Psychiatry & Psychotherapy Podcast

Pathological Narcissism: Effective Treatment with Mentalization-Based Therapy (MBT)

86 snips
Nov 15, 2024
In this discussion, Anthony Bateman, a co-founder of Mentalization-Based Therapy (MBT), psychiatrist Brandon Unruh, and clinical social worker Robert Drozek tackle the complexities of treating pathological narcissism. They highlight the transformative potential of MBT for individuals with Narcissistic Personality Disorder, emphasizing emotional regulation and self-awareness. The guests dive into the nuances of grandiose vs. vulnerable narcissism, treatment techniques, and the role of empathy, providing insights that could revolutionize therapeutic approaches for those often perceived as challenging.
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INSIGHT

Two subtypes of narcissism

  • Narcissism is a disorder of self-esteem regulation, relying on self-enhancement.
  • Two subtypes exist: grandiose ("I am great") and vulnerable ("I should be great").
INSIGHT

Narcissism as defense

  • Narcissistic patients, especially with grandiose traits, often use narcissism to deny developmental traumas.
  • This denial poses a significant challenge for treatment engagement.
INSIGHT

Envy and NPD

  • Envy is a challenging emotion for individuals with NPD.
  • Their inability to tolerate not having what others do can be toxic.
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