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Indifference and Decompensation in Pathological Narcissism

The narcissist lacks empathy. Consequently, he is not really interested in the lives, emotions, needs, preferences, and hopes of people around him. Even his nearest and dearest are, to him, mere instruments of gratification. They require his undivided attention only when they "malfunction" - when they become disobedient, independent, or critical. He loses all interest in them if they cannot be "fixed" (for instance, when they are terminally ill). People find the narcissist "cold", "inhuman", "h.