This document discusses narcissism and some potential causes of rising narcissism in culture. It defines narcissism as having an inflated sense of self-importance and lack of empathy. Some factors that may contribute to rising narcissism include excessive praise from a young age, lack of natural consequences for misbehavior, and decreased opportunities for free play which teaches empathy. Narcissists are prone to bullying, lack of accountability, and relationship issues due to inability to consider others. Treatment focuses on regulating emotions and gaining a realistic self-view through compassion for others.
People Who Cause You Harm: How to Explain Dramatic and Erratic Personality Di...Jeni Mawter
This presentation identifies a massive gap in trauma-informed care for young people, the long-term harm of having a parent or family member with a personality disorder, specifically the Cluster “B” Personality Disorders.
Society is going through a radical shift in how it views, treats and manages Anxiety, Depression, Suicide Prevention, and Substance Abuse and Addiction. Rapid technological advances are seeing a cross fertilization between the traditional medical sciences of neurology and psychiatry. The traditional approach was that damage to the nervous system resulted in neurological disorders whereas psychiatric disorders involved disturbed behavior and emotional states. Today we know that neurological changes underpin psychiatric disorders as well as mental health and mental illness.
Another huge breakthrough in the neuropsychiatric research findings is the link to Mental Health and Trauma. Childhood Trauma initially focused on physical abuse in the Domestic Violence setting. Gradually, emotional abuse was taken into consideration to address risk and harm. Children and young people were considered at risk in light of such factors as homelessness, refugee and asylum seekers, juvenile justice settings and for those in indigenous communities. The issue of personality disorder and family relationships and breakdown has been ignored.
A personality disorder is a mental health disorder that affects how a person thinks, behaves and relates to others. The Cluster “B” parent has erratic and dramatic emotions and behaviors. Regulating emotions and maintaining healthy relationships is impossible. They are impulsive, low in empathy and low in conscience. They have a need to manipulate, control and disempower others. For family members, specifically their children, this culminates in significant distress and trauma. There is considerable harm to social, emotional, cognitive, spiritual and educational development.
Currently, there are almost no resources for children and young adults who have a Cluster “B” parent. The first step to healing is education to understand what, how and why this has happened to them. This SlideShare presentation aims to shed light on such questions as: What happened to me? Am I crazy? Are they the psycho or am I? Why do I feel so depressed/anxious/worthless? Most importantly, the goal is to help towards hope and healing, good mental health, resilience and peace.
Call to Action: Cluster “B” pathology is insidious, pernicious, deliberate and dangerous. These parents have tremendous destructive potential. Harm is hidden behind charm. They impact homes, families, workplaces, relationships and societies. Education is critical for every person in every system caught in the aftermath of dealing with their destruction: mental health, general health, family law, police departments, criminal justice, domestic violence and social service. Thank you.
People Who Cause You Harm: How to Explain Dramatic and Erratic Personality Di...Jeni Mawter
This presentation identifies a massive gap in trauma-informed care for young people, the long-term harm of having a parent or family member with a personality disorder, specifically the Cluster “B” Personality Disorders.
Society is going through a radical shift in how it views, treats and manages Anxiety, Depression, Suicide Prevention, and Substance Abuse and Addiction. Rapid technological advances are seeing a cross fertilization between the traditional medical sciences of neurology and psychiatry. The traditional approach was that damage to the nervous system resulted in neurological disorders whereas psychiatric disorders involved disturbed behavior and emotional states. Today we know that neurological changes underpin psychiatric disorders as well as mental health and mental illness.
Another huge breakthrough in the neuropsychiatric research findings is the link to Mental Health and Trauma. Childhood Trauma initially focused on physical abuse in the Domestic Violence setting. Gradually, emotional abuse was taken into consideration to address risk and harm. Children and young people were considered at risk in light of such factors as homelessness, refugee and asylum seekers, juvenile justice settings and for those in indigenous communities. The issue of personality disorder and family relationships and breakdown has been ignored.
A personality disorder is a mental health disorder that affects how a person thinks, behaves and relates to others. The Cluster “B” parent has erratic and dramatic emotions and behaviors. Regulating emotions and maintaining healthy relationships is impossible. They are impulsive, low in empathy and low in conscience. They have a need to manipulate, control and disempower others. For family members, specifically their children, this culminates in significant distress and trauma. There is considerable harm to social, emotional, cognitive, spiritual and educational development.
Currently, there are almost no resources for children and young adults who have a Cluster “B” parent. The first step to healing is education to understand what, how and why this has happened to them. This SlideShare presentation aims to shed light on such questions as: What happened to me? Am I crazy? Are they the psycho or am I? Why do I feel so depressed/anxious/worthless? Most importantly, the goal is to help towards hope and healing, good mental health, resilience and peace.
Call to Action: Cluster “B” pathology is insidious, pernicious, deliberate and dangerous. These parents have tremendous destructive potential. Harm is hidden behind charm. They impact homes, families, workplaces, relationships and societies. Education is critical for every person in every system caught in the aftermath of dealing with their destruction: mental health, general health, family law, police departments, criminal justice, domestic violence and social service. Thank you.
Difficult people do exist at work. They come in every variety and no workplace is without them. How difficult a person is for you to deal with depends on your self-esteem, your self-confidence, and your professional courage at work. Identifying, Categorizing and making plan accordingly may help you to overcome the situation and reach to solution.
Difficult people do exist at work. They come in every variety and no workplace is without them. How difficult a person is for you to deal with depends on your self-esteem, your self-confidence, and your professional courage at work. Identifying, Categorizing and making plan accordingly may help you to overcome the situation and reach to solution.
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
MANAGEMENT OF ATRIOVENTRICULAR CONDUCTION BLOCK.pdfJim Jacob Roy
Cardiac conduction defects can occur due to various causes.
Atrioventricular conduction blocks ( AV blocks ) are classified into 3 types.
This document describes the acute management of AV block.
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
1. Are We a Culture of Friendly
Narcissists?
Pat Love, EdD, LMFT
WWW.patlove.com
2. What are we talking about
• Narcissism:
• One of several types of personality disorders
• A mental condition in which people have an inflated sense of their
own importance
• A deep need for excessive attention and admiration
• Lack of empathy for others
3. Garden-variety narcissism
• Is oblivious to fairness
• Thinks, talks about self most of the time
• Craves attention
• Demands admiration
• Exaggerates talents and achievements
• Believes in own uniqueness
• Wide, fast mood swings
• Difficulty understanding or considering others
4. Extremely self-righteous and judgmental
• Prone to bully others
• Often believe the victim deserves the treatment or
brought it on themselves
• Never take responsibility for actions that hurt others
5. Narcissists are also prone to lying
•Because if it benefits them
•In their perception, it is true!
6. For narcissists, whether online or in real life
•It’s all about micromanaging and controlling others
•To their advantage
7. Manipulative narcissists
•Are covert aggressors
•They use subtle tactics to charm, disarm, and
take advantage of you
•They also enjoy pitting people against one
another
8. Narcissists will claim righteous indignation
•But it is actually jealousy and envy at the root
•Narcissists don’t often exist in a peaceful state
9. Contrary to popular belief
•It’s not the person showing the selfie, sharing
good news, or posting about their fun life.
•It’s the bully in the comment section degrading
others.
10. Those who enjoy trolling
• Have high levels of narcissism
• Trolls have the cognitive empathy to assess the hurt
they inflict
• They don’t have the affective empathy to care that
others hurt.
• Therefore, they do not have compassion.
11. 30 year study of narcissism and empathy
• NPI-Narcissistic Personality Disorder
• Correlates with real-world behavior
•Overrate their own ability
•Lash out angrily to slightest criticism
•More likely than average to bully
•Less likely to volunteer to help others
12. NPD
• Does not react well to criticism or critique
• Troubled relationships throughout life
• Goal to be more powerful, successful, desirable
• Manipulates others to gain success
• Jealousy is pervasive
• Obsessed with themselves
• Cannot set realistic goals
• Constant hunger for attention, admiration
• Easily hurt or feel rejected
13. Narcissism is marked by
•a sense of entitlement
•a sense of superiority
•a willingness to exploit
•impulsiveness
•a lack of empathy
•retaliatory aggression when the inflated ego is threatened
14. Narcissistic Injury
• Any threat (real or imagined) to the narcissist's grandiose self-perception
• Or anything less than the special treatment he or she believes is deserved.
• Even a slight disagreement can be perceived as a humiliation or rejection.
• The narcissist is constantly on the lookout for slights; is hypervigilant.
15. The self as world view—as an infant…
•Infants don’t give thought to the convenience of others.
•Are programmed to think only of their needs and wants.
•Are not programmed to think of the needs of others.
16. Why are we talking about this?
•70% of college students
•Score higher on narcissism and lower on
empathy than did the average student 30
years ago.
17. Causes for rising scores?
•More honest? Researchers don’t think so.
•Other assessment with robust lie scales also show
increase in narcissism and decline in empathy.
•Increased pressure to achieve and achieve where
beating others is required.
•Misguided “self-esteem movement”
18. Carte blanche esteem
• The current definition of self-esteem used by
educators and psychologists seems to be…
•Feeling good about oneself regardless of
social attributes.
19. What caused this rise in narcissism?
• Far less social pressure to demonstrate character than in past generations.
• Children who once would have been disciplined for spoiled behavior are
now allowed to dictate the dinner menu, or veto a family move.
20. When Success Leads to Failure—The Atlantic
• Are children sacrificing natural curiosity and love of learning
at the altar of achievement?
• Are we training our kids to measure progress by means of
points, scores, and awards versus learning?
• (And we don’t care how they achieve them.)
• Are we sending the message that intellect and achievement
are more important than character?
• Are we teaching them to fear failure?
• Fear of failure destroys the joy of learning!!
21. Probable causes
• Excessive praise fostering an unrealistic view of self
• Overindulgence and spoiling with the expectation of
continuance from others
• Failing to impose adequate discipline which prepares one
for maturity and adulthood
• Idealization of the child which sets unrealistic expectations
22. Free play versus “play dates”
•In free play children learn to control their own lives, solve their
own problems and deal effectively with fear and anger—
thereby protecting themselves from anxiety and depression.
•Learn how to win and lose!
•Free play expands options and creativity
•Free play overcomes narcissism, builds capacity for empathy.
23. In free play you can quit
• All kids have a biological drive to play with other children
• To keep fun going each child is motivated to keep the
others happy
• They must learn to listen to one another, understand one
another.
• If a child fails at understanding others, they will quit and
the child won’t be able to play.
25. By depriving children of opportunities to play on
their own away from adult supervision and control
• We are depriving them of opportunities to learn how to take control
of their own lives
26. We may think we are protecting them, but…
•we are diminishing their joy.
•preventing them from developing self- control
•preventing them from discovering what they
most love to do
•and increasing the odds they will suffer from
anxiety, depression, and other disorders.
27. Children in free play
•Are rarely effusive in praise for one another
•Have little tolerance for special treatment or demands
•They are highly skilled at deflating an exaggerated ego
28. Children who engage in free play
•Demonstrate more empathy
•More ability to take other’s perspective
•When play is added, these abilities increase and
children get along better with others.
29. Probable causes of narcissism
•The combination of indulgence and coldness
may be a potent brew for cultivating narcissistic
personality disorder.
30. Merriam-Webster
indulge
• To give free rein to…
• To yield to the desire of…
• To treat with excessive leniency
• To pamper, humor, spoil
• Implies excessive compliance and weakness
31. Subgroups of the family
• Executive
• --------------------------------------------------------------
• Parental
• -------------------------------------------------------------
• Sibling
32. The roots of narcissism
•Placing momentary emotional needs over the
feelings and wishes of others
•Failure to play by accepted rules of the game
•Selfish behavior which defies logic
33. Self esteem
•Psychoanalytic theory: narcissists actually have low
self-esteem and that their narcissism is just a cover.
•New research: narcissism actually correlates quite
positively with positive self image.
•Deep down inside, narcissists think they’re awesome!
•You cannot cure narcissism with greater self image.
34. School of hard knocks
(“Psychology of Victimhood,” 2003).
• “Psychotherapy sees many normal life events as trauma
rather than as character building experiences.
• This has political consequences.
• Individuals are freed from moral responsibility for what
they do or what happened to them and therefore are no
longer citizens, but patients or victims”
35. Most charming person in the room.
•Narcissists tend to be quite charming initially,
but once you get into the relationship you realize
your attempts to do something other than what
the narcissist wants are foiled.
36. Imperative clinical note!
• Narcissism thrives when people allow themselves to be
scape-goated for the narcissist’s bad behavior.
• It is a condition that appears in relationship and not in
isolation.
• It takes more than one person for this pattern of behavior
to continue.
37. Therapy goals: what you change
•is how people deal with NPDs, not
the narcissist.
38. The cheating narcissist research
•More likely to cheat on their partners
•Not very susceptible to guilt
•Tend to get a “thrill” from keeping their others guessing
•Like to feel in control of their relationships
•Simply feel entitled to things they want
39. Heterosexual women
• are attracted to male narcissists because they seem
powerful, special, and self-confident.
• Heterosexual men are attracted to female narcissists who
are strikingly beautiful or sexually appealing.
• It's only when narcissists begin to ignore their partner's
concerns and dismiss what their partner says that
narcissism becomes a source of relationship tensions.
40. What to do
• Do not take it personally.
• If someone you know talks with minimal listening, first
and foremost do not take it personally.
• Dismissing what you say as wrong or irrelevant says
more about that person than it does about you or what
you have said.
• Repeat what you said.
• Just as you would repeat, perhaps more loudly, what you were trying
to say to a hearing impaired person, find ways to repeat, tactfully,
the message that you were trying to communicate.
41. Treatment in a nutshell
•Respect
•Reality check
•Regulation of emotions
42. Your best therapeutic tool:
•The truth
•You can continue to believe in your own
entitlement…
•But you will not be happy!
43. Earn it to own it
• Entitlement is the feeling that we deserve something, whatever it
may be, regardless of what we may or may not have done to earn it.
• People’s lives become more meaningful when they have constructive
goals that make a difference for others.
44. Compassion requires us
• To grow up
• To step out of self-as-context
• To have clear boundaries
• To be curious about others’ experience
• To imagine yourself as the other
• To understand others enough to determine their needs
45. Daniel Goleman
• A ‘reparative relationship’ can be very beneficial in
personality disordered individuals.
• True self esteem includes a deep-down self
acceptance which includes one’s flaws.
Do we want kids with straight A’s but hate learning?
Narcissistic patients try to sustain an image of perfection and personal invincibility for themselves and attempt to project that impression to others as well.