Do Narcissists *Really* Lack Empathy?

Do Narcissists *Really* Lack Empathy?

Author: Mark Ettensohn, Psy.D. June 6, 2025 Duration: 13:29
What does it mean to say that narcissists lack empathy? In this Weekly Insight, Dr. Ettensohn challenges the common assumption that low empathy is a fixed trait in narcissistic personality disorder (NPD). Drawing from psychoanalytic theory and clinical observation, he explores how empathy in NPD often collapses in response to internal threat, and how this collapse is due to defenses rather than intrinsic empathy deficits. The episode identifies three core processes that disrupt empathic functioning in NPD: paranoid anxiety, dissociated self-states, and shame-driven defenses against dependency. These processes help explain the inconsistency, withdrawal, and emotional detachment often seen in narcissistic dynamics. Whether you identify with narcissistic traits or have been affected by them in others, this video invites a more psychologically informed and humanistic understanding of how empathy functions under distress. 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   Works Cited: Miller, A. (2008). The drama of the gifted child: The search for the true self (Rev. ed., R. Mannheim, Trans.). Basic Books. (Original work published 1979)    

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
What Narcissism Isn't: Clearing Up the Confusion [not-audio_url] [/not-audio_url]

Duration: 11:46
In this Weekly Insight, Dr. Ettensohn addresses widespread misconceptions about narcissism by clarifying what the term does not mean. Drawing on clinical examples and years of engagement with public discourse, he explore…
Live with Dr. Ettensohn 6-12-25 [not-audio_url] [/not-audio_url]

Duration: 1:43:04
Join Dr. Mark Ettensohn from Heal NPD for a live broadcast answering questions and responding to viewer comments.
Weekly Insights: Is Narcissism the New Moral Panic? [not-audio_url] [/not-audio_url]

Duration: 11:15
In this Weekly Insight, Dr. Ettensohn examines the rise of moral panic within contemporary discourse about narcissism, particularly how popular online narratives have transformed psychological terms into tools of moral j…
The Birth of Sorrow | Part 1: Crossing into Neurotic-Level Narcissism [not-audio_url] [/not-audio_url]

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 s…
Weekly Insights: The Myth of Hardwired Narcissism [not-audio_url] [/not-audio_url]

Duration: 12:17
In this video, Dr. Ettensohn examines the growing claim that Narcissistic Personality Disorder (NPD) is almost entirely genetic, offering a critical, clinically grounded reflection on what the current science actually su…
Weekly Insights: Healing Without a Therapist [not-audio_url] [/not-audio_url]

Duration: 11:29
In this Weekly Insight, Dr. Ettensohn shares an adapted preview from his upcoming video on narcissism at the neurotic level of personality organization. He reflects on what it means to move toward psychological integrati…
Weekly Insights: It Feels Real...But It's Not - Grandiosity in NPD [not-audio_url] [/not-audio_url]

Duration: 9:00
In this Weekly Insight, Dr. Ettensohn explores the nature of grandiosity in pathological narcissism and Narcissistic Personality Disorder (NPD), emphasizing that grandiose self-states are distortions that mask underlying…
Weekly Insights: The Hidden Fear Behind NPD - Being Ordinary [not-audio_url] [/not-audio_url]

Duration: 8:26
In this Weekly Insight, Dr. Ettensohn explores the deep existential conflict at the heart of pathological narcissism and NPD: the fear of being ordinary. Drawing from a recent presentation by psychiatrist and psychoanaly…
Weekly Insight: Do Narcissists Seek Therapy? [not-audio_url] [/not-audio_url]

Duration: 9:27
In this weekly insight, Dr. Ettensohn addresses the common misconception that individuals with Narcissistic Personality Disorder (NPD) never seek therapy—and the even more misleading idea that simply wondering whether yo…