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Pathological Narcissism, Psychosis, and Delusions

They are the reason that the narcissist feels entitled to special treatment that is often incommensurate with their accomplishments.

Grandiose fantasies (megalomaniac delusions of grandeur) permeate every aspect of the narcissistic personality. They are the reason that the narcissist feels entitled to special treatment that is often incommensurate with their accomplishments. The grandiosity gap is the gap between the narcissism of the image (as reified by his False Self) and reality. 

When narcissistic supply is deficient, the narcissist-up and acts in a variety of ways. Narcissists often experience psychotic micro-episodes during therapy and when they suffer narcissistic injuries in crisis situations. But can the narcissist “go over the edge”? No psychotic narcissists ever become? 

Some first terms: 

The narrowest definition of psychosis, according to the DSM-IV-TR, is “restricted to delusions or hallucinations, the hallucinations that occur in the absence of knowledge of their pathological nature”. 

And what are delusions and hallucinations?

A delusion is “a false belief based on incorrect inference about external reality that is firmly sustained despite what almost everyone believes and despite what constitutes incontrovertible and obvious proof or evidence to the contrary.” 

A hallucination is a “sensory perception that has the compelling sense of reality of a true perception but that occurs without external stimulation of sensory competent body.” 

They do not realize the pathological nature and origin of self-deception, and thus, technically delusional (though they rarely suffer from hallucinations, disorganized speech, disorganized or catatonic behavior o). In the strict sense of the word, narcissists appear to be psychotic. 

But in reality, they are not. There is a qualitative difference between benign (though well-entrenched) self-delusion or even evil-art -. “Loss” and 

Pathological narcissism should not be interpreted as a form of psychosis because: 

The narcissist is usually fully aware of the difference between true and false, real and belief, the invention and applicable law, and wrong. The narcissist consciously chooses to adopt a version of events, a narrative grandeur, a fairy tale life, a “what if” the life of contrast. It is emotionally in his personal myth. The narcissist feels better as fiction than as fact – but never loses sight of the fact that everything is fiction.Throughout, the narcissist is in full control of his faculties, conscious decisions, and goal oriented. His behavior is intentional and directional. He is a manipulator and his delusions are in the service of his stratagems. Therefore, his chameleon-like ability to change shape, behavior and beliefs of a dime. 

Narcissistic delusions rarely persist in the blanket on the opposition and reams of evidence to the contrary. The narcissist usually tries to convert his social milieu to his point of view. Attempts to condition his nearest and dearest to positively reinforce his delusional False Self. But if not, modify your profile at the moment. That it “plays by ear.” Your false self is extemporaneous – a permanent work of art, permanently reconstructed in a reiterative process designed around intricate feedback loops and complex. 
Despite the narcissistic personality is rigid – its content is always changing. Narcissists are always re-invent, adapt their consumption of narcissistic supply “market” in tune with the needs of their “suppliers.” As artists they are, they resonate with your “public” giving what you expect and want. These are efficient tools for the extraction and consumption of human reactions. 

As a result of this endless process of adjustment, narcissists have no loyalties, no values, no doctrines, beliefs, no, no affiliations and convictions. Your only limitation is their addiction to human attention, positive or negative. 

Psychotic, however, is set in a particular world view and their place in it. They ignore any and all information that might challenge their delusions. Gradually, they retreat into the depths of his tormented mind and become dysfunctional. 

Narcissists can not afford to shut out the world, as they depend largely on which to regulate his labile sense of self. Because of this dependency are hypersensitive and hypervigilant, alert to every bit of new data. They are continuously busy rearranging their self-delusions to incorporate new information into an ego-syntonic. 

Therefore, the narcissistic personality disorder is grounds for claiming a “diminished capacity” (insanity) defense. Narcissists are not divorced from reality – they crave and need, and consume in order to maintain the precarious balance of their disorganization of the personality borderline psychotic. All narcissists, even the most shocking than others, we can distinguish good from evil, with the intention to act, and are in full possession of their faculties and actions.

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