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

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

Author: Mark Ettensohn, Psy.D. May 27, 2025 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 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.

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: 50

Heal NPD
Podcast Episodes
Weekly Insights: The Cycle of Narcissistic Dehumanization [not-audio_url] [/not-audio_url]

Duration: 10:24
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 se…
Weekly Insights: Reflections on Dichotomous Thinking [not-audio_url] [/not-audio_url]

Duration: 8:35
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 se…
Weekly Insights: Try This Instead of Gratitude [not-audio_url] [/not-audio_url]

Duration: 5:31
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 se…
The False Self: A Tragic Survival Strategy [not-audio_url] [/not-audio_url]

Duration: 20:55
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…
Without Emotional Skin: Understanding Borderline-Level NPD [not-audio_url] [/not-audio_url]

Duration: 40:02
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 dis…
Live with Dr. Ettensohn 7-25-24 [not-audio_url] [/not-audio_url]

Duration: 1:32:44
Dr. Mark Ettensohn answers questions and responds to viewer comments in a livestream broadcast from 7-25-24.
A Nameless Dread: Understanding Psychotic-Level NPD [not-audio_url] [/not-audio_url]

Duration: 29:14
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 re…
Live with Dr. Ettensohn 4-26-24 [not-audio_url] [/not-audio_url]

Duration: 1:35:00
Dr. Mark Ettensohn answers questions and responds to viewer comments in a livestream broadcast from 4-26-24.
Live with Dr. Ettensohn 3-14-2024 [not-audio_url] [/not-audio_url]

Duration: 1:33:38
Dr. Ettensohn answers listener questions and responds to comments in a livestream broadcast from 3-14-24.