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narcissistic neurosis
Narcissistic neurosis is a term introduced by Sigmund Freud to distinguish the class of neuroses characterised by their lack of object relations and their fixation upon the early stage of libidinal narcissism.〔Sigmund Freud, ''Introductory Lectures on Psychoanalysis'' (PFL 1) p. 471-2〕 The term is less current in contemporary psychoanalysis,〔J. Laplanche/J-B Pontalis, ''The Language of Psychoanalysis'' (2012) p. 258〕 but still a focus for analytic controversy.〔J-M Quinodoz, ''Reading Freud'' (2005) p. 132-4〕
Freud considered such neurosis as impervious to psychoanalytic treatment, as opposed to the transference neurosis where an emotional connection to the analyst was by contrast possible.〔''Introductory Lectures'' p. 473 and p. 499〕
==Freud's changing ideas==
Freud originally applied the term "narcissistic neurosis" to a range of disorders, including perversion, depression, and psychosis.〔Quinodoz, p. 70〕 In the 1920s, however, he came to single out "illnesses which are based on a conflict between the ego and the super-ego... we would set aside the name of 'narcissistic psycho-neuroses' for disorders of that kind"〔Sigmund Freud, ''On Psychopathology'' (PFL 10) p. 216〕 — melancholia being the outstanding example.
About the same time, in the wake of the work of Karl Abraham, he began to modify to a degree his view on the inaccessibility of narcissistic neurosis to analytic treatment.〔Sigmund Freud, ''On Sexuality'' (PFL 7) p. 139〕 However his late lectures from the thirties confirmed his opinion of the unsuitability of narcissistic and psychotic conditions for treatment "to a greater or less extent";〔Sigmund Freud, ''New Introductory Lectures on Psychoanalysis'' (PFL 2) p. 190〕 as did his posthumous 'Outline of Psychoanalysis'.〔Otto Fenichel, ''The Psychoanalytic Theory of Neurosis'' (1946) p. 447〕
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