The False Self: A Tragic Survival Strategy
Heal NPD22 Des 2024

The False Self: A Tragic Survival Strategy

In this episode, Dr. Ettensohn explores the insights of Alice Miller regarding emotional abandonment and narcissistic use of the child, focusing on how these early dynamics shape pathological narcissism and Narcissistic Personality Disorder (NPD).

Drawing from Miller’s groundbreaking work, Dr. Ettensohn examines how a child growing up in a narcissogenic environment learns to adapt by creating a false self—a facade designed to secure love and avoid rejection in a world where their authentic self is not welcome.

The episode explores the function of grandiosity as a defense mechanism—an unconscious strategy to deny the pain of unmet emotional needs—and its counterpart, depression (narcissistic vulnerability), which turns the pain inward. Both defenses serve to protect the individual from confronting a devastating loss: the realization that the love and support they needed was not available.

The episode offers a compassionate exploration of how this tragic loss gives rise to the false self, a defense that becomes both a survival strategy and a prison. Through relatable metaphors and clinical insight, Dr. Ettensohn describes the psychological toll of living behind this mask and the challenges of reconnecting with the buried authentic self.

Though the loss cannot be undone, healing is possible. By grieving the past and clearing away the defenses, it is possible to rediscover the vibrant, authentic self that has always been there, waiting to emerge.

References:

Miller, A. (1979) Depression and Grandiosity as Related Forms of Narcissistic Disturbances. International Review of Psychoanalysis 6:61-76

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Episoder(62)

The Birth of Sorrow | Part 3: Conflict and Defense In Neurotic-Level Narcissism

The Birth of Sorrow | Part 3: Conflict and Defense In Neurotic-Level Narcissism

This is the third part of a three-part exploration of narcissistic personality style at the neurotic level of personality organization. In this episode, Dr. Ettensohn examines the defensive architectu...

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Internal Absence: Emptiness in NPD

Internal Absence: Emptiness in NPD

Dr. Mark Ettensohn examines the experience of emptiness in narcissistic personality disorder and other forms of personality pathology. Rather than approaching personality disorders as collections of t...

26 Mai 15min

Living with Pathological Narcissism: What Loved Ones Reveal

Living with Pathological Narcissism: What Loved Ones Reveal

This episode continues the Heal NPD Seminar Series with Dr. Mark Ettensohn, joined by his associates Deanna Young, Psy.D., and Danté Spencer, Ph.D. In this session, the group discusses the paper “Livi...

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The DSM's New Model of Personality Disorders: The Good, The Bad, and What's Missing

The DSM's New Model of Personality Disorders: The Good, The Bad, and What's Missing

This episode continues the Heal NPD Seminar Series with Dr. Mark Ettensohn, joined by his associates Deanna Young, Psy.D., and Danté Spencer, Ph.D. In this session, the group examines the Alternative ...

26 Mai 58min

Narcissism Is Not a Moral Category

Narcissism Is Not a Moral Category

Dr. Mark Ettensohn examines a growing tendency in public discourse to treat narcissism as a moral category rather than as a psychological construct.   The episode explores why this shift occurs and h...

26 Mai 13min

Accountability Without Dehumanization

Accountability Without Dehumanization

Dr. Mark Ettensohn addresses a question that frequently arises in discussions of narcissism and abuse: Is it possible to maintain accountability without dehumanizing? Can someone preserve firm boundar...

26 Mai 15min

2025 Study: Narcissism Does Not Predict Abuse

2025 Study: Narcissism Does Not Predict Abuse

This episode continues the Heal NPD Seminar Series with Dr. Mark Ettensohn, joined by his associates Deanna Young, Psy.D., and Danté Spencer, M.A. In this session, the group examines a recent empiric...

26 Mai 53min

The Ethics of Narc-Abuse Content: Why 'It Helps' Isn't Enough

The Ethics of Narc-Abuse Content: Why 'It Helps' Isn't Enough

In this episode, Dr. Mark Ettensohn examines a common defense of online “narcissistic abuse” content: the claim that, even if imperfect or inaccurate, it ultimately helps people leave harmful relation...

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