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People with pathological narcissism are divisible into two types of opposite kinds. The same division can be made in the case of the normal.
To those who have actual perversion the body constitutes a part of objective reality. Similarly in the case of admiration of one's own mental capacity there is a fixation on something psychically real leading sometimes to a real relation to the outer world through admiration of others. We have the same condition when a phantasy body or imagined capacities constitute the objects of adoration.
It is difficult to distinguish between phantasy and reality in self-love.
In delusion of grandeur there is love of an unreal self, but the latter is nevertheless an object invested with libido.
Differentiated from the type in which narcissism has in the above sense an object is the type for whom any fixation on objects is unendurable. This is the second group.
Paraphrenics exemplify it in their indifference, neglect of externals, etc. Schizoids are less marked examples.