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Both types of echoists show issues with being submissive, having problems saying no, and avoiding conflict.Healthy narcissism has to do with a strong feeling of "own love" protecting the human being against illness.

In that case, egoism will see to it that striving for the object involves no damage to the ego.The opposite to egoism, altruism, does not, as a concept, coincide with libidinal object-cathexis, but is distinguished from it by the absence of longings for sexual satisfaction.When someone is completely in love, however, altruism converges with libidinal object-cathexis.Unable to consummate his love, Narcissus "lay gazing enraptured into the pool, hour after hour," and finally changed into a flower that bears his name, the narcissus.The concept of excessive selfishness has been recognized throughout history.

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