A required element within normal development
Healthy narcissism might exist in all individuals. Freud says that this is an original state from which the individual develops the love object. He argues that healthy narcissism is an essential part of normal development. According to Freud the love of the parents for their child and their attitude toward their child could be seen as a revival and reproduction of their own narcissism. The child has an omnipotence of thought; the parents stimulate that feeling because in their child they see the things that they have never reached themselves. Compared to neutral observations, the parents tend to overvalue the qualities of their child. When parents act in an extreme opposite style and the child is rejected or inconsistently reinforced depending on the mood of the parent, the self-needs of the child are not met.
In relation to the pathological condition
Healthy narcissism has to do with a strong feeling of "own love" protecting the human being against illness. Eventually, however, the individual must love the other, "the object love to not become ill". The individual becomes ill as a result of the frustration created when he is unable to love the object. In pathological narcissism such as the narcissistic personality disorder, the person’s libido has been withdrawn from objects in the world and produces megalomania. The clinical theorists Kernberg, Kohut and Millon all see pathological narcissism as a possible outcome in response to unempathic and inconsistent early childhood interactions. They suggested that narcissists try to compensate in adult relationships. The pathological condition of narcissism is, as Freud suggested, a magnified, extreme manifestation of healthy narcissism.
With regard to the condition of healthy narcissism, it is suggested that this is correlated with good psychological health. Self-esteem works as a mediator between narcissism and psychological health. Therefore, because of their elevated self-esteem, deriving from self-perceptions of competence and likability, high narcissists are relatively free of worry and gloom. Other researchers suggested that healthy narcissism cannot be seen as ‘good’ or ‘bad’; however, it depends on the contexts and outcomes being measured. In certain social contexts such as initiating social relationships, and with certain outcome variables, such as feeling good about oneself, healthy narcissism can be helpful. In other contexts, such as maintaining long-term relationships and with other outcome variables, such as accurate self-knowledge, healthy narcissism can be unhelpful.