Navigating Narcissism with Courage and Empathy – Clinical Tools and Techniques
Wendy Behary was thirty years into learning this work with Jeffrey Young when she noticed what was happening to her in the room. She was apologising. Giving in to criticism. Explaining herself. Agreeing when she did not agree. Not setting limits. All the things that do not work with this client group, and she was doing them from something close to a five year old state.
Her position is that nothing activates a therapist’s own schemas like someone on the narcissism spectrum, and that this is not incidental. It is the reason so much treatment with this group fails. So the course spends real time on what she calls a sturdy self in the chair, on the basis that the techniques will not hold if you cannot stay in your own skin while you use them.
Six hours from schema therapy. She maps narcissism onto the early maladaptive schemas that usually sit under it, including mistrust and emotional deprivation, and shows why a client who has only ever been loved conditionally reacts to your warmth with suspicion. Then the central tool, empathic confrontation, which is how you hold a limit and stay connected at the same time without it becoming a power struggle. She is firm that this is a long piece of work rather than a short protocol, and equally firm that it is possible. She also covers the partners and family members, who are often the ones actually in your room.
You’ll walk away with
- Empathic confrontation as a working technique: holding a limit, keeping leverage, and staying connected without sliding into a power struggle
- A schema therapy conceptualisation of narcissism you can build a treatment plan on, rather than a symptom list you can only recognise
- Why warmth so often triggers suspicion in these clients, traced back to conditional love and the child who was valued for performance
- The narcissism spectrum, including the covert or vulnerable presentation and what changes in the room when that is what you are dealing with
- Your own activation named honestly: the giving in, the avoiding, the competing, and the quieter forms like cancelling sessions or referring on
- Building a sturdy self in the chair, including preparing and rehearsing before sessions rather than improvising when you are already triggered
- Coping modes replaced with healthier ones through moment-to-moment work in the therapy relationship rather than through explanation
- Customised dialogue that reaches vulnerability and emotion in a client who has decided that emotion is weakness and a waste of time
- Realistic expectations about length of treatment, so you are not measuring this work against a twenty session model it was never going to meet
- Work with offended partners: rebuilding a voice of advocacy, setting limits, and using reasonable consequences as the leverage that brings a narcissistic client into treatment at all
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CPD Information For Mental Health Professionals
Enjoy complete flexibility with 100% self-paced learning you can access anytime, anywhere, and on any device. This course is included with your Tatra Training membership, along with every other course in the library.
Course Duration: 6 learning hours
Certificate and CPD hours: On completion you’ll receive a Certificate of Completion to support your CPD records. Your certificates are yours to keep.
Assessment: Complete a short quiz at the end (80% pass mark), which you can resit as many times as needed.
Revisit Anytime: Come back to the course as often as you like while your membership is active, whenever you want a refresher for practice.
CPD Eligibility: This program may be suitable for CPD for professionals such as:
- Psychologists
- Counsellors and Psychotherapists
- Social Workers
- Community Workers
- Mental Health Nurses
- General Practitioners (GPs)
- Occupational Therapists
CPD requirements vary between professional bodies, so please check with your association or credentialing body to confirm you can claim CPD hours/OPD points for this program and what evidence they require.
Course Content
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This course includes:
- Lessons 5
- Topics 0
- Duration 6 hours
- Quizzes 1
- Language English