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    Understanding, Recognizing, and Dealing with Narcissists with Dr. Craig Malkin

    enSeptember 05, 2022
    What is healthy narcissism characterized by?
    How does disordered narcissism differ from healthy narcissism?
    What are the two types of narcissism mentioned?
    Who introduced the concept of vulnerable or covert narcissism?
    Can narcissistic personality disorder be treated effectively?

    Podcast Summary

    • Understanding Healthy vs. Disordered NarcissismHealthy narcissism is a moderate self-enhancement and flexibility, while disordered narcissism is characterized by inflexibility, grandiosity, and lack of empathy.

      Narcissism is a universal trait that drives us to feel special and unique, and having some degree of this trait is psychologically healthy. It's a part of the human condition and essential for our well-being. However, problems arise when individuals become addicted to or dependent on feeling special, leading to disordered forms of narcissism. The difference between healthy and disordered narcissism lies in flexibility and rigidity. Healthy narcissism involves a moderate self-enhancement, a slight feeling of being more special than average, and the ability to adapt to different situations. In contrast, disordered narcissism is characterized by inflexibility and rigidity, leading to a grandiose sense of self-importance, a need for excessive admiration, and a lack of empathy for others. Understanding the difference between these two forms of narcissism can help us navigate relationships with narcissistic individuals and maintain our own emotional well-being.

    • Understanding Narcissism on a SpectrumNarcissism exists on a spectrum from healthy self-importance to full-blown disorder, with individuals capable of empathy but may choose not to use it for self-interest.

      While a healthy amount of self-importance is normal and even beneficial, extreme narcissism becomes problematic when individuals become overly invested in their own exceptionalism at the expense of empathy, love, and connection with others. Narcissists are capable of empathy but may choose not to use it if it interferes with their self-interest. The difference between high trait narcissism and full-blown Narcissistic Personality Disorder lies on a spectrum, with the former being characterized by self-centeredness and empathy impairments to a lesser degree. It's essential to understand that narcissism is not an all-or-none condition and that people with narcissistic tendencies can learn to empathize and build meaningful connections by addressing the blocks that prevent them from doing so.

    • Understanding Narcissism on a SpectrumNarcissism exists in varying degrees, from healthy self-esteem to disordered personality, with differences in consistency and severity of traits.

      Narcissism exists on a spectrum from healthy to disordered. At one end, there are individuals who lack self-enhancement and feel insignificant. At the other end, individuals may exhibit narcissistic personality disorder, characterized by pervasive impairments in relationships and functioning. In between, there are those with high trait narcissism, who can exhibit arrogance and entitlement but may also have moments of kindness. The difference lies in the consistency and severity of these traits. Heinz Kohut's work introduced the concept of vulnerable or covert narcissism, which can be more subtle and less obnoxious, but still harmful when the person's sense of specialness is threatened. Narcissism can take various forms, including extroverted or grandiose narcissism, which is visible and overt, and introverted or covert narcissism, which is more subtle and often misunderstood.

    • Understanding Covert Narcissism: The Hidden Form of Self-ImportanceCovert narcissism is a form of narcissism where individuals feel special and unique due to their negative qualities, leading to a sense of grandiosity. It's harder to spot due to introverted nature, but recognizing patterns and signs can help.

      Covert narcissism is a form of narcissism where individuals feel special and unique due to their negative qualities, leading to a sense of grandiosity. Covert narcissists may agree with statements that emphasize their uniqueness in suffering and sensitivity. They may come across as shy, insecure, or socially anxious, but their inner feelings of worthlessness can be just as damaging as the overtly grandiose narcissist. Negative grandiosity, or the belief in being unique in one's badness, is a significant aspect of this form of narcissism. Although covert narcissism can be harder to spot due to the introverted nature of these individuals, being aware of the patterns and signs can help in recognizing it. Another form of narcissism, communal narcissism, is less known but particularly prevalent in self-help and personal growth communities. It involves using narcissistic behaviors to gain validation and attention from a group rather than an individual. Understanding the different forms of narcissism and their unique presentations can help in recognizing and addressing these patterns in ourselves and others.

    • Distinguishing Healthy and Unhealthy NarcissismHealthy narcissism aspires to help and be positive, while unhealthy narcissism requires feeling special and exceptional, often harming others.

      While having a desire to help others and be a positive influence in the community is a healthy and normal aspiration, it becomes problematic when it becomes the primary driving force behind someone's actions and identity, leading to extreme communal narcissism. This distinction is important as it allows us to recognize the difference between healthy and unhealthy narcissistic traits. While healthy narcissism can include aspirations to be the most helpful or caring person, unhealthy narcissism is characterized by a need to feel special and exceptional, often at the expense of others. It's essential to recognize that these traits don't always align perfectly, and it's possible to be high in healthy narcissism without any unhealthy traits, and vice versa. However, it's common for individuals to exhibit both healthy and unhealthy narcissistic traits to some degree. It's crucial to be aware of these distinctions to prevent the negative consequences of extreme communal narcissism, such as exploitation, entitlement, and invulnerability.

    • Recognizing Narcissistic Patterns: Shifting Emotional DiscomfortBeing aware of emotional hot potato behavior can signal underlying narcissistic tendencies, potentially causing harm in relationships. Stay vigilant to protect yourself and maintain healthy connections.

      While some individuals with grand ideas and inspirational qualities may also exhibit narcissistic behaviors, it's essential to recognize that these traits are not one and the same. Narcissism, rooted in insecure attachment, can manifest in various ways, such as playing emotional hot potato, where individuals shift the focus of emotional discomfort onto others. This coping mechanism can be a red flag for underlying narcissistic tendencies, which, if unchecked, can lead to harm in personal relationships and beyond. It's crucial to be aware of these patterns to protect oneself and maintain healthy connections.

    • Recognizing Narcissistic Behavior: Emotional Hot PotatoEncountering someone who consistently shifts vulnerability and uncertainty to you is a sign of narcissistic behavior. Mutual vulnerability and uncertainty lead to growth, while a lack of empathy and unwillingness to acknowledge own not-knowing is a red flag.

      Encountering someone who consistently diminishes your sense of knowledge or wisdom and portrays themselves as the expert is a sign of narcissistic behavior. This dynamic can be described as emotional hot potato, where the person shifts the feeling of vulnerability and uncertainty to you. It's important to recognize that mutual moments of vulnerability and uncertainty are natural and can lead to growth, while a lack of empathy and unwillingness to acknowledge their own not-knowing is a red flag. Additionally, cultural or social backgrounds can influence communication styles, but flexibility and empathy are key indicators of a healthy dynamic. Remember, the difference lies in the rigidity or flexibility of the person's perspective and approach to interactions.

    • Narcissistic behaviors influenced by cultural upbringing and societal normsRecognize that narcissistic behaviors can stem from societal conditioning and seek empathy and understanding to soften harsh stances.

      Narcissistic behaviors can be learned and influenced by cultural upbringing and societal norms. The example given was of a friend who held narcissistic views due to his cultural background, which granted him a sense of authority and hierarchy over others. However, empathy and understanding from others, especially women, could soften his stance. It's important to recognize that not all narcissistic behaviors stem from pathological narcissism, but can be a result of societal conditioning. Additionally, resources like the Doctor John DeLaney show and the ZOE Science and Nutrition podcast provide valuable insights and practical advice on various personal challenges and health concerns. The key is to stay open-minded, seek knowledge, and prioritize empathy and understanding in our interactions with others.

    • Treating Narcissistic Personality DisorderDespite misconceptions, narcissistic personality disorder can be treated. The focus is on teaching individuals to form secure attachments and emotionally connect with others.

      Narcissistic personality disorder can be treated, but it requires hard work from both the clinician and the individual. Contrary to popular belief, narcissists are not untreatable. However, it's essential to recognize that for survivors of abuse by someone with narcissistic personality disorder, the responsibility for change lies solely with the abuser. The key to helping someone with narcissistic personality disorder begin to change is to teach them to relate in securely attached ways. This means depending on people for real connections and feelings instead of seeking validation through feeling special. The approach is simple, but the work is challenging. It involves creating opportunities for emotionally embodied connections between the individual and others, including their younger selves. Ultimately, the goal is to help individuals with narcissistic personality disorder develop healthy relationships based on genuine emotional connection.

    • Exploring the impact of relationships on our character and behaviorEffective therapy helps individuals address patterns of behavior rooted in past experiences, using various modalities to facilitate new ways of relating and understanding the role of relationships in shaping our character.

      Effective therapy involves helping individuals identify and address patterns of behavior that cause concern, often rooted in past experiences. Craig, a therapist, uses a relational psychoanalytic approach, which emphasizes the importance of relationships in shaping our character and believes that our unconscious is made up of people and experiences. He uses various modalities, including IFS (Internal Family Systems), CBT (Cognitive Behavioral Therapy), and experiential therapies like Accelerated Experiential Dynamic Psychotherapy (AEDP) and Emotionally Focused Therapy (EFT), to facilitate experiences that lead to change. A key aspect of this approach is staying connected to even difficult relationships and understanding how past experiences may have led to the adaptation of unhelpful behaviors, which can be changed through new ways of relating.

    • Improving relationships with narcissistic individualsFocus on empathy prompts to bridge the gap, emphasizing the importance of the connection and promoting attachment security. Remember, effectiveness varies and prioritize safety in abusive situations.

      When dealing with relationships, especially those with individuals exhibiting narcissistic behavior, it's essential to focus on improving our own experience and promoting attachment security. Empathy prompts, drawn from communal activation research and attachment theory, can help bridge the gap by acknowledging vulnerable feelings and emphasizing the importance of the relationship. These statements can evoke a response in the narcissistic individual, reminding them of the significance of the connection and potentially shifting their behavior towards a more communal and secure attachment style. However, it's crucial to remember that empathy prompts may not always be effective, and in cases of abuse, the focus should be on seeking help and support. Overall, the goal is to foster healthier interactions by understanding and addressing attachment needs.

    • Recognizing extinction bursts in attempts to connectNarcissistic individuals may react defensively to connection efforts, but these moments provide opportunities for growth and healing through repair and acknowledgement of pain.

      Attempting to connect with someone, especially those with narcissistic tendencies, can trigger an "extinction burst" or defensive response. This reaction is a natural response to anxiety and vulnerability, and as a clinician, recognizing and addressing this moment can be an opportunity for growth. It's important to remember that even if the response is not what was expected, the effort to connect is still beneficial for the individual making the effort. The ability to repair and acknowledge pain in relationships is crucial for attachment security and healing.

    • Recognizing and repairing narcissistic behavior in relationshipsUnderstand that everyone experiences narcissistic traits, but harmful patterns like exploitation, entitlement, and empathy impairments require vulnerability, apologies, and empathy to repair relationships.

      Everyone makes mistakes and experiences moments of narcissistic behavior, but the ability to repair and demonstrate empathy in relationships is crucial for fulfilling connections. Narcissistic traits, such as exploitation, entitlement, and empathy impairments, become problematic when individuals become addicted to their unique feelings of specialness and disregard others' needs. It's essential to recognize the difference between healthy narcissistic traits and more extreme forms of narcissism, like Narcissistic Personality Disorder (NPD), which is a pervasive pattern of behavior. Repairing relationships requires vulnerability, acknowledging mistakes, and demonstrating empathy, ultimately leading to a deeper understanding and connection with others.

    • Defense mechanism against shame and worthlessnessNarcissistic Personality Disorder (NPD) can present as overt or covert, and is characterized by insecurity, intense need for reassurance, and personal aggrandizement as primary motivation.

      Narcissistic Personality Disorder (NPD) is often a defense mechanism against deep-rooted feelings of shame and worthlessness. People with NPD may present as overtly confident and superior (grandiose narcissism), introverted and unique (covert narcissism), or communally focused and self-promoting (communicative narcissism). Narcissists, in general, are insecurely attached and have an intense need for reassurance. They may display behaviors like correcting others, poising holes in their solutions, and believing they are the only ones who know the right way. These behaviors can be signs of problematic narcissistic tendencies. It's important to remember that having some aspects of these beliefs or aspirations is not necessarily a problem. However, when personal aggrandizement is the primary motivation, it can be indicative of communal narcissism. Understanding the different forms of narcissism and their potential signs can help individuals navigate relationships and communities.

    • Understanding Narcissistic Tendencies in RelationshipsRecognize patterns of behavior in narcissistic relationships, such as emotional vulnerability reluctance, validation desire, and discomfort when not the center of attention. Engage with narcissists empathetically, appreciatively, and with mutual growth to help combat their tendencies.

      Identifying narcissistic tendencies in a relationship is not just about spotting individual red flags, but rather recognizing an overall pattern of behavior. This pattern may include a reluctance to be emotionally vulnerable, a desire to control and influence others, a persistent need for validation, and discomfort when not the center of attention. Narcissists, who are inherently insecurely attached, can benefit from being pulled into more secure forms of relating. Craig, an expert on the topic, suggests interacting with narcissists in a way that centers on empathy, appreciation, mutual growth, and understanding. It's important to note that not all relationships with narcissistic tendencies involve abuse. Craig focuses on the relational aspects of interaction and offers practical strategies for engaging with narcissists in a way that can help combat their tendencies. For more information, check out Craig's YouTube channel and his book "Rethinking Narcissism: The Secret to Recognizing and Coping with Narcissists." If you've found this podcast helpful, please consider subscribing, leaving a review, or supporting us on Patreon.

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