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
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…