The fundamental outlook of this book is clinical. It attempts to establish a unitary model of the processes at work in different forms of narcissistic pathology, and to offer a model that is both an alternative to, and complementary to, Freud's model of what are usually considered to be neurotic problems. The aim is to extract a sequence of mental processes that could be seen as typical of narcissistic disturbances of the sense of identity, with their several forms and clinical variations. The book describes how these are structured, together with their intrapsychic and intersubjective functions, based on the hypothesis of a defensive pattern that is set up to counter the effect of a split-off primary trauma and the threat that hangs over the mind and subjectivity.