Pathological Narcissism: Effective Treatment with Mentalization-Based Therapy (MBT)

Video Description

00:00:00 - Introduction: Mentalization-Based Treatment for Narcissistic Personality Disorder 00:01:20 - Meet the Team 00:03:20 - The History and Development of MBT for Narcissism 00:06:06 - What Is Narcissistic Personality Disorder? Grandiose vs Vulnerable Types 00:08:32 - Entitlement, Antagonism, and Core Features of Narcissism 00:10:09 - Narcissism and Overlap with Antisocial Traits 00:11:30 - The Role of Envy in Narcissistic Pathology 00:13:39 - Emotional Awareness Deficits and Alexithymia in Narcissism 00:16:20 - Building an Internal Emotional Vocabulary 00:18:47 - Fragility of Alliance Formation in Narcissistic Patients 00:21:19 - Deepening the Self-Experience Before Mentalizing Others 00:24:17 - Overconfidence in Perspective-Taking and Certainty Problems 00:27:39 - Working Through Narcissistic Rigidity in Therapy 00:31:00 - Managing Certainty Without Direct Confrontation 00:34:33 - MBT vs Transference-Focused Psychotherapy 00:38:50 - Taking Responsibility for the Therapist’s Role in Ruptures 00:43:00 - Managing Therapist Countertransference and Narcissistic Injury 00:46:17 - Handling Externalization of Blame in Narcissistic Patients 00:49:40 - Teleological Self-Esteem and Decompensation After Failures 00:53:18 - Exploring the Fragility of Self After Achievement Loss 00:56:54 - Diagnosing Narcissistic Personality 01:00:10 - Using Formulations to Target Mentalizing and Self-Esteem Triggers 01:04:00 - Exploring Rejection and Core Shame in Narcissism 01:08:00 - Finding the Emotional Core Behind Rage 01:11:30 - Formulating Problems in Self-Esteem for Therapeutic Focus 01:14:35 - Differences in Treating Narcissism vs Antisocial Psychopathy 01:18:00 - Empathy Deficits: Contextual vs Categorical Differences 01:22:00 - Final Reflections: Human Vulnerability and Healing Narcissistic Wounds Pathological narcissism is often misunderstood, but with the right therapeutic approach, meaningful change is possible. In this video, Dr. David Puder is joined by leading experts Anthony Bateman, Brandon Unruh, and Robert Drozek to explore the transformative power of Mentalization-Based Therapy (MBT) in treating Narcissistic Personality Disorder. Discover practical strategies to enhance emotional regulation, reflective functioning, and empathy in individuals struggling with narcissistic traits. This deep dive into MBT offers valuable insights for clinicians, mental health professionals, and anyone interested in understanding complex personality disorders. Don't miss this chance to learn how MBT can help foster healthier relationships and self-awareness. Link to Blog: https://www.psychiatrypodcast.com/psychiatry-psychotherapy-podcast/episode-227-narcissism-mentalization-based-treatment-effective-strategies By listening to this episode, you can earn 1.75 Psychiatry CME Credits: https://www.psychiatrypodcast.com/cme-program