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I very much appreciated Dr. Satow's placing the psychoanalytic concept of narcissism in an historical context, which certainly does point up its ambiguous meaning. For that reason, it seems to make sense either to insist on precise usage or to call for a moratorium on the term, at least in the popular culture, and not compound the ambiguity.
I also agree that social commentators appear comfortable using the term as a code for moral disapproval of social trends, while trying to soften that judgmental stance by reference to psychoanalytic literature. I suppose that, in fact, is what really prompted my paper. I would prefer not to see clinical models confused with a justice/punishment ethical stance. This is not to contend that the clinical model is value-free, which I would deny, but rather to maintain that the clinical values are those of need/caring, which are quite different from justice/punishment values and which have at least equal claim. I am particularly bothered when the moral disapproval is expressed before the sin or evil is demonstrated (I am not sure the Me Generation ever existed except in the media mind), and when the clinical values of need/caring are transmuted into popular notions of selfishness or self-involvement, and therefore into evil.