Back to Christopher Lasch, The Narcissistic Personality of Our Time: Table of Contents

The shifting em­phasis in clinical studies from primary to secondary narcissism reflects both the shift in psychoanalytic theory from study of the id to study of the ego and a change in the type of patients seeking psychiatric treatment. Indeed the shift from a psychology of in­stincts to ego psychology itself grew partly out of a recognition that the patients who began to present themselves for treatment in the 1940s and 1950s “very seldom resembled the classical neuroses Freud described so thoroughly.”