Brighton and Hove Psychotherapy

Online Therapy
01273 921 355
  • Home
  • Therapy Services
    • Fees
    • How Psychotherapy Works
    • Who is it for?
    • Individual Therapy
    • Child Therapy
    • Couples Therapy
    • Marriage Counselling
    • Family Therapy
    • Group Psychotherapy
    • Corporate Counselling and Therapy Services
    • Clinical Supervision
    • FAQs
  • Types of Therapy
    • Acceptance Commitment Therapy
    • Analytic Psychotherapy
    • Body Psychotherapy
    • Clinical Psychology
    • Cognitive Behaviour Therapy
    • Compassion Focused Therapy
    • Coronavirus (Covid-19) Counselling
    • Dialectical Behaviour Therapy
    • EMDR
    • Existential Psychotherapy
    • Gestalt Psychotherapy
    • Group Analytic Psychotherapy
    • Integrative Psychotherapy
    • IPT – Interpersonal Psychotherapy
    • Online Therapy
    • Psychoanalytic Child & Adolescent Psychotherapy
    • Systemic Psychotherapy
    • Transactional Analysis
    • Trauma Psychotherapy
  • Types of Issues
    • Abuse
    • Addiction
      • Gambling addiction
      • Porn Addiction
    • Affairs
    • Anger Management
    • Anxiety
    • Bereavement Counselling
    • Coronavirus Induced Mental Health Issues
    • Cross Cultural Issues
    • Depression
    • Family Issues
    • LGBT+ Issues
    • Low Self-Esteem
    • Relationship Issues
    • Sexual Issues
    • Stress
  • Online Therapy
    • Online Anger Management Therapy
    • Online Anxiety Counselling
    • Online Bereavement Therapy
    • Online Depression Psychotherapy
    • Online Relationship Therapy
  • Our Practitioners
    • Practitioner Search
  • Work with us
  • Blog
    • Ageing
    • Attachment
    • Child Development
    • Families
    • Gender
    • Groups
    • Loss
    • Mental Health
    • Neuroscience
    • Parenting
    • Psychotherapy
    • Relationships
    • Resources
    • Sexuality
    • Sleep
    • Society
    • Spirituality
    • Work
  • Contact Us
    • Contact Us – Brighton & Hove Practice
    • Contact Us – Lewes Practice
    • Contact Us – Online Therapy
    • Privacy Policy

January 9, 2017 by Brighton & Hove Psychotherapy Leave a Comment

What is narcissism?

Narcissism is a Freudian term that has become perhaps more ubiquitous in the social lexicon than any other derived from psychoanalysis.

It is a term that seems to define a generation in the eyes of the media – the Millennials, and one that we use disparagingly to describe celebrities before following them via social media, emulating them or electing them to the highest public office.

Narcissism in psychotherapy

In psychotherapy, narcissism is on a continuum from healthy to pathological. For example, it is entirely possible for a client or patient to lack enough healthy narcissism, in which case, the work is to strengthen their ego accordingly.

The sort of folk who get labelled as ‘narcissists’ – those who crave celebrity status, fame and live up to legend in seeking their reflection in the mirror that is society – rarely presents themselves for therapy. After all, why would they? They don’t have a problem – the problem is everyone else!

When we psychotherapists talk about narcissism and narcissistic defences and structures, it is rarely these people we are referring to. So how can we better understand narcissism as it presents in psychotherapy treatment?

Face to Face and Online Therapy Help Available Now

Click Here to Enquire

Facebooktwitter

What causes unhealthy narcissism?

Unhealthy narcissism is a defence.  Generally, it comes about through the young infant learning through relational patterns with his or her caregivers that he or she cannot rely on them, leading to a ‘turning away’. This turning away marks the beginning of a defensive structure built around self-sufficiency. However, this is not a self-sufficiency born out of healthy confidence, but one born out of emotional neglect.

Narcissistic structures are often well hidden in clients and patients and difficult to treat. Narcissistic patients and clients tend to treat all relationships, the therapeutic one included, as things that are there to be used and thus discarded when no longer of use. Relationships (in the truest sense of the word) are threatening at a core level to people who rely on narcissistic defences, as any true relating will open them up to a whole host of unbearable feelings and mental pain. The latter lies at the crux of the function of the narcissistic defence; the inability to cope with, endure and make sense of mental pain.

Is working with clients and patients exhibiting narcissistic defences a lost cause? Not if they willingly enter the therapy room and not if they are able to think about their vulnerable side and how they needed to develop a disdain for this part of themselves in order to survive. Without a doubt though, it will be a lively journey, because as the charming, likeable and self-sufficient façade starts to crack, rage, envy and mental pain will emerge and present themselves in the therapeutic relationship. This is often where the therapy can end, as the therapist is unable or unwilling to engage with the enactments that invariably will play out. If, however, these can be worked through, then there is genuine hope.

Mark Vahrmeyer is a UKCP Registered psychotherapist working in private practice in Hove and Lewes, East Sussex.  He is trained in relational psychotherapy and uses an integrative approach of psychodynamic, attachment and body psychotherapy to facilitate change with clients.

small-pdf-icon

Click here to view and download a full PDF of this blog post.

 

Click here to listen to our podcast on this post. 

Facebooktwitter

Filed Under: Attachment, Mark Vahrmeyer, Psychotherapy Tagged With: attachment, Narcissism, Psychotherapy, therapeutic relationship

Leave a Reply Cancel reply

Your email address will not be published. Required fields are marked *

This site uses Akismet to reduce spam. Learn how your comment data is processed.

Find your practitioner

loader
Wordpress Meta Data and Taxonomies Filter

Locations -

  • Brighton
  • Lewes
  • Online
loader
loader
loader
loader
loader

Search for your practitioner by location

Brighton
Lewes

Therapy services +

Therapy services: 

Therapy types

Therapy types: 

Our Practitioners

  • Mark Vahrmeyer
  • Sam Jahara
  • Gerry Gilmartin
  • Dr Simon Cassar
  • Claire Barnes
  • David Work
  • Angela Rogers
  • Magdalena Whitehouse
  • Dorothea Beech
  • Paul Salvage
  • Susanna Petitpierre
  • Sharon Spindler
  • Michael Reeves
  • Kevin Collins
  • Rebecca Mead
  • Dr John Burns
  • Dr Laura Tinkl

Work with us

Find out more….

Subscribe to our Newsletter

Copyright © 2021 – Brighton And Hove Psychotherapy – Privacy Policy
6 The Drive, Hove , East Sussex, BN3 3JA.

COVID-19 (CORONAVIRUS) Important Notice

We would like to reassure all our clients that Brighton and Hove Psychotherapy is operating as normal despite the current situation.

Our working practices have fully incorporated online therapy in addition to a re-opening of our Hove and Lewes practices for face-to-face psychotherapy in accordance with Government guidelines and advice on safe practice and social distancing.