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
Weekly Insights: The Cycle of Narcissistic Dehumanization [not-audio_url] [/not-audio_url]

Duration: 10:24
The "Weekly Insights" series is for paid members of Dr. Ettensohn's Heal NPD Youtube channel. In the short-term, Dr. Ettensohn is posting all even-numbered episodes free of charge. If you would like access to the full se…
Weekly Insights: Reflections on Dichotomous Thinking [not-audio_url] [/not-audio_url]

Duration: 8:35
The "Weekly Insights" series is for paid members of Dr. Ettensohn's Heal NPD Youtube channel. In the short-term, Dr. Ettensohn is posting all even-numbered episodes free of charge. If you would like access to the full se…
Weekly Insights: Try This Instead of Gratitude [not-audio_url] [/not-audio_url]

Duration: 5:31
The "Weekly Insights" series is for paid members of Dr. Ettensohn's Heal NPD Youtube channel. In the short-term, Dr. Ettensohn is posting all even-numbered episodes free of charge. If you would like access to the full se…
The False Self: A Tragic Survival Strategy [not-audio_url] [/not-audio_url]

Duration: 20:55
In this episode, Dr. Ettensohn explores the insights of Alice Miller regarding emotional abandonment and narcissistic use of the child, focusing on how these early dynamics shape pathological narcissism and Narcissistic…
Without Emotional Skin: Understanding Borderline-Level NPD [not-audio_url] [/not-audio_url]

Duration: 40:02
In this episode, Dr. Ettensohn draws on psychodynamic dimensional models of personality development to describe narcissism and NPD at the borderline level. Characterized by identity diffusion, blurred boundaries, and dis…
Live with Dr. Ettensohn 7-25-24 [not-audio_url] [/not-audio_url]

Duration: 1:32:44
Dr. Mark Ettensohn answers questions and responds to viewer comments in a livestream broadcast from 7-25-24.
A Nameless Dread: Understanding Psychotic-Level NPD [not-audio_url] [/not-audio_url]

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 re…
Live with Dr. Ettensohn 4-26-24 [not-audio_url] [/not-audio_url]

Duration: 1:35:00
Dr. Mark Ettensohn answers questions and responds to viewer comments in a livestream broadcast from 4-26-24.
Live with Dr. Ettensohn 3-14-2024 [not-audio_url] [/not-audio_url]

Duration: 1:33:38
Dr. Ettensohn answers listener questions and responds to comments in a livestream broadcast from 3-14-24.