Narcissism is one of those clinical terms that has escaped the consulting room and taken on a life of its own.
Like many borrowed psychological ideas, it has been flattened. In popular culture, narcissism is routinely used as a moral verdict, a convenient label for a certain kind of person who is selfish, callous, entitled, or exploitative. The word is often spoken with contempt and as a term of insult. Yet, curiously, it is also spoken with envy. The narcissistic person is imagined as someone who glides through life, unaffected by doubt, shame, or vulnerability. We collectively denigrate and idealise narcissism in equal measure.
This split tells us something important. Narcissism touches a nerve, not simply because it can be destructive, but because it exposes something uncomfortable about the human condition. The desire to be exceptional. The fantasy of being exempt. The longing to be seen and admired without the risks that come with being known.
When modern culture becomes too loud, it can be useful to return to an older form of knowledge. Before diagnostic manuals, before social media, and before the medicalisation of emotional suffering, human beings made sense of psychological life through story. Myth is not literal truth, but it often contains psychological truth. It speaks in the language the mind actually uses, symbol, metaphor, image, and drama.
This is why Ovid still matters.
Around two thousand years ago, in Metamorphoses, Ovid recounts the myth that has become the template for how we speak about narcissism. Most people remember one image, Narcissus leaning over a pool, captivated by his reflection. That image has encouraged a simplistic conclusion, that narcissism is vanity, or self love.
But Ovid’s story is not really about vanity. It is about relationship, or rather the impossibility of relationship. It is not only a story of Narcissus. It is a story of Narcissus and Echo. That detail changes everything.
Narcissus, Echo, and the Relational Nature of Narcissism
From the outset, Narcissus is surrounded by admirers. But he does not seem to have friends. He is desired, but he remains untouched. There is an impression of self sufficiency, pride, and invulnerability. This is the narcissism that we all, secretly, envy. Then Echo appears.
Echo is punished by Juno for spreading gossip and loses her own voice. From that point, she cannot initiate speech. She can only repeat the last words spoken by another. It is tempting to read this as a poetic punishment, a mythic device, or a warning about spreading rumour, however, psychoanalytically, it is far more revealing. It is a portrait of a personality organised around adaptation rather than desire.
Echo cannot put her own experience into language. She cannot author meaning for her life. She borrows it. She responds. She repeats. She lives in the psychological world of the other without her own desire.
And she falls in love with Narcissus.
When Narcissus calls out, she can only echo. When he suggests they meet, she can only repeat his invitation. When she finally throws her arms around him, he recoils. He experiences her embrace as engulfing and suffocating. He would rather die than be possessed. He would rather die than be known.
Echo, unable to protest, repeats the final words he offers her. In doing so she gives herself away in language she did not choose.
She then retreats, and withers, until only her voice remains.
This is not incidental. It is the psychological core of the story.
Echo is not simply a victim of Narcissus. Echo is the complementary partner required by the narcissistic structure. Because narcissism is not a solitary achievement. It is a relational economy.
Echo Is Not a Side Character. Echo Is the Condition of Narcissus
One of the cultural temptations of our time is to hunt for villains. To identify the narcissist and treat them as a
contaminant. The aim then becomes avoidance, exposure, and sometimes revenge. There is no question that narcissistic relating can be cruel. But cruelty is not the same thing as understanding. If we want to understand narcissism, we have to move beyond moral outrage and ask what the narcissistic mind is defending against.
Ovid shows us something modern discourse repeatedly misses. The narcissistic person does not abolish dependency, but displace it.
Narcissus looks independent, but he depends on the existence of an Echo.
In clinical terms, the narcissistic person needs mirroring, as they cannot bear intimacy. They need the other to reflect back a particular image, an image that holds the self together. The mirror must not contradict or introduce difference; the mirror must confirm.
Echo, in the myth, is precisely that. She repeats. She confirms. She reflects.
This is why the pairing can feel compelling and why it can persist for so long. Echo often experiences Narcissus as certainty. He gives her a script. He tells her who to be. It can feel like love, but it is actually just survival. Echo’s unconscious rule is simple, as long as the other is OK, I am OK. Many people learn this early in life when their own needs are inconvenient, unwelcome, or risky. They become skilled at reading the other, managing the other, soothing the other, and disappearing in the process.
Narcissus also lives by an unconscious rule – as long as I am admired, I am safe. Admiration shores up something fragile inside. It fends off a kind of inner collapse. Without it, shame, need, grief, and envy press too close.
This is why the narcissistic person may crave closeness and yet fear it. The other is needed, but the other is also dangerous. Real intimacy means being seen. Being seen threatens exposure. Exposure threatens collapse. So the narcissistic mind manages distance through control, idealisation, devaluation, seduction, and withdrawal.
Tiresias and the Terror of Self Knowledge
Early in the myth, Narcissus’s mother consults the seer Tiresias, who replies that Narcissus will live a long life only if he does not discover himself.
This line captures the heart of narcissism. The central defence is not simply vanity. It is the refusal of self knowledge. Not necessarily the refusal of facts, but the refusal of feelings. The feelings that would arise if the person were to encounter their internal reality without the protective shell of admiration and control.
For the narcissistic mind, vulnerability is not experienced as human. It is experienced as annihilating. The fragile self is felt to be intolerable. This is why narcissistic defences are so tenacious. They are not superficial habits. They are survival strategies.
It is also why narcissistic rage can be so intense. Rage often appears when the structure is threatened, when admiration is withdrawn, when the mirror fails, when the other introduces disappointment, critique, or separateness.
The Pool as the Perfect Object
The pool in the myth is more than a mirror. It is the perfect object.
It reflects, but it does not demand. It does not disagree. It does not require reciprocity. It offers desire without relationship. It keeps the other safely unreal.
This is the genius of the story. Narcissus is not simply in love with himself. He is in love with an image that is both his and not his. An other that is perfectly attuned and perfectly unreachable. A reflection that never introduces the discomfort of another mind. In clinical life, this dynamic often appears as a preference for fantasy over reality. Those who love narcissistically structured people often describe a confusing pattern.
Intense attraction. Intense idealisation. A sense of being chosen. Then a recoil when the relationship becomes real, when the partner wants something, needs something, or differs. In other words, when the partner stops being a reflection and becomes a person.
The narcissistic person is not rejecting love. They are rejecting reality.
What This Means in Psychotherapy
Patients never present for psychotherapy saying they are narcissistic. More often they present with depression, relationship breakdown, work crises, emptiness, or a pervasive dissatisfaction that cannot be solved through achievement. Outwardly they may appear confident. Inwardly they are frequently fragile.
In the therapeutic relationship the narcissistic economy often reappears. The therapist may be pulled into the role of Echo, invited to admire, affirm, and confirm. Or attacked for failing to mirror perfectly. What matters clinically is not moral judgement but accuracy. The therapist is observing how the patient manages closeness, disappointment, separateness, and repair. The therapist is observing whether the patient can tolerate an other who is real.
And, crucially, the therapist also meets Echo patients, those who have lived too long in the psychological world of another. They often present with anxiety, depletion, self doubt, and a sense of invisibility. Clinically we may think of these patients as “covert narcissists”.
The End of the Myth and the Clinical Task
At the end of Ovid’s story, both Narcissus and Echo wither. The myth is not sentimental. A life organised around reflection has no substance. A life organised around echoing has no body.
This is why the myth still resonates. It captures the human wish to avoid the pain of separateness, and the cost of doing so.
Narcissism is not new. Echo is not new. The pairing is not new.
What may be new is that modern life provides more pools for Narcissus and more echo chambers for Echo, specifically social media. But the underlying problem remains ancient, the struggle to move from a world organised around one mind into a world where two minds can exist, where difference can be tolerated, and where intimacy does not have to mean engulfment.
The task of depth psychotherapy is not to eradicate narcissism as though it were a virus. Healthy narcissism exists and is necessary. A solid sense of self, the capacity to take up space, pride in genuine achievement, and the ability to know what one wants are essential human capacities. The work is to relinquish the defensive version of narcissism that depends on unreality.
For Echo, the work is to speak, to want, to tolerate the anxiety of separateness, and to grieve what was missed.
For Narcissus, the work is to risk being ordinary, which is often a disguised terror of being nothing. To mourn the fantasy of perfection. To discover that the other’s mind does not annihilate one’s own.
That is where relationship begins. Not as fusion, not as performance, but as the lived capacity to hold two
minds in the same room.
Share this article

About the Author
Mark Vahrmeyer is a UKCP-registered psychotherapist working in private practice in Hove and Lewes, East Sussex. He is trained in relational psychotherapy and uses an integrative approach of psychodynamic, attachment and body psychotherapy to facilitate change with clients.
To enquire about psychotherapy sessions with Mark Vahrmeyer click here, or to view our full clinical team, please click here.
Further reading by Mark Vahrmeyer –
- From Narcissus to the Ordinary: How psychotherapy treats narcissism
- The Age of Narcissism or the Age of Mirrors? Social media, belonging, and self esteem
- Is starting psychotherapy a good New Year’s resolution?
- How to minimise Christmas stress if you’re hosting
- Is there something wrong with me for hating Christmas?
