The article presents the Continuum Model of Narcissistic Regulation as a fundamental mechanism of mental functioning aimed at maintaining an individual’s sense of self-worth and dignity across intrapsychic, interpersonal, and sociocultural dimensions. Examining narcissistic regulation from a continuum perspective allows us to move beyond the dichotomy of “normal” and “pathological” narcissism and to conceptualize narcissistic phenomena as adaptive variations of the mental system in response to internal and external threats to self-esteem. Constructive and destructive forms of self-esteem regulation are not qualitatively separate entities but coexist within a single regulatory spectrum, with dynamic transitions possible between its extremes. The middle range of the continuum is characterized by mature and flexible self-esteem regulation, whereas movement toward either extreme is associated with increasingly destructive forms of narcissistic regulation. Destructive regulatory processes unfold in situations of mental deficit or overload and manifest in two primary forms: vulnerable (sensitive) and grandiose. The authors argue that despite their phenomenological differences, both forms share a common regulatory foundation: the avoidance of experiencing narcissistic vulnerability, shame, and dependence on others through the activation of rigid and insufficiently symbolized (literal) strategies for maintaining self-esteem. The practical significance of the Continuum Model of Narcissistic Regulation lies in expanding the theoretical foundation of psychotherapeutic practice and opening possibilities for a more differentiated clinical understanding of narcissistic phenomena. Reliance on the Continuum Model of Narcissistic Regulation directs psychotherapeutic work not toward eliminating narcissism per se, but toward the gradual expansion of the zone of constructive regulation, the restoration of flexibility in mental functioning, and the diversification of strategies for personal self-fulfillment within the sociocultural space.
No takes yet. Share an insight, caveat, or question.
Filts et al. (2026) studied this question.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: