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
Social Anxiety and NPD [not-audio_url] [/not-audio_url]

Duration: 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 trau…
Malignant Narcissism [not-audio_url] [/not-audio_url]

Duration: 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…
Getting Integrated [not-audio_url] [/not-audio_url]

Duration: 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 ide…
Recognizing Resiliency in NPD [not-audio_url] [/not-audio_url]

Duration: 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…
Answering Questions About Therapy for NPD [not-audio_url] [/not-audio_url]

Duration: 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 trea…
The Role of the False Self in Narcissism [not-audio_url] [/not-audio_url]

Duration: 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 ro…
The Legacy of Relational Trauma in NPD [not-audio_url] [/not-audio_url]

Duration: 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…
The Power of Acceptance [not-audio_url] [/not-audio_url]

Duration: 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 f…
Is It Vulnerable Narcissism or BPD? [not-audio_url] [/not-audio_url]

Duration: 9:35
Dr. Ettensohn discusses the differences and similarities between vulnerable narcissism and Borderline Personality Disorder (BPD). Music: www.bensound.com
Narcissism is a Disorder of the Self [not-audio_url] [/not-audio_url]

Duration: 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 pro…