
Contrary to popular belief, pathological narcissism (Narcissistic Personality Disorder) is characterized by an inflated, grandiose self-structure, not a fragile or weak ego in the psychoanalytic sense.
In psychoanalytic theory, "ego strength" refers to reality testing, impulse control, affect regulation, and adaptive defenses. Narcissistic individuals often have poor ego strength (brittle defenses, rage at criticism, unstable self-esteem) despite presenting a grandiose façade. The grandiosity is a defensive structure compensating for underlying vulnerability—not a sign of a strong, integrated ego.
Both subtypes reflect impaired self-regulation, not healthy ego functioning.
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