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Interestingly enough, individuals with NPD demonstrate a core psychic wounding which stems from the experience of shame (Louis de Canonville, 2017). Given a childhood in which the narcissist was devalued and discarded by primary attachment figure(s), the NPD individual grows up associating pain with love. Therefore, a significant and profound fear of abandonment resides at the core of the narcissistic abuser inner psyche.

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Health can be a uniquely anxiety provoking arena, says Catherine Belling, an associate professor of medical education at Northwestern University Feinberg School of Medicine who wrote a 2012 book on hypochondria (now medically known as illness anxiety disorder). Bodies are so incredibly, intimately close to us, but dependent on doctors to tell us what going on inside ourselves, she says. Stakes are really high, but you also don have control over this very high stakes part of yourself..

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