Abstract

In lieu of an abstract, here is a brief excerpt of the content:Narcissism A Focal Point for Examining the Interrelatedness of Psychology and PhilosophyLydia Amir, PhD (bio)In a groundbreaking article, Aleksandar Fatic challenges the view that mental health is to be dissociated from morality or ethics. His argument targets cluster B personality disorders, such as Borderline and Narcissistic Personality Disorders, but focuses mainly on narcissistic disorders, whether diagnosed or not. Although these persons are not exempt of moral and legal responsibility, they are diagnosed by and relegated to the mental health system, which is often ineffective in treating them. Fatic suggests that addressing their faulty morality is the best policy. In my commentary of his article, I further probe the viability and desirability of doing so. I point to narcissism as a focal point for examining the necessary impact of psychology and philosophy insofar as psychologists may be considered experts in emotions and philosophers in normative ethics. I question the interest in any ethics that does not also supply the means of its implementation and suggest that narcissists may have a morality of their own, ethical egoism.As psychiatrist Bennett Simon notes, Socrates did not inquire into the mental health field; his presence is missed as the questions, “what is mental illness?” and “what are psychiatry and psychiatrists?” are not addressed. It follows that it is up to us, as Simon attempts to do in the first chapter of Mind and Madness in Ancient Greece: The Classical Roots of Modern Psychiatry (1978), to define the psychiatrist’s proper area of professional competence (p. 28). That which makes matters even more confusing, he notes, is that psychiatrists are only one group of professionals who deal with the “mentally ill” and that they are “far from unanimous” about which problems “pertain to their particular sphere” (Simon, 1978, p. 29). He thus lists a variety of problems which “a glance at both popular and professional literature…reveals that at one time or another, psychiatrists have claimed [End Page 169] (sometimes by public demand) for their proper sphere” (Simon, 1978, p. 29). Among them is the issue that Fatic’s break grounding article tackles: “Psychiatrists at times consider it their proper task to deal with people who are excessively selfish and self-centered (narcissistic personality disorder)” (Simon, 1978, p. 29).Thus, Simon sees as a matter of controversy whether narcissism is a psychiatric issue, and defines the disorder in moral terms (“selfish,” “self-centered”). Fatic broadens the argument: he questions the validity of the psychological approach not only to narcissism as a personality disorder, but also to narcissistic traits, and the effectivity of this approach given that this is an area in which therapists usually do not have much success even if the patients look for help, which is rare. Fatic suggests that these personalities, either those with narcissistic traits or those with full-fledged narcissistic personality disorder, should be better understood (and maybe also addressed, although this point is not explicitly made) when viewed through moral lenses. In doing so, Fatic not only questions the validity of one form of personality disorder––still a controversial category––but re-kindles the view that correlates aspects of mental health with virtue, a view that was valid up until the nineteenth century and that made of philosophers (and priests) doctors of the soul.1That which made of philosophers’ teachings an important part of one’s life before the advent of scientific psychology has been often associated with this view, that the virtuous are also the healthy. Without going as far as to suggest that philosophers should teach virtue to narcissists, which could be a further argument in favor of the new field of philosophical practice and a broadening of its legitimate concerns, Fatic notes that moral categories are better suited to approach those who are plagued by narcissism.One way to explain the historical role that psychology played in relation to the traditional one upheld by morality is that psychology stepped in to explain the origins of failures in morality. If the narcissist is to be judged according to moral categories (a judgment that he necessarily fails in so far as right emotions as relevant to morality), what might be the consequences?Ascribing...