Mental health disorders often exist at both ends of a spectrum. Where one disorder lies, its mirror image often exists.
For example, Antisocial Personality Disorder—characterized by manipulation, deceit, and a lack of empathy—stands in direct contrast to those diagnosed with Hyper-Empathy Syndrome.
Obsessive-Compulsive Personality Disorder (OCPD), with its rigid perfectionism and need for control, may be seen as the polar opposite of a Passive or Dependent Personality, where individuals defer decisions to others, avoid responsibility, and lack structure.
And while Narcissistic Personality Disorder doesn’t have an “official” psychological opposite, Echoism is often considered its direct reverse. This article discusses everything you need to know about echoists, the opposites of narcissists.
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What Is Echoism?
Echoism is a relatively new term in psychology. It isn’t a diagnosable condition like Narcissistic Personality Disorder and likely wouldn’t be for a while, but it’s a measurable trait that many people possess.
To understand the difference between narcissistic personality disorder and echoism, let’s briefly discuss the personality traits that make a narcissist.
Simply put, a narcissist is a person who thinks highly of themselves. It goes beyond self-love and spills over a delusional false sense of entitlement and superiority.
Narcissists don’t tolerate criticism and behave in a self-centered and self-absorbed way, believing that they deserve privileges and special treatment.
They’re often preoccupied with fantasies of power, success, brilliance, beauty, and finding the “perfect” partner. They have no trouble belittling others and act moody or depressed when they fall short of perfection. And underneath that sense of self-entitlement, narcissists secretly wrestle with profound insecurity, shame, and the terror of humiliation.
If you take these narcissistic traits and flip them upside down, you get what many psychologists know as echoism. Echoism doesn’t have an official definition, but psychologists refer to it as a personality trait involving “a fear of seeming narcissistic.”
Echoists fear attention, regardless of whether it’s positive or not, and are perfectly content supporting others even if it puts themselves in harm’s way. Many also display poor boundaries, low self-esteem, and people-pleasing behaviors.
In a way, echoists are considered the ideal match for narcissists. Narcissists crave constant admiration and validation, while echosists offer praise and attention without demanding anything in return.
It’s unsurprising, then, that many echoists end up in a relationships with narcissists. An echoist’s self-effacing behavior makes them vulnerable to manipulation, allowing narcissists to dominate the dynamic while the echoist remains passive and self-sacrificing.
What Are the Qualities of an Echoist?
Here are some of the most common traits of an echoist, according to psychologists:
- Poor boundaries
- Difficulty saying “no”
- Low self-esteem
- Fear of praise
- Overserving others while undeserving themselves
- Never asking for help
- Difficult asserting themselves
- Difficulty taking compliments
- Blaming themselves for everything
- Highly empathetic to people’s feelings
- Great listener but rarely talk about themselves
- Criticize themselves regularly, even if an event is out of their control
- Goes above and beyond meeting the needs of others without considering their own
- Making every effort to avoid burdening others
- Having trouble recognizing likes and dislikes
Echoism is often confused with social anxiety or people-pleasing behavior. However, echoism borders more on the extreme side of these traits.
People pleasers and those who have social anxiety still display a sense of self and often know when to draw boundaries.
On the other hand, echoists go to great lengths to suppress their own needs, desires, and emotions to avoid attention or conflict. This behavior can lead them to completely lose sight of their identity, making it difficult for them to assert themselves even when they’re being mistreated or taken advantage of.
How Does a Person Develop Echoism?
Echoism is widely believed to be a coping mechanism. While circumstances differ, it’s often the result of childhood trauma or narcissistic relationships.
According to Dr. Donna Savery, author of Echoism: The Silenced Response to Narcissism, patients who displayed echoist behavior had at least one narcissistic parent. She also noticed that many pursued relationships with narcissistic people because they were unconsciously drawn to the familiar dynamics they had experienced in childhood.
This observation is backed by Dr. Craig Malkin, author of Rethinking Narcissism.
“A client of mine had a narcissistic father who grew enraged whenever people didn’t do exactly what he wanted. She wasn’t just afraid to say what she needed or wanted. She didn’t even know what that was,” says Dr. Craig Malkin in an article published in Psychology Today.
He added: “This is typical with extreme echoists—they’re so afraid that expressing their needs will cost them love that they lose touch with their own desires.”
Can Echoism Exist Without Narcissism?
Like other personality disorders, echoism exists in a spectrum. Although having a narcissistic parent or partner is a major trigger, it persists regardless of whom the echoists spend their time with.
In the The Silenced Response to Narcissism, Dr. Donna Savery noted that patients whose parents struggled to regulate their emotions often develop echoist traits, even if their parents didn’t display narcissistic behavior. Children learn to suppress their own needs and desires to navigate the unpredictability and emotional neglect they experienced growing up.
Meanwhile, Dr. Craig Malkin suggests that echoists may be born with heightened emotional sensitivity. So when that natural sensitivity is met with a caregiver or partner who shames or punishes them for expressing their needs, they’re more likely to develop echoistic traits. This can occur at any point in their life, whether during childhood or adulthood.
Is Echoism the Same as Altruism?
Echoism and altruism—specifically the unhealthy version of altruism known as “pathological altruism”—both involve putting others’ needs before one’s own even at the expense of their comfort or safety. However, echoism is more of an extreme version of altruism.
Altruism is a voluntary, selfless act rooted in empathy and a genuine desire to help others without expecting something in return. On the other hand, echoism is driven by a fear of attention, rejection, and being seen as selfish.
For example, an altruist would give lunch money to a friend because they genuinely want to help. Meanwhile, an echoist might give lunch money not because they want to but because they fear saying “no” or are uncomfortable with the possibility of being perceived as selfish or uncaring.
How to Overcome Echoism
Echoism is a personality disorder rooted in trauma, so overcoming it isn’t as easy as simply changing one’s behavior.
It involves touching upon deep-rooted fears of rejection, worthlessness, and the suppression of one’s needs. Breaking free from these ingrained patterns requires months of professional support, self-awareness, and emotional healing.
If you’re an echoist or display symptoms of echoism, here are some tips that can help:
- Meet with a therapist or mental health professional: Through therapies such as Cognitive Behavioral Therapy (CBT) or trauma-focused therapy, you can work on developing healthy boundaries, self-awareness, and recognize your worth.
- Learn to set boundaries: Understanding when to say “no” in situations that make you uncomfortable can help build self-esteem, assert your autonomy, and reinforce your boundaries.
- Surround yourself with supportive people and loved ones: Supportive friends and family can help reinforce a positive sense of self-worth and make it a safe environment for you to practice self-assertion.
- Distance yourself from unhealthy relationships: Though difficult, it’s important to step away from relationships that are emotionally draining and manipulative as it prevents growth and healing.
- Love yourself: Self-care is one of the best ways to heal from trauma. Take breaks, treat yourself to something nice, and participate in activities that you enjoy. Acknowledge your worth and celebrate your achievements, no matter how small. Treat yourself as you would treat others—with kindness, love, and support.
- Practice assertiveness: Start small: tell friends what you want to eat, where you want to go, and what you’d rather not do. The more you practice asserting yourself in low-stakes situations, the more confident you’ll become in standing up for yourself in more important matters.
FAQs
What’s the difference between an echoist and an introvert?
Is echoism related to narcissism?
Is echoism always linked to childhood trauma?