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Psychiatry & Psychotherapy Podcast
Pathological Narcissism: Effective Treatment with Mentalization-Based Therapy (MBT)
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.
01:48:29
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Quick takeaways
- Mentalization-Based Therapy (MBT) effectively enhances self-awareness and emotional regulation in individuals with Narcissistic Personality Disorder by deepening their understanding of mental states.
- The overlap between Narcissistic Personality Disorder and Borderline Personality Disorder suggests shared psychological mechanisms that complicate treatment approaches for affected individuals.
Deep dives
Understanding Narcissistic Personality Disorder
Narcissistic Personality Disorder (NPD) is characterized by patterns of grandiosity, a need for admiration, and a lack of empathy. It can present in two primary forms: grandiose narcissism, where individuals feel superior to others, and vulnerable narcissism, where self-worth is contingent on external factors. Many individuals with NPD may not recognize their condition due to differing levels of self-awareness. Moreover, a notable overlap exists between NPD and Borderline Personality Disorder (BPD), suggesting shared underlying psychological mechanisms.
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