Do Narcissists *Really* Lack Empathy?

Do Narcissists *Really* Lack Empathy?

Author: Mark Ettensohn, Psy.D. June 6, 2025 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 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)    

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
Narcissism and Suicide Risk: The Hidden Side of NPD [not-audio_url] [/not-audio_url]

Duration: 1:06:49
This episode continues the Heal NPD Seminar Series, featuring Dr. Mark Ettensohn and his associates, Deanna Young, Psy.D., and Danté Spencer, M.A. I n this session, the group discusses a recent meta-analytic review exami…
What About Narcissists Who Had a Happy Childhood? [not-audio_url] [/not-audio_url]

Duration: 14:55
In this episode, Dr. Mark Ettensohn responds to a common question: How can someone with a perfectly normal and mostly happy childhood develop narcissistic personality disorder? The discussion challenges the widespread mi…
Seminar Series 3: Beyond Traits - The Relational roots of NPD [not-audio_url] [/not-audio_url]

Duration: 53:25
This episode continues the Heal NPD Seminar Series, featuring Dr. Mark Ettensohn and his associates, Deanna Young, Psy.D., and Danté Spencer, M.A. In this session, the group discusses Narcissistic Personality Disorder: P…
It's Time We Discarded The Myth of "The Narcissist" [not-audio_url] [/not-audio_url]

Duration: 17:30
In this episode, Dr. Mark Ettensohn challenges one of the most persistent distortions in contemporary discourse on narcissism: the myth of “the narcissist.” He explains how this cultural archetype, an image of coldness,…
From Ideal to Real: Lessons From My Father [not-audio_url] [/not-audio_url]

Duration: 7:35
Dr. Ettensohn reflects on the recent loss of his father. Drawing on both clinical theory and personal experience, he explores how children internalize idealized images of caregivers as a source of safety and reassurance…
Dissociation is Key: Linking Splitting, DID, BPD, and NPD [not-audio_url] [/not-audio_url]

Duration: 9:31
Dr. Ettensohn expands on his recent episode exploring splitting as a dissociative process. Drawing from clinical experience and developmental theory, he addresses a common question: What’s the difference between splittin…
Signs You're Trapped in a False Self [not-audio_url] [/not-audio_url]

Duration: 8:12
In this Weekly Insight, Dr. Ettensohn explores subtle signs of false self experiencing. Drawing from clinical work and developmental theory, he reflects on how early relational demands can lead individuals to organize th…