing group of 
internal objects. Reality breaks our hearts and minds, 
according to Fairbairn. The Ego and its objects are 
"twinned" and the Ego is split in three [or four, according 
to Guntrip, who introduced a fourth Ego]. A schizoid state 
ensues. 



103 



The "original" (Freudian or libidinal) Ego is unitary, 
instinctual, needy and object seeking. It then fragments as 
a result of the three typical interactions with the mother 
(gratification, disappointment and deprivation). The 
central Ego idealises the "good" parents. It is conformist 
and obedient. The antilibidinal Ego is a reaction to 
frustrations. It is rejecting, harsh, unsatisfying, dead set 
against one's natural needs. The libidinal Ego is the seat of 
cravings, desires and needs. It is active in that it keeps 
seeking objects to form relationships with. Guntrip added 
the regressed Ego, which is the True Self in "cold 
storage", the "lost heart of the personal self". 

Fairbairn's definition of psychopathology is quantitative. 
How much of the Ego is dedicated to relationships with 
internal objects rather than with external ones (e.g., real 
people)? In other words: how fragmented (how schizoid) 
is the Ego? 

To achieve a successful transition from focusing on 
internal objects to seeking external ones, the child needs 
to have the right parents (in Winnicott's parlance, the 
"good enough mother" - not perfect, but "good enough"). 
The child internalises the bad aspects of his parents in the 
form of internal, bad objects and then proceeds to 
suppress them, together ("twinned") with portions of his 
Ego. 

Thus, his parents become a part of the child (though a 
repressed part). The more bad objects are repressed, the 
"less Ego is left" for healthy relationships with external 
objects. To Fairbairn, the source of all psychological 
disturbances is in these schizoid phenomena. Later 
developments (such as the Oedipus Complex) are less 
crucial. 



104 



Fairbairn and Guntrip think that if a person is too attached 
to his compensatory internal objects - he finds it hard to 
mature psychologically. Maturing is about letting go of 
internal objects. Some people just don't want to mature, or 
are reluctant to do so, or are ambivalent about it. This 
reluctance, this withdrawal to an internal world of 
representations, internal objects and broken Ego - is 
narcissism itself. Narcissists simply don't know how to be 
themselves, how to be and act independent while 
managing their relationships with other people. 

Both Otto Kernberg and Franz Kohut contended that 
narcissism is somewhere between neurosis and psychosis. 
Kernberg thought that it was a borderline phenomenon, on 
the verge of psychosis (where the Ego is completely 
shattered). In this respect Kernberg, more than Kohut, 
identifies narcissism with schizoid phenomena and with 
schizophrenia. This is not the only difference between 
them. 

They also disagree on the developmental locus of 
narcissism. Kohut thinks that narcissism is an early phase 
of development, fossilised, and doomed to be repeated (a 
repetition complex) while Kernberg maintains that the 
narcissistic self is pathological from its very inception. 

Kohut believes that the narcissist's parents failed to 
provide him with assurances that he does possess a self (in 
his words, they failed to endow him with a self-object). 
They did not explicitly recognise the child's nascent self, 
its separate existence, and its boundaries. The child 
learned to have a schizoid, split, fragmented self, rather 
than a coherent ad integrated one. To Kohut, narcissism is 
really all-pervasive, at the very core of being (whether in 



105 



its mature form, as self-love, or in it regressive, infantile 
form as a narcissistic disorder). 

Kernberg regards "mature narcissism" (also espoused by 
neo-Freudians like Grunberger and Chasseguet-Smirgel) 
as a contradiction in terms, an oxymoron. He observes 
that narcissists are already grandiose and schizoid 
(detached, cold, aloof, asocial) at an early age (when they 
are three years old, according to him!). 

Like Klein, Kernberg believes that narcissism is a last 
ditch effort (defence) to halt the emergence of the 
paranoid-schizoid position described by Klein. In an adult 
such an emergence is known as "psychosis" and this is 
why Kernberg classifies narcissists as borderline (almost) 
psychotics. 

Even Kohut, who is an opponent of Kernberg's 
classification, uses Eugene O'Neill's famous sentence [in 
"The Great God Brown"]: "Man is born broken. He lives 
by mending. The grace of God is glue." Kernberg himself 
sees a clear connection between schizoid phenomena 
(such as alienation in modern society and subsequent 
withdrawal) and narcissistic phenomena (inability to form 
relationships or to make commitments or to empathise). 

Fred Alford in "Narcissism: Socrates, the Frankfurt 
School and Psychoanalytic Theory" [Yale University 
Press, 1988] wrote: 

"Fairbairn and Guntrip represent the purest expression 
of object relations theory, which is characterised by the 
insight that real relationships with real people build 
psychic structure. Although they rarely mention 
narcissism, they see a schizoid split in the self as 



106 



characteristic of virtually all-emotional disorder. It is 
Greenberg and Mitchell, in Object Relations in 
Psychoanalytic Theory who establish the relevance of 
Fairbairn and Guntrip ...by pointing out that what 
American analysts label 'narcissism ', British analysts 
tend to call 'Schizoid Personality Disorder'. This insight 
allows us to connect the symptomatology of narcissism - 
feelings of emptiness, unreality, alienation and 
emotional withdrawal - with a theory that sees such 
symptoms as an accurate reflection of the experience of 
being split-off from apart of oneself. That narcissism is 
such a confusing category is in large part because its 
drive-theoretic definition, the libidinal cathexis of the 
self- in a word, self-love - seems far removed from the 
experience of narcissism, as characterised by a loss of, 
or split-in, the self. Fairbairn 's and Guntrip 's view of 
narcissism as an excessive attachment of the Ego to 
internal objects (roughly analogous to Freud's 
narcissistic, as opposed to object, love), resulting in 
various splits in the Ego necessary to maintain these 
attachments, allows us to penetrate this confusion. " 
[Page 67] 

Also read 

On Empathy 

To Age with Grace 

Collective Narcissism 

Narcissist, the Machine 

Narcissistic Confinement 

The Delusional Way Out 



107 



The Narcissist in the Workplace 

Narcissists and Social Institutions 

Grandiosity Hangover and Narcissistic Baiting 

Back to Table of Contents 



108 



Serial Killers 
By: Dr. Sam Vaknin 



Countess Erszebet Bathory was a breathtakingly beautiful, 
unusually well-educated woman, married to a descendant 
of Vlad Dracula of Bram Stoker fame. In 1611, she was 
tried - though, being a noblewoman, not convicted - in 
Hungary for slaughtering 612 young girls. The true figure 
may have been 40-100, though the Countess recorded in 
her diary more than 610 girls and 50 bodies were found in 
her estate when it was raided. 

The Countess was notorious as an inhuman sadist long 
before her hygienic fixation. She once ordered the mouth 
of a talkative servant sewn. It is rumoured that in her 
childhood she witnessed a gypsy being sewn into a horse's 
stomach and left to die. 

The girls were not killed outright. They were kept in a 
dungeon and repeatedly pierced, prodded, pricked, and 
cut. The Countess may have bitten chunks of flesh off 
their bodies while alive. She is said to have bathed and 
showered in their blood in the mistaken belief that she 
could thus slow down the aging process. 

Her servants were executed, their bodies burnt and their 
ashes scattered. Being royalty, she was merely confined to 
her bedroom until she died in 1614. For a hundred years 
after her death, by royal decree, mentioning her name in 
Hungary was a crime. 



109 



Cases like Barothy's give the lie to the assumption that 
serial killers are a modern - or even post-modern - 
phenomenon, a cultural-societal construct, a by-product of 
urban alienation, Althusserian interpellation , and media 
glamorization. Serial killers are, indeed, largely made, not 
born . But they are spawned by every culture and society, 
molded by the idiosyncrasies of every period as well as by 
their personal circumstances and genetic makeup. 

Still, every crop of serial killers mirrors and reifies the 
pathologies of the milieu, the depravity of the Zeitgeist, 
and the malignancies of the Leitkultur. The choice of 
weapons, the identity and range of the victims, the 
methodology of murder, the disposal of the bodies, the 
geography, the sexual perversions and paraphilias - are all 
informed and inspired by the slayer's environment, 
upbringing, community, socialization, education, peer 
group, sexual orientation, religious convictions, and 
personal narrative. Movies like "Born Killers", "Man 
Bites Dog", "Copycat", and the Hannibal Lecter series 
captured this truth. 

Serial killers are the quiddity and quintessence of 
malignant narcissism. 

Yet, to some degree, we all are narcissists. Primary 
narcissism is a universal and inescapable developmental 
phase. Narcissistic traits are common and often culturally 
condoned. To this extent, serial killers are merely our 
reflection through a glass darkly. 

In their book "Personality Disorders in Modern Life", 
Theodore Millon and Roger Davis attribute pathological 
narcissism to "a society that stresses individualism and 
self-gratification at the expense of community ... In an 



110 



individualistic culture, the narcissist is 'God's gift to the 
world'. In a collectivist society, the narcissist is 'God's 
gift to the collective'". 

Lasch described the narcissistic landscape thus (in "The 
Culture of Narcissism: American Life in an age of 
Diminishing Expectations", 1979): 

"The new narcissist is haunted not by guilt but by 
anxiety. He seeks not to inflict his own certainties on 
others but to find a meaning in life. Liberated from the 
superstitions of the past, he doubts even the reality of his 
own existence ... His sexual attitudes are permissive 
rather than puritanical, even though his emancipation 
from ancient taboos brings him no sexual peace. 

Fiercely competitive in his demand for approval and 
acclaim, he distrusts competition because he associates it 
unconsciously with an unbridled urge to destroy ... He 
(harbours) deeply antisocial impulses. He praises respect 
for rules and regulations in the secret belief that they do 
not apply to himself. Acquisitive in the sense that his 
cravings have no limits, he ... demands immediate 
gratification and lives in a state of restless, perpetually 
unsatisfied desire. " 

The narcissist's pronounced lack of empathy, off-handed 
exploitativeness, grandiose fantasies and uncompromising 
sense of entitlement make him treat all people as though 
they were objects (he "objectifies" people). The narcissist 
regards others as either useful conduits for and sources of 
narcissistic supply (attention, adulation, etc.) - or as 
extensions of himself. 



111 



Similarly, serial killers often mutilate their victims and 
abscond with trophies - usually, body parts. Some of them 
have been known to eat the organs they have ripped - an 
act of merging with the dead and assimilating them 
through digestion. They treat their victims as some 
children do their rag dolls. 

Killing the victim - often capturing him or her on film 
before the murder - is a form of exerting unmitigated, 
absolute, and irreversible control over it. The serial killer 
aspires to "freeze time" in the still perfection that he has 
choreographed. The victim is motionless and defenseless. 
The killer attains long sought "object permanence". The 
victim is unlikely to run on the serial assassin, or vanish 
as earlier objects in the killer's life (e.g., his parents) have 
done. 

In malignant narcissism, the true self of the narcissist is 
replaced by a false construct, imbued with omnipotence, 
omniscience, and omnipresence. The narcissist's thinking 
is magical and infantile. He feels immune to the 
consequences of his own actions. Yet, this very source of 
apparently superhuman fortitude is also the narcissist's 
Achilles heel. 

The narcissist's personality is chaotic. His defense 
mechanisms are primitive. The whole edifice is 
precariously balanced on pillars of denial, splitting, 
projection, rationalization, and projective identification. 
Narcissistic injuries - life crises, such as abandonment, 
divorce, financial difficulties, incarceration, public 
opprobrium - can bring the whole thing tumbling down. 
The narcissist cannot afford to be rejected, spurned, 
insulted, hurt, resisted, criticized, or disagreed with. 



112 



Likewise, the serial killer is trying desperately to avoid a 
painful relationship with his object of desire. He is 
terrified of being abandoned or humiliated, exposed for 
what he is and then discarded. Many killers often have sex 
- the ultimate form of intimacy - with the corpses of their 
victims. Objectification and mutilation allow for 
unchallenged possession. 

Devoid of the ability to empathize, permeated by haughty 
feelings of superiority and uniqueness, the narcissist 
cannot put himself in someone else's shoes, or even 
imagine what it means. The very experience of being 
human is alien to the narcissist whose invented False Self 
is always to the fore, cutting him off from the rich 
panoply of human emotions. 

Thus, the narcissist believes that all people are narcissists. 
Many serial killers believe that killing is the way of the 
world. Everyone would kill if they could or were given 
the chance to do so. Such killers are convinced that they 
are more honest and open about their desires and, thus, 
morally superior. They hold others in contempt for being 
conforming hypocrites, cowed into submission by an 
overweening establishment or society. 

The narcissist seeks to adapt society in general - and 
meaningful others in particular - to his needs. He regards 
himself as the epitome of perfection, a yardstick against 
which he measures everyone, a benchmark of excellence 
to be emulated. He acts the guru, the sage, the 
"psychotherapist", the "expert", the objective observer of 
human affairs. He diagnoses the "faults" and 
"pathologies" of people around him and "helps" them 
"improve", "change", "evolve", and "succeed" - i.e., 
conform to the narcissist's vision and wishes. 



113 



Serial killers also "improve" their victims - slain, intimate 
objects - by "purifying" them, removing "imperfections", 
depersonalizing and dehumanizing them. This type of 
killer saves its victims from degeneration and degradation, 
from evil and from sin, in short: from a fate worse than 
death. 

The killer's megalomania manifests at this stage. He 
claims to possess, or have access to, higher knowledge 
and morality. The killer is a special being and the victim 
is "chosen" and should be grateful for it. The killer often 
finds the victim's ingratitude irritating, though sadly 
predictable. 

In his seminal work, "Aberrations of Sexual Life" 
(originally: "Psychopathia Sexualis"), quoted in the book 
"Jack the Ripper" by Donald Rumbelow, Kraft-Ebbing 
offers this observation: 

"The perverse urge in murders for pleasure does not 
solely aim at causing the victim pain and - most acute 
injury of all - death, but that the real meaning of the 
action consists in, to a certain extent, imitating, though 
perverted into a monstrous and ghastly form, the act of 
defloration. It is for this reason that an essential 
component ... is the employment of a sharp cutting 
weapon; the victim has to be pierced, slit, even chopped 
up ... The chief wounds are inflicted in the stomach 
region and, in many cases, the fatal cuts run from the 
vagina into the abdomen. In boys an artificial vagina is 
even made ... One can connect afetishistic element too 
with this process of hacking ... inasmuch as parts of the 
body are removed and ... made into a collection. " 



114 



Yet, the sexuality of the serial, psychopathic, killer is self- 
directed. His victims are props, extensions, aides, objects, 
and symbols. He interacts with them ritually and, either 
before or after the act, transforms his diseased inner 
dialog into a self-consistent extraneous catechism. The 
narcissist is equally auto-erotic. In the sexual act, he 
merely masturbates with other - living - people's bodies. 

The narcissist's life is a giant repetition complex. In a 
doomed attempt to resolve early conflicts with significant 
others, the narcissist resorts to a restricted repertoire of 
coping strategies, defense mechanisms, and behaviors. He 
seeks to recreate his past in each and every new 
relationship and interaction. Inevitably, the narcissist is 
invariably confronted with the same outcomes. This 
recurrence only reinforces the narcissist's rigid reactive 
patterns and deep-set beliefs. It is a vicious, intractable, 
cycle. 

Correspondingly, in some cases of serial killers, the 
murder ritual seemed to have recreated earlier conflicts 
with meaningful objects, such as parents, authority 
figures, or peers. The outcome of the replay is different to 
the original, though. This time, the killer dominates the 
situation. 

The killings allow him to inflict abuse and trauma on 
others rather than be abused and traumatized. He outwits 
and taunts figures of authority - the police, for instance. 
As far as the killer is concerned, he is merely "getting 
back" at society for what it did to him. It is a form of 
poetic justice, a balancing of the books, and, therefore, a 
"good" thing. The murder is cathartic and allows the killer 
to release hitherto repressed and pathologically 



115 



transformed aggression - in the form of hate, rage, and 
envy. 

But repeated acts of escalating gore fail to alleviate the 
killer's overwhelming anxiety and depression. He seeks to 
vindicate his negative introjects and sadistic superego by 
being caught and punished. The serial killer tightens the 
proverbial noose around his neck by interacting with law 
enforcement agencies and the media and thus providing 
them with clues as to his identity and whereabouts. When 
apprehended, most serial assassins experience a great 
sense of relief. 

Serial killers are not the only objectifiers - people who 
treat others as objects. To some extent, leaders of all sorts 
- political, military, or corporate - do the same. In a range 
of demanding professions - surgeons, medical doctors, 
judges, law enforcement agents - objectification 
efficiently fends off attendant horror and anxiety. 

Yet, serial killers are different. They represent a dual 
failure - of their own development as full-fledged, 
productive individuals - and of the culture and society 
they grow in. In a pathologically narcissistic civilization - 
social anomies proliferate. Such societies breed malignant 
objectifiers - people devoid of empathy - also known as 
"narcissists". 

Click here to read the DSM-IV-TR (2000) diagnostic 
criteria for the Narcissistic Personality Disorder 

Click here to read my analysis of the DSM-IV-TR and 
ICD-10 diagnostic criteria for the Narcissistic 
Personality Disorder 



116 



Read about the serial killer Edward (Ed or Eddie) Gein 
Click HERE. 

Read this for in-depth information - A Primer on 
Narcissism 

Back to Table of Contents 



117 



Sex or Gender 
By: Dr. Sam Vaknin 

"One is not born, but rather becomes, a woman. " 

Simone de Beauvoir, The Second Sex (1949) 

In nature, male and female are distinct. She-elephants are 
gregarious, he-elephants solitary. Male zebra finches are 
loquacious - the females mute. Female green spoon 
worms are 200,000 times larger than their male mates. 
These striking differences are biological - yet they lead to 
differentiation in social roles and skill acquisition. 

Alan Pease, author of a book titled "Why Men Don't 
Listen and Women Can't Read Maps", believes that 
women are spatially-challenged compared to men. The 
British firm, Admiral Insurance, conducted a study of half 
a million claims. They found that "women were almost 
twice as likely as men to have a collision in a car park, 23 
percent more likely to hit a stationary car, and 15 percent 
more likely to reverse into another vehicle" (Reuters). 

Yet gender "differences" are often the outcomes of bad 
scholarship. Consider Admiral insurance's data. As 
Britain's Automobile Association (AA) correctly pointed 
out - women drivers tend to make more short journeys 
around towns and shopping centers and these involve 
frequent parking. Hence their ubiquity in certain kinds of 
claims. Regarding women's alleged spatial deficiency, in 
Britain, girls have been outperforming boys in scholastic 



118 



aptitude tests - including geometry and maths - since 
1988. 

In an Op-Ed published by the New York Times on 
January 23, 2005, Olivia Judson cited this example 

"Beliefs that men are intrinsically better at this or that 
have repeatedly led to discrimination and prejudice, and 
then they've been proved to be nonsense. Women were 
thought not to be world-class musicians. But when 
American symphony orchestras introduced blind 
auditions in the 1970' s - the musician plays behind a 
screen so that his or her gender is invisible to those 
listening - the number of women offered jobs in 
professional orchestras increased. Similarly, in science, 
studies of the ways that grant applications are evaluated 
have shown that women are more likely to get financing 
when those reading the applications do not know the sex 
of the applicant. " 

On the other wing of the divide, Anthony Clare, a British 
psychiatrist and author of "On Men" wrote: 

"At the beginning of the 21st century it is difficult to 
avoid the conclusion that men are in serious trouble. 
Throughout the world, developed and developing, 
antisocial behavior is essentially male. Violence, sexual 
abuse of children, illicit drug use, alcohol misuse, 
gambling, all are overwhelmingly male activities. The 
courts and prisons bulge with men. When it comes to 
aggression, delinquent behavior, risk taking and social 
mayhem, men win gold. " 

Men also mature later, die earlier, are more susceptible to 
infections and most types of cancer, are more likely to be 



119 



dyslexic, to suffer from a host of mental health disorders, 
such as Attention Deficit Hyperactivity Disorder 
(ADHD), and to commit suicide. 

In her book, "Stiffed: The Betrayal of the American Man", 
Susan Faludi describes a crisis of masculinity following 
the breakdown of manhood models and work and family 
structures in the last five decades. In the film "Boys don't 
Cry", a teenage girl binds her breasts and acts the male in 
a caricatural relish of stereotypes of virility. Being a man 
is merely a state of mind, the movie implies. 

But what does it really mean to be a "male" or a "female"? 
Are gender identity and sexual preferences genetically 
determined? Can they be reduced to one's sex? Or are they 
amalgams of biological, social, and psychological factors 
in constant interaction? Are they immutable lifelong 
features or dynamically evolving frames of self-reference? 

In the aforementioned New York Times Op -Ed, Olivia 
Judson opines: 

"Many sex differences are not, therefore, the result of 
his having one gene while she has another. Rather, they 
are attributable to the way particular genes behave when 
they find themselves in him instead of her. The 
magnificent difference between male and female green 
spoon worms, for example, has nothing to do with their 
having different genes: each green spoon worm larva 
could go either way. Which sex it becomes depends on 
whether it meets a female during its first three weeks of 
life. If it meets a female, it becomes male and prepares to 
regurgitate; if it doesn 't, it becomes female and settles 
into a crack on the sea floor. " 



120 



Yet, certain traits attributed to one's sex are surely better 
accounted for by the demands of one's environment, by 
cultural factors, the process of socialization, gender roles, 
and what George Devereux called "ethnopsychiatry" in 
"Basic Problems of Ethnopsychiatry" (University of 
Chicago Press, 1980). He suggested to divide the 
unconscious into the id (the part that was always 
instinctual and unconscious) and the "ethnic unconscious" 
(repressed material that was once conscious). The latter is 
mostly molded by prevailing cultural mores and includes 
all our defense mechanisms and most of the superego. 

So, how can we tell whether our sexual role is mostly in 
our blood or in our brains? 

The scrutiny of borderline cases of human sexuality - 
notably the transgendered or intersexed - can yield clues 
as to the distribution and relative weights of biological, 
social, and psychological determinants of gender identity 
formation. 

The results of a study conducted by Uwe Hartmann, 
Hinnerk Becker, and Claudia Rueffer-Hesse in 1997 and 
titled "Self and Gender: Narcissistic Pathology and 
Personality Factors in Gender Dysphoric Patients", 
published in the "International Journal of 
Transgenderism", "indicate significant psychopathological 
aspects and narcissistic dysregulation in a substantial 
proportion of patients." Are these "psychopathological 
aspects" merely reactions to underlying physiological 
realities and changes? Could social ostracism and labeling 
have induced them in the "patients"? 

The authors conclude: 



121 



"The cumulative evidence of our study ... is consistent 
with the view that gender dysphoria is a disorder of the 
sense of self as has been proposed by Beitel (1985) or 
Pfafflin (1993). The central problem in our patients is 
about identity and the self in general and the transsexual 
wish seems to be an attempt at reassuring and stabilizing 
the self-coherence which in turn can lead to a further 
destabilization if the self is already too fragile. In this 
view the body is instrumentalized to create a sense of 
identity and the splitting symbolized in the hiatus between 
the rejected body-self and other parts of the self is more 
between good and bad objects than between masculine 
and feminine." 

Freud, Kraft-Ebbing, and Fliess suggested that we are all 
bisexual to a certain degree. As early as 1910, Dr. Magnus 
Hirschfeld argued, in Berlin, that absolute genders are 
"abstractions, invented extremes". The consensus today is 
that one's sexuality is, mostly, a psychological construct 
which reflects gender role orientation. 

Joanne Meyerowitz, a professor of history at Indiana 
University and the editor of The Journal of American 
History observes, in her recently published tome, "How 
Sex Changed: A History of Transsexuality in the United 
States", that the very meaning of masculinity and 
femininity is in constant flux. 

Transgender activists, says Meyerowitz, insist that gender 
and sexuality represent "distinct analytical categories". 
The New York Times wrote in its review of the book: 
"Some male-to-female transsexuals have sex with men 
and call themselves homosexuals. Some female-to-male 
transsexuals have sex with women and call themselves 
lesbians. Some transsexuals call themselves asexual." 



122 



So, it is all in the mind, you see. 

This would be taking it too far. A large body of scientific 
evidence points to the genetic and biological 
underpinnings of sexual behavior and preferences. 

The German science magazine, "Geo", reported recently 
that the males of the fruit fly "drosophila melanogaster" 
switched from heterosexuality to homosexuality as the 
temperature in the lab was increased from 19 to 30 
degrees Celsius. They reverted to chasing females as it 
was lowered. 

The brain structures of homosexual sheep are different to 
those of straight sheep, a study conducted recently by the 
Oregon Health & Science University and the U.S. 
Department of Agriculture Sheep Experiment Station in 
Dubois, Idaho, revealed. Similar differences were found 
between gay men and straight ones in 1995 in Holland 
and elsewhere. The preoptic area of the hypothalamus was 
larger in heterosexual men than in both homosexual men 
and straight women. 

According an article, titled "When Sexual Development 
Goes Awry", by Suzanne Miller, published in the 
September 2000 issue of the "World and I", various 
medical conditions give rise to sexual ambiguity. 
Congenital adrenal hyperplasia (CAH), involving 
excessive androgen production by the adrenal cortex, 
results in mixed genitalia. A person with the complete 
androgen insensitivity syndrome (AIS) has a vagina, 
external female genitalia and functioning, androgen- 
producing, testes - but no uterus or fallopian tubes. 



123 



People with the rare 5 -alpha reductase deficiency 
syndrome are born with ambiguous genitalia. They appear 
at first to be girls. At puberty, such a person develops 
testicles and his clitoris swells and becomes a penis. 
Hermaphrodites possess both ovaries and testicles (both, 
in most cases, rather undeveloped). Sometimes the ovaries 
and testicles are combined into a chimera called ovotestis. 

Most of these individuals have the chromosomal 
composition of a woman together with traces of the Y, 
male, chromosome. All hermaphrodites have a sizable 
penis, though rarely generate sperm. Some 
hermaphrodites develop breasts during puberty and 
menstruate. Very few even get pregnant and give birth. 

Anne Fausto-Sterling, a developmental geneticist, 
professor of medical science at Brown University, and 
author of "Sexing the Body", postulated, in 1993, a 
continuum of 5 sexes to supplant the current dimorphism: 
males, merms (male pseudohermaphrodites), herms (true 
hermaphrodites), ferms (female pseudohermaphrodites), 
and females. 

Intersexuality (hermpahroditism) is a natural human state. 
We are all conceived with the potential to develop into 
either sex. The embryonic developmental default is 
female. A series of triggers during the first weeks of 
pregnancy places the fetus on the path to maleness. 

In rare cases, some women have a male's genetic makeup 
(XY chromosomes) and vice versa. But, in the vast 
majority of cases, one of the sexes is clearly selected. 
Relics of the stifled sex remain, though. Women have the 
clitoris as a kind of symbolic penis. Men have breasts 
(mammary glands) and nipples. 



124 



The Encyclopedia Britannica 2003 edition describes the 
formation of ovaries and testes thus: 

"In the young embryo a pair of gonads develop that are 
indifferent or neutral, showing no indication whether 
they are destined to develop into testes or ovaries. There 
are also two different duct systems, one of which can 
develop into the female system of oviducts and related 
apparatus and the other into the male sperm duct 
system. As development of the embryo proceeds, either 
the male or the female reproductive tissue differentiates 
in the originally neutral gonad of the mammal. " 

Yet, sexual preferences, genitalia and even secondary sex 
characteristics, such as facial and pubic hair are first order 
phenomena. Can genetics and biology account for male 
and female behavior patterns and social interactions 
("gender identity")? Can the multi-tiered complexity and 
richness of human masculinity and femininity arise from 
simpler, deterministic, building blocks? 

Sociobiologists would have us think so. 

For instance: the fact that we are mammals is 
astonishingly often overlooked. Most mammalian families 
are composed of mother and offspring. Males are 
peripatetic absentees. Arguably, high rates of divorce and 
birth out of wedlock coupled with rising promiscuity 
merely reinstate this natural "default mode", observes 
Lionel Tiger, a professor of anthropology at Rutgers 
University in New Jersey. That three quarters of all 
divorces are initiated by women tends to support this 
view. 



125 



Furthermore, gender identity is determined during 
gestation, claim some scholars. 

Milton Diamond of the University of Hawaii and Dr. 
Keith Sigmundson, a practicing psychiatrist, studied the 
much-celebrated John/Joan case. An accidentally 
castrated normal male was surgically modified to look 
female, and raised as a girl but to no avail. He reverted to 
being a male at puberty. 

His gender identity seems to have been inborn (assuming 
he was not subjected to conflicting cues from his human 
environment). The case is extensively described in John 
Colapinto's tome "As Nature Made Him: The Boy Who 
Was Raised as a Girl". 

HealthScoutNews cited a study published in the 
November 2002 issue of "Child Development". The 
researchers, from City University of London, found that 
the level of maternal testosterone during pregnancy affects 
the behavior of neonatal girls and renders it more 
masculine. "High testosterone" girls "enjoy activities 
typically considered male behavior, like playing with 
trucks or guns". Boys' behavior remains unaltered, 
according to the study. 

Yet, other scholars, like John Money, insist that newborns 
are a "blank slate" as far as their gender identity is 
concerned. This is also the prevailing view. Gender and 
sex-role identities, we are taught, are fully formed in a 
process of socialization which ends by the third year of 
life. The Encyclopedia Britannica 2003 edition sums it up 
thus: 



126 



"Like an individual's concept of his or her sex role, gender 
identity develops by means of parental example, social 
reinforcement, and language. Parents teach sex- 
appropriate behavior to their children from an early age, 
and this behavior is reinforced as the child grows older 
and enters a wider social world. As the child acquires 
language, he also learns very early the distinction between 
"he" and "she" and understands which pertains to him- or 
herself." 

So, which is it - nature or nurture? There is no disputing 
the fact that our sexual physiology and, in all probability, 
our sexual preferences are determined in the womb. Men 
and women are different - physiologically and, as a result, 
also psychologically. 

Society, through its agents - foremost amongst which are 
family, peers, and teachers - represses or encourages these 
genetic propensities. It does so by propagating "gender 
roles" - gender-specific lists of alleged traits, permissible 
behavior patterns, and prescriptive morals and norms. Our 
"gender identity" or "sex role" is shorthand for the way we 
make use of our natural genotypic-phenotypic 
endowments in conformity with social-cultural "gender 
roles". 

Inevitably as the composition and bias of these lists 
change, so does the meaning of being "male" or "female". 
Gender roles are constantly redefined by tectonic shifts in 
the definition and functioning of basic social units, such 
as the nuclear family and the workplace. The cross- 
fertilization of gender-related cultural memes renders 
"masculinity" and "femininity" fluid concepts. 



127 



One's sex equals one's bodily equipment, an objective, 
finite, and, usually, immutable inventory. But our 
endowments can be put to many uses, in different 
cognitive and affective contexts, and subject to varying 
exegetic frameworks. As opposed to "sex" - "gender" is, 
therefore, a socio-cultural narrative. Both heterosexual 
and homosexual men ejaculate. Both straight and lesbian 
women climax. What distinguishes them from each other 
are subjective introjects of socio-cultural conventions, not 
objective, immutable "facts". 

In "The New Gender Wars", published in the 
November/December 2000 issue of "Psychology Today", 
Sarah Blustain sums up the "bio-social" model proposed 
by Mice Eagly, a professor of psychology at Northwestern 
University and a former student of his, Wendy Wood, 
now a professor at the Texas A&M University: 

"Like (the evolutionary psychologists), Eagly and Wood 
reject social constructionist notions that all gender 
differences are created by culture. But to the question of 
where they come from, they answer differently: not our 
genes but our roles in society. This narrative focuses on 
how societies respond to the basic biological differences - 
men's strength and women's reproductive capabilities - 
and how they encourage men and women to follow certain 
patterns. 

'If you're spending a lot of time nursing your kid', explains 
Wood, 'then you don't have the opportunity to devote 
large amounts of time to developing specialized skills and 
engaging tasks outside of the home'. And, adds Eagly, 'if 
women are charged with caring for infants, what happens 
is that women are more nurturing. Societies have to make 



128 



the adult system work [so] socialization of girls is 
arranged to give them experience in nurturing'. 

According to this interpretation, as the environment 
changes, so will the range and texture of gender 
differences. At a time in Western countries when female 
reproduction is extremely low, nursing is totally optional, 
childcare alternatives are many, and mechanization 
lessens the importance of male size and strength, women 
are no longer restricted as much by their smaller size and 
by child-bearing. That means, argue Eagly and Wood, that 
role structures for men and women will change and, not 
surprisingly, the way we socialize people in these new 
roles will change too. (Indeed, says Wood, 'sex 
differences seem to be reduced in societies where men and 
women have similar status,' she says. If you're looking to 
live in more gender-neutral environment, try 
Scandinavia.)" 

Also Read 

Gender and the Narcissist 

The Roots of Pedophilia 

The Pathology of Love 

The Natural Roots of Sexuality 

The Offspring of Aeolus: On the Incest Taboo 

Ethical Relativism and Absolute Taboos 

Homosexual and Transsexual Narcissists 

Back to Table of Contents 



129 



The Natural Roots of Sexuality 

By: Dr. Sam Vaknin 

Recent studies in animal sexuality serve to dispel two 
common myths: that sex is exclusively about reproduction 
and that homosexuality is an unnatural sexual preference. 
It now appears that sex is also about recreation as it 
frequently occurs out of the mating season. And same-sex 
copulation and bonding are common in hundreds of 
species, from bonobo apes to gulls. 

Moreover, homosexual couples in the Animal Kingdom 
are prone to behaviors commonly - and erroneously - 
attributed only to heterosexuals. The New York Times 
reported in its February 7, 2004 issue about a couple of 
gay penguins who are desperately and recurrently seeking 
to incubate eggs together. 

In the same article ("Love that Dare not Squeak its 
Name"), Bruce Bagemihl, author of the groundbreaking 
"Biological Exuberance: Animal Homosexuality and 
Natural Diversity " , defines homosexuality as "any of 
these behaviors between members of the same sex: long- 
term bonding, sexual contact, courtship displays or the 
rearing of young. " 

Still, that a certain behavior occurs in nature (is "natural") 
does not render it moral. Infanticide, patricide, suicide, 
gender bias, and substance abuse - are all to be found in 
various animal species. It is futile to argue for 
homosexuality or against it based on zoological 
observations. Ethics is about surpassing nature - not about 
emulating it. 



130 



The more perplexing question remains: what are the 
evolutionary and biological advantages of recreational sex 
and homosexuality? Surely, both entail the waste of scarce 
resources. 

Convoluted explanations, such as the one proffered by 
Marlene Zuk (homosexuals contribute to the gene pool by 
nurturing and raising young relatives) defy common 
sense, experience, and the calculus of evolution. There are 
no field studies that show conclusively or even indicate 
that homosexuals tend to raise and nurture their younger 
relatives more that straights do. 

Moreover, the arithmetic of genetics would rule out such a 
stratagem. If the aim of life is to pass on one's genes from 
one generation to the next, the homosexual would have 
been far better off raising his own children (who carry 
forward half his DNA) - rather than his nephew or niece 
(with whom he shares merely one quarter of his genetic 
material.) 

What is more, though genetically-predisposed, 
homosexuality may be partly acquired, the outcome of 
environment and nurture, rather than nature. 

An oft-overlooked fact is that recreational sex and 
homosexuality have one thing in common: they do not 
lead to reproduction. Homosexuality may, therefore, be a 
form of pleasurable sexual play. It may also enhance 
same-sex bonding and train the young to form cohesive, 
purposeful groups (the army and the boarding school 
come to mind). 

Furthermore, homosexuality amounts to the culling of 10- 
15% of the gene pool in each generation. The genetic 



131 



material of the homosexual is not propagated and is 
effectively excluded from the big roulette of life. Growers 
- of anything from cereals to cattle - similarly use random 
culling to improve their stock. As mathematical models 
show, such repeated mass removal of DNA from the 
common brew seems to optimize the species and increase 
its resilience and efficiency. 

It is ironic to realize that homosexuality and other forms 
of non-reproductive, pleasure-seeking sex may be key 
evolutionary mechanisms and integral drivers of 
population dynamics. Reproduction is but one goal among 
many, equally important, end results. Heterosexuality is 
but one strategy among a few optimal solutions. Studying 
biology may yet lead to greater tolerance for the vast 
repertory of human sexual foibles, preferences, and 
predilections. Back to nature, in this case, may be forward 
to civilization. 

Suggested Literature 

Bagemihl, Bruce - "Biological Exuberance: Animal 
Homosexuality and Natural Diversity" - St. Martin's 
Press, 1999 

De-Waal, Frans and Lanting, Frans - "Bonobo: The 
Forgotten Ape" - University of California Press, 1997 

De Waal, Frans - "Bonobo Sex and Society" - March 
1995 issue of Scientific American, pp. 82-88 

Trivers, Robert - Natural Selection and Social Theory: 
Selected Papers - Oxford University Press, 2002 



132 



Zuk, Marlene - "Sexual Selections: What We Can and 
Can 't Learn About Sex From Animals " - University of 
California Press, 2002 

Also Read 

Sex or Gender 

Gender and the Narcissist 

The Roots of Pedophilia 

The Pathology of Love 

The Natural Roots of Sexuality 

Ethical Relativism and Absolute Taboos 

Homosexual and Transsexual Narcissists 

The Offspring of Aeolus: On the Incest Taboo 

Homosexual and Transsexual Narcissists 

Back to Table of Contents 



133 



On the Incest Taboo 

The Offspring of Aeolus 

Incest as an Autoerotic Social and Cultural Act 

By: Dr. Sam Vaknin 

"...An experience with an adult may seem merely a 
curious and pointless game, or it may be a hideous 
trauma leaving lifelong psychic scars. In many cases the 
reaction of parents and society determines the child's 
interpretation of the event. What would have been a 
trivial and soon-forgotten act becomes traumatic if the 
mother cries, the father rages, and the police interrogate 
the child. " 

(Encyclopedia Britannica, 2004 Edition) 

In contemporary thought, incest is invariably associated 
with child abuse and its horrific, long-lasting, and often 
irreversible consequences. Incest is not such a clear-cut 
matter as it has been made out to be over millennia of 
taboo. Many participants claim to have enjoyed the act 
and its physical and emotional consequences. It is often 
the result of seduction. In some cases, two consenting and 
fully informed adults are involved. 

Many types of relationships, which are defined as 
incestuous, are between genetically unrelated parties (a 
stepfather and a daughter), or between fictive kin or 
between classificatory kin (that belong to the same 
matriline or patriline). In certain societies (the Native 
American or the Chinese) it is sufficient to carry the same 
family name (=to belong to the same clan) and marriage is 
forbidden. 



134 



Some incest prohibitions relate to sexual acts - others to 
marriage. In some societies, incest is mandatory or 
prohibited, according to the social class (Bali, Papua New 
Guinea, Polynesian and Melanesian islands). In others, the 
Royal House started a tradition of incestuous marriages, 
which was later imitated by lower classes (Ancient Egypt, 
Hawaii, Pre-Columbian Mixtec). Some societies are more 
tolerant of consensual incest than others (Japan, India 
until the 1930's, Australia). 

The list is long and it serves to demonstrate the diversity 
of attitudes towards this most universal of taboos. 
Generally put, we can say that a prohibition to have sex 
with or marry a related person should be classified as an 
incest prohibition. 

Perhaps the strongest feature of incest has been hitherto 
downplayed: that it is, essentially, an autoerotic act. 

Having sex with a first-degree blood relative is like 
having sex with oneself. It is a Narcissistic act and like all 
acts Narcissistic, it involves the objectification of the 
partner. The incestuous Narcissist over-values and then 
devalues his sexual partner. He is devoid of empathy 
(cannot see the other's point of view or put himself in her 
shoes). 

For an in depth treatment of Narcissism and its 
psychosexual dimension, see: "Malignant Self Love - 
Narcissism Revisited" and "Frequently Asked Questions" . 

Paradoxically, it is the reaction of society that transforms 
incest into such a disruptive phenomenon. The 
condemnation, the horror, the revulsion and the attendant 
social sanctions interfere with the internal processes and 



135 



dynamics of the incestuous family. It is from society that 
the child learns that something is horribly wrong, that he 
should feel guilty, and that the offending parent is a 
defective role model. 

As a direct result, the formation of the child's Superego is 
stunted and it remains infantile, ideal, sadistic, 
perfectionist, demanding and punishing. The child's Ego, 
on the other hand, is likely to be replaced by a False Ego 
version, whose job it is to suffer the social consequences 
of the hideous act. 

To sum up: society's reactions in the case of incest are 
pathogenic and are most likely to produce a Narcissistic or 
a Borderline patient. Dysempathic, exploitative, 
emotionally labile, immature, and in eternal search for 
Narcissistic Supply - the child becomes a replica of his 
incestuous and socially-castigated parent. 

If so, why did human societies develop such pathogenic 
responses? In other words, why is incest considered a 
taboo in all known human collectives and cultures? Why 
are incestuous liaisons treated so harshly and punitively? 

Freud said that incest provokes horror because it touches 
upon our forbidden, ambivalent emotions towards 
members of our close family. This ambivalence covers 
both aggression towards other members (forbidden and 
punishable) and (sexual) attraction to them (doubly 
forbidden and punishable). 

Edward Westermarck proffered an opposite view that the 
domestic proximity of the members of the family breeds 
sexual repulsion (the epigenetic rule known as the 
Westermarck effect) to counter naturally occurring 



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genetic sexual attraction. The incest taboo simply reflects 
emotional and biological realities within the family rather 
than aiming to restrain the inbred instincts of its members, 
claimed Westermarck. 

Though much-disputed by geneticists, some scholars 
maintain that the incest taboo may have been originally 
designed to prevent the degeneration of the genetic stock 
of the clan or tribe through intra-family breeding (closed 
endogamy). But, even if true, this no longer applies. In 
today's world incest rarely results in pregnancy and the 
transmission of genetic material. Sex today is about 
recreation as much as procreation. 

Good contraceptives should, therefore, encourage 
incestuous, couples. In many other species inbreeding or 
straightforward incest are the norm. Finally, in most 
countries, incest prohibitions apply also to non- 
genetically-related people. 

It seems, therefore, that the incest taboo was and is aimed 
at one thing in particular: to preserve the family unit and 
its proper functioning. 

Incest is more than a mere manifestation of a given 
personality disorder or a paraphilia (incest is considered 
by many to be a subtype of pedophilia). It harks back to 
the very nature of the family. It is closely entangled with 
its functions and with its contribution to the development 
of the individual within it. 

The family is an efficient venue for the transmission of 
accumulated property as well as information - both 
horizontally (among family members) and vertically 
(down the generations). The process of socialization 



137 



largely relies on these familial mechanisms, making the 
family the most important agent of socialization by far. 

The family is a mechanism for the allocation of genetic 
and material wealth. Worldly goods are passed on from 
one generation to the next through succession, inheritance 
and residence. Genetic material is handed down through 
the sexual act. It is the mandate of the family to increase 
both by accumulating property and by marrying outside 
the family (exogamy). 

Clearly, incest prevents both. It preserves a limited 
genetic pool and makes an increase of material 
possessions through intermarriage all but impossible. 

The family's roles are not merely materialistic, though. 

One of the main businesses of the family is to teach to its 
members self control, self regulation and healthy 
adaptation. Family members share space and resources 
and siblings share the mother's emotions and attention. 
Similarly, the family educates its young members to 
master their drives and to postpone the self-gratification 
which attaches to acting upon them. 

The incest taboo conditions children to control their erotic 
drive by abstaining from ingratiating themselves with 
members of the opposite sex within the same family. 
There could be little question that incest constitutes a lack 
of control and impedes the proper separation of impulse 
(or stimulus) from action. 

Additionally, incest probably interferes with the defensive 
aspects of the family's existence. It is through the family 
that aggression is legitimately channeled, expressed and 



138 



externalized. By imposing discipline and hierarchy on its 
members, the family is transformed into a cohesive and 
efficient war machine. It absorbs economic resources, 
social status and members of other families. It forms 
alliances and fights other clans over scarce goods, tangible 
and intangible. 

This efficacy is undermined by incest. It is virtually 
impossible to maintain discipline and hierarchy in an 
incestuous family where some members assume sexual 
roles not normally theirs. Sex is an expression of power - 
emotional and physical. The members of the family 
involved in incest surrender power and assume it out of 
the regular flow patterns that have made the family the 
formidable apparatus that it is. 

These new power politics weaken the family, both 
internally and externally. Internally, emotive reactions 
(such as the jealousy of other family members) and 
clashing authorities and responsibilities are likely to undo 
the delicate unit. Externally, the family is vulnerable to 
ostracism and more official forms of intervention and 
dismantling. 

Finally, the family is an identity endowment mechanism. 
It bestows identity upon its members. Internally, the 
members of the family derive meaning from their position 
in the family tree and its "organization chart" (which 
conform to societal expectations and norms). Externally, 
through exogamy, by incorporating "strangers", the family 
absorbs other identities and thus enhances social solidarity 
(Claude Levy-Strauss) at the expense of the solidarity of 
the nuclear, original family. 



139 



Exogamy, as often noted, allows for the creation of 
extended alliances. The "identity creep" of the family is in 
total opposition to incest. The latter increases the 
solidarity and cohesiveness of the incestuous family - but 
at the expense of its ability to digest and absorb other 
identities of other family units. Incest, in other words, 
adversely affects social cohesion and solidarity. 

Lastly, as aforementioned, incest interferes with well- 
established and rigid patterns of inheritance and property 
allocation. Such disruption is likely to have led in 
primitive societies to disputes and conflicts - including 
armed clashes and deaths. To prevent such recurrent and 
costly bloodshed was one of the intentions of the incest 
taboo. 

The more primitive the society, the more strict and 
elaborate the set of incest prohibitions and the fiercer the 
reactions of society to violations. It appears that the less 
violent the dispute settlement methods and mechanisms in 
a given culture - the more lenient the attitude to incest. 

The incest taboo is, therefore, a cultural trait. Protective of 
the efficient mechanism of the family, society sought to 
minimize disruption to its activities and to the clear flows 
of authority, responsibilities, material wealth and 
information horizontally and vertically. 

Incest threatened to unravel this magnificent creation - the 
family. Alarmed by the possible consequences (internal 
and external feuds, a rise in the level of aggression and 
violence) - society introduced the taboo. It came replete 
with physical and emotional sanctions: stigmatization, 
revulsion and horror, imprisonment, the demolition of the 
errant and socially mutant family cell. 



140 



As long as societies revolve around the relegation of 
power, its sharing, its acquisition and dispensation - there 
will always exist an incest taboo. But in a different 
societal and cultural setting, it is conceivable not to have 
such a taboo. We can easily imagine a society where 
incest is extolled, taught, and practiced - and out-breeding 
is regarded with horror and revulsion. 

The incestuous marriages among members of the royal 
households of Europe were intended to preserve the 
familial property and expand the clan's territory. They 
were normative, not aberrant. Marrying an outsider was 
considered abhorrent. 

An incestuous society - where incest is the norm - is 
conceivable even today. 

Two out of many possible scenarios: 

1. "The Lot Scenario " 

A plague or some other natural disaster decimate the 
population of planet Earth. People remain alive only in 
isolated clusters, co-habiting only with their closest kin. 
Surely incestuous procreation is preferable to virtuous 
extermination. Incest becomes normative. 

Incest is as entrenched a taboo as cannibalism. Yet, it is 
better to eat the flesh of your dead football team mates 
than perish high up on the Andes (a harrowing tale of 
survival recounted in the book and eponymous film, 
"Alive"). 

2. The Egyptian Scenario 



141 



Resources become so scarce that family units scramble to 
keep them exclusively within the clan. 

Exogamy - marrying outside the clan - amounts to a 
unilateral transfer of scarce resources to outsiders and 
strangers. Incest becomes an economic imperative. 

An incestuous society would be either Utopian or 
dystopian, depending on the reader's point of view - but 
that it is possible is doubtless. 

Also Read 

Sex or Gender 

The Narcissist's Family 

The Roots of Pedophilia 

The Pathology of Love 

The Natural Roots of Sexuality 

Parenting - The Irrational Vocation 

Ethical Relativism and Absolute Taboos 

Back to Table of Contents 



142 



The Roots of Pedophilia 

By: Dr. Sam Vaknin 

Pedophiles are attracted to prepubescent children and act 
on their sexual fantasies. It is a startling fact that the 
etiology of this paraphilia is unknown. Pedophiles comes 
from all walks of life and have no common socio- 
economic background. Contrary to media-propagated 
myths, most of them had not been sexually abused in 
childhood and the vast majority of pedophiles are also 
drawn to adults of the opposite sex (are heterosexuals). 

Only a few belong to the Exclusive Type - the ones who 
are tempted solely by kids. Nine tenths of all pedophiles 
are male. They are fascinated by preteen females, teenage 
males, or (more rarely) both. 

Moreover, at least one fifth (and probably more) of the 
population have pedophiliac fantasies. The prevalence of 
child pornography and child prostitution prove it. 
Pedophiles start out as "normal" people and are 
profoundly shocked and distressed to discover their illicit 
sexual preference for the prepubertal. The process and 
mechanisms of transition from socially acceptable 
sexuality to much-condemned (and criminal) pedophilia 
are still largely mysterious. 

Pedophiles seem to have narcissistic and antisocial 
(psychopathic) traits. They lack empathy for their victims 
and express no remorse for their actions. They are in 
denial and, being pathological confabulators , they 
rationalize their transgressions, claiming that the children 
were merely being educated for their own good and, 
anyhow, derived great pleasure from it. 



143 



The pedophile's ego-syntony rests on his alloplastic 
defenses . He generally tends to blame others (or the world 
or the "system") for his misfortunes, failures, and 
deficiencies. Pedophiles frequently accuse their victims of 
acting promiscuously, of "coming on to them", of actively 
tempting, provoking, and luring (or even trapping) them. 

The pedophile - similar to the autistic patient - 
misinterprets the child's body language and inter-personal 
cues. His social communication skills are impaired and he 
fails to adjust information gained to the surrounding 
circumstances (for instance, to the kid's age and maturity). 

Coupled with his lack of empathy, this recurrent inability 
to truly comprehend others cause the pedophile to 
objectify the targets of his lasciviousness. Pedophilia is, in 
essence, auto-erotic. The pedophile uses children's bodies 
to masturbate with. Hence the success of the Internet 
among pedophiles: it offers disembodied, anonymous, 
masturbatory sex. Children in cyberspace are mere 
representations - often nothing more than erotic photos 
and screen names. 

It is crucial to realize that pedophiles are not enticed by 
the children themselves, by their bodies, or by their 
budding and nubile sexuality (remember Nabokov's 
Lolita?). Rather, pedophiles are drawn to what children 
symbolize, to what preadolescents stand for and represent. 

To the pedophile ... 

/. Sex with children is "free" and "daring" 

Sex with sub teens implies freedom of action with 
impunity. It enhances the pedophile's magical sense of 



144 



omnipotence and immunity . By defying the authority of 
the state and the edicts of his culture and society, the 
pedophile experiences an adrenaline rush to which he 
gradually becomes addicted. Illicit sex becomes the outlet 
for his urgent need to live dangerously and recklessly . 

The pedophile is on a quest to reassert control over his 
life. Studies have consistently shown that pedophilia is 
associated with anomic states (war, famine, epidemics) 
and with major life crises (failure, relocation, infidelity of 
spouse, separation, divorce, unemployment, bankruptcy, 
illness, death of the offender's nearest and dearest). 

It is likely - though hitherto unsubstantiated by research - 
that the typical pedophile is depressive and with a 
borderline personality (low organization and fuzzy 
personal boundaries). Pedophiles are reckless and 
emotionally labile. The pedophile's sense of self-worth is 
volatile and dysregulated. He is likely to suffer from 
abandonment anxiety and be a codependent or 
counterdependent . 

Paradoxically, it is by seemingly losing control in one 
aspect of his life (sex) that the pedophile re-acquires a 
sense of mastery. The same mechanism is at work in the 
development of eating disorders . An inhibitory deficit is 
somehow magically perceived as omnipotence. 

//. Sex with children is corrupt and decadent 

The pedophile makes frequent (though unconscious) use 
of projection and projective identification in his 
relationships with children. He makes his victims treat 
him the way he views himself - or attributes to them traits 
and behaviors that are truly his. 



145 



The pedophile is aware of society's view of his actions as 
vile, corrupt, forbidden, evil, and decadent (especially if 
the pedophiliac act involves incest). He derives pleasure 
from the sleazy nature of his pursuits because it tends to 
sustain his view of himself as "bad", "a failure", 
"deserving of punishment", and "guilty". 

In extreme (mercifully uncommon) cases, the pedophile 
projects these torturous feelings and self-perceptions onto 
his victims. The children defiled and abused by his sexual 
attentions thus become "rotten", "bad objects", guilty and 
punishable. This leads to sexual sadism , lust rape, and 
snuff murders. 

III. Sex with children is a reenactment of a painful past 

Many pedophile truly bond with their prey. To them, 
children are the reification of innocence, genuineness, 
trust, and faithfulness - qualities that the pedophile wishes 
to nostalgically recapture. 

The relationship with the child provides the pedophile 
with a "safe passage" to his own, repressed and fearful, 
inner child. Through his victim, the pedophile gains 
access to his suppressed and thwarted emotions. It is a 
fantasy-like second chance to reenact his childhood, this 
time benignly. The pedophile's dream to make peace with 
his past comes true transforming the interaction with the 
child to an exercise in wish fulfillment. 

IV. Sex with children is a shared psychosis 

The pedophile treats "his" chosen child as an object, an 
extension of himself, devoid of a separate existence and 
denuded of distinct needs. He finds the child's 



146 



submissiveness and gullibility gratifying. He frowns on 
any sign of personal autonomy and regards it as a threat. 
By intimidating, cajoling, charming, and making false 
promises, the abuser isolates his prey from his family, 
school, peers, and from the rest of society and, thus, 
makes the child's dependence on him total. 

To the pedophile, the child is a "transitional object" - a 
training ground on which to exercise his adult relationship 
skills. The pedophile erroneously feels that the child will 
never betray and abandon him, therefore guaranteeing 
"object constancy". 

The pedophile - stealthily but unfailingly - exploits the 
vulnerabilities in the psychological makeup of his victim. 
The child may have low self-esteem, a fluctuating sense 
of self-worth, primitive defence mechanisms, phobias, 
mental health problems, a disability, a history of failure, 
bad relations with parents, siblings, teachers, or peers, or a 
tendency to blame herself, or to feel inadequate 
(autoplastic neurosis). The kid may come from an abusive 
family or environment - which conditioned her or him to 
expect abuse as inevitable and "normal". In extreme and 
rare cases - the victim is a masochist, possessed of an 
urge to seek ill-treatment and pain. 

The pedophile is the guru at the center of a cult. Like 
other gurus, he demands complete obedience from his 
"partner". He feels entitled to adulation and special 
treatment by his child-mate. He punishes the wayward and 
the straying lambs. He enforces discipline. 

The child finds himself in a twilight zone. The pedophile 
imposes on him a shared psychosis, replete with 
persecutory delusions, "enemies", mythical narratives, and 



147 



apocalyptic scenarios if he is flouted. The child is 
rendered the joint guardian of a horrible secret. 

The pedophile's control is based on ambiguity, 
unpredictability, fuzziness, and ambient abuse . His ever- 
shifting whims exclusively define right versus wrong, 
desirable and unwanted, what is to be pursued and what to 
be avoided. He alone determines rights and obligations 
and alters them at will. 

The typical pedophile is a micro-manager. He exerts 
control over the minutest details and behaviors. He 
punishes severely and abuses withholders of information 
and those who fail to conform to his wishes and goals. 

The pedophile does not respect the boundaries and 
privacy of the (often reluctant and terrified) child. He 
ignores his or her wishes and treats children as objects or 
instruments of gratification. He seeks to control both 
situations and people compulsively. 

The pedophile acts in a patronizing and condescending 
manner and criticizes often. He alternates between 
emphasizing the minutest faults (devalues) and 
exaggerating the looks, talents, traits, and skills (idealizes) 
of the child. He is wildly unrealistic in his expectations - 
which legitimizes his subsequent abusive conduct. 

Narcissistic pedophiles claim to be infallible, superior, 
talented, skillful, omnipotent, and omniscient. They often 
lie and confabulate to support these unfounded claims and 
to justify their actions. Most pedophiles suffer from 
cognitive deficits and reinterpret reality to fit their 
fantasies. 



148 



In extreme cases, the pedophile feels above the law - any 
kind of law. This grandiose and haughty conviction leads 
to criminal acts , incestuous or polygamous relationships, 
and recurrent friction with the authorities. 

V. The pedophile regards sex with children as an ego- 
booster 

Subteen children are, by definition, "inferior". They are 
physically weaker, dependent on others for the fulfillment 
of many of their needs, cognitively and emotionally 
immature, and easily manipulated. Their fund of 
knowledge is limited and their skills restricted. His 
relationships with children buttress the pedophile's twin 
grandiose delusions of omnipotence and omniscience. 
Compared to his victims, the pedophiles is always the 
stronger, the wiser, the most skillful and well-informed. 

VI. Sex with children guarantees companionship 

Inevitably, the pedophile considers his child- victims to be 
his best friends and companions. Pedophiles are lonely, 
erotomanic, people. 

The pedophile believes that he is in love with (or simply 
loves) the child. Sex is merely one way to communicate 
his affection and caring. But there are other venues. 

To show his keen interest, the common pedophile keeps 
calling the child, dropping by, writing e-mails, giving 
gifts, providing services, doing unsolicited errands "on the 
kid's behalf", getting into relationships with the preteen's 
parents, friends, teachers, and peers, and, in general, 
making himself available (stalking) at all times. The 



149 



pedophile feels free to make legal, financial, and 
emotional decisions for the child. 

The pedophile intrudes on the victim's privacy, disrespects 
the child's express wishes and personal boundaries and 
ignores his or her emotions, needs, and preferences. To 
the pedophile, " love " means enmeshment and clinging 
coupled with an overpowering separation anxiety (fear of 
being abandoned). 

Moreover, no amount of denials, chastising, threats, and 
even outright hostile actions convince the erotomaniac 
that the child not in love with him. He knows better and 
will make the world see the light as well. The child and 
his guardians are simply unaware of what is good for the 
kid. The pedophile determinedly sees it as his or her task 
to bring life and happiness into the child's dreary and 
unhappy existence. 

Thus, regardless of overwhelming evidence to the 
contrary, the pedophile is convinced that his feelings are 
reciprocated - in other words, that the child is equally 
infatuated with him or her. He interprets everything the 
child does (or refrains from doing) as coded messages 
confessing to and conveying the child's interest in and 
eternal devotion to the pedophile and to the "relationship". 

Some (by no means all) pedophiles are socially-inapt, 
awkward, schizoid , and suffer from a host of mood and 
anxiety disorders. They may also be legitimately involved 
with the child (e.g., stepfather, former spouse, teacher, 
gym instructor, sibling) - or with his parents (for instance, 
a former boyfriend, a one night stand, colleagues or co- 
workers). They are driven by their all-consuming 
loneliness and all-pervasive fantasies. 



150 



Consequently, pedophiles react badly to any perceived 
rejection by their victims. They turn on a dime and 
become dangerously vindictive , out to destroy the source 
of their mounting frustration. When the "relationship" 
looks hopeless, some pedophiles violently embark on a 
spree of self-destruction. 

Pedophilia is to some extent a culture-bound syndrome, 
defined as it is by the chronological age of the child 
involved. Ephebophilia, for instance - the exclusive sexual 
infatuation with teenagers - is not considered to be a form 
of pedophilia (or even paraphilia). 

In some cultures, societies and countries (Afghanistan, for 
instance) the age of consent is as low as 12. The 
marriageable age in Britain until the end of the nineteenth 
century was 10. Pedophilia is a common and socially- 
condoned practice in certain tribal societies and isolated 
communities (the Island of Pitcairn). 

It would, therefore, be wise to redefine pedophilia as an 
attraction to or sexual acts with prepubescent children or 
with people of the equivalent mental age (e.g., retarded) in 
contravention of social, legal, and cultural accepted 
practices. 

Also Read 

Sex or Gender 

The Narcissist's Family 

The Pathology of Love 

The Natural Roots of Sexuality 



151 



Parenting - The Irrational Vocation 

Ethical Relativism and Absolute Taboos 

The Offspring of Aeolus: On the Incest Taboo 

Back to Table of Contents 



152 



Homosexual and Transsexual Narcissists 

By: Dr. Sam Vaknin 

Question: 

What is the typical profile of a homosexual narcissist? 
Why is he always on a lookout for new victims? Is he 
lying or is he telling the truth when he says that he "wants 
to get laid" by one and all? If he is not suicidal, is he not 
afraid of AIDS? 

Answer: 

I am a heterosexual and thus deprived of an intimate 
acquaintance with certain psychological processes, which 
allegedly are unique to homosexuals. I find it hard to 
believe that there are such processes, to begin with. 
Research failed to find any substantive difference between 
the psychological make-up of a narcissist who happens to 
have homosexual preferences - and a heterosexual 
narcissist. 

They both are predators, devouring Narcissistic Supply 
Sources as they go. Narcissists look for new victims, the 
way tigers look for prey - they are hungry. Hungry for 
adoration, admiration, acceptance, approval, and any other 
kind of attention. Old sources die easy - once taken for 
granted, the narcissistic element of conquest vanishes. 

Conquest is important because it proves the superiority of 
the narcissist. The very act of subduing, subjugating, or 
acquiring the power to influence someone provides the 
narcissist with Narcissistic Supply. The newly conquered 
idolise the narcissist and serve as a trophies. 



153 



The act of conquering and subordinating is epitomized by 
the sexual encounter - an objective and atavistic 
interaction. Making love to someone means that the 
consenting partner finds the narcissist (or one or more of 
his traits, such as his intelligence, his physique, even his 
money) irresistible. 

The distinction between passive and active sexual partners 
is mechanical, false, superfluous and superficial. 
Penetration does not make one of the parties "the stronger 
one". To cause someone to have sex with you is a 
powerful stimulus - and always provokes a sensation of 
omnipotence. Whether one is physically passive or active 
- one is always psychosexually active. 

Anyone who has unsafe sex is gambling with his life - 
though the odds are much smaller than public hysteria 
would have us believe. Reality does not matter, though - 
it is the perception of reality that matters. Getting this 
close to (perceived) danger is the equivalent of engaging 
in self-destruction (suicide). Narcissists are, at times, 
suicidal and are always self-destructive . 

There is, however, one element, which might be unique to 
homosexuals: the fact that their self-definition hinges on 
their sexual identity. I know of no heterosexual who 
would use his sexual preferences to define himself almost 
fully. Homosexuality has been inflated to the level of a 
sub-culture, a separate psychology, or a myth. This is 
typical of persecuted minorities. However, it does have an 
influence on the individual. Preoccupation with body and 
sex makes most homosexual narcissists SOMATIC 
narcissists. 



154 



Moreover, the homosexual makes love to a person of the 
SAME sex - in a way, to his REFLECTION. In this 
respect, homosexual relations are highly narcissistic and 
autoerotic affairs. 

The somatic narcissist directs his libido at his body (as 
opposed to the cerebral narcissist, who concentrates upon 
his intellect). He cultivates it, nourishes and nurtures it, is 
often an hypochondriac, dedicates an inordinate amount 
of time to its needs (real and imaginary). It is through his 
body that this type of narcissist tracks down and captures 
his Supply Sources. 

The supply that the somatic narcissist so badly requires is 
derived from his form, his shape, his build, his profile, his 
beauty, his physical attractiveness, his health, his age. He 
downplays Narcissistic Supply directed at other traits. He 
uses sex to reaffirm his prowess, his attractiveness, or his 
youth. Love, to him, is synonymous with sex and he 
focuses his learning skills on the sexual act, the foreplay 
and the coital aftermath. 

Seduction becomes addictive because it leads to a quick 
succession of Supply Sources. Naturally, boredom (a form 
of transmuted aggression) sets in once the going gets 
routine. Routine is counter-narcissistic by definition 
because it threatens the narcissist's sense of uniqueness . 

An interesting side issue relates to transsexuals. 

Philosophically, there is little difference between a 
narcissist who seeks to avoid his True Self (and positively 
to become his False Self) - and a transsexual who seeks to 
discard his true gender. But this similarity, though 
superficially appealing, is questionable. 



155 



People sometimes seek sex reassignment because of 
advantages and opportunities which, they believe, are 
enjoyed by the other sex. This rather unrealistic (fantastic) 
view of the other is faintly narcissistic. It includes 
elements of idealised over-valuation, of self- 
preoccupation, and of objectification of one's self. It 
demonstrates a deficient ability to empathise and some 
grandiose sense of entitlement ("I deserve to be taken care 
of") and omnipotence ("I can be whatever I want to be - 
despite nature/God"). 

This feeling of entitlement is especially manifest in some 
gender dysphoric individuals who aggressively pursue 
hormonal or surgical treatment. They feel that it is their 
inalienable right to receive it on demand and without any 
strictures or restrictions. For instance, they oftentimes 
refuse to undergo psychological evaluation or treatment as 
a condition for the hormonal or surgical treatment. 

It is interesting to note that both narcissism and gender 
dysphoria are early childhood phenomena. This could be 
explained by problematic Primary Objects, dysfunctional 
families, or a common genetic or biochemical problem. It 
is too early to say which. As yet, there isn't even an agreed 
typology of gender identity disorders - let alone an in- 
depth comprehension of their sources. 

A radical view, proffered by Ray Blanchard, seems to 
indicate that pathological narcissism is more likely to be 
found among non-core, ego-dystonic, autogynephilic 
transsexulas and among heterosexual transvestites. It is 
less manifest in core, ego-syntonic, homosexual 
transsexuals. 



156 



Autogynephilic transsexuals are subject to an intense urge 
to become the opposite sex and, thus, to be rendered the 
sexual object of their own desire. In other words, they are 
so sexually attracted to themselves that they wish to 
become both lovers in the romantic equation - the male 
and the female. It is the fulfilment of the ultimate 
narcissistic fantasy with the False Self as a fetish 
("narcissistic fetish"). 

Autogynephilic transsexuals start off as heterosexuals and 
end up as either bisexual or homosexual. By shifting 
his/her attentions to men, the male autogynephilic 
transsexual "proves" to himself that he has finally become 
a "true" and desirable woman. 

Also Read 

The Natural Roots of Sexuality 

Gender and the Narcissist 

Sex and Gender 

Dr. Jackal and Mr. Hide 

The World of the Narcissist 

The Narcissistic Couple 

Physique Dysmorphique 

Narcissists and Women 

The Two Loves of the Narcissist 

Portrait of the Narcissist as a Young Man 



157 



That Thing Between a Man and a Woman 
Back to Table of Contents 



158 



The Insanity of the Defense 

By: Dr. Sam Vaknin 

"You can know the name of a bird in all the languages 
of the world, but when you 're finished, you '11 know 
absolutely nothing whatever about the bird. . . So let's 
look at the bird and see what it's doing - that's what 
counts. I learned very early the difference between 
knowing the name of something and knowing 
something. " 

Richard Feynman, Physicist and 1965 Nobel Prize 
laureate (1918-1988) 

"You have all I dare say heard of the animal spirits and 
how they are transfused from father to son etcetera 
etcetera - well you may take my word that nine parts in 
ten of a man's sense or his nonsense, his successes and 
miscarriages in this world depend on their motions and 
activities, and the different tracks and trains you put 
them into, so that when they are once set a-going, 
whether right or wrong, away they go cluttering like hey- 
go-mad. " 

Lawrence Sterne (1713-1758), "The Life and Opinions of 
Tristram Shandy, Gentleman" (1759) 

/. The Insanity Defense 

"It is an ill thing to knock against a deaf-mute, an 
imbecile, or a minor. He that wounds them is culpable, 
but if they wound him they are not culpable. " (Mishna, 
Babylonian Talmud) 



159 



If mental illness is culture-dependent and mostly serves as 
an organizing social principle - what should we make of 
the insanity defense (NGRI- Not Guilty by Reason of 
Insanity)? 

A person is held not responsible for his criminal actions if 
s/he cannot tell right from wrong ("lacks substantial 
capacity either to appreciate the criminality 
(wrongfulness) of his conduct" - diminished capacity), did 
not intend to act the way he did (absent "mens rea") 
and/or could not control his behavior ("irresistible 
impulse"). These handicaps are often associated with 
"mental disease or defect" or "mental retardation". 

Mental health professionals prefer to talk about an 
impairment of a "person's perception or understanding of 
reality" . They hold a "guilty but mentally ill" verdict to be 
contradiction in terms. All "mentally-ill" people operate 
within a (usually coherent) worldview, with consistent 
internal logic, and rules of right and wrong (ethics). Yet, 
these rarely conform to the way most people perceive the 
world. The mentally-ill, therefore, cannot be guilty 
because s/he has a tenuous grasp on reality. 

Yet, experience teaches us that a criminal maybe mentally 
ill even as s/he maintains a perfect reality test and thus is 
held criminally responsible (Jeffrey Dahmer comes to 
mind). The "perception and understanding of reality", in 
other words, can and does co-exist even with the severest 
forms of mental illness. 

This makes it even more difficult to comprehend what is 
meant by "mental disease". If some mentally ill maintain a 
grasp on reality, know right from wrong, can anticipate 
the outcomes of their actions, are not subject to irresistible 



160 



impulses (the official position of the American Psychiatric 
Association) - in what way do they differ from us, 
"normal" folks? 

This is why the insanity defense often sits ill with mental 
health pathologies deemed socially "acceptable" and 
"normal" - such as religion or love . 

Consider the following case: 

A mother bashes the skulls of her three sons. Two of them 
die. She claims to have acted on instructions she had 
received from God. She is found not guilty by reason of 
insanity. The jury determined that she "did not know right 
from wrong during the killings." 

But why exactly was she judged insane? 

Her belief in the existence of God - a being with 
inordinate and inhuman attributes - may be irrational. 

But it does not constitute insanity in the strictest sense 
because it conforms to social and cultural creeds and 
codes of conduct in her milieu. Billions of people 
faithfully subscribe to the same ideas, adhere to the same 
transcendental rules, observe the same mystical rituals, 
and claim to go through the same experiences. This shared 
psychosis is so widespread that it can no longer be 
deemed pathological, statistically speaking. 

She claimed that God has spoken to her. 

As do numerous other people. Behavior that is considered 
psychotic (paranoid-schizophrenic) in other contexts is 
lauded and admired in religious circles. Hearing voices 



161 



and seeing visions - auditory and visual delusions - are 
considered rank manifestations of righteousness and 
sanctity. 

Perhaps it was the content of her hallucinations that 
proved her insane? 

She claimed that God had instructed her to kill her boys. 
Surely, God would not ordain such evil? 

Alas, the Old and New Testaments both contain examples 
of God's appetite for human sacrifice. Abraham was 
ordered by God to sacrifice Isaac, his beloved son (though 
this savage command was rescinded at the last moment). 
Jesus, the son of God himself, was crucified to atone for 
the sins of humanity. 

A divine injunction to slay one's offspring would sit well 
with the Holy Scriptures and the Apocrypha as well as 
with millennia-old Judeo-Christian traditions of 
martyrdom and sacrifice. 

Her actions were wrong and incommensurate with both 
human and divine (or natural) laws. 

Yes, but they were perfectly in accord with a literal 
interpretation of certain divinely-inspired texts, millennial 
scriptures, apocalyptic thought systems, and 
fundamentalist religious ideologies (such as the ones 
espousing the imminence of "rapture"). Unless one 
declares these doctrines and writings insane, her actions 
are not. 

we are forced to the conclusion that the murderous mother 
is perfectly sane. Her frame of reference is different to 



162 



ours. Hence, her definitions of right and wrong are 
idiosyncratic. To her, killing her babies was the right thing 
to do and in conformity with valued teachings and her 
own epiphany. Her grasp of reality - the immediate and 
later consequences of her actions - was never impaired. 

It would seem that sanity and insanity are relative terms, 
dependent on frames of cultural and social reference, and 
statistically defined. There isn't - and, in principle, can 
never emerge - an "objective", medical, scientific test to 
determine mental health or disease unequivocally. 

II. The Concept of Mental Disease - An Overview 

Someone is considered mentally "ill" if: 

1 . His conduct rigidly and consistently deviates from 
the typical, average behaviour of all other people 
in his culture and society that fit his profile 
(whether this conventional behaviour is moral or 
rational is immaterial), or 

2. His judgment and grasp of objective, physical 
reality is impaired, and 

3. His conduct is not a matter of choice but is innate 
and irresistible, and 

4. His behavior causes him or others discomfort, and 
is 

5. Dysfunctional, self-defeating, and self-destructive 
even by his own yardsticks. 

Descriptive criteria aside, what is the essence of mental 
disorders? Are they merely physiological disorders of the 
brain, or, more precisely of its chemistry? If so, can they 
be cured by restoring the balance of substances and 
secretions in that mysterious organ? And, once 



163 



equilibrium is reinstated - is the illness "gone" or is it still 
lurking there, "under wraps", waiting to erupt? Are 
psychiatric problems inherited, rooted in faulty genes 
(though amplified by environmental factors) - or brought 
on by abusive or wrong nurturance? 

These questions are the domain of the "medical" school of 
mental health. 

Others cling to the spiritual view of the human psyche. 
They believe that mental ailments amount to the 
metaphysical discomposure of an unknown medium - the 
soul. Theirs is a holistic approach, taking in the patient in 
his or her entirety, as well as his milieu. 

The members of the functional school regard mental 
health disorders as perturbations in the proper, statistically 
"normal", behaviours and manifestations of "healthy" 
individuals, or as dysfunctions. The "sick" individual - ill 
at ease with himself (ego-dystonic) or making others 
unhappy (deviant) - is "mended" when rendered 
functional again by the prevailing standards of his social 
and cultural frame of reference. 

In a way, the three schools are akin to the trio of blind 
men who render disparate descriptions of the very same 
elephant. Still, they share not only their subject matter - 
but, to a counter intuitively large degree, a faulty 
methodology. 

As the renowned anti-psychiatrist, Thomas Szasz, of the 
State University of New York, notes in his article "The 
Lying Truths of Psychiatry" , mental health scholars, 
regardless of academic predilection, infer the etiology of 



164 



mental disorders from the success or failure of treatment 
modalities. 

This form of "reverse engineering" of scientific models is 
not unknown in other fields of science, nor is it 
unacceptable if the experiments meet the criteria of the 
scientific method. The theory must be all-inclusive 
(anamnetic), consistent, falsifiable, logically compatible, 
monovalent, and parsimonious. Psychological "theories" - 
even the "medical" ones (the role of serotonin and 
dopamine in mood disorders, for instance) - are usually 
none of these things. 

The outcome is a bewildering array of ever-shifting 
mental health "diagnoses" expressly centred around 
Western civilisation and its standards (example: the 
ethical objection to suicide). Neurosis, a historically 
fundamental "condition" vanished after 1980. 
Homosexuality, according to the American Psychiatric 
Association, was a pathology prior to 1973. Seven years 
later, narcissism was declared a "personality disorder", 
almost seven decades after it was first described by Freud. 

///. Personality Disorders 

Indeed, personality disorders are an excellent example of 
the kaleidoscopic landscape of "objective" psychiatry. 

The classification of Axis II personality disorders - 
deeply ingrained, maladaptive, lifelong behavior patterns 

- in the Diagnostic and Statistical Manual, fourth edition, 
text revision [American Psychiatric Association. DSM- 
IV -TR, Washington, 2000] - or the DSM-IV-TR for short 

- has come under sustained and serious criticism from its 
inception in 1952, in the first edition of the DSM. 



165 



The DSM IV-TR adopts a categorical approach, 
postulating that personality disorders are "qualitatively 
distinct clinical syndromes" (p. 689). This is widely 
doubted. Even the distinction made between "normal" and 
"disordered" personalities is increasingly being rejected. 
The "diagnostic thresholds" between normal and 
abnormal are either absent or weakly supported. 

The polythetic form of the DSM's Diagnostic Criteria - 
only a subset of the criteria is adequate grounds for a 
diagnosis - generates unacceptable diagnostic 
heterogeneity. In other words, people diagnosed with the 
same personality disorder may share only one criterion or 
none. 

The DSM fails to clarify the exact relationship between 
Axis II and Axis I disorders and the way chronic 
childhood and developmental problems interact with 
personality disorders. 

The differential diagnoses are vague and the personality 
disorders are insufficiently demarcated. The result is 
excessive co-morbidity (multiple Axis II diagnoses). 

The DSM contains little discussion of what 
distinguishes normal character (personality), personality 
traits, or personality style (Millon) - from personality 
disorders. 

A dearth of documented clinical experience regarding 
both the disorders themselves and the utility of various 
treatment modalities. 



166 



Numerous personality disorders are "not otherwise 
specified" - a catchall, basket "category". 

Cultural bias is evident in certain disorders (such as the 
Antisocial and the Schizotypal). 

The emergence of dimensional alternatives to the 
categorical approach is acknowledged in the DSM-IV-TR 
itself: 

"An alternative to the categorical approach is the 
dimensional perspective that Personality Disorders 
represent maladaptive variants of personality traits that 
merge imperceptibly into normality and into one 
another" (p.689) 

The following issues - long neglected in the DSM - are 
likely to be tackled in future editions as well as in current 
research. But their omission from official discourse 
hitherto is both startling and telling: 

• The longitudinal course of the disorder(s) and their 
temporal stability from early childhood onwards; 

• The genetic and biological underpinnings of 
personality disorder(s); 

• The development of personality psychopathology 
during childhood and its emergence in 
adolescence; 

• The interactions between physical health and 
disease and personality disorders; 

• The effectiveness of various treatments - talk 
therapies as well as psychopharmacology. 

IV. The Biochemistry and Genetics of Mental Health 



167 



Certain mental health afflictions are either correlated with 
a statistically abnormal biochemical activity in the brain - 
or are ameliorated with medication. Yet the two facts are 
not ineludibly facets of the same underlying phenomenon. 
In other words, that a given medicine reduces or abolishes 
certain symptoms does not necessarily mean they were 
caused by the processes or substances affected by the 
drug administered. Causation is only one of many possible 
connections and chains of events. 

To designate a pattern of behaviour as a mental health 
disorder is a value judgment, or at best a statistical 
observation. Such designation is effected regardless of the 
facts of brain science. Moreover, correlation is not 
causation. Deviant brain or body biochemistry (once 
called "polluted animal spirits") do exist - but are they 
truly the roots of mental perversion? Nor is it clear which 
triggers what: do the aberrant neurochemistry or 
biochemistry cause mental illness - or the other way 
around? 

That psychoactive medication alters behaviour and mood 
is indisputable. So do illicit and legal drugs, certain foods, 
and all interpersonal interactions. That the changes 
brought about by prescription are desirable - is debatable 
and involves tautological thinking. If a certain pattern of 
behaviour is described as (socially) "dysfunctional" or 
(psychologically) "sick" - clearly, every change would be 
welcomed as "healing" and every agent of transformation 
would be called a "cure". 

The same applies to the alleged heredity of mental illness. 
Single genes or gene complexes are frequently 
"associated" with mental health diagnoses, personality 
traits, or behaviour patterns. But too little is known to 



168 



establish irrefutable sequences of causes-and-effects. 
Even less is proven about the interaction of nature and 
nurture, genotype and phenotype, the plasticity of the 
brain and the psychological impact of trauma, abuse, 
upbringing, role models, peers, and other environmental 
elements. 

Nor is the distinction between psychotropic substances 
and talk therapy that clear-cut. Words and the interaction 
with the therapist also affect the brain, its processes and 
chemistry - albeit more slowly and, perhaps, more 
profoundly and irreversibly. Medicines - as David Kaiser 
reminds us in "Against Biologic Psychiatry " (Psychiatric 
Times, Volume XIII, Issue 12, December 1996) - treat 
symptoms, not the underlying processes that yield them. 

V. The Variance of Mental Disease 

If mental illnesses are bodily and empirical, they should 
be invariant both temporally and spatially, across cultures 
and societies. This, to some degree, is, indeed, the case. 
Psychological diseases are not context dependent - but the 
pathologizing of certain behaviours is. Suicide, substance 
abuse, narcissism, eating disorders, antisocial ways, 
schizotypal symptoms, depression, even psychosis are 
considered sick by some cultures - and utterly normative 
or advantageous in others. 

This was to be expected. The human mind and its 
dysfunctions are alike around the world. But values differ 
from time to time and from one place to another. Hence, 
disagreements about the propriety and desirability of 
human actions and inaction are bound to arise in a 
symptom-based diagnostic system. 



169 



As long as the pseudo-medical definitions of mental 
health disorders continue to rely exclusively on signs and 
symptoms - i.e., mostly on observed or reported 
behaviours - they remain vulnerable to such discord and 
devoid of much-sought universality and rigor. 

VI. Mental Disorders and the Social Order 

The mentally sick receive the same treatment as carriers 
of AIDS or SARS or the Ebola virus or smallpox. They 
are sometimes quarantined against their will and coerced 
into involuntary treatment by medication, psychosurgery, 
or electroconvulsive therapy. This is done in the name of 
the greater good, largely as a preventive policy. 

Conspiracy theories notwithstanding, it is impossible to 
ignore the enormous interests vested in psychiatry and 
psychopharmacology. The multibillion dollar industries 
involving drug companies, hospitals, managed healthcare, 
private clinics, academic departments, and law 
enforcement agencies rely, for their continued and 
exponential growth, on the propagation of the concept of 
"mental illness" and its corollaries: treatment and 
research. 

VII. Mental Ailment as a Useful Metaphor 

Abstract concepts form the core of all branches of human 
knowledge. No one has ever seen a quark, or untangled a 
chemical bond, or surfed an electromagnetic wave, or 
visited the unconscious. These are useful metaphors, 
theoretical entities with explanatory or descriptive power. 

"Mental health disorders" are no different. They are 
shorthand for capturing the unsettling quiddity of "the 



170 



Other". Useful as taxonomies, they are also tools of social 
coercion and conformity, as Michel Foucault and Louis 
Althusser observed. Relegating both the dangerous and 
the idiosyncratic to the collective fringes is a vital 
technique of social engineering. 

The aim is progress through social cohesion and the 
regulation of innovation and creative destruction. 
Psychiatry, therefore, is reifies society's preference of 
evolution to revolution, or, worse still, to mayhem. As is 
often the case with human endeavor, it is a noble cause, 
unscrupulously and dogmatically pursued. 

Also Read 

On Disease 

The Myth of Mental Illness 

In Defense of Psychoanalysis 

he Metaphors of the Mind - Part I (The Brain) 

The Metaphors of the Mind - Part II (Psychotherapy) 

The Metaphors of the Mind - Part III (Dreams) 

The Use and Abuse of Differential Diagnoses 

Althusser, Competing Interpellations and the Third Text 

Back to Table of Contents 



171 



THE AUTHOR 



Shmuel (Sam) Vaknin 



Curriculum Vitae 



Born in 1961 in Qiryat-Yam, Israel. 

Served in the Israeli Defence Force (1979-1982) in training and education 

units. 

Education 

Graduated a few semesters in the Technion - Israel Institute of Technology, 

Haifa. 

Ph.D. in Philosophy (major: Philosophy of Physics) - Pacific Western 

University, California, USA. 

Graduate of numerous courses in Finance Theory and International Trading. 

Certified E-Commerce Concepts Analyst by Brainbench . 

Certified in Psychological Counselling Techniques by Brainbench . 

Certified Financial Analyst by Brainbench . 

Full proficiency in Hebrew and in English. 

Business Experience 

1980 to 1983 

Founder and co-owner of a chain of computerized information kiosks in Tel- 
Aviv, Israel. 

1982 to 1985 

Senior positions with the Nessim D. Gaon Group of Companies in Geneva, 

Paris and New- York (NOGA and APROFIM SA): 

- Chief Analyst of Edible Commodities in the Group's Headquarters in 
Switzerland 



172 



- Manager of the Research and Analysis Division 

- Manager of the Data Processing Division 

- Project Manager of the Nigerian Computerized Census 

- Vice President in charge of RND and Advanced Technologies 

- Vice President in charge of Sovereign Debt Financing 

1985 to 1986 

Represented Canadian Venture Capital Funds in Israel. 

1986 to 1987 

General Manager of IPE Ltd. in London. The firm financed international 

multi-lateral countertrade and leasing transactions. 

1988 to 1990 

Co-founder and Director of "Mikbats-Tesuah", a portfolio management firm 

based in Tel-Aviv. 

Activities included large-scale portfolio management, underwriting, forex 

trading and general financial advisory services. 

1990 to Present 

Freelance consultant to many of Israel's Blue-Chip firms, mainly on issues 

related to the capital markets in Israel, Canada, the UK and the USA. 

Consultant to foreign RND ventures and to governments on macro-economic 

matters. 

Freelance journalist and analyst for various media in the USA. 

1990 to 1995 

President of the Israel chapter of the Professors World Peace Academy 

(PWPA) and (briefly) Israel representative of the "Washington Times". 

1993 to 1994 

Co-owner and Director of many business enterprises: 

- The Omega and Energy Air-Conditioning Concern 

- AVP Financial Consultants 

- Handiman Legal Services - Total annual turnover of the group: 10 million 
USD. 

Co-owner, Director and Finance Manager of COSTI Ltd. - Israel's largest 
computerized information vendor and developer. Raised funds through a 
series of private placements locally in the USA, Canada and London. 

1993 to 1996 

Publisher and Editor of a Capital Markets Newsletter distributed by 

subscription only to dozens of subscribers countrywide. 



173 



In a legal precedent in 1995 - studied in business schools and law faculties 

across Israel - was tried for his role in an attempted takeover of Israel's 

Agriculture Bank. 

Was interned in the State School of Prison Wardens. 

Managed the Central School Library, wrote, published and lectured on 

various occasions. 

Managed the Internet and International News Department of an Israeli mass 

media group, "Ha-Tikshoret and Namer". 

Assistant in the Law Faculty in Tel-Aviv University (to Prof. S.G. Shoham). 

1996 to 1999 

Financial consultant to leading businesses in Macedonia, Russia and the 

Czech Republic. 

Economic commentator in " Nova Makedonija ", " Dnevnik ", "Makedonija 

Denes", "Izvestia", "Argumenti i Fakti", "The Middle East Times", " The New 

Presence ", " Central Europe Review ", and other periodicals, and in the 

economic programs on various channels of Macedonian Television. 

Chief Lecturer in Macedonia in courses organized by the Agency of 

Privatization, by the Stock Exchange, and by the Ministry of Trade. 

1999 to 2002 

Economic Advisor to the Government of the Republic of Macedonia and to 

the Ministry of Finance. 

2001 to 2003 

Senior Business Correspondent for United Press International (UPI) . 

Web and Journalistic Activities 

Author of extensive Web sites in: 

- Psychology ( "Malignant Self Love" ) - An Open Directory Cool Site , 

- Philosophy ( "Philosophical Musings" ), 

- Economics and Geopolitics ( "World in Conflict and Transition" ). 

Owner of the Narcissistic Abuse Study List and the Abusive Relationships 

Newsletter (more than 6000 members). 

Owner of the Economies in Conflict and Transition Study List , the Toxic 

Relationships Study List , and the Link and Factoid Study List . 

Editor of mental health disorders and Central and Eastern Europe categories 

in various Web directories ( Open Directory , Search Europe , Mentalhelp.net ). 



174 



Editor of the Personality Disorders , Narcissistic Personality Disorder , the 
Verbal and Emotional Abuse , and the Spousal (Domestic) Abuse and 
Violence topics on Suite 101 and Bellaonline . 

Columnist and commentator in "The New Presence", United Press 
International (UPI) , InternetContent, eBookWeb, PopMatters , " Global 
Politician ", eBookNet , and " Central Europe Review ". 

Publications and Awards 

"Managing Investment Portfolios in States of Uncertainty", Limon 

Publishers, Tel-Aviv, 1988 

"The Gambling Industry", Limon Publishers, Tel-Aviv, 1990 

" Requesting My Loved One - Short Stories ", Yedioth Aharonot, Tel-Aviv, 

1997 

" The Suffering of Being Kafka " (electronic book of Hebrew and English 

Short Fiction), Prague and Skopje, 1998-2004 

"The Macedonian Economy at a Crossroads - On the Way to a Healthier 

Economy" (dialogues with Nikola Gruevski ), Skopje, 1998 

" The Exporters' Pocketbook ", Ministry of Trade, Republic of Macedonia, 

Skopje, 1999 

" Malignant Self Love - Narcissism Revisited ", Narcissus Publications, 

Prague and Skopje, 1999-2007 

The Narcissism Series (e-books regarding relationships with abusive 

narcissists), Skopje, 1999-2007 

" After the Rain - How the West Lost the East ", Narcissus Publications in 

association with Central Europe Review/CEENMI , Prague and Skopje, 2000 

Winner of numerous awards, among them Israel's Council of Culture and Art 

Prize for Maiden Prose (1997), The Rotary Club Award for Social Studies 

(1976), and the Bilateral Relations Studies Award of the American Embassy 

in Israel (1978). 

Hundreds of professional articles in all fields of finances and the economy, 

and numerous articles dealing with geopolitical and political economic issues 

published in both print and Web periodicals in many countries. 

Many appearances in the electronic media on subjects in philosophy and the 

sciences, and concerning economic matters. 



175 



Write to Me: 

palma@unet.com.mk 
narcissisticabuse-owner@yahoogroups.com 

My Web Sites: 

Economy/Politics: http://ceeandbalkan.tripod.com/ 
Psychology: http://www.narcissistic-abuse.com/ 
Philosophy: http://philosophos.tripod.com/ 
Poetry: http://samvak.tripod.com/contents.html 
Fiction: http://samvak.tripod.com/sipurim.html 



176 



Abused? Stalked? Harassed? Bullied? Victimized? 
Afraid? Confused? Need HELP? DO SOMETHING ABOUT IT! 

Had a Narcissistic Parent? 

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Want to cope with this pernicious, baffling condition? 

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177 



Sam Vaknin published the EIGHTH, REVISED IMPRESSION of his book 
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178 



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Personality Disorder (NPD). 



179 



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180 



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the Narcissistic Personality Disorder (NPD). 

Click on this link to purchase the e-book: 

http://www.ccnow.com/cgi-local/cart.cei7vaksam EXCERPTS 

9. "Diary of a Narcissist" (November 2005) 

The anatomy of one man's mental illness - its origins, its unfolding, its 
outcomes. 

Click on this link to purchase the e-book: 

http://www.ccnow.com/cgi-local/cart.cei7vaksam JOURNAL 

10. "After the Rain - How the West Lost the East" 

The history, cultures, societies, and economies of countries in transition in the 
Balkans. 

Click on this link to purchase the e-book: 

http://www.ccnow.com/cei-local/cart.cei7vaksam ATR-EBOOK 



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Download Free Electronic Books 

Click on this link: 
http://www.narcissistic-abuse.com/freebooks.html 

More about the Books and Additional Resources 

The Eighth, Revised Impression (January 2007) of the Print Edition of 
"Malignant Self Love - Narcissism Revisited" includes: 

• The full text of "Malignant Self Love - Narcissism Revisited" 

• The full text of 102 Frequently Asked Questions and Answers 

• Covering all the dimensions of Pathological Narcissism and Abuse in 
Relationships 

• An Essay - The Narcissist's point of view 

• Bibliography 

• 600 printed pages in a quality paper book 

• Digital Bonus Pack! (available only when you purchase the previous edition 
from the Publisher) - Bibliography, three e-books, additional FAQs, 
appendices and more - hundreds of additional pages! 

Testimonials and Additional Resources 

You can read Readers' Reviews at the Barnes and Noble Web page dedicated 
to "Malignant Self Love" - HERE: 

http://bamesandnoble.bfast.com/booklink/click?ISBN=8023833847 

Dozens of Links and Resources 

Click on these links: 

The Narcissistic Abuse Study List 
http://groups.yahoo.com/group/narcissisticabuse 

The Toxic Relationships Study List 



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http://eroups.vahoo.com/group/toxicrelationships 

Abusive Relationships Newsletter 
http://groups.google.eom/.group/narcissisticabuse 

Participate in Discussions about Abusive Relationships 

http://personalitvdisorders.suitel01.com/discussions.cfm 
http://groups.vahoo.com/group/Narcissistic Personality Disorder 
http://groups.msn.com/NARCISSISTICPERSONALITYDISORDER 

Links to Therapist Directories, Psychological Tests, NPD Resources, 
Support Groups for Narcissists and Their Victims, and Tutorials 

http://www.suitel01.com/links.cfm/npd 

Support Groups for Victims of Narcissists and Narcissists 

http://dmoz.org/Health/Mental Health/Disorders/Personality/Narcissistic 
http://www.narcissistic-abuse.com/freebooks.html 

BE WELL, SAFE AND WARM WHEREVER YOU ARE! 

Sam Vaknin 



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Malignant Self Love 

Narcissism Revisited 



The Book 

"Narcissists live in a state of constant rage, repressed aggression, envy and 
hatred. They firmly believe that everyone is like them. As a result, they are 
paranoid, aggressive, haughty and erratic. Narcissists are forever in pursuit 
of Narcissistic Supply. 

They know no past or future, are not constrained by any behavioural 
consistency, 'rules' of conduct or moral considerations. You signal to a 
narcissist that you are a willing source - and he is bound to extract his 
supply from you. 
This is a reflex. 

He would have reacted absolutely the same to any other source. If what is 
needed to obtain supply from you is intimations of intimacy — he will supply 
them liberally. " 

This book is comprised of two parts. 

The first part contains 102 Frequently Asked Questions related to the various 
aspects of pathological narcissism, relationships with abusive narcissists, and 
the Narcissistic Personality Disorder (NPD). 

The second part is an exposition of the various psychodynamic theories 
regarding pathological narcissism and a proposed new vocabulary. 

The Author 



Sam Vaknin was born in Israel in 1961. A financial consultant and columnist, 
he lived (and published) in 12 countries. He is a published and awarded 
author of short fiction and reference and an editor of mental health categories 
in various Web directories. This is his twelfth book. 



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