Abstract
The self's contrary needs for separateness and for belonging are introduced as a significant polarity in the developmental process, and one which narcissistic persons have failed to resolve in a particular way resulting in a sense of self-distinction but with increasing alienation. Clinical material and material from literature are used to demonstrate this, as well as to raise the possibility that transformations of narcissism sometimes can occur quite quickly. The theoretical implications of this possibility are considered and Jungian ideas put forward as a possible explanation. Finally, brief consideration is given to the practical consequences for therapy that could follow if this understanding has some validity.