Is narcissism a form of psychosis?

Answer 1

Narcissism should not be construed as a form of psychosis because:

1. The narcissists is usually fully aware of the difference between true and false, real and make-belief, the invented and the extant, right and wrong. The narcissist consciously chooses to adopt one version of the events, an aggrandising narrative, a fairy-tale existence, a "what-if" counterfactual life. He is emotionally invested in his personal myth. The narcissist feels better as fiction than as fact -- but he never loses sight of the fact that it is all just fiction.

1. Throughout, the narcissist is in full control of his faculties, cognisant of his choices, and goal-orientated. His behaviour is intentional and directional. He is a manipulator and his delusions are in the service of his stratagems. Hence his chameleon-like ability to change guises, his conduct, and his convictions on a dime.

1. Narcissistic delusions rarely persist in the face of blanket opposition and reams of evidence to the contrary. The narcissist usually tries to convert his social milieu to his point of view. He attempts to condition his nearest and dearest to positively reinforce his delusional False Self. But, if he fails, he modifies his profile on the fly. He "plays it by ear". His False Self is extemporaneous -- a perpetual work of art, permanently reconstructed in a reiterative process designed around intricate and complex feedback loops.