The Carlat Psychiatry Podcast cover image

The Carlat Psychiatry Podcast

Navigating Narcissistic Personality Disorder

Mar 11, 2024
Exploring the complexities of diagnosing and treating narcissistic personality disorder, from healthy to pathological narcissism. Navigating psychoanalytic psychotherapy with NPD patients, emphasizing the importance of genuine connection. Delving into the impact of NPD on individuals and society, the correlation with manipulation, and the challenges in therapy.
31:17

Episode guests

Podcast summary created with Snipd AI

Quick takeaways

  • Pathological narcissism masks deep feelings of inferiority with arrogance and grandiosity.
  • Transference Focus Psychotherapy can effectively treat narcissistic personality disorder over several years.

Deep dives

Understanding Narcissistic Personality Disorder vs. Healthy Narcissism

Healthy narcissism involves realistic self-appreciation based on achievements and circumstances, whereas pathological narcissism is a defense mechanism masking deep feelings of inferiority. Pathological narcissism is characterized by arrogance and grandiosity to compensate for a sense of worthlessness.

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