Decoding NPD: The Critical Role of Attachment

Decoding NPD: The Critical Role of Attachment

Author: Mark Ettensohn, Psy.D. March 8, 2024 Duration: 22:41
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.

In each episode of Heal NPD, clinical psychologist Mark Ettensohn, Psy.D., offers a grounded and compassionate look at narcissism, moving beyond the stereotypes that dominate casual conversation. Drawing from his professional practice, Dr. Ettensohn unpacks the complexities of narcissistic personality disorder and related patterns, providing clarity on their underlying mechanisms and impacts. This isn't about labeling or blame; it's a space for genuine understanding, whether you're a person seeking growth, a partner, a family member, or a professional in the field. You'll hear discussions that blend psychological science with practical insights, exploring pathways toward healing, setting boundaries, and fostering healthier relationships. The tone is educational yet accessible, demystifying a topic often shrouded in confusion and stigma. By tuning into this podcast, you gain a nuanced perspective from a specialist who approaches the subject with both clinical expertise and deep humanity. Dr. Ettensohn's thoughtful commentary aims to equip you with knowledge that is both intellectually sound and emotionally resonant, making Heal NPD a unique resource in the landscape of mental health dialogue.
Author: Language: English Episodes: 62

Heal NPD
Podcast Episodes
What Narcissism Isn't: Clearing Up the Confusion [not-audio_url] [/not-audio_url]

Duration: 11:46
In this Weekly Insight, Dr. Ettensohn addresses widespread misconceptions about narcissism by clarifying what the term does not mean. Drawing on clinical examples and years of engagement with public discourse, he explore…
Live with Dr. Ettensohn 6-12-25 [not-audio_url] [/not-audio_url]

Duration: 1:43:04
Join Dr. Mark Ettensohn from Heal NPD for a live broadcast answering questions and responding to viewer comments.
Do Narcissists *Really* Lack Empathy? [not-audio_url] [/not-audio_url]

Duration: 13:29
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 ps…
Weekly Insights: Is Narcissism the New Moral Panic? [not-audio_url] [/not-audio_url]

Duration: 11:15
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 j…
The Birth of Sorrow | Part 1: Crossing into Neurotic-Level Narcissism [not-audio_url] [/not-audio_url]

Duration: 17:07
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 s…
Weekly Insights: The Myth of Hardwired Narcissism [not-audio_url] [/not-audio_url]

Duration: 12:17
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 su…
Weekly Insights: Healing Without a Therapist [not-audio_url] [/not-audio_url]

Duration: 11:29
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 integrati…
Weekly Insights: It Feels Real...But It's Not - Grandiosity in NPD [not-audio_url] [/not-audio_url]

Duration: 9:00
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…
Weekly Insights: The Hidden Fear Behind NPD - Being Ordinary [not-audio_url] [/not-audio_url]

Duration: 8:26
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 psychoanaly…