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But pathological narcissism is not an isolated phenomenon. It is embedded in our contemporary culture. The West's is a narcissistic civilization. It upholds narcissistic values and penalizes alternative value-systems. From an early age, children are taught to avoid self-criticism, to deceive themselves regarding their capacities and attainments, to feel entitled, and to exploit others.
As Lilian Katz observed in her important paper, "Distinctions between Self-Esteem and Narcissism: Implications for Practice", published by
Educational Resources Information Center,
line between enhancing self-esteem and fostering narcissism is often blurred by educators and parents.
Both Christopher Lasch in "The Culture of Narcissism" and Theodore Millon in his books about personality disorders, singled out American society as narcissistic. Litigiousness may be
flip side of an inane sense of entitlement. Consumerism is built on this common and communal lie of "I can do anything I want and possess everything I desire if I only apply myself to it" and on
pathological envy it fosters.
Not surprisingly, narcissistic disorders are more common among men than among women. This may be because narcissism conforms to masculine social mores and to
prevailing ethos of capitalism. Ambition, achievements, hierarchy, ruthlessness, drive - are both social values and narcissistic male traits. Social thinkers like
aforementioned Lasch speculated that modern American culture - a self-centred one - increases
rate of incidence of
narcissistic personality disorder.
Otto Kernberg, a notable scholar of personality disorders, confirmed Lasch's intuition: "Society can make serious psychological abnormalities, which already exist in some percentage of
population, seem to be at least superficially appropriate."
In their book "Personality Disorders in Modern Life", Theodore Millon and Roger Davis state, as a matter of fact, that pathological narcissism was once
preserve of "the royal and
wealthy" and that it "seems to have gained prominence only in
late twentieth century". Narcissism, according to them, may be associated with "higher levels of Maslow's hierarchy of needs ... Individuals in less advantaged nations .. are too busy trying (to survive) ... to be arrogant and grandiose".
They - like Lasch before them - attribute pathological narcissism to "a society that stresses individualism and self-gratification at
expense of community, namely
United States." They assert that
disorder is more prevalent among certain professions with "star power" or respect. "In an individualistic culture,
narcissist is 'God's gift to
world'. In a collectivist society,
narcissist is 'God's gift to
collective."
Millon quotes Warren and Caponi's "The Role of Culture in
Development of Narcissistic Personality Disorders in America, Japan and Denmark":
"Individualistic narcissistic structures of self-regard (in individualistic societies) ... are rather self-contained and independent ... (In collectivist cultures) narcissistic configurations of
we-self ... denote self-esteem derived from strong identification with
reputation and honor of
family, groups, and others in hierarchical relationships."
Still, there are malignant narcissists among subsistence farmers in Africa, nomads in
Sinai desert, day laborers in east Europe, and intellectuals and socialites in Manhattan. Malignant narcissism is all-pervasive and independent of culture and society. It is true, though, that
way pathological narcissism manifests and is experienced is dependent on
particulars of societies and cultures.
In some cultures, it is encouraged, in others suppressed. In some societies it is channeled against minorities - in others it is tainted with paranoia. In collectivist societies, it may be projected onto
collective, in individualistic societies, it is an individual's trait.
Yet, can families, organizations, ethnic groups, churches, and even whole nations be safely described as "narcissistic" or "pathologically self-absorbed"? Can we talk about a "corporate culture of narcissism"?
Human collectives - states, firms, households, institutions, political parties, cliques, bands - acquire a life and a character all their own. The longer
association or affiliation of
members,
more cohesive and conformist
inner dynamics of
group,
more persecutory or numerous its enemies, competitors, or adversaries,
more intensive
physical and emotional experiences of
individuals it is comprised of,
stronger
bonds of locale, language, and history -
more rigorous might an assertion of a common pathology be.
Such an all-pervasive and extensive pathology manifests itself in
behavior of each and every member. It is a defining - though often implicit or underlying - mental structure. It has explanatory and predictive powers. It is recurrent and invariable - a pattern of conduct melding distorted cognition and stunted emotions. And it is often vehemently denied.

Sam Vaknin is the author of Malignant Self Love - Narcissism Revisited and After the Rain - How the West Lost the East. He is a columnist for Central Europe Review, PopMatters, and eBookWeb , a United Press International (UPI) Senior Business Correspondent, and the editor of mental health and Central East Europe categories in The Open Directory Bellaonline, and Suite101 .
Visit Sam's Web site at http://samvak.tripod.com