Feeling Safe

Self-Therapy For People Who ENJOY Learning About Themselves

Throughout 95 percent of human history, staying safe was something we did!
Now, since most of us have pretty safe lives, it is something we want to feel.

PROTECTING YOURSELF IN THE REAL WORLD

If there is a real threat in your life (an abusive family member, someone making threats, etc.), you need to protect yourself. Line up the police, some strong and kind friends, and whatever else you need so you can overcome the scary person in your life and to get away from the danger immediately. That's the whole story on real fear.

If you are living under such a real threat right now, don't read further. This topic is not for you. Go do what you need to do, and come back when you are safe. We'll be waiting for you.

Safety IS first!

PROTECTING YOURSELF IN THE UNREAL WORLD

If there is no real threat in your life but you still feel fear, this topic is for you. Like all of us, you need protection from believing your own thoughts!

"CRAZY THOUGHTS"

We all sometimes have really bizarre thoughts, and most of them begin with
"What if...?"
"What if I go broke?"
"What if there's a war?"
"What if I get some dreaded disease?"

These thoughts come to us either directly from our own imagination or they come to us indirectly from friends, politicians, the media, and anyone else with a point of view to sell.

HOW TO EVALUATE YOUR FEARS

This is how to evaluate your fears:

1) Decide if the fear is real or imagined.


 




2) If it is imagined, take a "feeling check" to see if you are still afraid or if you just let it go.

3) Know that your ability to think will be there for you in the future.

IS THE FEAR REAL OR IMAGINED?

Did the fearful thinking come from your senses or from your mind?

If it came through your senses (seeing, hearing, smelling, tasting, or feeling), take the fear very seriously, decide how to protect yourself, and take immediate action.
If it came through your mind, the fear is not about something real. You can relax.
TAKE A FEELING CHECK

Once you realize you are frightened about something that is only imagined, notice if this realization makes the fear go away. If it doesn't, the fear is probably related to your past, not to your future.

Remember the frightening thing that happened in your past in some detail. Then remind yourself that the event is over, it is gone, and it is lost in the past.

If this doesn't help you to feel safe, you'll probably need to see a therapist so you can "finish off"
the effects of that past event in your life.
OUR BRAINS ARE PERMANENTLY ATTACHED!

Remember that even if the worst happens some day and the fearful event does really occur you will be able to think about it THEN!

It can be comforting to know that you will always be able to think at least as clearly, at least as intelligently, and at least as wisely as you can right now!

And if you wait to do your thinking in the future, you will be dealing with reality. Reality problems are a lot easier to deal with than fantasy problems!

KNOW YOU ARE SMART!

People who were often called "stupid" when they were kids are likely to have problems with adult fear.

It's not that they really believe they are stupid, but they do have doubts about their intelligence
and this makes them doubt their ability to evaluate their fearful thoughts.

To overcome fear, do whatever it takes to convince yourself that you are smart enough to overcome it, and that your intelligence is going to be there whenever you need it.

Enjoy Your Changes!

Everything here is designed to help you do just that

next: Clients and Success In Therapy

APA Reference
Staff, H. (2008, November 17). Feeling Safe, HealthyPlace. Retrieved on 2024, October 4 from https://www.healthyplace.com/self-help/inter-dependence/feeling-safe

Last Updated: March 30, 2016

False Memories And Responsibility

Self-Therapy For People Who ENJOY Learning About Themselves

There has been a lot in the media about "false memory syndrome." There's even an organization devoted to helping people who have been falsely accused of sexual abuse.

As a therapist, I have some very strong views about this, of course. This article is a statement of those views.

ARE SOME PEOPLE FALSELY ACCUSED?
I'm sure they are.

Some therapists are incompetent. Some "clients" are cruel manipulators. So some false memories probably do occur.

But the key word here is "some" and, if you were sitting in my chair, you'd have to believe that this must happen very, very seldom!

WHY WOULD SOMEONE PRETEND SUCH A THING?

Why would someone falsely accuse someone of sexual abuse? What would they have to gain?

If I can see any way that the accuser believes she can benefit from making such accusations, I do wonder if they might be making it all up.

But in my own experience, and in the experience of most other therapists, we seldom see people who can even magine any gain at all from believing they were treated this way.

Initially, at least, clients can't imagine anything good coming from facing their abuse. Victims feel intense fear and deep dread as soon as they even wonder if they were abused. Fear and dread are not feelings that come from someone intent on being cruel or vengeful.

Later articles in this series will tell you a lot about the intense emotion, self-doubt, humiliation, and hard work the average sexual abuse "accuser" goes through to get her life back.


 


I'm sure you will see that nobody could fake their way through all of that!

HOW DO WE STOP FALSE ACCUSATIONS FROM HAPPENING?

False accusations of sexual abuse, then, are rare
but for the falsely accused person they are devastating.

What can be done to almost guarantee that false accusations cannot occur?

The therapist and the person they are working with can both act responsibly.

THE THERAPIST'S RESPONSIBILITIES

Here is my personal list of some of the most important responsibilities therapists have regarding sexual abuse. They are stated in the form of advice for therapists...

1) Know that sexual abuse does happen to many children and that it wounds very deeply.

The lowest estimate I've ever heard is that about 10% of all children are sexually abused by someone in childhood. Even if this low estimate is true, what would be your best guess as to the percent of sexually abused people on an average therapist's caseload? - Twenty percent? - Fifty percent??

2) Don't tell anyone they were sexually abused, but don't be afraid to ask.

3) If she says she was sexually abused, believe her.

If you have strong reasons to believe she is lying and has much to gain from it, be open with her and tell her so. You owe her that much.

4) For your sake and for your clients, don't use hypnosis or any other such techniques.

Some very good therapists use hypnosis to uncover memories. But I believe they are making a mistake. They are leaving themselves vulnerable and they are greatly increasing the likelihood that their client will doubt her own memories some day. (If the memories are that hard to uncover, they need time to surface on their own.)

5) Be aware of the potential for "leading" the client.

Be aware that therapists can and do lead clients toward their own preconceived opinions and guesses. It is only human that some of this will occur, but be diligent in limiting the degree to which it occurs in your office. When you have a hunch about something so important, keep it to yourself unless it keeps coming back for a long while (3 meetings?). Then, if you do decide to mention it, convey your own doubts about it. Say strongly that it is only a hunch and that you have no proof of it's validity. (If the client disregards your hunch and it still won't go away, talk to your own therapist about it.)

6) Be very aware of all boundaries.

A violation of any boundary can undermine all treatment with people whose boundaries were so terribly violated as children. And just because the person acts like something you propose is OK, don't assume that it is OK unless they have specifically said so. (People who were abused tend to give in to intrusions very easily, often without even recognizing that's what they are doing.)

7) If you are not confident about how to handle flashbacks and repressed memories, don't try.


Make an appropriate referral instead. And go get the training you need. This is no place for amateurs.

THE CLIENT'S RESPONSIBILITIES

ALL of the client's responsibilities come down to this: LEARN HOW TO IDENTIFY YOUR FEELINGS AND THEN TRUST WHAT YOU FEEL!

1) If it feels like you might have been sexually abused but your aren't sure, believe your feeling until you CAN be sure!

2) If it feels like someone is trying to talk you into something, say so (and consider getting out of there).

3) Notice your need for protection. Learn how to become your own best "protective parent." If your therapist doesn't feel "safe enough" (compared to everyone else you've known as an adult), you need to find a better one.

4) Honor all your feelings, even the "irrational" ones!

You may know you are more afraid, sad, and angry than there is reason to be in your adult world but these feelings are still trustable. Honor them.

That's the little girl talking to you.

She needs the grownup, powerful you to take care of her while she recovers from these horrors

Enjoy Your Changes!

Everything here is designed to help you do just that!


 


next: Fantasy and Reality

APA Reference
Staff, H. (2008, November 16). False Memories And Responsibility, HealthyPlace. Retrieved on 2024, October 4 from https://www.healthyplace.com/self-help/inter-dependence/false-memories-and-responsibility

Last Updated: March 30, 2016

The Moment of Greatest Stress Is

When You Want To Take Care Of The Other Person.

CRUCIAL MOMENTS

It's an amazingly simple concept, yet most people are shocked to learn that their relationship problems happen at a certain SPECIFIC MOMENT!

They are also amazed when they learn that WHAT HAPPENS IN THAT SPECIFIC MOMENT usually determines how bad the whole problem is gong to get!

WHAT TO DO ABOUT YOUR MOMENT OF GREATEST STRESS

The next MOMENT that you have the IMPULSE to take care of your partner

NOTICE THINGS LIKE THIS:

  1. What YOU actually DO when you feel this urge. (Do you go ahead with your urge and touch your partner caringly, do you hold back, ...What?)
  2. What your partner actually did the split-second BEFORE you had the urge. (Was your urge to take care of them "triggered" by something they did?)
  3. What YOU do next.
  4. What THEY do next.
  5. Where you are. (Are the physical surroundings "fitting" for this impulse? Do they "trigger" it?)
  6. How you feel when you act on the impulse (or when you don't).
  7. How your action (or lack of action) effects your partner.
  8. How good were you at COMMUNICATING the message to them that you wanted to take care of them?
  9. How good were they at RECEIVING your message?
  10. How else could you have tried to communicate this message to your partner?

If you don't learn much from noticing these ten things the first time, do it again and again until you think you have a pretty good idea why things go wrong.


continue story below

Remember, we are talking about THE worst problem in your relationship here. It's got to be WORTH the time it takes to figure it out!

This is the "data gathering" phase. The only thing left after the data gathering is take action. Here's what I suggest....

If your theory ONLY has to do with YOU, it's time for some "self-therapy."

Ask yourself questions like this:

"Why do I stop myself from taking action when I want to take care of my partner?"

"Why do I keep doing the same old things over and over again when I have this impulse?"

"Why do I keep hoping these things will work despite so much evidence to the contrary?"

Then make a lengthy list of all of the OTHER things you could do when you act on this impulse (besides the things you do that don't work). All you need to do then is EXPERIMENT with your list of these other things to do. Most of them WILL AUTOMATICALLY WORK BETTER than what you've been doing! Some of them may even work wonderfully for both of you!

If your theory is that YOUR PARTNER causes the problem or that somehow it takes BOTH of you to create the problem, it's time for a discussion with your partner.

If you are excited about your theory and almost sure that it is true: JUST TELL THEM WHAT YOU'VE FIGURED OUT! But be ready for them to disagree. There are two reasons your partner might disagree:

  1. They may know more about the situation than you do and need to explain some things to you.
  2. They might be shocked that you were even thinking about it and that you came up with such a good solution! (It's only human nature to disbelieve someone else's claim that they have figured out an answer to something that seemed "unsolvable" just a few seconds before!)

If you aren't so sure about your theory:

JUST TELL THEM WHAT YOU'VE BEEN THINKING ABOUT AND WHAT YOU'VE COME UP WITH SO FAR.

THEN ASK THEM TO DO THEIR BEST THINKING SO YOU CAN FIGURE OUT MORE TOGETHER.

EVENTUALLY, THE TWO OF YOU WILL COME UP WITH A PLAN. TRY IT OUT!

If it works, great! If it doesn't, talk again and come up with your next plan. Keep referring back to the ten things I suggested for you to notice (top of the page).

back to: Relationship Quiz Table of Contents

APA Reference
Staff, H. (2008, November 16). The Moment of Greatest Stress Is, HealthyPlace. Retrieved on 2024, October 4 from https://www.healthyplace.com/self-help/inter-dependence/the-moment-of-greatest-stress-is

Last Updated: August 15, 2014

Raising A Psychologically Healthy Child

 

What is good parenting? Here are 14 things parents can do to raise a mentally healthy child.

There is no one right way to raise a child. Parenting styles vary. But it is important that all caregivers communicate clear and consistent expectations for each child.

In today's world, some parents are so busy and stressed that nurturing children may sometimes take a back seat to problems that seem more important. However, here are a few suggestions that can help parents provide for children's physical safety and emotional wellbeing.

  1. Do your best to provide a safe home and community for your child, as well as nutritious meals, regular health check-ups, immunizations, and exercise.
  2. Be aware of stages in child development so you don't expect too much or too little from your child.
  3. Encourage your child to express his or her feelings; respect those feelings. Let your child know that everyone experiences pain, fear, anger, and anxiety. Try to learn the source of these feelings. Help your child express anger positively, without resorting to violence.
  4. Promote mutual respect and trust. Keep your voice level down even when you don't agree. Keep communication channels open.
  5. Listen to your child. Use words and examples your child can understand. Encourage questions. Express your willingness to talk about any subject.
  6. Provide comfort and assurance. Be honest. Focus on the positives.
  7. Look at your own problem-solving and coping skills. Are you setting a good example? Seek help if you are overwhelmed by your child's feelings or behaviors or if you are unable to control your own frustration or anger.
  8. Encourage your child's talents and accept limitations. Set goals based on the child's abilities and interests, not someone else's expectations. Celebrate accomplishments.
  9. Don't compare your child's abilities to those of other children; appreciate the uniqueness of your child.
  10. Spend time regularly with your child.
  11. Foster your child's independence and self-worth. Help your child deal with life's ups and downs. Show confidence in your child's ability to handle problems and tackle new experiences.
  12. Discipline constructively, fairly, and consistently. (Discipline is a form of teaching, not physical punishment.) All children and families are different; learn what is effective for your child. Show approval for positive behaviors. Help your child learn from his or her mistakes.
  13. Love unconditionally. Teach the value of apologies, cooperation, patience, forgiveness, and consideration for others.
  14. Do not expect to be perfect; parenting is a difficult job.

This list is not meant to be complete. Many good books are available in libraries or bookstores that can help you be the parent you want to be. For free information about mental health, including publications, references, and referrals to local and national resources, call 1-800-789-2647; or access the Web site: mentalhealth.samhsa.gov/

Sources:

  • This information is provided by the CARING FOR EVERY CHILD'S MENTAL HEALTH: Communities Together campaign, Center for Mental Health Services, Substance Abuse and Mental Health Services Administration.

APA Reference
Staff, H. (2008, November 16). Raising A Psychologically Healthy Child, HealthyPlace. Retrieved on 2024, October 4 from https://www.healthyplace.com/parenting/parenting-skills/raising-a-psychologically-healthy-child

Last Updated: August 19, 2019

Depression Co-Occurring with Medical, Psychiatric and Substance Abuse Disorders

  • Depression is a common, serious and costly illness that affects 1 in 10 adults in the U.S. each year, costs the Nation between $30 - $44 billion annually, and causes impairment, suffering, and disruption of personal, family, and work life.
  • Though 80 percent of depressed people can be effectively treated, nearly two out of three of those suffering from this illness do not seek or receive appropriate treatment. Effective treatments include both medication and psychotherapy, which are sometimes used in combination.

Of particular significance, depression often co-occurs with medical, psychiatric, and substance abuse disorders. When this happens, the presence of both illnesses is frequently unrecognized and may lead to serious and unnecessary consequences for patients and families.


Depression Co-occurs With Medical Illnesses

Read about depression co-occurring with medical illnesses, psychiatric disorders and substance abuse disorders and what that means to you.The rate of major depression among those with medical illnesses is significant. In primary care, estimates range from 5 to 10 percent; among medical inpatients, the rate is 10 to 14 percent.

Depressed feelings can be a common reaction to many medical illnesses. However, depression severe enough to receive a psychiatric diagnosis is not the expected reaction to medical illness. For that reason, when present, specific treatment should be considered for clinical depression even in the presence of another disorder.

Research has shown that major depression occurs in:

  • Between 40 and 65 percent of patients who have had a myocardial infarction (MI). They may also have a shorter life expectancy than non-depressed MI patients.
  • Approximately 25 percent of cancer patients.
  • Between 10 and 27 percent of post-stroke patients.

Failure to recognize and treat co-occurring depression may result in increased impairment and diminished improvement in the medical disorder.

Proper diagnosis and treatment of co-occurring depression may bring benefits to the patient through improved medical status, enhanced quality of life, a reduction in the degree of pain and disability, and improved treatment compliance and cooperation.

Depression Co-occurs With Psychiatric Disorders

A higher than average co-occurrence of depression with other psychiatric disorders, such as anxiety and eating disorders, has been documented.

  • Concurrent depression is present in 13 percent of patients with panic disorder. In about 25 percent of these patients, the panic disorder preceded the depressive disorder.
  • Between 50 and 75 percent of eating disorder patients (anorexia nervosa and bulimia) have a lifetime history of major depressive disorder.

In such cases, detection of depression can help clarify the initial diagnosis and may result in more effective treatment and better outcome for the patient.

Depression Co-occurs With Substance Abuse Disorders

Substance abuse disorders (both alcohol and other substances) frequently co-exist with depression.

  • Substance abuse disorders are present in 32 percent of individuals with depressive disorders. They co-occur in 27 percent of those with major depression and 56 percent of those with bipolar disorder.

Substance use must be discontinued in order to clarify the diagnoses and maximize the effectiveness of psychiatric interventions. Treatment for depression as a separate condition is necessary if the depression remains after the substance use problem is ended.

Action Steps

DON'T IGNORE SYMPTOMS! Health care professionals should be aware of the possibility of depression co-occurring with other illnesses. Individuals or family members with concerns about the co-occurrence of depression should discuss these issues with the physician. A consultation with a psychiatrist or other mental health clinician may be recommended to clarify the diagnosis.

next: The Effects of Depression in the Workplace
~ depression library articles
~ all articles on depression

APA Reference
Staff, H. (2008, November 16). Depression Co-Occurring with Medical, Psychiatric and Substance Abuse Disorders, HealthyPlace. Retrieved on 2024, October 4 from https://www.healthyplace.com/depression/articles/depression-co-occurring-with-medical-psychiatric-and-substance-abuse-disorders

Last Updated: June 24, 2016

Safety of Herbal Supplements

 

24 safety of herbal supplements healthyplaceSome herbal supplements can cause serious health problems. Here's what you need to know before you take herbal supplements.

On this page

Introduction

Herbal supplements are a type of dietary supplement (see the box below) that contain herbs, either singly or in mixtures. An herb (also called a botanical) is a plant or plant part used for its scent, flavor, and/or therapeutic properties.

Many herbs have a long history of use and of claimed health benefits. However, some herbs have caused health problems for users. This fact sheet contains points you should consider for your safety if you use, or are thinking about using, herbs for health purposes. It does not discuss whether herbs work for specific diseases and conditions (for science-based information on that topic, see "For More Information").

 

About Dietary Supplements

Dietary supplements were defined in a law passed by Congress in 1994. A dietary supplement must meet all of the following conditions:

  • It is a product (other than tobacco) intended to supplement the diet, which contains one or more of the following: vitamins; minerals; herbs or other botanicals; amino acids; or any combination of the above ingredients.

  • It is intended to be taken in tablet, capsule, powder, softgel, gelcap, or liquid form.

  • It is not represented for use as a conventional food or as a sole item of a meal or the diet.

  • It is labeled as being a dietary supplement.



  1. It's important to know that just because an herbal supplement is labeled "natural" does not mean it is safe or without any harmful effects. For example, the herbs kava and comfrey have been linked to serious liver damage.

  2. Herbal supplements can act in the same way as drugs. Therefore, they can cause medical problems if not used correctly or if taken in large amounts. In some cases, people have experienced negative effects even though they followed the instructions on a supplement label.

  3. Women who are pregnant or nursing should be especially cautious about using herbal supplements, since these products can act like drugs. This caution also applies to treating children with herbal supplements.

  4. It is important to consult your health care provider before using an herbal supplement, especially if you are taking any medications (whether prescription or over-the-counter). Some herbal supplements are known to interact with medications in ways that cause health problems. Even if your provider does not know about a particular supplement, he can access the latest medical guidance on its uses, risks, and interactions.

  5. If you use herbal supplements, it is best to do so under the guidance of a medical professional who has been properly trained in herbal medicine. This is especially important for herbs that are part of an alternative medical system (see the box below), such as the traditional medicines of China, Japan, or India.

Alternative medical systems are built upon complete systems of theory and practice, and have often evolved apart from and earlier than the conventional medical approach used in the United States. To find out more, see NCCAM's fact sheet "What Is Complementary and Alternative Medicine?"
  1. In the United States, herbal and other dietary supplements are regulated by the U.S. Food and Drug Administration (FDA) as foods. This means that they do not have to meet the same standards as drugs and over-the-counter medications for proof of safety, effectiveness, and what the FDA calls Good Manufacturing Practices.

  2. The active ingredient(s) in many herbs and herbal supplements are not known. There may be dozens, even hundreds, of such compounds in an herbal supplement. Scientists are currently working to identify these ingredients and analyze products, using sophisticated technology. Identifying the active ingredients in herbs and understanding how herbs affect the body are important research areas for the National Center for Complementary and Alternative Medicine.


  1. Published analyses of herbal supplements have found differences between what's listed on the label and what's in the bottle. This means that you may be taking less--or more--of the supplement than what the label indicates. Also, the word "standardized" on a product label is no guarantee of higher product quality, since in the United States there is no legal definition of "standardized" (or "certified" or "verified") for supplements.

  2. Some herbal supplements have been found to be contaminated with metals, unlabeled prescription drugs, microorganisms, or other substances.

  3. There has been an increase in the number of Web sites that sell and promote herbal supplements on the Internet. The Federal Government has taken legal action against a number of company sites because they have been shown to contain incorrect statements and to be deceptive to consumers. It is important to know how to evaluate the claims that are made for supplements. Some sources are listed below.

For More Information

The NCCAM Clearinghouse provides information on CAM and on NCCAM. Services include fact sheets, other publications, and searches of Federal databases of scientific and medical literature. Publications include "Are You Considering Using Complementary and Alternative Medicine (CAM)?" and "10 Things To Know About Evaluating Medical Resources on the Web." The Clearinghouse does not provide medical advice, treatment recommendations, or referrals to practitioners.

U.S. Food and Drug Administration (FDA)
Center for Food Safety and Applied Nutrition
Web site: www.cfsan.fda.gov
Toll-free in the U.S.: 1-888-723-3366


 


Information includes "Tips for the Savvy Supplement User: Making Informed Decisions and Evaluating Information" and updated safety information on supplements. If you have experienced an adverse effect from a supplement, you can report it to the FDA's MedWatch program, which collects and monitors such information (1-800-FDA-1088 or www.fda.gov/medwatch).

Office of Dietary Supplements (ODS), NIH
Web site: http://ods.od.nih.gov
E-mail: ods@nih.gov

ODS supports research and disseminates research results on dietary supplements. It produces the International Bibliographic Information on Dietary Supplements (IBIDS) database on the Web, which contains abstracts of peer-reviewed scientific literature on dietary supplements.

CAM on PubMed
Web site: www.nlm.nih.gov/nccam/camonpubmed.html

CAM on PubMed, a database on the Web developed jointly by NCCAM and the National Library of Medicine, offers abstracts of articles in scientifically based, peer-reviewed journals on complementary and alternative medicine. Some abstracts link to the full text of articles.

The Cochrane Library
Web site: www.cochrane.org/reviews/clibintro.htm

The Cochrane Library is a collection of science-based reviews from the Cochrane Collaboration, an international nonprofit organization that seeks to provide "up-to-date, accurate information about the effects of health care." Its authors analyze the results of rigorous clinical trials (research studies in people) on a given topic and prepare summaries called systematic reviews. Abstracts (brief summaries) of these reviews can be read online without charge. You can search by treatment name (such as the name of an herb) or medical condition. Subscriptions to the full text are offered at a fee and are carried by some libraries.

NCCAM has provided this material for your information. It is not intended to substitute for the medical expertise and advice of your primary health care provider. We encourage you to discuss any decisions about treatment or care with your health care provider. The mention of any product, service, or therapy in this information is not an endorsement by NCCAM.

back to: Alternative Medicine Home ~ Alternative Medicine Treatments

APA Reference
Staff, H. (2008, November 16). Safety of Herbal Supplements, HealthyPlace. Retrieved on 2024, October 4 from https://www.healthyplace.com/alternative-mental-health/treatments/safety-of-herbal-supplements

Last Updated: July 12, 2016

Multiple Grandiosity

Question:

Is the narcissist confined in his grandiose fantasies to one subject?

Answer:

This apparently simple question is more complex than it sounds. The narcissist is bound to make use of his more pronounced traits and qualities both in the design of his False Self and in the process of extraction of Narcissistic Supply from others. Thus, a cerebral narcissist is likely to emphasise his intellect, his brainpower, his analytical skills and his rich and varied fund of knowledge. A somatic narcissist accentuates his body, his physical strength, his appearance, his sex appeal and so on. But this is only one facet of the answer. It seems that narcissists engage in what could best be described as Narcissistic Hedges.

A Narcissistic Hedge is when a narcissistic colours more than one field of activity with his narcissistic hues. He infuses the selected subjects with narcissistic investment. He prepares them as auxiliary Sources of Narcissistic Supply and as backup options in case of a major system failure. These ostensibly redundant activities and interests constitute a fallback option in case a life crisis erupts. In the majority of cases, the chosen subjects or fields will all belong to the same "family". A cerebral narcissist might select mathematics and art, but not mountain climbing. A sportsman might engage in being a radio sports commentator but not a philosopher of science and so on. Still, the correlation between the various selections may not be very strong (which is why they can be used as hedges).

Experience shows that this hedging mechanism is not very effective. The narcissist reacts to events in his life as a rigid unit. His reactions are not differentiated or scaled. A failure (or a success) in one domain spreads to all the others with a contagious speed. The narcissistic contagion effect dominates the narcissist's life. The narcissist measures his personal history, in terms of fluctuations in Narcissistic Supply. He is blind to all the other aspects, angles and points of view. He is like a thermometer, which reacts to human warmth, admiration, adoration, approval, applause and attention. His life is perceived by him in gradations of narcissistic temperature. When a Source of Supply ceases to exist or is threatened or diminished, all the other parts of the narcissist's world (including his backup options) are affected. The dysphoric and euphoric moods, which are related to the absence or to the presence of Narcissistic Supply, engulf the entire personality and consume it.

A case study to illustrate these principles of the economy of the narcissist's soul:

A narcissist has a successful career as an economic commentator in several mass media. As a result of his criticism of the policies of the government, he is threatened and there are signs that a book that he was about to publish, will not be published after all. The narcissist has other subjects from which he is able to derive Narcissistic Supply. What would the likely reaction of such a narcissist be?

Being threatened endangers his feelings of omnipotence and superiority. He is "reduced to size". The special treatment that he believed himself to be entitled to has all but evaporated. This is a narcissistic injury. Worse, it looks as if the very availability and existence of his main and "serious" Narcissistic Supply Sources (the media, the book) are at risk. Dysphoria ensues. The narcissist reacts hysterically and with paranoia. The paranoid streaks in his reaction serve to re-establish the perturbed balance of his own grandiosity. Only important people are persecuted. The hysteria is the result of panic at the prospect of remaining bereft of Narcissistic Supply Sources. A drug addict would have reacted the same way to the drying up of his Supply Sources.

In theory, this would have been the perfect time to revert to the alternatives, to the hedges. But the narcissist's energy is too depleted to make this switch. He is depressed, dysphoric, anhedonic, sees no point in it all, in extreme cases, even suicidal. He jumps to radical and sweeping conclusions ("If this happened to me once, it could well happen again"). His output and achievements deteriorate. As a result, his Narcissistic Supply is further reduced and a vicious circle is set in motion.

This is the absurdity of the narcissistic mental household: the hedges can be used only when there is no need for them. Once a crisis erupts, they are no longer usable by the violently reduced narcissist, a faltering shadow of his former False Self.


 

next: False Modesty

APA Reference
Vaknin, S. (2008, November 16). Multiple Grandiosity, HealthyPlace. Retrieved on 2024, October 4 from https://www.healthyplace.com/personality-disorders/malignant-self-love/multiple-grandiosity

Last Updated: July 3, 2018

Gender and the Narcissist - Female Narcissist

Question:

Are female narcissists any different? You seem to talk only about male narcissists! 

Answer:

I keep using the male third person singular because most narcissists (75%) are males and more so because there is no difference between the male and female narcissists except in two things.

In the manifestation of their narcissism, female and male narcissists, inevitably, do tend to differ. They emphasise different things. They transform different elements of their personality and of their life into the cornerstones of their disorder. Women concentrate on their body (as they do in eating disorders: Anorexia Nervosa and Bulimia Nervosa). They flaunt and exploit their physical charms, their sexuality, their socially and culturally determined "femininity". They secure their Narcissistic Supply through their more traditional gender role: the home, children, suitable careers, their husbands ("the wife of..."), their feminine traits, their role in society, etc. It is no wonder than narcissists - both men and women - are chauvinistic and conservative. They depend to such an extent on the opinions of people around them - that, with time, they are transformed into ultra-sensitive seismographs of public opinion, barometers of prevailing winds and guardians of conformity. Narcissists cannot afford to seriously alienate those who reflect to them their False Self. The very proper and on-going functioning of their Ego depends on the goodwill and the collaboration of their human environment.

True, besieged and consumed by pernicious guilt feelings - many a narcissist finally seek to be punished. The self-destructive narcissist then plays the role of the "bad guy" (or "bad girl"). But even then it is within the traditional socially allocated roles. To ensure social opprobrium (read: attention), the narcissist exaggerates these roles to a caricature. A woman is likely to self-label herself a "whore" and a male narcissist to self-style himself a "vicious, unrepentant criminal". Yet, these again are traditional social roles. Men are likely to emphasise intellect, power, aggression, money, or social status. Women are likely to emphasise body, looks, charm, sexuality, feminine "traits", homemaking, children and childrearing - even as they seek their masochistic punishment.

Another difference is in the way the genders react to treatment. Women are more likely to resort to therapy because they are more likely to admit to psychological problems. But while men may be less inclined to DISCLOSE or to expose their problems to others (the macho-man factor) - it does not necessarily imply that they are less prone to admit it to themselves. Women are also more likely to ask for help than men.

 

Yet, the prime rule of narcissism must never be forgotten: the narcissist uses everything around him or her to obtain his (or her) Narcissistic Supply. Children happen to be more available to the female narcissist due to the still prevailing prejudiced structure of our society and to the fact that women are the ones to give birth. It is easier for a woman to think of her children as her extensions because they once indeed were her physical extensions and because her on-going interaction with them is both more intensive and more extensive. This means that the male narcissist is more likely to regard his children as a nuisance than as a source of rewarding Narcissist Supply - especially as they grow and become autonomous. Devoid of the diversity of alternatives available to men - the narcissistic woman fights to maintain her most reliable Source of Supply: her children. Through insidious indoctrination, guilt formation, emotional sanctions, deprivation and other psychological mechanisms, she tries to induce in them a dependence, which cannot be easily unravelled.

But, there is no psychodynamic difference between children, money, or intellect, as Sources of Narcissistic Supply. So, there is no psychodynamic difference between male and female narcissist. The only difference is in their choices of Sources of Narcissistic Supply.

An interesting side issue relates to transsexuals.

Philosophically, there is little difference between a narcissist who seeks to avoid his True Self (and positively to become his False Self) - and a transsexual who seeks to not be his true gender. But this similarity, though superficially appealing, is questionable.

People sometimes seek sex reassignment because of advantages and opportunities which, they believe, are enjoyed by the other sex. This rather unrealistic (fantastic) view of the other is faintly narcissistic. It includes elements of idealised over-valuation, of self-preoccupation, and of objectification of one's self (THAT which have all the advantages is what we want to become). It demonstrates a deficient ability to empathise and some grandiose sense of entitlement ("I deserve to have the best opportunities/advantages") and omnipotence ("I can be whatever I want to be - despite nature/God").

This feeling of entitlement is especially manifest in some gender dysphoric individuals who aggressively pursue hormonal or surgical treatment. They feel that it is their inalienable right to receive it on demand and without any strictures or restrictions. For instance, they oftentimes refuse to undergo psychological evaluation or treatment as a condition for the hormonal or surgical treatment.

It is interesting to note that both narcissism and gender dysphoria are early childhood phenomena. This could be explained by problematic Primary Objects, dysfunctional families, or a common genetic or biochemical problem. It is too early to say which. As yet, there isn't even an agreed typology of gender identity disorders - let alone an in-depth comprehension of their sources.

There are mental disorders, which afflict a specific sex more often. This has to do with hormonal or other physiological dispositions, with social and cultural conditioning through the socialisation process, and with role assignment through the gender differentiation process. None of these seem to be strongly correlated to the formation of malignant narcissism. The Narcissistic Personality Disorder (as opposed, for instance, to the Borderline or the Histrionic Personality Disorders, which afflict women more than men) seems to conform to social mores and to the prevailing ethos of capitalism. Social thinkers like Lasch speculated that modern American culture - a narcissistic, self-centred one - increases the rate of incidence of the Narcissistic Personality Disorder. To this Kernberg answered, rightly:

"The most I would be willing to say is that society can make serious psychological abnormalities, which already exist in some percentage of the population, seem to be at least superficially appropriate."

 


 

next: Multiple Grandiosity

APA Reference
Vaknin, S. (2008, November 16). Gender and the Narcissist - Female Narcissist, HealthyPlace. Retrieved on 2024, October 4 from https://www.healthyplace.com/personality-disorders/malignant-self-love/gender-and-the-narcissist

Last Updated: July 3, 2018

Do Narcissists Have Emotions?

Of course they do. All humans have emotions. It is how we choose to relate to our emotions that matters. The narcissist tends to repress them so deeply that, for all practical purposes, they play no conscious role in his life and conduct, though they play an extraordinarily large unconscious role in determining both.

The narcissist's positive emotions come bundled with very negative ones. This is the outcome of frustration and the consequent transformations of aggression. This frustration is connected to the Primary Objects of the narcissist's childhood (parents and caregivers).

Instead of being provided with the unconditional love that he craved, the narcissist was subjected to totally unpredictable and inexplicable bouts of temper, rage, searing sentimentality, envy, prodding, infusion of guilt and other unhealthy parental emotions and behaviour patterns.

The narcissist reacted by retreating to his private world, where he is omnipotent and omniscient and, therefore, immune to such vicious vicissitudes. He stashed his vulnerable True Self in a deep mental cellar - and outwardly presented to the world a False Self.

But bundling is far easier than unbundling. The narcissist is unable to evoke positive feelings without provoking negative ones. Gradually, he becomes phobic: afraid to feel anything, lest it be accompanied by fearsome, guilt inducing, anxiety provoking, out of control emotional complements.

He is thus reduced to experiencing dull stirrings in his soul that he identifies to himself and to others as emotions. Even these are felt only in the presence of someone or something capable of providing the narcissist with his badly needed Narcissistic Supply.

Only when the narcissist is in the overvaluation (idealization) phase of his relationships, does he experience the convulsions that he calls "feelings". These are so transient and fake that they are easily replaced by rage, envy and devaluation. The narcissist really recreates the behaviour patterns of his less than ideal Primary Objects.

Deep inside, the narcissist knows that something is amiss. He does not empathise with other people's feelings. Actually, he holds them in contempt and ridicule. He cannot understand how people are so sentimental, so "irrational" (he identifies being rational with being cool headed and cold blooded).

Often the narcissist believes that other people are "faking it", merely aiming to achieve a goal. He is convinced that their "feelings" are grounded in ulterior, non-emotional, motives. He becomes suspicious, embarrassed, feels compelled to avoid emotion-tinged situations, or, worse, experiences surges of almost uncontrollable aggression in the presence of genuinely expressed sentiments. They remind him how imperfect and poorly equipped he is.

The weaker variety of narcissist tries to emulate and simulate "emotions" - or, at least their expression, the external facet (affect). They mimic and replicate the intricate pantomime that they learn to associate with the existence of feelings. But there are no real emotions there, no emotional correlate.

This is empty affect, devoid of emotion. This being so, the narcissist quickly tires of it, becomes impassive and begins to produce inappropriate affect (e.g., he remains indifferent when grief is the normal reaction). The narcissist subjects his feigned emotions to his cognition. He "decides" that it is appropriate to feel so and so. His "emotions" are invariably the result of analysis, goal setting and planning.

He substitutes "remembering" for "sensing". He relegates his bodily sensations, feelings and emotions to a kind of a memory vault. The short and medium-term memory is exclusively used to store his reactions to his (actual and potential) Narcissistic Supply Sources.

He reacts only to such sources. The narcissist finds it hard to remember or recreate what he ostensibly - though ostentatiously - "felt" (even a short while back) towards a Narcissistic Supply Source once it has ceased to be one. In his attempts to recall his feelings, he draws a mental blank.

It is not that narcissists are incapable of expressing what we would tend to classify as "extreme emotional reactions". They mourn and grieve, rage and smile, excessively "love" and "care". But this is precisely what sets them apart: this rapid movement from one emotional extreme to another and the fact that they never occupy the emotional middle ground.

The narcissist is especially "emotional" when weaned off his drug of Narcissistic Supply. Breaking a habit is always difficult - especially one that defines (and generates) oneself. Getting rid of an addiction is doubly taxing. The narcissist misidentifies these crises with an emotional depth and his self-conviction is so immense, that he mostly succeeds to delude his environment, as well. But a narcissistic crisis (losing a Source of Narcissistic Supply, obtaining an alternative one, moving from one Narcissistic Pathological Space to another) - must never be confused with the real thing, which the narcissist never experiences: emotions.

Many narcissists have "emotional resonance tables". They use words as others use algebraic signs: with meticulousness, with caution, with the precision of the artisan. They sculpt in words the fine tuned reverberations of pain and love and fear. It is the mathematics of emotional grammar, the geometry of the syntax of passions. Devoid of all emotions, narcissists closely monitor people's reactions and adjust their verbal choices accordingly, until their vocabulary resembles that of their listeners. This is as close as narcissists get to empathy.


 


To summarise, the emotional life of the narcissist is colourless and eventless, as rigidly blind as his disorder, as dead as he. He does feel rage and hurt and inordinate humiliation, envy and fear. These are very dominant, prevalent and recurrent hues in the canvass of his emotional existence. But there is nothing there except these atavistic gut reactions.

Whatever it is that the narcissist experiences as emotions - he experiences in reaction to slights and injuries, real or imagined. His emotions are all reactive, not active. He feels insulted - he sulks. He feels devalued - he rages. He feels ignored - he pouts. He feels humiliated - he lashes out. He feels threatened - he fears. He feels adored - he basks in glory. He is virulently envious of one and all.

The narcissist can appreciate beauty but in a cerebral, cold and "mathematical" way. Many have no mature, adult sex drive to speak of. Their emotional landscape is dim and grey, as though through a glass darkly.

Many narcissists can intelligently discuss those emotions never experienced by them - like empathy, or love - because they make it a point to read a lot and to communicate with people who claim to be experiencing them. Thus, they gradually construct working hypotheses as to what people feel. As far as the narcissist is concerned, it is pointless to try to really understand emotions - but at least these models he does form allow him to better predict people's behaviours and adjust to them.

Narcissists are not envious of others for having emotions. They disdain feelings and sentimental people because they find them to be weak and vulnerable and they deride human frailties and vulnerabilities. Such derision makes the narcissist feel superior and is probably the ossified remains of a defence mechanism gone awry.

Narcissists are afraid of pain. It is the pebble in their Indra's Net - lift it and the whole net moves. Their pains do not come isolated - they constitute families of anguish, tribes of hurt, whole races of agony. The narcissist cannot experience them separately - only collectively.

Narcissism is an effort to contain the ominous onslaught of stale negative emotions, repressed rage, a child's injuries.

Pathological narcissism is useful - this is why it is so resilient and resistant to change. When it is "invented" by the tormented individual, it enhances his functionality and makes life bearable for him. Because it is so successful, it attains religious dimensions - it become rigid, doctrinaire, automatic and ritualistic.

In other words, pathological narcissism becomes a PATTERN of behaviour. This rigidity is like an outer shell, an exoskeleton. It constrains the narcissist and limits him. It is often prohibitive and inhibitive. As a result, the narcissist is afraid to do certain things. He is injured or humiliated when forced to engage in certain activities. He reacts with rage when the mental edifice underlying his disorder is subjected to scrutiny and criticism - no matter how benign.

Narcissism is ridiculous. Narcissists are pompous, grandiose, repulsive and contradictory. There is a serious mismatch between who they really are, their true accomplishments, and how they regard themselves. The narcissist doesn't merely THINK that he is far superior to others. The perception of his superiority is ingrained in him, it is a part of his every mental cell, an all-pervasive sensation, an instinct and a drive.

He feels that he is entitled to special treatment and to outstanding consideration because he is such a unique specimen. He knows this to be true - the same way one knows that one is surrounded by air. It is an integral part of his identity. More integral to him than his body.

This opens a gap - rather, an abyss - between the narcissist and other humans. Because he considers himself so special and so superior, he has no way of knowing how it is to be human, neither the inclination to explore it. In other words, the narcissist cannot and will not empathise.

Can you empathise with an ant? Empathy implies identity or equality with the empathized, both abhorrent to the narcissist. And being perceived by the narcissist to be so inferior, people are reduced to cartoonish, two-dimensional representations of functions. They become instrumental, or useful, or functional, or entertaining, gratifying or infuriating, frustrating or accommodating objects - rather than loving or emotionally responsive.

It leads to ruthlessness and exploitativeness. Narcissists are not "evil" - actually, the narcissist considers himself to be a good person. Many narcissists help people, professionally, or voluntarily. But narcissists are indifferent. They couldn't care less. They help people because it is a way to secure attention, gratitude, adulation and admiration. And because it is the fastest and surest way to get rid of them and their incessant nagging.

The narcissist may realise these unpleasant truths cognitively - but there is no corresponding emotional reaction (emotional correlate) to this realisation. There is no resonance. It is like reading a boring users' manual pertaining to a computer you do not even own. There is no insight, no assimilation of these truths.

Still, to further insulate himself from the improbable possibility of confronting the gulf between reality and grandiose fantasy (the Grandiosity Gap) - the narcissist comes up with the most elaborate mental structure, replete with mechanisms, levers, switches and flickering alarm lights.

Narcissism Isolates the narcissist from the pain of facing reality and allows him to inhabit the fantasyland of ideal perfection and brilliance.


 

next: Gender and the Narcissist

APA Reference
Vaknin, S. (2008, November 16). Do Narcissists Have Emotions?, HealthyPlace. Retrieved on 2024, October 4 from https://www.healthyplace.com/personality-disorders/malignant-self-love/do-narcissists-have-emotions

Last Updated: July 3, 2018

Triumphant Journey Sitemap

Contents in the Triumphant Journey Eating Disorders Website

Introduction
Triumphant Journey: A Cyberguide To Stop Overeating and Recover from Eating Disorders
Eating Disorders Articles by Joanna Poppink, M.F.C.C.

Introduction

Triumphant Journey: A Cyberguide To Stop Overeating and Recover from Eating Disorders

Eating Disorders Articles by Joanna Poppink, M.F.C.C.

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APA Reference
Staff, H. (2008, November 16). Triumphant Journey Sitemap, HealthyPlace. Retrieved on 2024, October 4 from https://www.healthyplace.com/eating-disorders/articles/sitemap

Last Updated: January 14, 2014