Psychopathology: Theory and Practice

The Development of Pathological Narcissism as a defense Against Psychotic Fragmentation

Pathological narcissism can be interpreted as a defense against the terror of fragmentation, a fear Kohut referred to as, ‘the deepest anxiety a man can experience.’ Drawing on ideas from Lacan, Bollas, Kohut and Buddhist philosophy, Dr Phil Mollon suggests that we all bound to make identities from the culture we are all born into, the images others have of us in their minds.

However, pathological narcissism develops because there is no negotiation at all between the infant’s own nascent grandiosity and his mother’s idea of her perfect baby. This causes the infant to split off his own grandiosity and a personality develops that swings between self-regard and self-denigration in an ongoing effort to avoid the psychotic outbreak of a still fragmented underlying psychic structure.