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 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
Internal Absence: Emptiness in NPD [not-audio_url] [/not-audio_url]

Duration: 15:00
Dr. Mark Ettensohn examines the experience of emptiness in narcissistic personality disorder and other forms of personality pathology. Rather than approaching personality disorders as collections of traits or behaviors,…
Living with Pathological Narcissism: What Loved Ones Reveal [not-audio_url] [/not-audio_url]

Duration: 58:09
This episode continues the Heal NPD Seminar Series with Dr. Mark Ettensohn, joined by his associates Deanna Young, Psy.D., and Danté Spencer, Ph.D. In this session, the group discusses the paper “Living with Pathological…
Narcissism Is Not a Moral Category [not-audio_url] [/not-audio_url]

Duration: 13:50
Dr. Mark Ettensohn examines a growing tendency in public discourse to treat narcissism as a moral category rather than as a psychological construct. The episode explores why this shift occurs and how misunderstandings ab…
Accountability Without Dehumanization [not-audio_url] [/not-audio_url]

Duration: 15:24
Dr. Mark Ettensohn addresses a question that frequently arises in discussions of narcissism and abuse: Is it possible to maintain accountability without dehumanizing? Can someone preserve firm boundaries without abandoni…
2025 Study: Narcissism Does Not Predict Abuse [not-audio_url] [/not-audio_url]

Duration: 53:23
This episode continues the Heal NPD Seminar Series with Dr. Mark Ettensohn, joined by his associates Deanna Young, Psy.D., and Danté Spencer, M.A. In this session, the group examines a recent empirical study titled Coerc…
The Ethics of Narc-Abuse Content: Why 'It Helps' Isn't Enough [not-audio_url] [/not-audio_url]

Duration: 13:52
In this episode, Dr. Mark Ettensohn examines a common defense of online “narcissistic abuse” content: the claim that, even if imperfect or inaccurate, it ultimately helps people leave harmful relationships. Rather than f…
From Validation to Isolation: The Narc-Abuse Pipeline [not-audio_url] [/not-audio_url]

Duration: 31:03
In this video, Dr. Ettensohn examines the online narc-abuse ecosystem and explores how content that initially feels validating and supportive can, over time, become thought-constraining and socially isolating for some vi…
Understanding Empathy in Narcissistic Personality Disorder [not-audio_url] [/not-audio_url]

Duration: 1:01:53
This video continues the Heal NPD Seminar Series, featuring Dr. Mark Ettensohn with his associates, Deanna Young, Psy.D., and Danté Spencer, M.A. In this session, the group discusses Empathy and Narcissistic Personality…