Skip to main content
Log in

NARCISSISM AND CONCERN: THE RELATIONSHIP OF SELF-OBJECT NEEDS AND NARCISSISTIC SYMPTOMS WITH HEALTHY AND PATHOLOGICAL CONCERN

  • Article
  • Published:
The American Journal of Psychoanalysis Aims and scope

Abstract

While concern and narcissism seem to be contradictory in nature, clinical evidence and theoretical writings on pathological forms of concern—tracing their origin to deficiencies in early relationships with primary caretakers—suggest that the actual relationship between these two characteristics might be much more complicated. We respond to a study aimed to add empirical data to the clinical and theoretical knowledge examined the relationships between self-object functions, types of narcissism and pathological concern. The findings of the study showed that pathological concern was positively associated with self-object needs and that this association was mediated by covert narcissism. Our discussion focuses on the developmental and psychodynamic sources of pathological concern, as well as its significance in the intrapersonal and interpersonal domains.

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

  • Agam, N. (2008). On narcissism and the needs of others/self —an empirical examination of key terms in Kohut’s psychoanalytical theory of the self. Unpublished thesis paper, Tel Aviv University, Israel.

  • Akhtar, S. & Thomson, J. A. (1982). Overview: Narcissistic personality disorder. American Journal of Psychiatry, 139 (1), 12–20.

    Article  PubMed  Google Scholar 

  • Balint, E. (1972). Fair shares and mutual concern. International Journal of Psychoanalysis, 53 (1), 61–65.

    PubMed  Google Scholar 

  • Banai, E., Mikulincer, M. & Shaver, P. R. (2005). “Self-object” needs in Kohut’s self psychology: Links with attachment, self-cohesion, affect regulation, and adjustment. Psychoanalytic Psychology, 22 (2), 224–260.

    Article  Google Scholar 

  • Barbanel, L. (2006). Removing the mask of kindness. Northvale, NJ: Jason Aronson.

    Google Scholar 

  • Berman, E. (2012). The happy prince, the giving tree: The fantasy of parenthood as self-annihilation and its relevance to psychoanalytic treatment. In L. Aron & A. Harris Relational Psychoanalysis Expansion of Theory (Vol. 4, pp. 159–176). NewYork: Routledge.

    Google Scholar 

  • Boleyn-Fitzgerald, P. (2003). Care and the problem of pity. Bioethics, 17 (1), 1–20.

    Article  PubMed  Google Scholar 

  • Bowlby, J. (1969). Attachment and loss, Vol. 1: attachment, 2nd Edition. New York: Basic Books, 1982.

    Google Scholar 

  • Bowlby, J. (1979). The making and braking of affectional bonds. London: Tavistock.

    Google Scholar 

  • Bowlby, J. (1988). Foreword. In I. D. Sattie: The origins of love and hate. (xv-xvii) London: Free Association Books.

  • Cooper, A. (1981). Narcissism. In S. Arieri, H. Keith & H. Brodie (Eds.) American handbook of psychiatry (Vol. 4, pp. 297–316). New York: Basic Books.

    Google Scholar 

  • Cooper, A. M. & Ronningstam, E. (1992). Narcissistic personality disorder. In A. Tasman & M. B. Riba (Eds.) American psychiatric press review of psychiatry (Vol. 11, pp. 92–93). Washington DC: American Psychiatric Press.

    Google Scholar 

  • Davis, M. A. (1980). Multidimensional approach to individual differences in empathy. JSAS Catalog of Selected Documents in Psychology, 10, 85.

    Google Scholar 

  • Davies, M. H. (1983). Measuring individuals differences in empathy: Evidence for multidimentional approach. Journal of Personality and Social Psychology, 44 (1), 113–126.

    Article  Google Scholar 

  • Ferenczi, S. (1932). The three main principles. In: Final contributions to the problems and methods of psychoanalysis. pp. 252–253. London: Karnac.

  • Freud, S. (1921). Group psychology and the analysis of the ego. Standard Edition (Vol. 18, pp. 65–143). London: Hogarth Press.

  • Friedemann, Y. (2011). Narcissism and concern: The relationship of selfobject needs deprivation experience and narcissistic symptoms with “healthy” and “pathologic” concern. Unpublished M.A. dissertation. Bar Ilan University, Israel.

  • Gabbard, G. O. (1989). Two subtypes of narcissistic personality disorder. Bulletin of the Menninger Clinic, 53 (6), 527–532.

    PubMed  Google Scholar 

  • Horney, K. (1950). Neurosis and Human Growth. The struggle toward self-realization. N.Y.: W.W. Norton.

    Google Scholar 

  • Klein, M. (1937). Love, hate, and reparation. London: Hogarth Press.

    Google Scholar 

  • Kohut, H. (1966). Forms and transformations of narcissism. In P. Ornstein (Ed.) The search for the self (Vol. 1, pp. 427–460). New York: International Universities Press (Republished 1978).

    Google Scholar 

  • Kohut, H. (1971). The analysis of the self. New York: International Universities Press.

    Google Scholar 

  • Kohut, H. (1977). The restoration of the self. New York: International Universities Press.

    Google Scholar 

  • Kohut, H. (1984). How does analysis cure?. Chicago and London: University of Chicago Press.

    Book  Google Scholar 

  • Kohut, H. & Wolf, E. S. (1978). The disorder of the self and their treatment: An outline. International Journal of Psychoanalysis, 59, 413–425.

    Google Scholar 

  • Loewald, H. (1978). Psychoanalysis and the history of the individual. New Haven, CT: Yale University Press.

    Google Scholar 

  • Masterson, J. F. (1981). The narcissistic and borderline disorders. New York: Brunner/Mazel.

    Google Scholar 

  • Pick, I. (1995). Concern: Spurious or real. International Journal of Psycho-Analysis, 76 (2), 257–270.

    PubMed  Google Scholar 

  • Pincus, A. L. & Lukowitsky, M. R. (2010). Pathological narcissism and narcissistic personality disorder. Annual Review of Clinical Psychology, 6 (8), 421–446.

    Article  PubMed  Google Scholar 

  • Raskin, R. & Hall, C. S. (1979). A Narcissistic personality inventory. Psychological-Reports, 46, 55–60.

    Article  Google Scholar 

  • Raskin, R. & Hall, C. S. (1981). The narcissistic personality inventory: Alternate form reliability and further evidence of construct validity. Journal of Personality Assessment, 45 (2), 159–162.

    Article  PubMed  Google Scholar 

  • Rose, P. (2002). The happy and unhappy faces of narcissism. Personality and Individual Differences, 33 (3), 379–392.

    Article  Google Scholar 

  • Roth-Hanania, R., Davidov, M. & Zahn-Waxler, C. (2011). Empathy development from 8 to 16 months: Early signs of concern for others. Infant Behav Dev, 34 (3), 447–458.

    Article  PubMed  Google Scholar 

  • Santas, G. (1988). Plato and Freud: Two theories of love. Oxford, UK: Basil Blackwell.

    Google Scholar 

  • Serkownek, K. (1975). Subscales for scale 5 and 0 of the MMPI. Unpublished Manuscript.

  • Shavit, Y. & Tolmacz, R. (2014). Pathological concern: Scale construction, construct validity, and associations with attachment, self-cohesion, and relational entitlement. Psychoanalytic Psychology, 31 (3), 343–356.

    Article  Google Scholar 

  • Stern, D. (2005). The present moment in psychotherapy and everyday life. New York; London: W. W. Norton & Company.

    Google Scholar 

  • Stolorow, R. & Atwood, G. (1986). Reply to R. White, M. Basch, and M. Nissim-Sabat (book symposium on Faces in a Cloud and Structures of Subjectivity). Psychoanalytic Review, 73 (3), 301–308.

    PubMed  Google Scholar 

  • Suttie, I. (1935). The origins of love and hate. London: Free Association Books.

    Google Scholar 

  • Tolmacz, R. (2008). Concern and empathy: Two concepts or one? American Journal of Psychoanalysis, 68 (3), 257–275.

    Article  PubMed  Google Scholar 

  • Tolmacz, R. (2010). Forms of concern: A psychoanalytic perspective. In M. Mikulincer & P. Shaver (Eds.) Pro-social motives, emotions, and behavior. The better angels of our nature pp. 93–107 Washington DC: American Psychological Association.

    Google Scholar 

  • Trevarthen, C. & Aitken, K. (2001). Infant intersubjectivity: Research, theory, and clinical applications. Journal of Child Psychology and Psychiatry, 42 (1), 3–48.

    Article  PubMed  Google Scholar 

  • Wink, P. (1991). Two faces of narcissism. Journal of Personality and Social Psychology, 61 (4), 590–597.

    Article  PubMed  Google Scholar 

  • Winnicott, D. (1963). The development of the capacity for concern. Bulletin of the Meninger Clinic, 27, 167–176.

    Google Scholar 

  • Winnicott, D. (1965). The maturational processes and the facilitating environment. New York: International Universities Press.

    Google Scholar 

  • Wispe, L. (1986). The distinction between sympathy and empathy: To call forth a concept, a word is needed. Journal of Personality and Social Psychology, 50 (2), 314–321.

    Article  Google Scholar 

  • Zahn-Waxler, C., Radke-Yarrow, M., Wagner, E. & Chapman, M. (1992). Development of concern for others. Developmental Psychology, 28 (1), 126–136.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Additional information

1Yael Friedemann, M.A. Clinical psychologist, graduate of the Department of Psychology at Bar Ilan University, Ramat Gan, Israel.

2Rami Tolmacz, Ph.D. Assistant professor at the Interdisciplinary Center School of Psychology, Herzliya and is in private practice.

3Yonit Doron, Ph.D., is psychologist, lecturer at the Interdisciplinary Center, School of Psychology Herzliya.

Appendix

Appendix

Pathological Concern Questionnaire (Answers: Yes, or no scale)

  1. 1

    I tend to form relationships in which I dedicate my all to others.

  2. 2

    I tend to ignore the fulfillment of my own personal needs in a relationship.

  3. 3

    Frequently, I feel guilt.

  4. 4

    I really need people to need me.

  5. 5

    I usually tend to suppress my needs when it comes to experiences of enjoyment and happiness.

  6. 6

    I tend to take too much responsibility on myself.

  7. 7

    I often experience feelings of emptiness and loneliness.

  8. 8

    I tend to hide traumatic events from the past and current crises which haunt me.

  9. 9

    When it comes to an interpersonal encounter, I tend to focus on the other.

  10. 10

    I seem independent and immune and find it difficult to be in situations in which I must be emotionally dependent on others.

  11. 11

    I hide my fears of being left alone, unloved and abandoned.

  12. 12

    I walk around with a strong sense of entitlement.

  13. 13

    I’m very sensitive when it comes to situations of disappointment and frustration.

  14. 14

    I avoid confrontations and anger in my relationships with others.

  15. 15

    I suffer from low self-esteem.

  16. 16

    It is important for me to preserve my connections with others.

  17. 17

    I am taken for granted.

  18. 18

    In situations of disappointment and frustration I tend to become introverted, bitter and wrathful.

  19. 19

    I tend to suppress my needs when it comes to being close to others.

  20. 20

    I often feel physical exhaustion.

  21. 21

    Even when I feel used and ignored, I do not respond in a direct manner.

  22. 22

    I remain in the status quo and avoid change.

  23. 23

    I believe that my problems are a burden on others.

  24. 24

    I avoid directly expressing discontent in my relationships with others.

  25. 25

    I feel selfish when I ask for something.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Friedemann, Y., Tolmacz, R. & Doron, Y. NARCISSISM AND CONCERN: THE RELATIONSHIP OF SELF-OBJECT NEEDS AND NARCISSISTIC SYMPTOMS WITH HEALTHY AND PATHOLOGICAL CONCERN. Am J Psychoanal 76, 71–84 (2016). https://doi.org/10.1057/ajp.2015.60

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1057/ajp.2015.60

Keywords

Navigation