Dr Gwen Adshead discussing pathological narcissism treatment.
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Pathological Narcissism Treatment – Insights from Dr Gwen Adshead

Dr Gwen Adshead, a Consultant Forensic Psychiatrist and psychotherapist, presented the workshop “The Deluded Self: Pathological Narcissism, Psychopathology and Approaches to Treatment.” With over 20 years of experience working in secure settings such as prisons and hospitals, Dr Adshead is also a group therapist trained in mindfulness-based cognitive therapy. She has published over 100 books, book chapters, and papers. Her book for a general audience, “The Devil You Know,” co-written with Eileen Horne, was published by Faber in 2021.

This workshop provided valuable insights into pathological narcissism treatment, based on decades of experience in secure clinical settings.

Her extensive experience makes her an expert in various subjects, including pathological narcissism, psychopathology, and treatment approaches. Narcissism is a complex concept that is often misunderstood. It refers to disorders of self-experience that lead to relationship problems, highlighting the fundamentally relational nature of this phenomenon. People commonly use the term to describe those they dislike, although the term has a much deeper and more nuanced meaning, especially when discussing pathological narcissism. Her insights offer a unique perspective on pathological narcissism treatment.

Key Points from Dr Gwen Adshead’s Workshop

1. Understanding Narcissism: Patterns and Treatment Implications

  • People often characterize narcissism by an exaggerated sense of self-importance and a need for admiration. It is often displayed through a distorted self-perception and a sense of entitlement, where narcissists view others as competitors, constantly measuring their self-worth in relational dynamics.
  • The term originates from the myth of Narcissus, a tragic tale of a man who fell in love with his reflection.
  • Narcissism is not a simple division between narcissists and non-narcissists. Instead, it exists on a continuum, influenced by an individual’s ability to navigate relationships and manage power disparities.
  • Early psychological theories, such as Freud’s, saw narcissism as a normal stage of development. In contrast, later theories by Kohut and Kernberg highlighted it as a consequence of loss and neglect, offering a more nuanced perspective.

2. Research and Perspectives on Narcissism

  • Researchers explore narcissism from different perspectives. Clinically, it is seen as a pathology; in other contexts, it is considered a personality trait.
  • Understanding the difference between ‘normal’ narcissism (which can benefit social functioning) and pathological narcissism is crucial.
  • Gender plays a role in how narcissism is expressed. In men, it may manifest as arrogance and a desire for power, while in women, it may appear as victimisation, with others viewed as threats.

3. Origins of Narcissistic Behavior and Treatment Needs

  • Attachment patterns in childhood significantly impact the development of narcissism. A secure attachment fosters trust, while an insecure attachment may lead to narcissistic dynamics.
  • Understanding these causes can inform more effective pathological narcissism treatment strategies.
  • During adolescence, individuals develop a sense of self, both personally and socially. Secure attachments promote better relationship integration, while developmental damage can result in vulnerable narcissism.

4. Effective Pathological Narcissism Treatment Approaches

  • Treating narcissistic disorders is challenging because individuals with narcissistic traits often struggle to confront their vulnerability.
  • Effective treatment methods include individual therapy and support groups that help raise awareness and provide emotional support.
  • Accurately assessing relationship history and life experiences is crucial to tailoring interventions.
  • Those with Narcissistic Personality Disorder (NPD) may seek help due to relationship breakdowns, anxiety, or depression. It is essential to distinguish narcissistic symptoms from other underlying issues.

Conclusion

Narcissism is a multifaceted phenomenon that requires a deep understanding of human relationships. Recognising and treating narcissism is vital not only for those affected but also for those around them. It is best viewed as a disorder of the social self, where relational problems are central. Addressing these issues can promote better psychological health and foster healthier interpersonal relationships.

Willingness offers a wide range of CPD (Continuing Professional Development) trainings and workshops that provide invaluable education to various professionals, the Willingness Team, and the broader public.

View all upcoming Willingness Workshops here.

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