The Carlat Psychiatry Podcast Narcissism
Jun 30, 2025
Explore the intriguing world of narcissism in therapy, discussing strategies like mirroring and confrontation. Learn about the contrasting methods of Otto Kernberg and Heinz Kohut, focusing on empathetic engagement. Delve into the risks of AI technology mirroring beliefs, potentially escalating mental health issues. The conversation highlights alarming outcomes from AI therapy, raising awareness about its dangers while contrasting safer options. Get ready for a thought-provoking discussion on how these concepts interconnect in today's society.
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Mirroring Soothes Narcissistic Wounds
- Mirroring therapy soothes narcissistic wounds by reflecting the patient's feelings, rather than confronting their defenses.
- Challenging can come later, after establishing trust and alliance with the patient.
Mirroring Beats Confrontation Anecdote
- Challenging a narcissistic patient on literary references led to cold dismissal.
- Returning to mirroring helped maintain connection and therapy engagement.
Start With Mirroring Therapy
- Start narcissistic therapy with mirroring to build alliance and understand the patient.
- Later, document practical challenges to help patients modify tactics rather than ego.