My Problem with 'Narcissistic Abuse'

Dr. Mark Ettensohn examines the concept of “narcissistic abuse” and explains why he no longer considers it a coherent psychological construct. Using the comment from a viewer as a starting point, the discussion explores a common misconception: that skepticism toward the concept of narcissistic abuse reflects a lack of empathy for victims. Dr. Ettensohn argues that his concern is not with the reality of abuse or the suffering of those who experience it, but with the explanatory framework that has developed around the term. The episode examines the concept through the lens of construct validity, asking what psychological phenomenon the term actually refers to and whether it identifies a distinct form of abuse beyond categories that are already well established in psychology. The discussion considers the problems of operationalization, the distinction between observation and inference, and why labeling abuse according to the presumed diagnosis of the perpetrator differs from defining abuse by the harm it causes. Dr. Ettensohn also revisits his own earlier use of the term, explaining how his thinking has evolved over time. He distinguishes between psychoanalytic concepts such as narcissistic injury and the contemporary online usage of “narcissistic abuse,” arguing that these represent fundamentally different theoretical models. Finally, the episode explores how explanatory frameworks shape memory and interpretation, and why concepts that incorporate assumptions about another person’s motivations or diagnosis may become difficult to evaluate critically. Throughout, the discussion argues for greater conceptual precision in psychology while emphasizing that questioning a psychological construct is not the same as questioning the reality of abuse. Additional Resources Website: https://healnpd.org Newsletter: https://healnpd.substack.com Purchase Unmasking Narcissism: A Guide to Understanding the Narcissist in Your Life: https://amzn.to/3nG9FgH LISTEN ON APPLE PODCASTS: https://rb.gy/cklpum LISTEN ON GOOGLE PODCASTS: https://rb.gy/fotpca LISTEN ON AMAZON MUSIC: https://rb.gy/g4yzh8 About Heal NPD Heal NPD is a clinical practice specializing in the assessment and treatment of pathological narcissism, narcissistic personality disorder, and related personality difficulties. We offer comprehensive diagnostic assessments, individual psychotherapy, and consultations for partners and family members. Learn more or inquire about services: https://healnpd.org