Heal NPD podcast

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Konten disediakan oleh Mark Ettensohn, Psy.D. and Mark Ettensohn. Semua konten podcast termasuk episode, grafik, dan deskripsi podcast diunggah dan disediakan langsung oleh Mark Ettensohn, Psy.D. and Mark Ettensohn atau mitra platform podcast mereka. Jika Anda yakin seseorang menggunakan karya berhak cipta Anda tanpa izin, Anda dapat mengikuti proses yang diuraikan di sini https://id.player.fm/legal.

TED Health

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My mission to change the narrative of mental health | Glenn Close 13:44

23 weeks yang lalu13:44

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Legendary actor and mental health advocate Glenn Close is on a quest to change how we think about mental health, starting with her decision to speak out about her own family's struggles — a brave choice considering the stigma that pervades the topic. This week, we're revisiting this sweeping conversation with TEDWomen curator Pat Mitchell, where Close shares the inspiration behind the advocacy group she founded to combat the crisis, underscoring the transformative power of community and the critical need for comprehensive mental health care systems. Want to help shape TED’s shows going forward? Fill out our survey ! Become a TED Member today at ted.com/join Hosted on Acast. See acast.com/privacy for more information.…

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Dr. Ettensohn is a clinical psychologist who specializes in treating narcissism and related disorders. This podcast discusses pathological narcissism from a compassionate and non-stigmatizing perspective. It is for individuals who struggle with narcissism, their loved ones, and the general public.

40 episode

#Science #Podcasting Education #Social Sciences #Mark Ettensohn, Psy.D #Mark Ettensohn

Heal NPD

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40 episode

#Science #Podcasting Education #Social Sciences #Mark Ettensohn, Psy.D #Mark Ettensohn

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Heal NPD

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Do Narcissists Really Lack Empathy? 13:29

4 hours yang lalu13:29

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What does it mean to say that narcissists lack empathy? In this Weekly Insight, Dr. Ettensohn challenges the common assumption that low empathy is a fixed trait in narcissistic personality disorder (NPD). Drawing from psychoanalytic theory and clinical observation, he explores how empathy in NPD often collapses in response to internal threat, and how this collapse is due to defenses rather than intrinsic empathy deficits. The episode identifies three core processes that disrupt empathic functioning in NPD: paranoid anxiety, dissociated self-states, and shame-driven defenses against dependency. These processes help explain the inconsistency, withdrawal, and emotional detachment often seen in narcissistic dynamics. Whether you identify with narcissistic traits or have been affected by them in others, this video invites a more psychologically informed and humanistic understanding of how empathy functions under distress. Purchase Unmasking Narcissism: A Guide to Understanding the Narcissist in Your Life here: https://amzn.to/3nG9FgH LISTEN ON APPLE PODCASTS: https://rb.gy/cklpum LISTEN ON GOOGLE PODCASTS: https://rb.gy/fotpca LISTEN ON AMAZON MUSIC: https://rb.gy/g4yzh8 VISIT THE WEBSITE: https://www.healnpd.org Works Cited: Miller, A. (2008). The drama of the gifted child: The search for the true self (Rev. ed., R. Mannheim, Trans.). Basic Books. (Original work published 1979)…

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Weekly Insights: Is Narcissism the New Moral Panic? 11:15

10 hari yang lalu11:15

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In this Weekly Insight, Dr. Ettensohn examines the rise of moral panic within contemporary discourse about narcissism, particularly how popular online narratives have transformed psychological terms into tools of moral judgment. In this Weekly Insight, Dr. Ettensohn examines the rise of moral panic within contemporary discourse about narcissism, particularly how popular online narratives have transformed psychological terms into tools of moral judgment. Using a recent online interaction as a jumping-off point, the video traces how disagreement is increasingly reframed as harm, and how nuanced discussions of narcissistic personality structure are met with accusations of abuse, gaslighting, or complicity. Drawing on Stanley Cohen’s original criteria for moral panic, and placing current trends alongside historical examples such as witch hunts, McCarthyism, and the Satanic Panic, Dr. Ettensohn contextualizes the intense emotional reactions that now dominate conversations about NPD. The video explores how stigma, stereotypes, and moral binaries are amplified online, creating a culture in which appeals to complexity and humanity have become taboo. It also considers the communal function of scapegoating within current narratives about narcissism. This video offers a clinically grounded, sociologically informed framework for understanding what happens when trauma discourse is overtaken by lurid sensationalism and moral panic, and why the path toward healing lies in reclaiming psychological depth, complexity, and humanization.…

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The Birth of Sorrow | Part 2: Emotional Life in Neurotic-Level Narcissism 37:43

10 hari yang lalu37:43

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Link to episode 1 in this series, on psychotic-level NPD: https://youtu.be/IoxUCbNUJUE Link to episode 2 in this series, on borderline-level NPD: https://youtu.be/Oz-C503q_9Y Link to part 1 of episode 3 in this series: https://youtu.be/vUsnambadIE This is the third episode of a four-episode series describing the narcissistic personality style across different levels of severity. Due to the length of the material, this episode has been divided into three parts. This is part two. In this part, Dr. Ettensohn explores the emotional consequences of the developmental shift from borderline to neurotic-level personality organization. While borderline-level defenses aim to ward off annihilation through splitting, projection, and omnipotence, neurotic-level functioning introduces new emotional burdens: grief, guilt, and the realization that some losses cannot be undone. Drawing on psychoanalytic theories of the paranoid-schizoid and depressive positions, this episode examines how individuals begin to internalize the reality of separate minds, enduring subjects, and the permanence of emotional injury. These capacities open the door to deeper love, mutuality, and ethical concern—but also to sorrow, remorse, and longing. Dr. Ettensohn also outlines the core developmental conditions that support this shift, including “good enough” relational experiences that enable ambivalence to be tolerated and meaning to be preserved across time. Finally, the episode offers concrete strategies for strengthening neurotic-level integration and functioning, both in therapy and in everyday life. References: Bollas, C. (1987). The shadow of the object: Psychoanalysis of the unthought known. Columbia University Press. Gabbard, G. O., & Wilkinson, S. M. (1994). Management of countertransference with borderline patients. American Psychiatric Publishing. Johnson, S. M. (1987). Characterological change: The hard work miracle. W. W. Norton. Klein, M. (1946). Notes on some schizoid mechanisms. International Journal of Psychoanalysis, 27, 99–110. Linehan, M. M. (2015). DBT skills training manual (2nd ed.). Guilford Press. Winnicott, D. W. (1949). Hate in the counter-transference. The International Journal of Psychoanalysis, 30, 69–74. Winnicott, D. W. (1965). The maturational processes and the facilitating environment: Studies in the theory of emotional development. International Universities Press.…

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The Birth of Sorrow | Part 1: Crossing into Neurotic-Level Narcissism 17:07

10 hari yang lalu17:07

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Link to episode 1 in this series, on psychotic-level NPD: https://youtu.be/IoxUCbNUJUE Link to episode 2 in this series, on borderline-level NPD: https://youtu.be/Oz-C503q_9Y This is the third episode of a four-episode series describing the narcissistic personality style across different levels of severity. Due to the length of the material, this episode has been divided into three parts. This is part one. In this part, Dr. Ettensohn explores the developmental shift from borderline to neurotic-level personality organization, and how this shift transforms the inner life of individuals with narcissistic traits. Part one serves as a conceptual bridge—reviewing core ideas from earlier episodes while highlighting the emergence of psychological capacities that make neurotic-level functioning possible. These include the ability to maintain a continuous sense of self, to recognize others as enduring subjects, and to experience ambivalence, guilt, and loss without fragmentation. Through the lens of psychoanalytic developmental theory, Dr. Ettensohn illustrates how this shift brings with it new emotional burdens: the capacity to grieve, to feel remorse, and to live with an awareness of history. This part introduces the foundational concepts of subjectivity and historicity, which will be explored in greater depth in parts two and three. References: Kernberg, O. F. (1984). Severe personality disorders: Psychotherapeutic strategies. Yale University Press. Ogden, T. H. (1986). The matrix of the mind: Object relations and the psychoanalytic dialogue. International Universities Press. Ogden, T. H. (1989). The primitive edge of experience. Jason Aronson. Winnicott, D. W. (1965). The maturational processes and the facilitating environment: Studies in the theory of emotional development. International Universities Press.…

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Weekly Insights: The Myth of Hardwired Narcissism 12:17

10 hari yang lalu12:17

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In this video, Dr. Ettensohn examines the growing claim that Narcissistic Personality Disorder (NPD) is almost entirely genetic, offering a critical, clinically grounded reflection on what the current science actually supports—and where it falls short. He discusses how genetic contributions to personality traits are often misunderstood, and why claims of “hardwired narcissism” oversimplify a profoundly complex developmental process. Drawing from empirical research, neurodevelopmental theory, and clinical observation, Dr. Ettensohn explores how narcissistic pathology emerges not simply from temperament, but from early relational experiences—especially chronic emotional neglect, inconsistent attunement, and conditional regard. He addresses how brain plasticity, diagnostic controversies, and the misunderstood vulnerable core of NPD further complicate the genetic narrative. This video offers a nuanced perspective for anyone seeking to understand NPD beyond reductive models, emphasizing the importance of relational context, developmental history, and psychological depth. References: Brummelman, E., Thomaes, S., Nelemans, S. A., Orobio de Castro, B., Overbeek, G., & Bushman, B. J. (2015). Origins of narcissism in children. Proceedings of the National Academy of Sciences, 112(12), 3659–3662. https://doi.org/10.1073/pnas.1420870112 Chen, Y., Jiang, X., Sun, Y., & Wang, Y. (2023). Neuroanatomical markers of social cognition in neglected adolescents. NeuroImage: Clinical, 38, 103501. https://doi.org/10.1016/j.nicl.2023.103501 Gatz, M., Reynolds, C. A., Fratiglioni, L., Johansson, B., Mortimer, J. A., Berg, S., & Pedersen, N. L. (2006). Role of genes and environments for explaining Alzheimer disease. Archives of General Psychiatry, 63(2), 168–174. https://doi.org/10.1001/archpsyc.63.2.168 Horton, R. S., Bleau, G., & Drwecki, B. (2006). Parenting Narcissus: What are the links between parenting and narcissism? Journal of Personality, 74(2), 345–376. https://doi.org/10.1111/j.1467-6494.2005.00380.x Luo, Y. L. L., Cai, H., & Song, H. (2014). A behavioral genetic study of intrapersonal and interpersonal dimensions of narcissism. PLOS ONE, 9(4), e93403. https://doi.org/10.1371/journal.pone.0093403 Nenadić, I., Lorenz, C., & Gaser, C. (2021). Narcissistic personality traits and prefrontal brain structure. Scientific Reports, 11, 15707. https://doi.org/10.1038/s41598-021-94920-z Otway, L. J., & Vignoles, V. L. (2006). Narcissism and childhood recollections: A quantitative test of psychoanalytic predictions. Personality and Social Psychology Bulletin, 32(1), 104–116. https://doi.org/10.1177/0146167205279907 Schulze, L., Dziobek, I., Vater, A., Heekeren, H. R., Bajbouj, M., Renneberg, B., & Roepke, S. (2013). Gray matter abnormalities in patients with narcissistic personality disorder. Journal of Psychiatric Research, 47(10), 1363–1369. https://doi.org/10.1016/j.jpsychires.2013.05.017 Skodol, A. E. (2012). The revision of personality disorder diagnosis in DSM-5: What’s new? Current Psychiatry Reports, 14(1), 39–43. https://doi.org/10.1007/s11920-011-0243-2…

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Weekly Insights: Healing Without a Therapist 11:29

10 hari yang lalu11:29

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In this Weekly Insight, Dr. Ettensohn shares an adapted preview from his upcoming video on narcissism at the neurotic level of personality organization. He reflects on what it means to move toward psychological integration, emotional complexity, and the capacity for self-reflection - especially for those doing this work without a therapist. Drawing from clinical understanding and developmental theory, Dr. Ettensohn discusses how self-acceptance, mindfulness, and the capacity to tolerate imperfection are crucial aspects of healing. He emphasizes the importance of allowing history to be real, recognizing and managing splitting, and loosening rigid self-perceptions that often emerge from narcissistic defenses. Using metaphor, lived experience, and grounded strategies, he shows how healing becomes possible even outside the therapeutic relationship when we begin to relate to ourselves differently.…

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Weekly Insights: It Feels Real...But It's Not - Grandiosity in NPD 9:00

10 hari yang lalu9:00

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In this Weekly Insight, Dr. Ettensohn explores the nature of grandiosity in pathological narcissism and Narcissistic Personality Disorder (NPD), emphasizing that grandiose self-states are distortions that mask underlying vulnerability. He examines how these states emerge, why they are so compelling, and how they become self-reinforcing through positive feedback loops. Dr. Ettensohn also discusses the hidden instability beneath grandiosity, the interpersonal consequences of maintaining a distorted self-image, and the trauma-based origins of grandiose narcissistic armor. Drawing on the work of Ernst Wolf and real-world examples, he offers a compassionate yet clear-eyed look at how grandiosity functions as both protection and prison—and how growth is possible even after years of wearing the armor.…

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Weekly Insights: The Hidden Fear Behind NPD - Being Ordinary 8:26

10 hari yang lalu8:26

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In this Weekly Insight, Dr. Ettensohn explores the deep existential conflict at the heart of pathological narcissism and NPD: the fear of being ordinary. Drawing from a recent presentation by psychiatrist and psychoanalyst Dr. Salman Akhtar, he examines how the pressure to be extraordinary—instilled early in life—becomes a defining and isolating feature of the narcissistic identity. Dr. Ettensohn discusses the paradox of extraordinariness: how the very thing that promises acceptance and recognition instead fosters loneliness and disconnection. He explores why admiration and envy are poor substitutes for love and how healing involves letting go of an identity built on standing apart—so that real connection can finally become possible.…

Heal NPD

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Weekly Insight: Do Narcissists Seek Therapy? 9:27

10 hari yang lalu9:27

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In this weekly insight, Dr. Ettensohn addresses the common misconception that individuals with Narcissistic Personality Disorder (NPD) never seek therapy—and the even more misleading idea that simply wondering whether you have NPD means that you don’t. This episode explores the origins of these myths, explaining how they stem from a misunderstanding of personality disorders and the role of insight. While NPD often involves rigid, maladaptive patterns of thinking and an egosyntonic sense of grandiosity, it also frequently includes periodic self-esteem collapses, during which individuals experience deep distress, depression, and anxiety. It is in these moments that many people with NPD seek therapy—contrary to the popular belief that they never do. Dr. Ettensohn discusses how online narratives about NPD have distorted public understanding of the disorder, reinforcing harmful stereotypes that discourage those who need help from reaching out. Drawing from clinical experience and current research, he provides a more nuanced and accurate view of why individuals with NPD do, in fact, pursue treatment.…

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Weekly Insights: The Cycle of Narcissistic Dehumanization 10:24

18 weeks yang lalu10:24

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The "Weekly Insights" series is for paid members of Dr. Ettensohn's Heal NPD Youtube channel. In the short-term, Dr. Ettensohn is posting all even-numbered episodes free of charge. If you would like access to the full series, please follow this link: https://www.youtube.com/channel/UCHeT5kujD1JqHRAi-x8xD-w/join In this weekly insight, Dr. Ettensohn explores how cycles of narcissistic wounding and dehumanization develop and perpetuate across relationships and even generations. He discusses the origins of pathological narcissism, the defenses formed in response to early emotional injuries, and how these patterns manifest in adult relationships as narcissistic abuse. The discussion also highlights how those impacted by these dynamics may unknowingly adopt similar patterns of anger, projection, and polarized thinking, perpetuating the cycle. Breaking free from these patterns requires leaning into complexity, embracing nuance, and recognizing the shared humanity in all involved.…

Heal NPD

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Weekly Insights: Reflections on Dichotomous Thinking 8:35

18 weeks yang lalu8:35

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The "Weekly Insights" series is for paid members of Dr. Ettensohn's Heal NPD Youtube channel. In the short-term, Dr. Ettensohn is posting all even-numbered episodes free of charge. If you would like access to the full series, please follow this link: https://www.youtube.com/channel/UCHeT5kujD1JqHRAi-x8xD-w/join In this weekly insight, Dr. Ettensohn discusses the limitations of polarized or dichotomous thinking, particularly when it comes to self-experience. Inspired by viewer responses to a previous episode on the false self, Dr. Ettensohn discusses why concepts like “true” and “false” self can be misleading when taken too literally. Our internal experiences are complex, layered, and dynamic—identity, thought, feeling, and behavior are not static or easily divided into “good” and “bad” categories. Psychological health involves learning to tolerate and even appreciate this ambiguity rather than striving for certainty.…

Heal NPD

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Weekly Insights: Narcissism vs. Self Love: Understanding the Difference 5:17

18 weeks yang lalu5:17

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Heal NPD

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Weekly Insights: Try This Instead of Gratitude 5:31

18 weeks yang lalu5:31

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The "Weekly Insights" series is for paid members of Dr. Ettensohn's Heal NPD Youtube channel. In the short-term, Dr. Ettensohn is posting all even-numbered episodes free of charge. If you would like access to the full series, please follow this link: https://www.youtube.com/channel/UCHeT5kujD1JqHRAi-x8xD-w/join In this episode of the members-only "Weekly Insights" series, Dr. Ettensohn reflects on the positives and negatives of gratitude as a therapy intervention, noting the potential for unintended enactments of invalidation or 'pressure to perform' in the therapy relationship. Things like gratitude journals invite us to reflect on the things that are good in our lives. But they can also reinforce inauthenticity when someone has been raised in an emotionally invalidating environment.…

Heal NPD

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The False Self: A Tragic Survival Strategy 20:55

24 weeks yang lalu20:55

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In this episode, Dr. Ettensohn explores the insights of Alice Miller regarding emotional abandonment and narcissistic use of the child, focusing on how these early dynamics shape pathological narcissism and Narcissistic Personality Disorder (NPD). Drawing from Miller’s groundbreaking work, Dr. Ettensohn examines how a child growing up in a narcissogenic environment learns to adapt by creating a false self—a facade designed to secure love and avoid rejection in a world where their authentic self is not welcome. The episode explores the function of grandiosity as a defense mechanism—an unconscious strategy to deny the pain of unmet emotional needs—and its counterpart, depression (narcissistic vulnerability), which turns the pain inward. Both defenses serve to protect the individual from confronting a devastating loss: the realization that the love and support they needed was not available. The episode offers a compassionate exploration of how this tragic loss gives rise to the false self, a defense that becomes both a survival strategy and a prison. Through relatable metaphors and clinical insight, Dr. Ettensohn describes the psychological toll of living behind this mask and the challenges of reconnecting with the buried authentic self. Though the loss cannot be undone, healing is possible. By grieving the past and clearing away the defenses, it is possible to rediscover the vibrant, authentic self that has always been there, waiting to emerge. References: Miller, A. (1979) Depression and Grandiosity as Related Forms of Narcissistic Disturbances. International Review of Psychoanalysis 6:61-76 Purchase Unmasking Narcissism: A Guide to Understanding the Narcissist in Your Life here: https://amzn.to/3nG9FgH LISTEN ON APPLE PODCASTS: https://rb.gy/cklpum LISTEN ON GOOGLE PODCASTS: https://rb.gy/fotpca LISTEN ON AMAZON MUSIC: https://rb.gy/g4yzh8 VISIT THE WEBSITE: https://www.healnpd.org…

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Without Emotional Skin: Understanding Borderline-Level NPD 40:02

32 weeks yang lalu40:02

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In this episode, Dr. Ettensohn draws on psychodynamic dimensional models of personality development to describe narcissism and NPD at the borderline level. Characterized by identity diffusion, blurred boundaries, and disrupted internal experience, borderline personality organization represents an "in between" level where the perceptions of the self and others float in and out of clear focus. This episode reviews the important concepts of personality style vs. organization, helping the viewer to understand what a personality disorder actually is and why all personality disorders share common features. It discusses the developmental arrests thought to underlie borderline organization and describes common defense mechanisms that characterize this level of object relations. Borderline-level NPD is then discussed using these concepts. The episode concludes with a discussion of treatment. References: Berney, S., de Roten, Y., Beretta, V., Kramer, U., & Despland, J.-N. (2014). Identifying psychotic defenses in a clinical interview. Journal of Clinical Psychology, 70(5), 428–439. Clarkin, J. F., Cain, N. M., & Lenzenweger, M. F. (2018). Advances in transference-focused psychotherapy derived from the study of borderline personality disorder: Clinical insights with a focus mechanism. Current Opinion in Psychology, 21, 80-85. http://dx.doi.org/10.1016/j.copsyc.2017.09.008 Di Giuseppe, M., & Perry, J. C. (2021). The hierarchy of defense mechanisms: Assessing defensive functioning with the Defense Mechanisms Rating Scales Q-Sort. Frontiers in Psychology , 12:718440 https://doi.org/10.3389/fpsyg.2021.718440 Kernberg, O. F. (1970). Factors in the psychoanalytic treatment of narcissistic personalities. Journal of the American Psychoanalytic Association , 18, 51- 85. Kernberg, O. F. (1984). Severe personality disorders: Psychotherapeutic strategies . New Haven: Yale University Press. Lingiardi, V., & McWilliams, N. (Eds.). (2017). Psychodynamic diagnostic manual: PDM-2 (2nd ed.) . New York: Guilford Press. McWilliams, N. (2011). Psychoanalytic diagnosis: Understanding personality structure in the clinical process (2nd ed.) . Guilford Press. Purchase Unmasking Narcissism: A Guide to Understanding the Narcissist in Your Life here: https://amzn.to/3nG9FgH LISTEN ON APPLE PODCASTS: https://rb.gy/cklpum LISTEN ON GOOGLE PODCASTS: https://rb.gy/fotpca LISTEN ON AMAZON MUSIC: https://rb.gy/g4yzh8 VISIT THE WEBSITE: https://www.healnpd.org *A note about the title: The title is a partial quote from BPD specialist Marsha Linehan, describing borderline personality disorder. I am aware of her original intent to describe that specific patient population. I also use the quote in the video to describe the emotional vulnerabilities that necessitate splitting. Although she was describing BPD specifically, I feel the quote also works for borderline organization in general. The intense emotional vulnerabilities and exposure to unprocessed experience reflect the absence of moderating internal capacities - "skin" so to speak.…

Heal NPD

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Live with Dr. Ettensohn 7-25-24 1:32:44

43 weeks yang lalu1:32:44

1:32:44

Dr. Mark Ettensohn answers questions and responds to viewer comments in a livestream broadcast from 7-25-24.

Heal NPD

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A Nameless Dread: Understanding Psychotic-Level NPD 29:14

48 weeks yang lalu29:14

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In this episode, Dr. Ettensohn draws on psychodynamic dimensional models of personality development to describe narcissism and NPD at the psychotic level. Characterized by compromised reality testing, symbiotic object relations, low integration between parts of the self, and the use of reality-distorting defense mechanisms, psychotic-level NPD represents both the least developmentally mature and most severe form of the disorder. This episode explains the spectrum of personality development, from psychotic to healthy. It then explains the psychotic personality organization in detail, providing descriptions of specific defense mechanisms utilized at this level. Finally, psychotic-level NPD is described. Purchase Unmasking Narcissism: A Guide to Understanding the Narcissist in Your Life here: https://amzn.to/3nG9FgH LISTEN ON APPLE PODCASTS: https://rb.gy/cklpum LISTEN ON GOOGLE PODCASTS: https://rb.gy/fotpca LISTEN ON AMAZON MUSIC: https://rb.gy/g4yzh8 VISIT THE WEBSITE: https://www.healnpd.org Cited References: Berney, S., de Roten, Y., Beretta, V., Kramer, U., & Despland, J.-N. (2014). Identifying psychotic defenses in a clinical interview. Journal of Clinical Psychology, 70(5), 428–439. Kernberg, O. F. (1984). Severe personality disorders: Psychotherapeutic strategies. New Haven: Yale University Press. McWilliams, N. (2011). Psychoanalytic diagnosis: Understanding personality structure in the clinical process (2nd ed.). Guilford Press.…

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Live with Dr. Ettensohn 4-26-24 1:35:00

49 weeks yang lalu1:35:00

1:35:00

Dr. Mark Ettensohn answers questions and responds to viewer comments in a livestream broadcast from 4-26-24.

Heal NPD

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Live with Dr. Ettensohn 3-14-2024 1:33:38

1 year yang lalu1:33:38

1:33:38

Dr. Ettensohn answers listener questions and responds to comments in a livestream broadcast from 3-14-24.

Heal NPD

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Lisa Taylor-Austin’s Interview with Dr. Ettensohn 1:12:02

1 year yang lalu1:12:02

1:12:02

This episode is the audio from an on-camera interview between licensed psychotherapist Lisa Taylor-Austin and Dr. Ettensohn. The video of this interview can be viewed on Lisa's youTube channel here: https://www.youtube.com/@LisaTaylor-Austin This audio recording is posted with Lisa's permission. This discussion covers numerous topics, from treating pathological narcissism, the diagnostic criteria for NPD, variation in narcissistic pathologies between siblings raised in the same family system, the use of defenses like splitting, and the ever-present stigma surrounding NPD. Lisa runs the Taylor-Austin Group. Learn more at their website: https://thetayloraustingroup.com/…

Heal NPD

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Decoding NPD: The Critical Role of Attachment 22:41

1 year yang lalu22:41

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In this episode, Dr. Ettensohn draws heavily on his own research concerning pathological narcissism and attachment patterns, using attachment theory as a lens to focus explanatory power onto the often confusing dynamics of NPD. Beginning with a general overview of Bartholomew's four-prototype model of adult attachment, Dr. Ettensohn identifies the most common attachment patterns of individuals with NPD. He describes the relevant research on the development of these patterns and draws parallels with descriptions of early care deficits thought to cause pathological narcissism. Purchase Unmasking Narcissism: A Guide to Understanding the Narcissist in Your Life here: https://amzn.to/3nG9FgH SUBSCRIBE HERE: https://rb.gy/kbhusf LISTEN ON APPLE PODCASTS: https://rb.gy/cklpum LISTEN ON GOOGLE PODCASTS: https://rb.gy/fotpca LISTEN ON AMAZON MUSIC: https://rb.gy/g4yzh8 VISIT THE WEBSITE: https://www.healnpd.org Cited References: Bartholomew, K. (1990). Avoidance of intimacy: An attachment perspective. Journal of Social and Personal Relationships, 7(2), 147-178. Bartholomew. K., & Horowitz, L. M. (1991). Attachment styles among young adults: A test of a four-category model. Journal of Personality and Social Psychology, 61(2), 226-244. Bennett, C. S. (2006). Attachment theory and research applied to the conceptualization and treatment of pathological narcissism. Clinical Social Work Journal, 34(1), 45-60. Blatt, S. J., & Levy, K. N. (2003). Attachment theory, psychoanalysis, personality development, and psychopathology. Psychoanalytic Inquiry, 23, 104-152. Bowlby, J. (1973). Attachment and loss: Volume 2: Separation. New York: Basic Books. Connors, M. E. (1997). The renunciation of love: Dismissive attachment and its treatment. Psychoanalytic Psychology, 14, 475-493. Dickinson, K. A., & Pincus, A. L. (2003). Interpersonal analysis of grandiose and vulnerable narcissism. Journal of Personality Disorders, 17(3), 188-207. Ettensohn, M.D. (2011). The relational roots of narcissism: Exploring relationships between attachment style, acceptance by parents and peers, and measures of grandiose and vulnerable narcissism. (Doctoral dissertation). Retrieved from Dissertations and Theses: Full Text. (Publicaiton No. AAT 3515488). Gabbard, G.O. (1989). Two subtypes of narcissistic personality disorder. Bulletin of the Menninger Clinic, 53, 527-532. Holdren, M. (2004). Causal attributions among overt and covert narcissism subtypes for hypothetical, retrospective, and prospective events. (Doctoral dissertation). Retrieved from Dissertations & Theses: Full Text. (Publication No. AAT 3146467). Kernberg, O. F. (1970). Factors in the psychoanalytic treatment of narcissistic personalities. Journal of the American Psychoanalytic Association, 18, 51-85. Kobak, R. R., & Sceery, A. (1988). Attachment in late adolescence: Working models, affect regulation, and representations of self and others. Child Development, 59, 135-146. Main, M., & Stadtman, J. (1981). Infant response to rejection of physical contact by the mother. Journal of the American Academy of child Psychiatry, 20, 292-307. Otway, L.J., Vignoles, V.L. (2006). Narcissism and childhood recollections: A quantitative test of psychoanalytic predictions. Personality and Social Psychology Bulletin, 32(1), 104-1116. Pistole, C. M. (1995). Adult attachment style and narcissistic vulnerability. Psychoanalytic Psychology, 12(1), 115-126. Scroufe, L. A., Waters, E. (1977). Heart rate as a convergent measure in clinical and developmental research. Merrill Palmer Quarterly, 23, 3-25. Smolewska, K., & Dion, K. L. (2005). Narcissism and adult attachment: A multivariate approach. Self and Identity, 4, 59-68.…

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5 Common Misconceptions about NPD 27:27

2 years yang lalu27:27

27:27

In this episode, Dr. Ettensohn addresses 5 common misconceptions about pathological narcissism and NPD: 1. NPD is not a mental illness 2. NPD is not treatable 3. Even if NPD is treatable, actual healing is impossible 4. All individuals with NPD are abusers 5. People with NPD change their behavior behind closed doors, so they can't be mentally ill Using authoritative mental health resources like the American Psychiatric Association, American Psychological Association, National Institutes of Health, and the Domestic Abuse Hotline; as well as reference to peer-reviewed literature, Dr. Ettensohn discusses each of these misconceptions and why they are mistaken. Purchase Unmasking Narcissism: A Guide to Understanding the Narcissist in Your Life here: https://amzn.to/3nG9FgH VISIT THE WEBSITE: https://www.drettensohn.com/ Cited References: Alexander. (n.d.). Abuse and mental illness: Is there a connection? National Domestic Violence Hotline. https://www.thehotline.org/resources/abuse-and-mental-illness-is-there-a-connection/ American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, D.C.: American Psychiatric Association. American Psychiatric Association. (2022). Diagnostic and statistical manual of mental disorders (5th ed., text revision). Washington, D.C.: American Psychiatric Association. American Psychiatric Association. (n.d.). What is mental illness? https://www.psychiatry.org/patients-families/what-is-mental-illness American Psychological Association. (n.d.). Splitting. APA Dictionary of Psychology. https://dictionary.apa.org/splitting Cooper, A. M., & Michels, R. (1988). [Review of Diagnostic and statistical manual of mental disorders (3rd ed., rev.)]. American Journal of Psychiatry, 145, 1300-1301. Freud, S. (1914). On narcissism. SE, 14, 67-102. London: The Hogarth Press. National Institutes of Health. (n.d.). Information about mental illness and the brain. NCBI. https://www.ncbi.nlm.nih.gov/books/NBK20369/ Ronningstam, E. & Weinberg, I. (2013). Narcissistic personality disorder: Progress in recognition and treatment. Focus: The Journal of Lifelong Learning in Psychiatry, 11(2), 167-177.…

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Boundaries, Assertiveness, and NPD 24:47

2 years yang lalu24:47

24:47

In this episode, Dr. Ettensohn discusses the important topic of boundaries. He provides a definition of interpersonal boundaries, discusses the reasons why boundaries are important for mental health and healthy relationships, discusses the problems with boundaries that often occur in pathological narcissism and NPD, and provides some basic tips for assertive behavior. Purchase Unmasking Narcissism: A Guide to Understanding the Narcissist in Your Life here: https://amzn.to/3nG9FgH References: Hörz-Sagstetter, S., Caligor, E., Preti, E., Stern, B. L., De Panfilis, C., & Clarkin, J. F. (2017). Clinician-Guided Assessment of Personality Using the Structural Interview and the Structured Interview of Personality Organization (STIPO). Journal of Personality Assessment, 100(1), 30–42. Lingiardi, V., & McWilliams, N. (Eds.). (2017). Psychodynamic diagnostic manual: PDM-2 (2nd ed.). The Guilford Press. Mahler, M. S. (1972). Rapprochement subphase of the separation-individuation process. The Psychoanalytic Quarterly, 41(4), 487–506.…

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What Causes Narcissistic Rage? 19:04

2 years yang lalu19:04

19:04

In this episode, Dr. Ettensohn explores the possible causes of narcissistic rage, referencing the work of Ernest S. Wolf, a close collaborator with Heinz Kohut and author of the book 'Treating the Self: Elements of Clinical Self Psychology." Dr. Ettensohn discusses the ways in narcissistic rage functions as a defense of the unbearably wounded self and results from implicit confusion between self and other rooted in traumatic early experiences of helplessness, humiliation, and shame. References: Crisp, H., & Gabbard, G. O. (2020). Principles of psychodynamic treatment for patients with narcissistic personality disorder. Journal of Personality Disorders, 34 (Special Issue), 143-158. Pincus, A.L., Ansell, E.B., Pimentel, C.A., Cain, N.M., Wright, A.G.C., & Levy, K.N. (2009). Initial construction and validation of the Pathological Narcissism Inventory. Psychological Assessment, 21, 365-79. Ruiz, M. (2001). The four agreements: A practical guide to personal freedom. Amber-Allen Publishing. Wolf, E.S. (1988). Treating the self: Elements of clinical self psychology. New York: The Guilford Press…

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Do Narcissists ”Know What They’re Doing?” 14:47

2 years yang lalu14:47

14:47

In this episode, Dr. Ettensohn discusses the topic of self-awareness in NPD. Numerous commenters have shared their belief that narcissists "know what they are doing"...that they are fully aware of the harm caused by their behaviors. Centering the conversation in the idea of mental illness, Dr. Ettensohn discusses the faulty attributions, skewed perceptions, and interpersonal deficits often associated with pathological narcissism and NPD. The episode ends with an appeal to viewers to consume reasonable, moderate, nonpolarized perspectives on charged issues like NPD. Purchase Unmasking Narcissism: A Guide to Understanding the Narcissist in Your Life here: https://amzn.to/3nG9FgH LISTEN ON APPLE PODCASTS: https://rb.gy/cklpum LISTEN ON GOOGLE PODCASTS: https://rb.gy/fotpca LISTEN ON AMAZON MUSIC: https://rb.gy/g4yzh8 VISIT THE WEBSITE: https://www.drettensohn.com/…

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Why Narcissists Lack Empathy 15:21

2 years yang lalu15:21

15:21

In this episode, Dr. Ettensohn outline 4 reasons why empathy may be impaired in pathological narcissism and NPD: 1. Lack of self awareness 2. Objectification of the self and others 3. A 'starvation mindset' 4. Avoidant attachment styles Dr. Ettensohn also discusses his disagreement with Dr. Ramani's ideas concerning empathy and NPD, as expressed in the following video on her channel: https://youtu.be/O7qxMu3nSLw Purchase Unmasking Narcissism: A Guide to Understanding the Narcissist in Your Life here: https://amzn.to/3nG9FgH LISTEN ON APPLE PODCASTS: https://rb.gy/cklpum LISTEN ON GOOGLE PODCASTS: https://rb.gy/fotpca LISTEN ON AMAZON MUSIC: https://rb.gy/g4yzh8 VISIT THE WEBSITE: https://www.drettensohn.com/ References: Ettensohn, M. D. (2013). The relational roots of narcissism: Exploring relationships between attachment style, acceptance by parents and peers, and measures of grandiose and vulnerable narcissism. Dissertation Abstracts International: Section B: The Sciences and Engineering, 73(10-B(E)).…

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Illness Anxiety and NPD 10:35

2 years yang lalu10:35

10:35

In this episode, Dr. Ettensohn explores the connection between illness anxiety and pathological narcissism. This episode explores how illness anxiety in NPD can be disguised anxiety about loss of self or psychological disintegration. Purchase Unmasking Narcissism: A Guide to Understanding the Narcissist in Your Life here: https://amzn.to/3nG9FgH LISTEN ON APPLE PODCASTS: https://rb.gy/cklpum LISTEN ON GOOGLE PODCASTS: https://rb.gy/fotpca LISTEN ON AMAZON MUSIC: https://rb.gy/g4yzh8 VISIT THE WEBSITE: https://www.drettensohn.com/ References: Segal, H. (1957). Notes on Symbol Formation. Int. J. Psycho-Anal., 38:391-397 Winnicott, D.W. (1974). Fear of breakdown. International Review of Psycho-analysis, 1: 103-107.…

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A Real Definition of Narcissistic Abuse 10:20

2 years yang lalu10:20

10:20

The term ‘narcissistic abuse’ has been, itself, heavily abused. Is has largely been a pop-psychology term that means different things depending on how and where it is used. It is often used to demonize individuals with pathological narcissism and NPD, who represent an at-risk population for depression, self-harm, and suicide. In this episode, Dr. Ettensohn provides a new definition for narcissistic abuse - one that is *actually* specific to pathological narcissism and NPD. This new definition is based on the psychodynamics of the disorder itself, and describes an inter-generational chain of emotional mistreatment that creates narcissistic pathology in children, who then grow up to use people in the same way that they, themselves, were used.…

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Why Narcissists Feel Empty Inside 13:29

2 years yang lalu13:29

13:29

In this episode, Dr. Ettensohn discusses the emptiness that individuals with pathological narcissism and NPD often experience using the concept of ‘Self as Object.’ Individuals with pathological narcissism and NPD often report having been treated as an object for someone else’s gratification in childhood. This early exploitation can cause profound disconnect from emotional authenticity, because it necessitates the development of false self adaptations to protect against overwhelming shame, envy, and rage. Purchase Unmasking Narcissism: A Guide to Understanding the Narcissist in Your Life here: https://amzn.to/3nG9FgH SUBSCRIBE HERE: https://rb.gy/kbhusf LISTEN ON APPLE PODCASTS: https://rb.gy/cklpum LISTEN ON GOOGLE PODCASTS: https://rb.gy/fotpca LISTEN ON AMAZON MUSIC: https://rb.gy/g4yzh8 VISIT THE WEBSITE: https://www.drettensohn.com/…

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Social Anxiety and NPD 13:37

2 years yang lalu13:37

13:37

In this episode, Dr. Ettensohn discusses the relationship between social anxiety and pathological narcissism and NPD, focusing on underlying fears of shame and humiliation, loss of self, and the legacy of relational trauma. The second half of the episode discusses general strategies for addressing social anxiety. References: Sartre, J.P. (1964). Nausea. New Directions Publishing Corp.…

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Malignant Narcissism 23:11

3 years yang lalu23:11

23:11

In this episode, Dr. Ettensohn clarifies the concept of Malignant Narcissism, drawing on the model developed by theorist Otto Kernberg. Common misconceptions are dispelled. Object Relations Theory is used to discuss the origins of both NPD and Malignant Narcissism, highlighting developmental differences between each disorder. Two meaning of malignant narcissism are discussed: 1. Malignant narcissism is a combination of narcissistic personality, antisocial traits, ego-syntonic sadism, and paranoid thinking that represents its own personality constellation distinct from Narcissistic Personality Disorder. 2. Malignant narcissism represents a phase or episode of narcissistic pathology in which repressed or split-off identifications with sadistic objects rise to the surface and become enacted in relationships. This is often due to loosening of grandiose defenses in psychotherapy. Link to Episode discussing Borderline Personality Organization referenced in the video: https://youtu.be/ZZP6gAm5L6c VISIT THE WEBSITE: https://www.drettensohn.com/ BUY THE BOOK: https://amzn.to/3nG9FgH References: Ettensohn, M.D. (2011). The relational roots of narcissism: Exploring relationships between attachment style, acceptance by parents and peers, and measures of grandiose and vulnerable narcissism. (Doctoral dissertation). Goldner-Vukov, M., & Moore, L. J. (2010). Malignant narcissism: From fairy tales to harsh reality. Psychiatria Danubina, 22(3), 392-405. Kernberg, O. F. (1970). Factors in the psychoanalytic treatment of narcissistic personalities. Journal of the American Psychoanalytic Association, 18, 51-85. Kernberg O.F. (1984). Severe Personality Disorders. New Haven, CT: Yale University Press…

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Getting Integrated 17:05

3 years yang lalu17:05

17:05

In this episode, Dr. Ettensohn discusses the topic of integration. Pathological narcissism is a disorder in which different parts of the self are not well-integrated, creating large disparities and discontinuities in identity, self-image, and perception of others. This phenomenon is sometimes called "splitting," and is thought to be partly due to chronic relational trauma and neglect in early childhood. Dr. Ettensohn explains how this occurs and provides suggestions for beginning to approach life more wholistically.…

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Recognizing Resiliency in NPD 10:31

3 years yang lalu10:31

10:31

In this episode, Dr. Ettensohn discusses the importance of recognizing the resiliency of those who struggle with NPD and pathological narcissism. Each person's psychology is a story of survival. In our focus on deficits and pathologies, we often overlook the strength of the individual and the sometimes surprising and ingenious ways that they have found to survive. References: Rogers, C. (1980). A way of being. Houghton Mifflin. Music: www.bensound.com…

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Answering Questions About Therapy for NPD 18:55

3 years yang lalu18:55

18:55

In this episode, Dr. Ettensohn addresses common questions about therapy for NPD, discussing the current lack of competent therapists, where to find therapists who understand narcissism, and why it isn't effective to treat NPD on your own. References: Blagys, M.D., & Hilsenroth, M.J. (2000). Distincitve activities of short-term psychodynamic-interpersonal psychotherapy: A review of the comparative psychotherapy process literature. Clinical Psychology: Science and Practice, 7 , 167-188. Johnson, S. M. (1987). Humanizing the narcissistic style. New York: W.W. Norton & Co. Shedler, J. (2010). The efficacy of psychodynamic psychotherapy. American Psychologist, 65(2), 98-109 Ulberg, R., & Hanne-Sofie, JD. (2018). Empirical support for the psychoanalytic concepts. The Lancet Psychiatry, 5(7), 543-544 Music: www.bensound.com…

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The Role of the False Self in Narcissism 15:36

3 years yang lalu15:36

15:36

Dr. Ettensohn discusses the protective false self, highlighting its origins in childhood relational trauma and its role in maintaining narcissistic grandiosity. He also discusses important related issues including the role of grief in reconnecting with authentic self experience. References: Johnson, S. M. (1987). Humanizing the narcissistic style. New York: W.W. Norton & Co. Kernberg, O. F. (1970). Factors in the psychoanalytic treatment of narcissistic personalities. Journal of the American Psychoanalytic Association, 18 , 51-85. Kernberg, O. F. (1974). Further contributions to the treatment of narcissistic personalities. International Journal of Psychoanalysis, 55 , 215-240. Miller, A. (1979). Depression and grandiosity as related forms of narcissistic disturbances. International Review of Psycho-Analysis, 6, 62-76. Winnicott, D. W. (1960). Ego distortion in terms of the true and false self. In: The maturational process and the facilitating environment. New York: International University Press. Winnicott, D.W. (1974). Fear of breakdown. International Journal of Psycho-analysis, 1, 103-107. Music: www.bensound.com…

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The Legacy of Relational Trauma in NPD 15:16

3 years yang lalu15:16

15:16

Narcissistic individuals are often hypersensitive to feeling criticized, rejected, or humiliated. In this episode, Dr. Ettensohn traces the roots of interpersonal hypersensitivity in narcissism, giving special focus to a particular constellation of relational trauma thought to contribute to NPD. In addressing these issues, he discusses the here-and-now strategy of pairing self-compassion with personal responsibility. Music: www.bensound.com References: Ettensohn, M. D. (2013). The relational roots of narcissism: Exploring relationships between attachment style, acceptance by parents and peers, and measures of grandiose and vulnerable narcissism. Dissertation Abstracts International: Section B: The Sciences and Engineering, 73(10-B(E)).…

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The Power of Acceptance 10:32

3 years yang lalu10:32

10:32

Acceptance is one of the most powerful tools in healing and recovery from almost any mental illness. In this episode, Dr. Ettensohn discusses what acceptance means, why it is so important, and how it applies to healing from pathological narcissism and NPD. This episode also includes instructions for practicing acceptance in the form of mindfulness meditation. Music: www.bensound.com…

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Is It Vulnerable Narcissism or BPD? 9:35

3 years yang lalu9:35

9:35

Dr. Ettensohn discusses the differences and similarities between vulnerable narcissism and Borderline Personality Disorder (BPD). Music: www.bensound.com

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Narcissism is a Disorder of the Self 10:19

3 years yang lalu10:19

10:19

Using concepts from Self Psychology, Dr. Ettensohn discusses problems in the self that cause pathological narcissism. Topics include the building blocks of self experience, selfobjects, and defensive adaptations that produce grandiosity. References: Wolf, E. S. (1988). Treating the self: Elements of clinical self psychology . New York: Guilford Press. Music: www.bensound.com…

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Are You a Narcissist? 14:20

3 years yang lalu14:20

14:20

Dr. Ettensohn breaks down the core beliefs, feelings, and perspectives that characterize narcissism, providing examples of how these tend to look at both the mild and severe ends of the narcissism spectrum. References: Lingiardi, V., & McWilliams, N. (Eds.). (2017). Psychodynamic diagnostic manual: PDM-2 (2nd ed.). New York: Guilford Press. Music: www.bensound.com…

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