Within the framework of the Narcissistic Spectrum of Positions, pathology is not defined solely by the internal structure of an individual, but also by the quality and rigidity of the relational field they establish. In the present text, the emphasis is not placed on transient movements within the Spectrum, but on forms of organization in which borderline or psychopathic functioning acquires relative stability and repetitive expression in everyday life. When a subject is predominantly organized in a borderline or psychopathic way, the "Other" gradually ceases to be recognized as an autonomous subject with their own internal space, boundaries, and truth. Instead, they are transformed into a necessary psychic substrate upon which the subject attempts to preserve their fragile cohesion. The form of this alteration is not identical in the two organizations: in psychopathic organization, instrumental use, imposition, and discharge at the expense of the Other tend to dominate, whereas in borderline organization, separation anxiety, the inability to maintain stable boundaries, and a desperate need for attachment prevail, turning the Other into a condition for psychic survival. The suffering of the Other is not a mere emotional reaction, but a process of psychic disorganization, relational suffocation, and erosion of subjective cohesion.