ABSTRACT

Depression in narcissistic pathology is associated with loss and occurs when the person is depleted of his or her narcissistic supplies from the external environment-those who offer admiration, adulation, appreciation. When these supplies are exhausted, the person sinks into a state of morbidity dominated by a powerfully critical and punitive superego, which is self-hatred turned inward. The depressed narcissist is the maestro of self-punishment, someone who functions almost like a reverse narcissist. One man was so depressed after the break-up of his marriage that he refused to go anywhere or see his friends, who begged him to go out with them. When they would call, he would retreat into Dostoevsky-like morbidity and darkness and moan how bleak and sad his life was.