The Carlat Psychiatry Podcast Navigating Narcissistic Personality Disorder
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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.
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Narcissism Defined
- Healthy narcissism is the ability to appreciate oneself realistically, aligning with one's potential and circumstances.
- Pathological narcissism is a defense against a deep sense of inferiority, not a spectrum of healthy narcissism.
NPD vs. Narcissistic Pathology
- Narcissistic Personality Disorder (NPD) is a distinct entity rather than a spectrum of healthy narcissism.
- However, narcissistic pathology can be viewed as a spectrum with varying severity.
NPD Treatability
- NPD is often considered untreatable, but it can respond to long-term, difficult therapy.
- A major challenge is the patient's projection of problems onto others and the painful realization of internal flaws.