narcissmus
Scottie Bowman (rbowman@indigo.ie)
Mon, 05 Apr 1999 18:37:23 +0100
Dennis,
DSM-IV is a construct of the American Psychiatric
Association. It's the fourth revision of their Diagnostic
& Statistical Manual intended to standardise psychiatric
diagnoses. It describes innumerable clinical states,
each with its necessary list of symptoms & signs.
The theory is: tick the appropriate boxes & you will
be handed a universally recognised diagnosis to attach
to your patient.
It's marvellously useful for the kind of research nut
who wants to sound scientific when trying to tell us
that faecal tin correlates strongly with obsessive compulsive
nasal preoccupations. It's as useful to a practising clinician,
of course, as a very fine mesh net would be to your everyday
whaler.
Your question about narcissism & trauma strikes me as
very valid one. The psychoanalysts suggest that narcissism
can sometimes be a healing, a nourishing process. The individual
who has been damaged, hurt, - physically or emotionally -
redirects all his psychic resources inwards, giving a priority,
as it were, to his own needs over those of the outside world.
To some extent we all do this. The hurt cat withdraws to
a corner to recuperate. The sick child curls up in bed.
But those with the special gift of being able to pamper
themselves, to baby themselves, hold an advantage over those
who find themselves forever obliged to put the needs
of others before their own.
Even aside from this 'therapeutic' aspect, there is for most
of us something fascinating & intriguing about great narcissists.
Freud pointed out that children, animals, great beauties,
great criminals, often great artists - all hold a special allure
for the rest of us. Despite ourselves, we're drawn to their
self-sufficiency, their indifference to us. We find ourselves
in the position of pemanently rejected lovers forever trying
to break into their magical citadels. They're frustrating,
but compelling bastards. And I freely admit to being
enthralled by them - perhaps even, sometimes, half belonging
with them.
Scottie B.