A Nameless Dread: Understanding Psychotic-Level NPD

A Nameless Dread: Understanding Psychotic-Level NPD

Author: Mark Ettensohn, Psy.D. July 5, 2024 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 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.

In Heal NPD, clinical psychologist Mark Ettensohn, Psy.D., offers a nuanced and compassionate exploration of narcissism, moving beyond simplistic labels to examine the underlying psychological structures. This podcast delves into the complexities of narcissistic personality disorder and related traits, providing clarity for those who recognize these patterns in themselves or in their relationships. Dr. Ettensohn draws from his specialized therapeutic practice to discuss the origins of narcissistic adaptations, the impact on interpersonal dynamics, and the realistic pathways toward change and healing. Episodes often break down clinical concepts into accessible language, featuring discussions on empathy, identity, shame, and the challenging process of building healthier self-esteem and relational skills. The tone is educational yet deeply human, aiming to reduce stigma and foster understanding. Whether you are a mental health professional, someone personally affected by NPD, or simply curious about personality psychology, this series provides a rare, expert-guided look into a frequently misunderstood area of human behavior. Tune in for a thoughtful perspective that prioritizes psychological science and the possibility of growth.
Author: Language: English Episodes: 62

Heal NPD
Podcast Episodes
Lisa Taylor-Austin’s Interview with Dr. Ettensohn [not-audio_url] [/not-audio_url]

Duration: 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.c…
Decoding NPD: The Critical Role of Attachment [not-audio_url] [/not-audio_url]

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…
5 Common Misconceptions about NPD [not-audio_url] [/not-audio_url]

Duration: 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.…
Boundaries, Assertiveness, and NPD [not-audio_url] [/not-audio_url]

Duration: 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 relations…
What Causes Narcissistic Rage? [not-audio_url] [/not-audio_url]

Duration: 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 Clini…
Do Narcissists ”Know What They’re Doing?” [not-audio_url] [/not-audio_url]

Duration: 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 thei…
Why Narcissists Lack Empathy [not-audio_url] [/not-audio_url]

Duration: 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 a…
Illness Anxiety and NPD [not-audio_url] [/not-audio_url]

Duration: 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 di…
A Real Definition of Narcissistic Abuse [not-audio_url] [/not-audio_url]

Duration: 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 p…
Why Narcissists Feel Empty Inside [not-audio_url] [/not-audio_url]

Duration: 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…