Self-examination v. self absorption

With the coyness of someone revealing a bizarre sexual taste, my [psychiatric] patients would often say to me, “Doctor, I think I’m suffering from low self-esteem.” This, they believed, was at the root of their problem, whatever it was, for there is hardly any undesirable behavior or experience that has not been attributed, in the press and on the air, in books and in private conversations, to low self-esteem, from eating too much to mass murder.


Self-esteem
is, of course, a term in the modern lexicon of psychobabble, and psychobabble is itself the verbal expression of self-absorption without self-examination. The former is a pleasurable vice, the latter a painful discipline.