Video summary
The central theme of the lecture is the unique psychological relationship narcissists have with their own bodies, which differs fundamentally from that of healthy individuals. While everyone possesses an internal map of their body known as proprioception, narcissists constantly confuse this mental representation with physical reality, effectively treating their body as an internal object rather than an external one. This confusion places them in a perpetual state similar to the "phantom limb" phenomenon experienced by accident victims, where the mind insists on the existence of a body part that may not function or even exist in the way perceived. Consequently, the narcissist relates only to this internal map as real, viewing the actual physical body as unreal, alien, and often hostile, creating a deep-seated dissonance between their self-concept and their physical form.
This distorted perception leads to specific behavioral patterns, particularly among somatic narcissists who instrumentalize their bodies solely to obtain narcissistic supply. Unlike cerebral narcissists who rely on intellect, somatic narcissists leverage their physical appearance for sexual conquest, bodybuilding, martial arts, or extreme athletics, treating the body as a treasure to be displayed or a tool for manipulation. The fixation on the body stems from an early childhood failure to establish boundaries between the self and the world; because they never successfully differentiated themselves from their mother or the environment, they remain fused with their bodies in a unitary state. This results in autoeroticism, where the individual perceives their own body as the primary sexual object, making love to themselves rather than engaging meaningfully with others, who are viewed merely as props or aids for masturbation.
The relationship between a narcissist and their body is characterized by intense ambivalence, oscillating between idealization and devaluation based on how well the body serves their needs for supply. When the body successfully attracts admiration or sexual partners, it is idealized; however, when faced with aging, illness, or disability, the body is perceived as a traitor and an enemy that must be punished. To cope with the anxiety of decay and loss of control, narcissists engage in somatization, plastic surgery, and ritualistic behaviors to maintain an illusion of perfection and omnipotence. As reality inevitably intrudes through disease or injury, they may shift from magical thinking and denial to paranoid ideation, self-punishment, and masochism, eventually using their disabilities as tools for manipulation to regain a sense of control over their environment.
Finally, the lecture highlights that diagnosing narcissistic personality disorder is complicated by the lack of objective biomarkers or rigorous standardized tests, as narcissists often distort reality during self-reporting assessments. A key indicator of narcissistic traits can be observed in specific body postures, such as hypervigilant scanning for danger, pleading expectantly for supply, displaying contemptuous dismissal of others, or adopting a superior, boastful stance. In contrast to the confusion between internal and external objects seen in psychosis or borderline personality disorder, where voices are heard from outside, narcissists project their internal conflicts outward while denying the reality of external threats. A healthy attitude toward the body involves viewing it as an intimate partner—a bridge to the world that deserves forgiveness, acceptance, and cultivation rather than control or rejection, ensuring it remains perceived as a real external object rather than a mere extension of the self.
Read the full video transcript
Today we're going to discuss the
narcissist body.
You remember from the previous lecture
that I said that narcissists are
incapable of perceiving other people as
external objects. They create an
internal representation of these other
people and introject and they continue
to interact with the internal
representation not with the people out
there.
It's the same with the narcissist's
body. The narcissist creates because the
body is an external object. It's
perceived by the narcissist as external.
Narcissist looks at his hand, at his
feet, at his it's out there. So the
narcissist creates an internal
representation of the body. Now healthy
people do this as well. Healthy people
have a map of the body and they have
something called proprioception. They
perceive the body. Healthy people also
do this. But healthy people rarely
confuse the internal map of the body
with a real body. Only when they have
severe accidents
there is a confusion. And this creates
the phenomenon of phantom limb. If you
heard of it, the narcissist is in a con
constant phantom state. The narcissist
constantly confuses the map of the body
with the body itself.
And the narcissist relates only to the
map as real. The body to a large extent
is perceived as unreal.
The narcissist weaponizes
his or her body. Again, half of all
narcissists are women. The narcissist
weaponizes his or her body,
instrumentalizes
the body, uses the body as a kind of
object to obtain narcissistic supply.
Remember, everything the narcissist does
is to obtain supply. The only reason for
the narcissist existence, choices,
decisions, actions, behaviors, is to
obtain supply. More supply, only supply.
So the narcissist sometimes uses the
body to obtain supply.
A narcissist who constantly uses the
body and only the body to obtain
narcissistic supply is a somatic
narcissist.
A narcissist who uses his intellect, his
mind, his brain, his intelligence to
obtain narcissistic supply is a cerebral
narcissist. We're not going to deal with
cerebral narcissist today mostly, but
remember that somatic narcissist
leverage the body to obtain narcissistic
supply. So somatic narcissists would be
heavily into sexual conquest.
They would be into bodybuilding. They
would be into martial arts. They would
be into extreme endurance athletics and
sports. They would display their body,
exhibit it ostentatiously as some kind
of treasure
or a find in an excavation. They would
use the body that way.
The fixation on the body is a result of
failure.
In early childhood,
these kind of narcissists mostly somatic
narcissists have failed to other the
body. They they have had an othering
failure. Initially, when the child is
born, when there's a newborn,
as we all know, there is what used to be
called the symbiotic phase. The child
was one with the mother single organism.
The child perceived the world through
the mother. Mother was the world. The
child was mother. The child was the
world. There were no distinctions, no
boundaries, no not no borders, nothing.
And then gradually through the mother's
gaze, the child learned to distinguish
between me and not me.
I and not I. Child learns to establish
boundaries. These boundar behind these
boundaries the self emerges constellates
and integrates. As the self emerges and
the boundaries rigidify
the child begins to realize that there
are other people. Lakan Jacqu Lakan did
a lot of work on this.
When this process fails,
when the child fails to develop
boundaries, when the self fails to
integrate and constellate,
the child does not have a sense of
personal continuity.
The child is diffused. It's like
identity diffusion, identity
disturbance. The child is like a cloud
like mist all over the place molecules
you know and consequently the child
cannot
distinguish the otherness
of other people and we have an othering
failure. The first victim of the
othering failure is the body. We know
from Ziggman Freud and Anna Freud and
other child psychologists
that the child explores the the newborn,
the infant explores the body. They
explore their fingers. They explore
their toes. They explore their
excretions. They explore they taste,
they smell, they the body is the first
frontier. The body is terra incognita.
The body is the unknown continent. It's
the first territory of exploration of
the child and gradually the child begins
to other the body. child begins to
realize there's me and there is my body
and my sense of me depends on my body of
course but we are two different things
and so this fails in narcissism
pathological narcissism there's this
failure and there is a fixation
in the stage of the body there's a and
that's why Freud suggested anal fixation
and oral fixation there's a fixation in
this early stage where the body
the body is not athered is is not
perceived as an external object but
still is an internal object.
The body in pathological narcissism
is the world because the narcissist fa
the the child failed
failed to create boundaries failed to
emerge and become
the child remains 100% identified with a
maternal figure and with his own or her
own body
and so the body and mother and the child
they're one single unit unitary
and it is the world, it is the universe.
So the body becomes some kind of shrine,
some kind of sacred ground
and the source
and the turf and the territory of
fantasy.
In other words, the body becomes a kind
of parac paracosm
paracosm, alternative reality, virtual
reality, something unreal in many ways
but indispensable in other ways. The
place where the not the child which the
child inhabits
but but it's also the child. It is
self-referential. It is a nesting
nesting problem. It is it is regression
at the infinitum
and the body therefore acquires
mythical religious proportions.
Later on the body becomes the main
source of narcissistic supply and of
course at that point the body becomes a
temple and the narcissist the somatic
narcissist worships the body worships in
the body worships at the body and asks
other people demands from other people
to do the same.
Consequently, in pathological
narcissism, we have the phenomenon of
autoerotism.
Autoerotism was first described who else
by Freud and later by many others.
Autoerotism is when the individual
perceives his or her own body as a
sexual object, as the only sexual
object. When the individual is sexually
aroused
by their own bodies, not by the bodies
of other people.
So the individual makes love to himself.
The individual has sex with herself.
The individual
catches a glimpse in the mirror and is
sexually aroused.
The body becomes
a kind of object of narcissistic libido.
The libidinal investment, the libidinal
cexis is in the body.
And
this is a very interesting clinical
feature in pathological narcissism
because it means that narcissists
are incapable of meaningfully
interacting with other bodies
except when and if these other bodies
are aids to masturbation, props to
masturbation.
So the narcissistic libidinal landscape,
the narcissist sex drive is highly
autoerotic,
highly self referential,
totally self-contained and
self-sufficient with people as toys or
props.
And
these are the positive
these are the aspects of the body
corporeal aspects that are perceived as
positive by the narcissist. The
narcissist likes these aspects and
invests in them emotionally, psychically
cafeffected. The whole thing is
cathected. It's cathexis. Those of you
who are into psychoanalysis, there is
cexis in this. There's emotional
investment.
So these are the positive positives. But
at the same time, the nar the narcissist
body is the narcissist's lover.
But at the same time, the narcissist's
body is the narcissist's worst enemy.
In other words, what we what we come
across here is ambivalence.
The narcissist is ambivalent about his
body. On the one hand, it's the seat of
pleasure. It's a form of self-
enhancement and self aggrandisement.
It's perfect. It's arousing.
It's a it's a s it's an engine of
narcissistic supply. It's great. On the
other hand, it's the seat of trauma. The
body keeps the score.
On the other hand,
it is an enemy, a persary object because
the body ages,
the body becomes sick,
the body becomes disabled, the body
betrays the narcissist.
So there is this ambivalence, lovehate
relationship with the body. And one and
and and the way many narcissists cope
with this conflict, this dissonance, the
way they cope with this innate
irresolvable dissonance
is they summatize
they sumatize the dissonance. They have
what Freud used to call conversion
symptoms. They have somatoform
disorders.
They have for example a very flawed body
image. It could be too positive or too
negative. It's never real, never
correct, never calibrated.
And they objectify the body. The the
body becomes fluid
controlled.
Maxing today we call it maxing. Plastic
surgery is an example. Plastic surgery
is a way to shape the body, sculpt the
body, play with it like some kind of raw
material or patty.
And this restores the narcissist's sense
of control over the body.
If I can if I can shapeshift my body, if
I can cut off some things, reshape some
things other things, then I'm in charge.
I'm the boss.
And this is anxolytic.
the somatization,
the somatform disorders and the
objectification of the body are all
forms of anxolysis. They're all forms of
reductions on of anxiety.
I mentioned that the narcissist body is
a major source of narcissistic supply or
at least leads to narcissistic supply.
The somatic narcissist uses his body to
conquer
uh sexual partners, sexual conquest,
uses his body to show off muscles and
tattoos. The body becomes a canvas, a
work of art, in progress, in the making.
And the body is a bait. The nar
narcissist use the body to bait people
to lure them into the fantasy and to
obtain narcissistic supply.
Sometimes the way the narcissist uses
uses the body is not by
uh elevating the body, decorating the
body, nurturing the body, cultivating
the body.
Sometimes the narcissist uses the body
or instrumentalizes the body as bait
by flagagillating himself, mortifying
himself. A pro-social narcissist would
use the body as a form of sacrifice. He
would sacrifice his body ostentatiously
in public view. Remember Mahatma Gandhi?
Mahatma Gandhi is an example.
You know he used his body as a signaling
mechanism. He was signaling with his
body. He was going on long fuss. He was
tormenting himself and so on. Do you
remember Christian saints,
you know, using their bodies in in the
Shia the Shia variant of Islam? There is
flagagillation,
self flagagillation in public. These are
all forms of pro-social signaling with a
very pronounced narcissistic element.
And with the narcissist,
such such self-denying,
self-negating,
painful,
sacrificial activities are also forms of
using the body as a bait. The body, the
body is used to signal. It is like a
palimpest
like you know a palimpest is a a piece
of parchment that was used to write on
and then the writing was scrubbed off
and it was written again and so this is
called a palimpist
and so the body is a palimpist. It's
like the body keeps not only the score
of the trauma the body keeps the history
of the person. It is written in the
body. The body is the identity. Body is
a kind of identity and because it's an
internal object with narcissists
narcissist don't perceive the body as
external they perceive as internal
it doesn't create any dissonance to say
my body is my identity in healthy people
would be very problematic
but in narcissist it doesn't create any
discomfort
because it is an internal body of course
my body is who I am I am my
And so the way you dress,
the way you you exercise,
the the food you eat,
healthy food,
um all these bodybuilding, martial arts,
endurance sports,
swimming, I don't know, all these can
become
signaling mechanisms
and signaling channels in the
narcissist's relationship with the
internal object that is his body and
with the external environment that is
supposed to provide supply
because the nar the body is perceived as
an internal object.
The narcissist has a shared fantasy with
the body. The concept of shared fantasy
was first described by Sander Ser
in 1989.
and I extended its use and applied it to
narcissism.
The the narcissist has shared fantasies
with objects
in order to uphold and butress and
inflated fantastic grandio
counterfactual
uh self-concept. In other words, the
narcissist self-enhances
only via a shared fantasy. And there are
participants in the shed fantasy whose
role is to enhance the narcissist.
And so the body is an internal object
exactly like the narcissist's spouse or
children or intimate partner or
colleague. All of them are internal
objects. One of the internal objects is
the body. And so the narcissist has a
shared fantasy with these objects. Same
with the body. He has a shared fantasy
with the body. And like in every shared
fantasy, the narcissist idealizes the
body sometimes and devalues the body at
other times.
When the narcissist is terrified of the
inexurable processes of aging, disease,
disability, and death, the body is
perceived as an enemy, a persary object,
and the narcissist devalues the body,
hates it, punishes it.
When the body is perceived as successful
at obtaining sexual partners or
admiration and adulation or what have
you, the body is idealized
and there is this cycle of idealization
devaluation. In some rare cases, the
body is discarded.
That is known as suicide. But that's
very rare in pathological narcissism.
The narcissist perceives the body as
something that needs to be maintained,
something that needs to be renovated,
something that needs to be placated like
an angry god.
And all this is inside the narcissist.
So consequently the narcissist
I mean the logical result of this
syllogism is the narcissist feels that
he needs to be placated she needs to be
maintained.
He or she need to be renovated
because of the identification with the
body as an internal object. All body
chores, body maintenance, body functions
are all perceived not as external but as
internal
and 100% pertaining to the identity of
the narcissist.
In other words, these functions, these
chores, I don't know, anything from
healthy food to plastic surgery,
anything from bodybuilding to athletics,
any all these things, chasing after
sexual partners, all this is perceived
as an internal process,
as an attempt to establish internal
harmony
instead of dissonance, consonants.
And it's all consequently autoerotic.
The libidonal investment is inwards
never in narcissism never outwards.
It's all it's a psychotic feature.
Basically the clinical term is hyper
reflexivity.
I mentioned the ambivalence, the angst,
the anxiogenic
uh character of the body's decay,
the body's dysfunction. It creates a lot
of anxiety.
And we have phenomenon such as phenomena
such as hypochondriasis
or illness anxiety disorder which are
much more common among narcissists and
are very often comorbid with
pathological narcissism. One of the
reasons is that we now know that
pathological narcissism has a very
pronounced obsessive compulsive aspect.
This is known as anastia.
Nar narcissists are unen ancastic. They
they have obsession compulsion because
they have obsessive an obsessive
compulsive aspect. They're very prone to
anxiety. And in the case of a somatic
narcissist whose identity is his body,
the anxiety would pertain to the body.
The such an such a narcissist would
engage in behavior that could become
injurious,
ritualistic
and exercise regimen which would lead to
to trauma, physical trauma. Uh the
anenastia would push push the the
obsession compulsion would push such a
narcissist to test the limits to exceed
previous accomplishments to prove to
himself that his body is okay. never
been finer, never been better, and he's
in control of it. And this often leads
to real damage.
The body in pathological narcissism
is an internal object.
Consequently,
the narcissist has to dissociate
the external object, has to dissociate
the real body. And this creates a
phenomenon known as estrangement. The
narcissist doesn't feel that he is fully
in line with the body. He doesn't feel
that his body is his
fully like the body is some kind of
piece of clothing that can be somehow
exchanged or changed. The body is feel
the body feels alien
odd and strange out there. Not really
not really the same as a Nazis. That's
the external body, not the internal. The
external body is a strange and
narcissist consequently experience
dissociative symptoms such as
depersonalization,
derealization
and amnesia, which in my work amnesia is
a form of estrangement from the body.
Not the mind, but the body. We're not
going to it right now.
So how would the narcissist react to
chronic disease,
disability, uh injury?
The first reaction would be schizotipal.
The narcissist would engage in magical
thinking. For example, he would deny the
disease. He would refuse to take
medication or any kind of treatment. He
would push his body to prove to him or
her that it's perfectly okay. The
doctors are wrong. It would devalue the
sources of the information. The doctors
are wrong. They're stupid. They're not
trained well.
If there's a disability, the narcissist
would get very angry at his external
body. He would punish the external body.
And it it involves a lot of narcissistic
rage. The rage is perceived as a form of
reassertion of control, a proof of
omnipotence, the gods rage.
The New Testament God rages all the
time. To rage is to be divine.
The schizotipal reaction coupled with
the rage
can do for a while. But reality is
reality. It pushes back. It's
uncompromising. It's harsh. And
ultimately the Nazis has to accept that
his or her body is compromised by age,
by disease, by disability,
by impending impending doom and gloom,
death.
It's inevitable.
Even the most hardened narcissist
whose fantasy defies all reality has to
accept at some point that he can he
cannot run as fast as he used to. He
cannot make love as often as he did.
Things have changed.
And so then there's a third phase and
that's a skit reaction. Narcissist, the
somatic narcissist, isolates himself,
constricts his life, avoids
interactions, doesn't show his body in
public anymore.
He withdraws. He becomes avoidant.
And then gradually there's a paranoid
reaction. paranoid ideation
that sets in
involving what we call ideas of
reference, referential ideation. People
are mocking me. People hate me, hate the
way I look. People are ridiculing my my
age. People are um people engage in
agism. They are discriminating against
me and and so on. This is paranoid
ideation sets in. And then the
narcissist, the somatic narcissist
becomes self-punitive
and masoistic. He is punishing his body
for having betrayed him.
He engages in purging behaviors. He
wants to become pure, ethereal,
unreal in many ways. Want to get wants
to get rid of this container.
And there is this big sense,
a sense of having been stabbed in the
back, having been betrayed, having have
been unjustly traumatized, a sense of
injustice.
And and this
diffused, unfocused rage at something,
at someone, at God, at the universe, at
biology, at whatever. And some of these
some of these narcissists, they become
totally delusional.
They believe they can find a way to live
forever, to never age. They look for new
substances. They they invest in
research. They they're trying to delay
death or deny it. They are they are they
they they completely they become
completely detached or divorced from
reality. The develop absolute delusional
disorder.
And this is coupled with a growing sense
of helplessness which is equally as
usual with narcissists disproportional
and exaggerated.
This sense of helplessness is a
recreation,
a reenactment of the helplessness in
early childhood and is therefore deeply
traumatizing. The main effect involved
is shame. thus becomes obsessed with
shame,
feels humiliated
and he develops helplessness, this sense
of helplessness as a way to regain
control. He begins to use his
helplessness, his disability, to
manipulate other people. He begins to
make demands, we call it control from
the bottom. I'm an invalid. You owe me.
I'm crippled. Serve me.
I'm old. Respect me. They're beginning
to use the defic deficiencies and
degeneration of their bodies as a tool
again to obtain supply to control their
environment to guarantee favorable
outcomes to become efficacious.
It's the irony in narcissism. It's a
very very um very flexible agile
adaptation.
And this leads of course to control
freakery. If you can't control the
external object that is your body that
is closest to you, can you really
control other external objects? Paranoia
sets in as I mentioned and that leads to
extreme obsession with control.
This obsession obsession with control
easily becomes sadism. And we have this
kind of patient,
the disabled, the invalid, the crippled,
the sick, the chronically sick. They
become tyrants, they become dictators,
they become sadistic, they torture
everyone around them, they manipulate,
they humiliate, they become vicious. We
all have such a relative, I'm sure.
So this is the sequence in the case of
disability and disease. And finally, I
would like to mention that
one of the safest ways to identify a
narcissist without administering um
complex set of narcissistic tests
um is body postures. Narcissists have a
series of body postures, a group of body
postures which are strongly indicative
of a narcissistic personality style and
when all of them are together are strong
strongly indicative of narcissistic
personality disorder.
We have the hypervigilant paranoid
stunts,
you know, looking around where's the
danger lurking, who's going to betray me
and so on. We have the pleading
expectant posture, you know, I expect
you to serve me. I expect you to give me
narcissistic supply. I expect you to
acknowledge my superiority. Please do.
We have the dismissive, contemptuous
posture. Who are you? You're stupid.
You're ugly. You're not my level. I
don't want to talk to you. You have the
superior, boastful, that's Donald Trump
kind, you know, in your face, defiant,
reckless, and so on. You have the
impatience, scornful posture. That's I
don't have time for you. You're wasting
my time. You don't know what you're
talking about. I'm uh, you know, leave
me alone. You have the membership
gravitas posture. I'm a member of this
club. I'm a member of this inroup. I
should be respected and admired and
adulated. Look at me. I mean, am I not
an amazing I don't know what
intellectual or politician or whatever.
You have the converting empathic. That's
a pro-social narcissist. It's a
narcissist who ostentatiously and
repeatedly emphasizes in your in your
face like look how
how
generous I am. Look how kind I am. Look
how compassionate and charitable and
altruistic I am. Am I not amazing? Am I
not morally superior? That's public
facing. That's intended to elicit
supply. It's it's a typical pro-social
posture. And finally, we have the
observer or detached post posture. I
couldn't care less. I'm just observing.
You're all funny. You're all comic.
You're all tragic. You're all stupid.
You're all entertainment to for me. If
you see all these postures together,
it's probably a narcissism. One question
you asked previously which I failed to
respond to. My bad. You asked about
diagnosing narcissism. So we we have
several psychological tests that we use.
The narcissistic personality inventory
is not intended to diagnose pathological
narcissism. It's a common mistake made
even by scholars.
The NPI is intended to diagn to to
diagnose in a way the existence of
narcissistic traits not the same as the
pathology.
We have other tests for dark
personalities but dark personalities
like dark triad and dark tetran
they have an element of they have a
component of subclinical narcissism.
Narcissism that cannot be diagnosed.
We have tests like the PNI, the
pathological narcissism inventory.
That's a test for narcissistic
personality disorder. We can use other
standardized tests which are very
powerful tests like the MMPI. It's a
great test, my favorite by the way. So,
we can use it, but it cannot it cannot
tell you about the existence of a
pathology. It can just map create a map
of traits and trade domains and
interactions and so on so forth. Here's
the truth. We do not have we do not have
an agreed upon rigorous test
psychological test for pathological
narcissism. And all the tests that exist
rely on self-reporting by narcissists.
Can you believe this nonsense?
Narcissists are known to have a very
complicated relationship with the truth.
And when you test them, when you test
people for narcissism, you ask them to
be truthful. Great idea, I must say.
It's not the same with borderline
personality disorder where we have very
powerful tests like the the ZAN, the Zen
and so on.
So
um
similarly we don't have any biomarkers
genetic markers something objective
which connects to NPD and definitely we
don't have any proof of brain
abnormalities never mind what kind of
nonsense read online
we don't have anything rigorous and
serious connecting brain abnormalities
to pathological narcissism finally
there's a major problem we disagree
In the profession, in academicians,
we disagree. What constitute
narcissistic personality disorder? And a
vast majority of the practice, a vast
majority of the field have reached a
conclusion that there is no such thing
as narcissistic personality disorder,
which makes it a bit complicated to test
for it.
Okay, ladies and gentlemen, those of you
who are who survived,
I am at your disposal for questions. I'm
your disposal to answer to question all
your answers. Go ahead.
>> Yes. Thank you so much, Sam.
>> Thank you.
>> I can tell you the chat is extremely
heated. barely have time to collect the
answers the questions. I'm sorry.
>> I don't think you will have time to
answer all of them.
>> And that's okay. But we should be able
to ask you a couple.
>> So, is it characteristic for female
narcissists to have an orgasmia? Uh
because that would mean that they have
to let go of control over their body.
Both male and female narcissist
experience orgasm.
They are autoerotic
in the sense that they are making love
to their own bodies. But the process of
making love, the sexual intercourse
culminates with the same outcome, which
is orgasm. On the very contrary,
narcissists tend to place a lot of
emphasis on orgasm. The somatic
narcissist measures his success in how
many times he has had orgasm and how
many times he induced orgasm in his
partner. He keeps a a track. He keeps
track of it. There's an app, I assume.
Similarly, orgasm would be perceived as
the culmination of a self-enhancing
process. I am so sexually attractive
that I made myself come. I made myself
experience orgasm. So no, there there's
no no ground to to claim that uh because
the orgasm is not perceived as a loss of
control because the body is an internal
object. The orgasm is perceived as
narcistic supply. There's a big
difference here.
Okay. No boundaries between the external
and the internal and perception of the
body as an internal object. Is it only
characteristic of narcissists or for
other personality disorders as well? My
impression is that many people with
personality disorders have difficulties
distinguishing the internal from the
external.
>> Well, I I can rely only on the
literature.
Um so we encounter this situation in in
pathological narcissism
to some extent in borderline personality
organization
and in psychotic disorders. These are
the three families of mental health
issues where there is a confusion not
boundaries not an issue of boundaries. I
mean it is an issue of boundaries but
there is also an active confusion
between internal and external. Even when
the individual recognizes the
externality and separateness of another
person they would instantly internalize
introject that other person and convert
that other person into an internal
object. It's a defense mechanism. It's a
defense against separation insecurity
abandonment anxiety. So in psychosis in
psychotic disorders there is a confusion
between external and internal objects.
This is known as hyperreflexivity.
It's when the the psychotic person
uh believes that his internal objects
are out there that are actually
external.
So a voice in the psychotic's mind would
be perceived as a voice emanating from
the outside. Someone talking to him,
God. I don't know who. In the
narcissist, it's the opposite. It's
reverse. The narcissist would perceive
something that really exists out there
as non-existent,
as a mere internal object. And again,
the reason is to avoid abandonment,
anxiety, and rejection.
Uh with borderline personality disorder,
it's a lot more complicated because the
borderline um requires
constant external regulation from a
specific source.
So whereas the narcissist has problems
with object constancy, the narcissist
cannot doesn't have doesn't experience
the continuity of external objects.
As far as a narcissist is concerned,
external objects appear and disappear
randomly like flashes in the pan.
With the borderline, it's the opposite.
The borderline does have a perception of
external objects.
But she cannot maintain an internal a
stable a stable internal representation
of these external objects.
She has introject inconstancy not object
inconstancy.
When for example she separates from
someone that someone ceases to exist in
her mind it's like out of sight out of
mind. Whereas with the narcissist the
internal object is stable the external
object is fleeting diffuse not real. So
you see various situations all of them
pseudocyscotic
all of them involve the confusion
between internal and external objects.
And this is not a minor confusion. It's
not it's not that uh you're confused for
a minute. You know, some some voice in
your head. You thought someone spoke to
you, but they didn't speak to you.
That's that's not the issue at all. This
is lifelong permanent confusion between
internal and external. You're right.
Owing to a lack of developed boundaries
in early childhood.
Yes, I finished.
We have just uh three minutes left, I
think. Maybe four at most.
We got loads of questions for you, Sam.
I am at a loss as to what to choose.
>> Okay, let me choose this one. What is a
healthy attitude to one's body?
We've been hearing so much about
narcissists.
Please help us ground ourselves back.
What is a healthy attitude to one's
body?
>> It is always a problem. For example, if
you get chronically sick and you're
constantly in pain, but I mean serious
pain, you you will begin to hate your
body. You'll begin to resent it. You'll
begin to wish to punish it somehow. And
the extreme is of course suicide.
So in extreme situations you end up in
the same place the narcissist is.
But with the narcissist is permanent. At
least with the somatic narcissist also
with the cerebral narcissist. The
cerebral narcissist has rejected the
body because cerebral narcissist says
the my body is useless to obtain supply.
I will use my mind. My mind is
attractive. My mind is amazing. My mind
is so I'll use my mind to obtain supply.
My body is so they both are rejecting
the body. In effect, the somatic
narcissist is rejecting the body because
the body is betraying him. And the
cerebral narcissist has rejected the
body because the body is not a good way
to obtain supply. A healthy person also
rejects the body sometimes.
But it's rare.
It's very rare. The healthy relationship
with the body is to regard the body as a
potential friend.
Definitely a source of some elements of
identity
possibly
um maybe grounds for entertainment, self
entertainment and so on. So you know
people who make tattoos and this kind of
thing. Uh and of course the found the
main way to experience the world. Your
body is the bridge to the world.
Everything you experience is via your
body.
You need to regard your body as you
would for example an intimate partner.
You would be forgiving to a large
extent. You would be accepting to a
large extent. You would allow your body
to have a life of its own. Not
subservient to you or your agenda.
You would cultivate your your body and
invest in it. You will uh use your body
to access the world the same way we do
in intimate relationships where our
partner brings the world to us and we
bring the world to our partner. We
introduce the world into the
relationship. In other words, think of
your body as an intimate intimate
partner whom you love and with whom you
wish to have a very long fruitful happy
balanced relationship. Simple as that.
That way your body will always be an
external object which is a healthy
thing, not an internal one. The minute
you internalize your body, for example,
when you're very sick, you internalize
your body as a persary object as an
enemy, that's a pathology and it's a bad
way to go.
>> Yes. Thank you so much, Sam, for your
lecture and your answers. All these
hearts go to you.
>> Thank you.
>> You've told us so much and we badly want
to hear even more. Unfortunately, we
have to call it a day right now. Sam, I
want to thank you as well. I can tell
you that I've watched lots of your
videos on YouTube.
>> Thank you.
>> And uh
>> ah so you are you are the one
>> you are the one who's watching my
videos.
All the thousands of views are mine.
>> Yeah.
>> So, thank you so much for sharing your
vision, your perspective.
>> It is indeed very important for us to
hear from you about NPL and it
difference from other personality
disorders, NPD, I'm sorry. So, thank you
very much, Sam. And we also wanted to
thank the interpreter for his
interpretation and his sense of humor.
>> Thank you very much everybody.
>> Thank you. Thank you for having me. I'm
always at your disposal if you want to
do something in the future. And I as
well am thanking the interpreter and the
wonderful audience. I've never received
so many hearts in my life.
>> Thank you.
Thank you so much.
>> Have a nice day there.