This paper explores the healthy narcissism related to self-expression and looks at how this is frequently pathologized and split-off, with problematic consequences for the individual and for culture. This is explored through Yeats' poem, 'The Second Coming', as are other personal, cultural and clinical manifestations, with a split evident between those who advocate self-denial and those who are 'full of passionate intensity' and seen as narcissistic. The paper argues that the process of individuation requires us to embrace a multiplicity of self-states, and thus a broadening of ego-identifications, including states of vulnerability, self-denial, self-centredness, murderousness and power, in contrast to the unworkable unitary identifications of previous eras, where such states were projected onto scapegoat groups in, for example, racism. The neurobiological underpinnings of the core self are outlined which, the paper argues, help us better understand and accept the broad range of narcissistic phenomena. Embracing guilt, out of care and concern as described by Loewald (1979), and thus addressing states of both passive and active blindness to the other, allows us to put a 'human head on the lion's body', described in Yeats' poem. Some clinical manifestations and dynamics are also outlined.

中文翻译：

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健康的自恋和个体化——临床、文化和政治表现。

本文探讨了与自我表达相关的健康自恋，并探讨了这种自恋是如何经常被病态化和分裂的，对个人和文化造成了问题的后果。这一点通过叶芝的诗《第二次降临》以及其他个人、文化和临床表现进行了探索，主张克己的人和那些“充满激情的强度”并被视为自恋的人之间存在明显的分歧。这篇论文认为，个体化的过程要求我们接受多种自我状态，从而扩大自我认同，包括脆弱、自我否定、自我中心、凶残和权力的状态，而不是不可行的状态。以前时代的统一识别，例如，这些国家被投射到替罪羊群体上，种族主义。概述了核心自我的神经生物学基础，论文认为，这有助于我们更好地理解和接受广泛的自恋现象。正如洛瓦尔德（Loewald，1979）所描述的那样，出于关心和关心而拥抱内疚，从而解决对对方被动和主动失明的状态，使我们能够将“人头放在狮子身上”，这在叶芝的诗中有所描述。还概述了一些临床表现和动态。狮子身上的人头”，在叶芝的诗中描述。还概述了一些临床表现和动态。狮子身上的人头”，在叶芝的诗中描述。还概述了一些临床表现和动态。