Because they have the capacity to bond, the narcissist does experience the emotion of conscience.

How to tell if it’s sociopathy or narcissism.

The difference in a real-world scenario.

Martha Stout, Ph.D.

Imagine two lovers walking down a steep and icy street on a wintry day.

Tears of pain fill his eyes, and he asks her to get him to a hospital.

She is a narcissist.

Her arm is not broken, and so, in her cosmos, there is no painjust inconvenience.

She says, “It doesn’t really look that bad to me.

Let’s keep going.

You’ll probably start to feel better in a minute.”

Now imagine a second couple on a similar icy street.

He falls and breaks his arm and asks to be taken to a hospital.

But this fellow’s companion, beyond narcissistic, is a sociopath.

She says, “Oh my God, you poor thing!

We need to get you to an emergency roomnow!”

Seemingly all compassion, she hails a cab and gently helps him into it.

He manages to get himself home and does not see her again for four days.

When she finally shows up, she is full of concern and apologies.

She had thought this new lover might be rich and then discovered he was not.

The difference is, once again, warmth versus coldness.