Skip to main content
Log in

Key Concepts in the Theory and Treatment of Narcissistic Phenomena

  • Published:
Clinical Social Work Journal Aims and scope Submit manuscript

ABSTRACT

In the 90 years since Sigmund Freud opened the dialogue on narcissism, successive theorists have taken turns at defining what it is, where it comes from, whether or not it is healthy, and what to do about it when it is not. This paper summarizes the history of narcissism theory and offers thumbnail sketches of what narcissism looks like from the perspective of several major theorists. From these conceptualizations are derived six key concepts that recur in narcissism theory: (1) differentiation; (2) internal objects; (3) primitive defenses; (4) envy; (5) superego development; and (6) affect regulation. A vignette shows how these phenomena manifest, and strategies for intervention are discussed for each concept.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Fiscalini J. (1993). Interpersonal relations and the problem of narcissism. In: J. Fiscalini and A.L. Grey (Eds.), New York: Columbia University Press.

  • Freud, S. (1957). On narcissism: An introduction. In J. Strachey (Ed. and Tran.), The standard edition of the complete psychological works of Sigmund Freud. London: Hogarth Press. (Original work published in 1914)

  • H. Hartmann (1950) ArticleTitleComments on the psychoanalytic theory of the ego Psychoanalytic Study of the Child 5 74–96

    Google Scholar 

  • M. Jacoby (1990) Individuation and narcissism: The psychology of the self in Jung and Kohut Routledge New York

    Google Scholar 

  • O. Kernberg (1975) Borderline conditions and pathological narcissism Jason Aronson Northvale, NJ

    Google Scholar 

  • Klein, M. (1946). Notes on some schizoid mechanisms. In The writings of Melanie Klein. Vol. 3, Envy and gratitude and other works. London: Hogarth Press.

  • Klein, M. (1952). The origins of transference. In The writings of Melanie Klein. Vol. 3, Envy and gratitude and other works. London: Hogarth Press.

  • H. Kohut (1971) The analysis of the self: A systematic approach to the psychoanalytic treatment of narcissistic personality disorders International Universities Press New York

    Google Scholar 

  • M. S. Mahler (1968) On human symbiosis and the vicissitudes of individuation Universities Press New York

    Google Scholar 

  • M. S. Mahler (1972) ArticleTitleOn the first three subphases of the separation-individuation process International Journal of Psycho-analysis 53 333–338 Occurrence Handle1:STN:280:CSyC38vmsVc%3D

    CAS  Google Scholar 

  • J. F. Masterson (1981) The narcissistic and borderline disorders: An integrated developmental approach Brunner/Mazel New York

    Google Scholar 

  • A. P. Morrison (1989) Shame: The underside of narcissism The Analytic Press Hillsdale, NJ

    Google Scholar 

  • J. Sandler E. S. Person P. Fonagy (Eds) (1991) Freud’s “On narcssism: An introduction’‘ Yale University Press New Haven, CT

    Google Scholar 

  • A. N. Schore (1994) Affect regulation and the origin of the self: The neurobiology of emotional development Lawrence Erlbaum Associates Hillsdale, NJ

    Google Scholar 

  • H., Segal D. Bell (1991) The theory of narcissism in the work of Freud and Klein J. Sandler E. S. Person P. Fonagy (Eds) Freud’s “On narcissism: An introduction” Yale University Press New Haven, CT

    Google Scholar 

  • D. N. Stern (1985) The Interpersonal world of the infant: A view from psychoanalysis and developmental psychology Basic Books New York

    Google Scholar 

  • N. Treurniet (1991) Introduction to “On narcissism” J. Sandler E. S. Person P. Fonagy (Eds) Freud’s “On narcissism: An introduction” Yale University Press New Haven, CT

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Sandy Hotchkiss M.S.W., L.C.S.W.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Hotchkiss, S. Key Concepts in the Theory and Treatment of Narcissistic Phenomena. Clin Soc Work J 33, 127–144 (2005). https://doi.org/10.1007/s10615-005-3528-x

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10615-005-3528-x

Keywords:

Navigation