Still Ill: Narcissism is Sick Again

Dali MetamorphosisOfNarcissus Still Ill: Narcissism is Sick Again

Ter­ri­ble news! Call off the Xmas Party at Men’s Health mag­a­zine! Can­cel the male strip­pers and the buck­ets of (low-fat) blancmange!

Self-love isn’t going to be reha­bil­i­tated after all. At least not by the shrinks. Pro­fes­sion­ally speak­ing, it will remain the love the dare not speak its name — even as the cul­ture screams noth­ing else.

Accord­ing to this piece by Jen­nifer Allen in The Sun­day Tele­graph, in the face of strong crit­i­cism, the Amer­i­can Psy­chi­atric Asso­ci­a­tion has back­tracked on its plan to remove Nar­cis­sis­tic Per­son­al­ity Dis­or­der from the new edi­tion of the Diag­nos­tic and Sta­tis­ti­cal Man­ual of Men­tal Disorders.

Allen sug­gests the rea­son they tried to de-list nar­cis­sism in the first place was not down to any recog­ni­tion of how ‘nor­mal’ nar­cis­sism has become in the world out­side the con­sult­ing room, but because of the Amer­i­can psy­chi­atric trend to biol­o­gise men­tal ill­ness (‘Baby, I was born this way’) and pre­scribe drugs instead of the ‘inter­minable’ talk­ing cure.

Allen isn’t impressed though by the APA’s backtracking:

I find the volte-face dis­may­ing, not because I’m for pre­scrib­ing drugs and against talk­ing cures. You don’t need to be a psy­chi­a­trist to see that nar­cis­sism has shifted from a patho­log­i­cal con­di­tion to a norm, if not a means of survival.

Nar­cis­sism appears as a neces­sity in a soci­ety of the spec­ta­cle, which runs from Andy Warhol’s “15 min­utes of fame” pre­dic­tion through real­ity tele­vi­sion and self-promotion to YouTube hits.

Well, quite. But then, I would agree as I’ve been say­ing this for years, dar­ling.

Per­haps, being some­what cyn­i­cal, the objec­tion to de-listing NPD was dri­ven pre­cisely by the ubiq­uity of nar­cis­sism. It’s cer­tainly a growth market.

I don’t doubt that NPD, or some­thing akin to it exists, and can be an extremely unpleas­ant expe­ri­ence both for the suf­ferer and those they come into con­tact with – here in the UK we’re only just get­ting over Tony Blair. But even before the advent of Big Brother, Face­book, iPhones and Immac for Men the symp­toms of NPD were vague and com­mon enough fail­ings to be applied to almost any­one who had any­thing about them.

Or, to quote Gore Vidal, any­one bet­ter look­ing than you. Accord­ing to the DSM ‘nar­cis­sists also tend to be phys­i­cally attrac­tive on first impres­sion, giv­ing them advan­tages when first meet­ing people’.

Here’s the full list of NPD sins pro­vided by the DSM:

  • Has a grandiose sense of self-importance
  • Is pre­oc­cu­pied with fan­tasies of unlim­ited suc­cess, power, bril­liance, beauty, or ideal love
  • Believes that he or she is “spe­cial” and unique and can only be under­stood by, or should asso­ciate with, other spe­cial or high-status peo­ple (or institutions)
  • Requires exces­sive admiration
  • Has a sense of enti­tle­ment, i.e., unrea­son­able expec­ta­tions of espe­cially favor­able treat­ment or auto­matic com­pli­ance with his or her expectations
  • Is inter­per­son­ally exploita­tive, i.e., takes advan­tage of oth­ers to achieve his or her own ends
  • Lacks empa­thy: is unwill­ing to rec­og­nize or iden­tify with the feel­ings and needs of others
  • Is often envi­ous of oth­ers or believes oth­ers are envi­ous of him or her
  • Shows arro­gant, haughty behav­iors or attitudes

If you thought that just five of these symp­toms might apply to you, then you may have NPD. If you found that they all apply to you then you’re prob­a­bly in prison serv­ing a very long stretch indeed or have your own TV cook­ery show and super­mar­ket endorse­ment deal.

Though I sup­pose a psy­chi­a­trist would prob­a­bly say that some­one with NPD would likely not be able to recog­nise those traits in them­selves. At any rate, that’s what I’m telling myself.

So if you found that none of these traits applied to you then you’re prob­a­bly Jesus Christ. Or Bar­bara Streisand.

19 Comments

  • Actu­ally, I fibbed a bit there for the sake of a punch­line. I too am a com­pul­sory top amongst the gays. And it’s far too late for this arse­hole to change.

    Thanks for the Der­rida quote, btw. The post-sructuralists did the whole nar­cis­sism thing bet­ter than any­one before or since. I mean, just look at their HAIR.

  • LOL I’m sure it does. My ass­hole is still prac­ti­cally a vir­gin. But I am work­ing on it.

    And oddly my dat­ing life has taken a turn toward het­ero­sex­ual polyamory while not being an ass­hole. I am dat­ing three girls with no boys in my life, I don’t know what the hell has got­ten into me. But maybe one of these girls will bringout my inner ass­hole, because amoung gay men I am a com­pul­sory top.

  • Matthew: I’ll have you know my ass­hole has a great sense of humour and mixes well at parties.

    But accord­ing to this report in today’s Daily Tele­graph, ass­hole men go down well with the ladies (though I sus­pect the sur­vey should have also included data on the size of their wallet):

    http://www.telegraph.co.uk/news/uknews/8956056/Relentless-optimism-of-ugly-men-makes-up-for-unappealing-looks.html

    HH: I didn’t actu­ally accuse you of mind con­trol as an adver­tiser, just tin­ker­ing a bit.

    Please don’t tell me that adver­tis­ing is just con­cerned with find­ing out ‘what peo­ple want’ and pan­der­ing to it! Where’s the glam­our in that? Back in the 80s I worked for a few days cold-calling peo­ple in their homes and ask­ing them what kind of tooth­paste they liked. It was the least glam­orous time of my life.

    I’ve always wanted to imag­ine the glam­our of adver­tis­ing is find­ing out what peo­ple want — and prob­a­bly even more impor­tantly, don’t want — and then using this infor­ma­tion to per­suade them they NEED things they never even THOUGHT about before.

    I really wouldn’t like to think that the future of con­sumerism and the global econ­omy rested on peo­ple know­ing their own minds.

    You have staff? Oh, scrub that, I agree with every­thing you say. Any vacancies?

  • @MW. I was unaware that use of the word “blonde” had become polit­i­cally incorrect.

    @Simmo. I don’t write copy for tooth­paste ads any more, dear boy. I have staff.

    But more to the point, if there were any mind-control involved in my job, it would be a lot easier.

    In truth, the sur­pris­ingly mod­est sci­ence my indus­try employs seeks less to con­trol a con­sumer than to under­stand her, so we may bet­ter pan­der to her exist­ing tastes. (Or less fre­quently, his.)

    Of course, nobody believes me. Friends seated me next to an aca­d­e­mic pop-culture critic at a din­ner party. Nat­u­rally, she was eager to dis­cuss my pro­fes­sion, and raise my con­scious­ness about my own vileness.

    So then, I sup­pose sub­lim­i­nal adver­tis­ing is part of your job?”

    No, I said. First, sub­lim­i­nal adver­tis­ing is ille­gal. And sec­ond, the exper­i­men­tal work on which the prac­tice was based is pretty dubious.

    I bet they tell you to say that,” she replied.

    @Matthew. Nar­cis­sists. Ass­holes. Objec­tivists. For my money, not a lot to pick between them.

  • There is not nar­cis­sism and non-narcissism; there are nar­cis­sisms that are more or less com­pre­hen­sive, gen­er­ous, open, extended. What is called non-narcissism is in gen­eral but the econ­omy of a much more wel­com­ing, hos­pitable nar­cis­sism, one that is much more open to the expe­ri­ence of the other as other. I believe that with­out a move­ment of nar­cis­sis­tic reap­pro­pri­a­tion, the rela­tion to the other would be absolutely destroyed, it would be destroyed in advance. The rela­tion to the other—even if it remains asym­met­ri­cal, open, with­out pos­si­ble reappropriation—must trace a move­ment of reap­pro­pri­a­tion in the image of one­self for love to be pos­si­ble. — Derrida

    As long as we main­tain the “cult of the self” which is not going any­where in Amer­ica or Europe we are stuck in the mire of nar­cis­sisms of var­i­ous sorts, because “the self” is a util­i­tar­ian func­tion. Per­haps NPD should really becalled Ass­hole per­son­al­ity dis­or­der it would just make the whole thing a lot clearer.

  • Peo­ple would rather just take head drugs that talk about real life issues, pre­sum­ably because no one has real-life lives(they live on their Androids — so I sup­pose there is no point to hav­ing real feelings).’

    Quite so! Most peo­ple today being diag­nosed with NPD would say: ‘is there an app for that?’.

  • MS: Gosh, it only occured to me after I exited yestur­day that I hadn’t responded to your remarks about psy­chol­o­gists and psy­chi­a­trists in the UK vis a vis Amer­ica. Unlike Britain, Psy­chol­o­gists are a dime a dozen in in Amer­ica. Due to the pop­u­lar­ity of the pill cure, psychology(that which deals with emo­tions expe­ri­ence etc.) has fallen into unpop­u­lar­ity. Peo­ple would rather just take head drugs that talk about real life issues, pre­sum­ably because no one has real-life lives(they live on their Androids– so I sup­pose there is no point to hav­ing real feel­ings). The expen­sive Pysi­cians are com­pe­tent “talk doc­tors”- but they are rare. Nearly every Amer­i­can floats around in a druged out trance, it seems and prefers to. My impres­sion is that they are all messed up But like any big busi­ness it has a life of it’s own. Be happy if they can’t push ill cures over on you. This should give you some idea as to why my coun­try­men are all anti-intelectual goof­balls. I always think that heroin has had fewer dire efects on the gen­eral populace.

    It might be of help in your assess­ment of the DMS-IX and their diag­noses to note that these folks who com­pose it rarely talk to real peo­ple– but just can­di­dates for pill bom­bard­ment– : their deter­mini­a­tion of pschopathol­ogy is no more accu­rate that that of Nar­cis­sism: both are char­ac­ter dis­or­der and don’t respond to pills. So it’s all prety irre­li­v­ant practically.

  • HH:“If you’re a Cau­casian woman, the blonder you are, the more men per­ceive you as fer­tile. Did you know that?“
    Could be more fer­tile or anyti­hing worth screw­ing if you’re Aryan or blindly influ­enced by that cul­tural sens­abitl­ity. Remem­ber, up until recently at least, the largest eth­nic group in Amer­ica were the Ger­mans. Recall the Con­gress voted at one time whether we would speak Deutch or Eng­lish! Eng­lish came out by a tiny mar­gin.
    It ‘s remarkable,BTW how ssim­i­lar much of the Bush Admin­is­tra­tion ver­biage came from Hitler/Goebels

  • You may be right, HH, to put NPD’s indis­pens­abil­ity for shrinks down to the scari­ness of the ‘psy­chopath’ alter­na­tive. But I’d pre­fer my shrink, if I was see­ing one, to let me have it both barrels.

    Some­one once con­tacted me to tell me they’d writ­ten a dis­ser­ta­tion about me. It was called some­thing like ‘The Moral Psy­chotic’. He was a Lacan­ian, nat­u­rally. I declined to read the paper. Not because I wasn’t intrigued, I just didn’t want to appear intrigued.

    I think I’d bet­ter go an rewrite my resume.…

    Actu­ally, I’ve just remem­bered an exam­ple of how I failed the Brand You test in the US. Some years ago, some flunkey at Details mag­a­zine con­tacted me on behalf of their ‘Edi­tor in Chief’ (this is how edi­tors are des­ig­nated in the land of the free) Dan Peres, ask­ing me to write a col­umn for them about how essen­tially ‘homo­pho­bic’ the word ‘met­ro­sex­ual’ is.

    This is after Dan Peres had spent a year or two at the height of met­ro­sex­ma­nia swan­ning around as the expert on the met­ro­sex­ual (though never of course being stu­pid enough to actu­ally SAY anything).

    I responded politely (which took some effort, as you can imag­ine with a psy­cho like me) and sug­gested an alter­na­tive tack for the col­umn. One that I, the father of the met­ro­sex­ual, actu­ally y’know THOUGHT.

    They didn’t even bother to reply. So I sadis­ti­cally pressed them for a response. Even­tu­ally the flunkey got back to say irri­tat­edly that the com­mis­sion had gone to ‘some­one more will­ing to tai­lor their ideas to the marketplace.’

    In other words, some­one more will­ing to chan­nel the ‘thoughts’ of their ‘Edi­tor in Chief’. Such is the monar­chi­cal nature of Amer­i­can mag­a­zines and the cli­mate of ter­ror they oper­ate that I sus­pect the flunkey didn’t even dare to for­ward my counter-proposal to his Glo­ri­ous Leader.

    God bless America!

    In truth it’s the mad­ness of Amer­ica that used to appeal to me. But as you get older you find you don’t have the energy for it. It’s only fun if you’re ‘Edi­tor in Chief’. And I’m far too lazy to be a proper Amer­i­can psycho.

    Some­one should head­hunt you, HH, to write an expose of the Amer­i­can soul. As some­one who has tin­kered with it it via the giant mind-control machine of Madi­son Avenue you’re bet­ter equipped than almost any­one to write it. Not least because you’re not American

    But it prob­a­bly wouldn’t make nearly as much money as writ­ing copy for tooth­paste ads.

  • To add a coda to that already-long comment:

    Per­haps the rea­son the psy­chi­atric world pre­served NPD is because with­out it, they’d need to give too many peo­ple the uncom­fort­able label of psy­chopath.

    Is the dif­fer­ence between a nar­cis­sis­tic per­son­al­ity and a psy­chopath merely the body count?

    http://www.forbes.com/sites/jeffbercovici/2011/06/14/why-some-psychopaths-make-great-ceos/

  • Fear and mad­ness behind the smiles.” Quite.

    The mad­ness takes many forms. Per­haps, in some cir­cles, ram­pant NPD. One of those cir­cles seems to be the cur­rent Repub­li­can pres­i­den­tial field.

    For most Amer­i­cans, mad­ness takes the form of good old fash­ioned stress and neu­ro­sis. And remem­ber, neu­ro­sis is sim­ply a three dol­lar word for fear.

    What causes good old fash­ioned neu­ro­sis? Our pal Dr. Freud dis­pensed that answer quick smart, early in his investigations.

    Inse­cu­rity, and abuse.

    Let’s talk about inse­cu­rity for a minute.

    Absolute secu­rity is sti­fling. We pay a steep price for it. Rules, reg­u­la­tions, restric­tions, taxes. Here in Europe, we thought we could enjoy secu­rity with­out pay­ing that price, and it has bit­ten us on the ass.

    That’s why so many Euro­peans love Amer­ica, at least at first. They sense a spirit of promise and pos­si­bil­ity. Where the nanny state doesn’t scold you or limit you. It doesn’t inter­fere with progress, advance­ment, pros­per­ity. Where the nation val­ues opti­mism and trea­sures its dream­ers. Where yes, you can.

    But there’s a price to pay for this free­dom. It’s insecurity.

    One could argue that liv­ing with this con­stant inse­cu­rity dri­ves Amer­i­cans to the shrinks they see in such large numbers.

    Kids, those shrinks say, need sta­ble homes to grow up into con­fi­dent, sane adults. Con­fi­dent, sane adults need at least a mea­sure of sta­bil­ity to stay that way. Amer­ica chal­lenges its cit­i­zens to stay sane in the face of con­stant change.

    (Many dis­miss Alvin Toffler’s Future Shock as mass-market paper­back pablum, but in this aspect, he was on the money back in 1970)

    Jef­fer­son wrote that the price of lib­erty is eter­nal vig­i­lance. The price of insta­bil­ity is hypervigilance—constant aware­ness of a poten­tial threat in your envi­ron­ment. It is, by all clin­i­cal accounts, the per­fect recipe for madness.

    But I digress.

    Invented in the pages of Fast Com­pany, and extolled by no less than Tom Peters around the turn of the cen­tury, Brand You is alive and well.

    The notion that you—your per­son­al­ity, char­ac­ter and soul—are a prod­uct to be engi­neered for suc­cess in your own per­sonal mar­ket­place, is estab­lished fact. It has become, indeed, your per­sonal respon­si­bil­ity to engi­neer what­ever it takes into yourself.

    I have worked in my field for a few years, in many parts of the world, and have a mod­est pro­fes­sional rep­u­ta­tion. From time to time, head­hunters will call. Usu­ally, I send them a resume.

    In America—and ONLY in America—was I asked, reg­u­larly, to rewrite my resume. To make myself more seduc­tive to the tastes of the prospec­tive employer, they told me to “empa­ha­size” cer­tain aspects of my life and tal­ents, and down­play others.

    After a num­ber of drafts where the a head­hunter sug­gested edits, I would usu­ally tell the head­hunter, testily, to write the resume her damn self.

    No, she would reply—for it was always a she—that would be dis­hon­est. But for me to decide exactly who I wanted to be today, and say so, was per­fectly accept­able. Nay, Necessary.

    Amer­ica is founded on the premise of self-invention. Replace that famous phrase from the dec­la­ra­tion of Inde­pen­dence, life, lib­erty, and the pur­suit of hap­pi­ness, with Shirley Polykoff’s If I have Only One Life, Let Me Live It as a Blonde. That’s now copy­righted to Clairol, I believe.

    (If you’re a Cau­casian woman, the blonder you are, the more men per­ceive you as fer­tile. Did you know that?)

    Dur­ing my time in Amer­ica, I worked on the mar­ket­ing of oral care prod­ucts. Lemme tellya, what teeth and breath rep­re­sent to Amer­i­cans car­ries bag­gage it sim­ply doesn’t else­where. A great smile is a marker for health, pres­tige, sta­tus, money, social accep­tance, admi­ra­tion. Go through life with a British NHS-type smile, and you’re screwed.

    In Amer­ica, if you’re not the per­son you want to be, you have only your­self to blame. Right? Woody Allen, the con­sum­mate Amer­i­can neu­rotic, said that his only regret in life is that he was not born some­one else. (Per­haps many agree with him.)

    That’s Amer­ica today. The psychopaths…er, sorry, nar­cis­sis­tic per­son­al­i­ties vs. the neu­rotics. God bless my native land.

  • MW: Most of the ther­a­pists I know per­son­ally are bark­ing, bless them. But I’ll admit I don’t know any psy­chi­a­trists. I’m not in the right income bracket.

    Although I said I don’t doubt it, or some­thing akin to it, does exist there is at the same time some­thing very dubi­ous or uneasy about NPD. Partly because it’s a catch-all diag­no­sis. Allow­ing the psy­chi­a­trist per­haps to, as you say, play God.

    Which may be the rea­son why they didn’t, in the end, want to give it up.

    But we would say that, because we’re narcissistic.

  • HH: I’ve never worked in the US, nor any­where else for that mat­ter. At least, not at a proper job.

    I’ve no doubt that if by some sur­real, fan­tas­ti­cal mal­func­tion of per­son­nel depart­ments I did find myself in a proper job in NYC I would utterly, abjectly fail to win the favour of the peo­ple I met, espe­cially the more pow­er­ful ones.

    Appar­ently, I should wear sun­glasses when talk­ing to peo­ple. Espe­cially bosses. My eyes give much too much away.

    I’m impressed that you man­aged to sur­vive this con­stant sell­ing and judge­ment. It sounds like the X Fac­tor every day, but with­out the glam­our, or Der­mot O’Leary.

    I have of course vis­ited the US many times, and usu­ally I’m encour­aged by the opti­mism and the smiles the flat­tery and the gen­eros­ity. For a while.

    And then you begin to sense the FEAR AND MADNESS behind the smiles. Every­one is sell­ing Brand You, of course, but I had no idea that peo­ple actu­ally talked openly and quite so madly about it as you report.

    One thing I’ve noticed in the last cou­ple of decades is the par­tic­u­larly scary tech­nique that announc­ers and voice-overs in the US all employ, seem­ing to talk through a fixed, inane-insane shit-eating grin — why!-I’m-having-a-GREAT-time-are-YOU? that has become much more com­mon in the UK. Even when report­ing the deaths of thou­sands in an earthquake.

  • Clearly, for the most part, those qual­i­ties listed as aspects of NPD, depend­ing on the psy­chi­a­trists vested inter­ests in giv­ing a cer­tain diag­no­sis (sick/healthy) can be the verty qual­i­ties which they attribute to a healthy authen­ti­cated per­son­al­ity; gen­er­ally that of an indi­vid­ual who takes excep­tion to socially accept­able con­for­mity; this wiould apply to Ein­stein , Freud, Galileo who thought their ideas worth spread­ing regard­less of the pre­vail­ing aditudes.

    As far as the DSM note “hat Nar­cis­sists tend to be phys­i­cally attrac­tive. In such a cul­ture, the attrac­tive would be unre­al­is­tic if they failed to expect e.g.to get spe­cial atten­tion for their appear­ance, indeed they would be hair­brained to over­look the fact that they were reciev­ing the atten­tions (good or bad) which they did).
    Cer­tainly a psy­chi­a­trist with a belig­er­ant patient who dis­agreed with the ren­dered diag­no­sis would also be tagged with NPD for dis­agree­ing with the Dr. in sit­u­a­tions like this the ques­tion needs to be begged as to whom suf­fered NPD, patient or Dr.(as we know, many Drs have rag­ing self images.

  • We are so mind­ful of telling oth­ers how great they are, we are just so good at it, but we for­get to rec­og­nize we are also human, fal­li­ble, bro­ken… and we need to say and hear these kinds of things too… With­out this kind of hon­est dia­logue, we box our­selves and oth­ers into per­sonas that are hard to main­tain and hard to break out of… we play an unfair game of make believe where nobody wins…So I hope you find it in your heart to for­give me for not high fiv­ing you and telling you how awe­some you are all the time. You are not awe­some, and I like you that way.”

    — Melissa Pierce

  • More gen­er­ally, it seems to me that there’s some­thing quin­tes­sen­tially Amer­i­can about the conun­drum of NPD in the sense that many of the symp­toms could be inter­preted as nec­es­sary adap­ta­tions to the Dar­win­ian way of life in the US.”

    Boy have you hit it on the head there, Simmo!

    When I lived in the USA recently (in that HQ of the East Coast Super­ego, New York) I got heartily sick of every­one lec­tur­ing me on Brand You. How every encounter sub­jected you to the judge­ment of another, poten­tially more pow­er­ful per­son, whose favour you must win.

    This puts incred­i­ble pres­sure on per­sonal appear­ance, per­sonal deport­ment, and first impres­sions. It can eat away at you.

    Unless, of course, you throw off the bur­den of being judged, and start doing the judg­ing. In short, if you become Leona Helmsley.

    It doesn’t sur­prise me that the DSM notes that Nar­cis­sists tend to be phys­i­cally attrac­tive. In such a cul­ture, the attrac­tive can grow to think that they are enti­tled to privilege.

  • I some­times see a West/East Coast divide at work here. The New Agey love-yourself West Coast being admon­ished by the East­ern seaboard super-ego perhaps.

    More gen­er­ally, it seems to me that there’s some­thing quin­tes­sen­tially Amer­i­can about the conun­drum of NPD in the sense that many of the symp­toms could be inter­preted as nec­es­sary adap­ta­tions to the Dar­win­ian way of life in the US.

  • Graham Perrett wrote:

    Wow I haven’t seen that Dali paint­ing before, I’ll be mak­ing that one my desk­top pic I think.

    The new age never gets a men­tion in this sub­ject. Their catch cry is to “love your­self” and “you deserve it”, and they claim it to be the healthy or healed state.

  • The last one is me.
    Arro­gant, haughty behav­iour or atti­tudes.
    Chil­dren and teenage are con­stantly been told that they are spe­cial and unified.…..most will believe this and indeed peo­ple are.

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