by Richard Grossman, Ph.D.
What makes it difficult to help this type of narcissist is their self-deception. The
processes used to protect themselves are ingrained from childhood. As a
result, they are absolutely unaware of their constant efforts to maintain a
viable "self." If they are meeting with success, they are satisfied
with life regardless of whether the people around them are happy. Two
circumstances bring this type of person to a therapist's office. Sometimes a
partner who feels chronically unheard and unseen drags them in. Or, they have
met with some failure (often in their career) so that the strategies they
previously used to maintain self-esteem suddenly no longer work. In the latter
situation, their depression is profound--like cotton candy, their robust
false self dissolves, and one is able to see an accurate picture of their inner
sense of worthlessness.
Can such people be helped? Sometimes. The critical factor is whether they
ultimately acknowledge their core problem: that as a child they felt neither
seen nor heard (and/or their self was fragile as a result of trauma, genetic
predisposition, etc.), and they unconsciously employed self-building
strategies to survive. Acknowledging this truth takes much courage, for they
must face their underlying lack of self-esteem, their exceptional
vulnerability, and significantly, the damage they have caused others. Then comes
the long and painstaking work of building (or resurrecting) a genuine,
non-defensive self in the context of an empathic and caring therapy
relationship.
A Note about Narcissism and Genetics: Is narcissism a genetic disorder?
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Between 1980 and 1987, Dr. Richard Grossman taught and supervised in the internship and postdoctoral psychotherapy programs at Massachusetts General Hospital/ Harvard Medical School where he was on staff. His work has appeared in Boston Magazine, The Boston Globe, Massachusetts Psychologist, Cosmopolitan (UK), the Brookline Tab, and other magazines and web sites. In addition, the forum that he founded and moderates, The Voicelessness and Emotional Survival Message Board (see link above), has over 100,000 posts on a wide variety of psychological and relationship topics. Since 1985, he has maintained a private practice in Brookline, Massachusetts specializing in individual psychotherapy and couples counseling.
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(Click on title for Amazon link)
The Narcissistic Family: Diagnosis and Treatment by Stephanie Donaldson-Pressman and Robert M. Pressman. While billed as a book for therapists, The Narcissistic Family: Diagnosis and Treatment is clearly written and accessible to non-professionals. There are many case examples and little jargon. An excellent choice for those wanting to learn more about the consequences of narcissism.
Trapped in the Mirror : Adult
Children of Narcissists in Their Struggle for Self
Psychologist,
Elan Golomb, interviews adult children of narcissistic parents and
describes her own attempts to undo the damage from her childhood.
Children of the Self-Absorbed : A Grown-Up's Guide to Getting over Narcissistic Parents Psychologist, Nina Brown describes the effects of having narcissistic parents, and offers suggestions on how to overcome the results of such an upbringing and regain a healthy sense of self.
For other recommended books on narcissism, narcissistic spouses, and narcissistic parents, see the Voicelessness and Emotional Survival Reading List .
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