Oct. 30 Training Outline: Pathological Narcissism: Who They Are and What to Do with Them

Pathological Narcissism: Who They Are and What to Do with Them
Introducing The Observe Don’t Absorb Technique

1. General definition of narcissism
2. Video clips of narcissism
a. Entourage
b. Trump
c. Dr. Phil – add pics of enquirer showing hypocrisy
3. Brief history of narcissism
a. The myth of narcissus
b. The clinical recognition of it
4. Are we moving toward a narcissistic society?
5. The celebration of narcissism
a. The capitalism and rugged individualism connection
b. Historical/cohort connections
i. Baby boomers over indulgence parenting methods
6. Some societies are more narcissistic (and some are not)
a. Russia, China, Saudi Arabia
7. Introduction to the term Pnarc
a. The diagnoses
b. Differentiating Pnarc from narcissism
c. The addiction quandary
8. The Human Magnet Syndrome conceptualization of Pnarcs
a. The dance
b. Need a partner to fulfill their sxs
c. The sound of a clap of one hand. Can’t
9. Continuum of Self Explanation
a. The ranges of Pnarc
b. Is there “healthy” narcissism?
10. The use of punishment and control
a. Duluth model
b. Triangulation
c. Passive aggression
d. Playing victim role
e. Parental alienation
f. Criminal intent
g. Entrapment
h. Isolation
11. Pnarc categories
a. NPD
b. BPD
d. Addicts
e. Primary differences of the three
12. Pnarcs share similar patterns
a. Projection
b. Repression – can’t remember childhood
c. Entitlement
d. Lack
e. Narcissistic Injury
i. Narcissistic Injuries manifest differently
1. NPD
13. Narcissistic Personality Disorder – NPD
a. NPD Garden variety narcissism
i. Covert Narcissism
1. Use examples
2. Covert Narcissistic therapists story/vignette
ii. Malignant Narcissism
1. Castro
2. Hitler
iii. Productive Narcissist
1. Bill Gates
2. Steve Jobs
14. Borderline Personality Disorder – BPD
15. Antisocial Personality Disorder – ASPD
a. Subcategories
i. Psychopath
16. Pnarc Addict
a. Temporary – really a codependent
b. Also a Pnarc
17. Hidden Pnarcs
a. Covert narcissism, malignant narcissist, ASPD/Psychopath, BPD
18. Pretending to be a codependent/SLDD
a. Conscious deception
b. Projection
c. Case vignette
19. Gaslighting Pnarcs
20. Diagnosing NPD – just ask them!
21. Conscious levels of shame
22. Conscious narcissists
a. Letters written to me
b. Its implications
c. http://time.com/3083178/narcissism-ask-question/ http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0103469
23. Common Pnarc traits
a. Narcissistic injuries
i. The internal mechanisms behind the reaction
ii. Conscious
iii. Unconscious
iv. Defense mechanisms gone wrong
b. Projection – “They Spot It, They Got It” phenomenon
c. Entitlement
i. Narcissists not like other narcissists
d. Judgmental
e. Low or absent empathy
f. Selfishness
g. Grandiosity
h. Need for affirmation
i. Fear or reaction to abandonment
24. Codependency/SLDD recovery narcissism spike
a. Fried Green Tomatoes
b. My story
25. Differential Diagnosis Procedure diagnostic procedure
a. Concurrent Disorders
b. Concurrent addictions
26. The “codependent” Pnarc
a. Vignette
27. How Pnarc Disorders are caused
a. Attachment trauma
b. Biology
c. Culture
d. History
e. Defense mechanisms gone wrong
f. Orphanages – Romania’s
g. Animal studies – Harlow’s monkey study
28. Attachment trauma unique connection to each disorder
a. NPD
b. BPD
29. Pnarcs get worse over time
30. The professions that attract Pnarcs
a. Politics
b. Sports
c. Performing arts
31. Relationships with Narcissists?
a. Disarming the Narcissist (Wendy Behary’s) book
32. Understanding the manipulative nature of Pnarc’s
a. Power and control strategies
33. Predictive awareness skill set
34. Setting boundaries with Pnarcs – The Observe Don’t Absorb Technique
35. Stop wrestling with the “pig.”
a. The Fantasy Role Defense Strategies
36. When to not set boundaries
a. Dangerous Pnarcs
b. Video clip
37. Psychotherapy options for Pnarc’s
a. Wendy Behary’s “Disarming the Narcissist book
b. Research validated research methods
38. Developing a “narcometer”
39. Why most therapists SHOULD NOT work with Narcissists
a. HMS, codependency, and most therapists
40. Requirements to work with Pnrcs
a. A research validated treatment model
b. Education, training, experience and skill mastery
c. Support
d. Supervision
41. One treatment approach for BPD – Dialectical Behavior Treatment
42. One treatment approach for NPD – Schema Therapy

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