Personality Couch

Antisocial vs Narcissistic Personality | What's the Difference? | Ep. 54 🎬In this episode of the Personality Couch Podcast, we (licensed clinical psychologists Doc Bok and Doc Fish) explore the distinctions between antisocial personality and narcissistic personality by analyzing DSM diagnoses, Stones' Spectrum of Dark Personalities, and subtypes from Dr. Theodore Millon like: Reputation-Defending Devious, Exploitative Egotist,  and the Unprincipled Narcissist.  ⚠️Note: this podcast does not constitute a professional relationship. If you're in need of professional help, please seek out appropriate resources in your area. ⚠️ Chapters 00:00 Introduction and Definitions          00:32 Narcissism Defined         02:10 Antisocial Defined 02:25 Antisocial Behaviors: Psychoanalysis of Ourselves 07:53 Antisocial Developmental Stage 09:11 Narcissistic Developmental Stage 10:37 The DSM on Antisocial vs Narcissistic PDs 12:27 Passive Parasitic vs Aggressive Antisocial Types 13:17 Michael Stone’s Spectrum of Dark Personalities 13:43 Malignant Narcissism Defined 15:31 Active vs Passive Entitlement 16:14 Millon’s Theory: ASPD vs NPD 21:55 Millon’s Subtypes         22:21 Reputation Defending Devious          23:07 Exploitative Egoist         24:13 Unprincipled Narcissist 25:40: Our Thoughts & Opinions 31:28 Ego Cookies in Narci vs Antisocial 31:56 Summary & Conclusion 👩‍⚕️Work With Us!  https://www.questpsych.org/  Personality Couch Links 🛋️Website https://www.personalitycouch.com/ ✍️Blog (& Podcast Episode References) https://personalitycouch.com/blog/antisocial-personality-vs-psychopathy/

🎬In this episode of the Personality Couch Podcast, we (licensed clinical psychologists Doc Bok and Doc Fish) explore the complex distinctions between antisocial personality and psychopathy, delving into historical terminology, key theories, and nuanced subtypes. This episode offers a deep dive into dark personality traits and how they differ. ⚠️Note: this podcast does not constitute a professional relationship. If you're in need of professional help, please seek out appropriate resources in your area. ⚠️ Chapters 00:00 Intro & History of Antisocial vs Psychopathy         00:36 Psychopath and Sociopath Defined         01:54 Cleckley’s Mask of Sanity 03:21 Psychodynamic Theory on Psychopathy vs Antisocial 04:17 The DSM on Psychopathy vs Antisocial 04:35 Michael Stone’s Negative Personality Spectrum          05:15 Level 1: Negative Personalities          05:41 Level 2: Narcissistic & Paranoid Personality Disorders          07:10 Level 3: Malignant Narcissism          08:43 Level 4: Antisocial Personality Disorder          09:28 Level 5: Psychopathy          10:20 Level 6: Sadistic Personality 12:32 Robert Hare's Psychopathy Checklist 13:54 Hare’s Psychopathy Checklist vs DSM Antisocial  17:20 Millon’s Theory on Psychopathy          19:30 Spineless Psychopath          19:43 Unprincipled Psychopath (Narcissistic Core)           19:51 Disingenuous Psychopath (Histrionic Core)          21:13 Risk-Taking Psychopath (Histrionic & Antisocial Features)          21:26 Covetous Psychopath (Antisocial Core)          21:57 Malignant Psychopath (Paranoid Core)          22:10 Abrasive Psychopath (Negativistic & Paranoid Features)          22:21 Explosive Psychopath (Sadistic Core, Borderline Features)          22:58 Malevolent Psychopath (Paranoid & Sadistic Features)          23:34 Tyrannical Psychopath (Negativistic & Sadistic Features) 24:19 Our Thoughts 27:14 Summary & Conclusion

🎬In this episode of the Personality Couch Podcast, we (licensed clinical psychologists Doc Bok and Doc Fish) unpack the passive-parasitic and aggressive subtypes from history before jumping into Dr. Theodore Millon’s 6 subtypes. At the mild level, we look at: the Covetously Aggrandizing & Disaffected Aggrandizing Antisocials. At the moderate level, we explore the Risk-Taking Devious and Reputation-Defending Devious Antisocials. At the severe/disordered level, we discuss the Nomadic & Malevolent Antisocial Subtypes. We end with our thoughts and opinions about the line for disorder and explain why the antisocial personality is so challenging to understand.  ⚠️Note: this podcast does not constitute a professional relationship. If you're in need of professional help, please seek out appropriate resources in your area. ⚠️ Chapters 0:00 Intro to Antisocial’s Historical Names 02:16 Are antisocials born or made (psychopath vs sociopath)?  03:14 Passive-parasitic and Aggressive Antisocials 04:32 What is a Normal Antisocial Personality?           04:40 The Adventurer           05:45 The Unconventional Antisocial   08:28 Intro to Millon’s 6 Subtypes 08:48 Mild Level: Aggrandizing Antisocial           09:59 Does Dominance Fill an Inner Void?           10:52 The Covetously Aggrandizing Antisocial            11:22 Criminal Behavior at the Mild Level           15:11 The Disaffected Aggrandizing Antisocial           17:06 Proneness to Addiction           18:11 Proneness to Infidelity           19:02 Contrasting the Mild Types 20:25 Moderate Level: The Devious Antisocial           21:39 Risk-Taking Devious (Histrionic & Turbulent Features)           25:56 Reputation-Defending Antisocial (Narcissistic & Sadistic Features)           27:24 Proneness to Criminal Behavior            28:02 Relationship & Work Challenges           29:17 What Are They Defending? 31:17 Severe Level: Antisocial Personality Disorder           31:45 Nomadic Antisocial (Schizoid & Avoidant Features)           33:18 Doom & Invincibility Focus           36:54 Malevolent Antisocial (Sadistic & Paranoid Features) 41:49 Our Thoughts & Opinions 43:46 Summary & Conclusion

🎬In this episode of the Personality Couch Podcast, we (licensed clinical psychologists Doc Bok and Doc Fish) dive deep into the complex inner world of antisocial personality disorder, challenging the traditional DSM view and exploring psychoanalytic theory to uncover the internal processes behind antisocial behaviors. This episode is essential for clinicians, students, and anyone interested in understanding the motivations and defenses of antisocial individuals. ⚠️Note: this podcast does not constitute a professional relationship. If you're in need of professional help, please seek out appropriate resources in your area. ⚠️ Chapters 00:00 Intro & Limitations of Antisocial in DSM 02:48 Causes of Antisocial Personality      03:30 Genetic Studies      05:21 Environmental Studies 07:34 Attachment & Antisocial Personality 12:23 Inside the Antisocial’s Psyche:       12:29 Depression & Emptiness      14:55 Shame & Self-Importance 17:09 Defense Mechanisms in the Antisocial      17:42 Omnipotent Control      20:54 Projective Identification      21:49 Dissociation       23:26 Acting Out  26:34 Biological & Neuropsychological Processes of Antisocials  28:37 Perverse & Distorted Sexuality in Antisocials 30:07 Summary & Conclusion

In this episode of the Personality Couch Podcast, we (licensed clinical psychologists Doc Bok and Doc Fish) unpack some of our difficulties understanding antisocial personality disorder in how it combines psychology, morality, philosophy, and societal judgment. We focus on: where’s the line for disorder; how can we diagnose without judgment; and what does this personality look like when it’s not disordered? We pull from historical examples of antisocial types in specialized roles and also hypothesize that America might have transitioned from a narcissistic nation to an antisocial one.  🆘In need of psychodynamic therapy or a psychological evaluation? OR are you a provider stuck on a tricky case? To schedule with us, please visit the practice website and fill out the inquiry form! 👉https://www.questpsych.org. Clinicians use the email listed on the website.   Chapters 00:00 Introduction to Antisocial Personality & DSM Problems 02:46 Antisocial Personality Defined in the PDM 07:02 Where’s the Disorder Line? 17:29 Other Dark & Criminal Personalities 21:08 Morality & Antisocial Traits in Specialized Professions 23:37 Are We An Antisocial Society in America? 30:43 Are Antisocials Treatable? 34:37 Holding Empathy & Accountability for Antisocials 40:00 Closing Quote

In this episode of the Personality Couch Podcast, we (licensed clinical psychologists Doc Bok and Doc Fish) begin our much-awaited series on antisocial personality disorder! In the DSM, antisocial personality is the only diagnosis that includes law-breaking as a criterion. But surely all criminals can’t have the same personality, right? In this episode, we break down its stigmatized history while sharing our thoughts and opinions about the DSM’s limitations. We take a critical look at each of the DSM’s 7 criteria, while also discussing the overlap with other disorders like narcissism, psychopathy, and the sadistic personality.  🆘In need of psychodynamic therapy or a psychological evaluation? OR are you a provider stuck on a tricky case? To schedule with us, please visit the practice website and fill out the inquiry form! 👉https://www.questpsych.org. Clinicians use the email listed on the website.   Chapters 00:00 Introduction & History of Antisocial Personality Disorder 05:21 DSM Criteria for Antisocial Personality Disorder      07:06: Criterion 1: Unlawful Behavior      09:32: Criterion 2: Deceitfulness & Manipulation        12:49 Criterion 3: Impulsivity       15:27 Criterion 4: Irritability & Aggression      16:21 Criterion 5: Disregard for Safety      17:44 Criterion 6: Irresponsibility        20:08 Criterion 7: Lack of Remorse 21:42 Antisocial Personality & Aging 25:05 Our Critiques & Thoughts 

In this episode of the Personality Couch Podcast, we (licensed clinical psychologists Doc Bok and Doc Fish) unpack attachment and its relationship with avoidant personality disorder. We explore the four main attachment styles: secure, anxious, avoidant, and disorganized, discussing how these styles manifest in adult relationships. We highlight the nuances of avoidant personality disorder, suggesting that individuals may present as avoidantly attached but have underlying anxious tendencies. We end by discussing some interesting research on adult attachment and coregulation with a partner, suggesting that attachment is fluid and can change depending on the relationship homeostasis.  🆘In need of psychodynamic therapy or a psychological evaluation? OR are you a provider stuck on a tricky case? To schedule with us, please visit the practice website and fill out the inquiry form! 👉https://www.questpsych.org. Clinicians use the email listed on the website.   Chapters 00:00 Intro to Attachment & Attachment Styles 05:15 Secure Attachment 06:08 Anxious Attachment 09:08 Avoidant Attachment 13:09 Disorganized Attachment  14:38 Attachment in Adulthood  16:54 Avoidant Personality Disorder and Attachment Dynamics 22:22 Summary & Conclusion

In this episode of the Personality Couch Podcast, we (licensed clinical psychologists Doc Bok and Doc Fish) dive into Avoidant Personality Disorder, exploring Dr. Theodore Millon's six subtypes. We discuss a few interesting historical names before jumping into the characteristics of mild (Anxiously & Imaginatively shy); moderate (Hypersensitively & Phobicly Reticent); and severe (Conflicted & Self-Deserting) subtypes. Our conversation also critiques Millon's work, questioning the distinctiveness of avoidant traits compared to other personality disorders, and we invite listeners/viewers to share their thoughts and opinions. 🆘In need of psychodynamic therapy or a psychological evaluation? OR are you a provider stuck on a tricky case? To schedule with us, please visit the practice website and fill out the inquiry form! 👉https://www.questpsych.org. Clinicians use the email listed on the website.   Chapters 00:00 Introduction & Historical Names 05:18 Millon's Six Subtypes of Avoidant Personality 5:38 Mild Type Overview       6:44 Anxiously Shy Type       9:14 Imaginatively Shy Type 12:05 Moderate Level Overview       12:28 Hypersensitively Reticent Type       14:31 Phobicly Reticent Type 16:55 Severe Level Overview       17:29 Conflicted Avoidant Type       19:40 Self-Deserting Avoidant Type 22:21 Our Opinions About the Subtypes 26:14 Summary & Conclusion

In this episode of the Personality Couch Podcast, licensed clinical psychologist Doc Bok unpacks the historical context of Avoidant Personality Disorder (APD), exploring the ongoing debate about its classification in the DSM. This episode discusses the contributions of Theodore Millon, the controversies that arose during the introduction of APD, and the implications of trauma and sociopolitical culture on personality development. The episode concludes with proposing alternative classification systems, including the Enneagram, the psychodynamic phobic character, and avoidant personality as a problematic trait versus a disorder.  🆘In need of psychodynamic therapy or a psychological evaluation? OR are you a provider stuck on a tricky case? To schedule with us, please visit the practice website and fill out the inquiry form! 👉https://www.questpsych.org. Clinicians use the email listed on the website.   Chapters 00:00 Introduction to Avoidant Personality Disorder 02:32 Millon, the DSM, and Controversy  05:47 The 1960s & Personality Development 09:37 Avoidant Traits, Trauma, & Alternative Views 18:08 Summary & Conclusion

In this episode of the Personality Couch Podcast, we (licensed clinical psychologists Doc Bok and Doc Fish) unpack the DSM’s Avoidant Personality Disorder (AvPd), exploring its hotly debated history, the DSM criteria, and its overlap with social anxiety. We discuss the developmental aspects of AvPd, the challenges of low self-esteem with this disorder, and how it can cause problems in employment. We end with our own unfiltered thoughts on whether or not we think it should be a diagnosis, questioning the zeitgeist in which it was coined, the lack of historical research, and its overlap with multiple other personality disorders.   🆘In need of psychodynamic therapy or a psychological evaluation? OR are you a provider stuck on a tricky case? To schedule with us, please visit the practice website and fill out the inquiry form! 👉https://www.questpsych.org/ (Clinicians use the email listed on the website.) Chapters 00:00 Intro, History, & Controversy 03:42 Avoidant Personality Disorder: DSM        05:41 Social Inhibition and Fear of Criticism        08:14 Intimacy Issues and Fantasy         10:41 Self-Perception and Feelings of Inadequacy        14:49 Taking Risks and Employment Issues 17:09 Developmental Implications of Avoidant Personality 19:04 Avoidant Personality vs Social Anxiety 24:29 Unfiltered Thoughts on Avoidant Personality Disorder 35:10 Summary & Conclusion

In this episode of the Personality Couch Podcast, we (licensed clinical psychologists Doc Bok and Doc Fish) explore the 3 most unstable personality disorders: schizotypal, borderline, and paranoid. All 3 types are at risk of psychosis. We first discuss historical personality classifications of neurotic, psychotic, and borderline, highlighting that the borderline space between neurotic and psychotic is the most prone to instability. This borderline space is where schizotypal, borderline, and paranoid personalities sit. We discuss the risky traits of each personality, including cognitive slippage, emotional instability, and extreme rigidity. We also discuss some of our thoughts and experiences in diagnosing these rather tricky disorders! 🆘Are you a clinician stuck on a case? To schedule a consultation, please visit the practice website! 👉https://www.questpsych.org/ Chapters 00:00 Intro & Psychodynamic Personality Organization       02:31 Neurotic Personality Organization       04:47 Psychotic Personality Organization       05:48 Borderline Personality Organization 07:57 Schizotypal Personality & Instability       08:57 Why Personalities Are Unstable (according to Millon)       13:55 Personalities that Coexist with Schizotypal 16:30 Borderline Personality & Instability       21:16 Personalities that Coexist with Borderline  23:18 Paranoid Personality & Instability       26:52 Personalities that Coexist with Paranoid 30:18 Our Experiences with Diagnosing Unstable Personalities 33:39 Summary & Conclusion

In this episode of The Personality Couch Podcast, we (licensed clinical psychologists Doc Bok and Doc Fish) unpack the 6 subtypes of schizotypal personality disorder, according to Dr. Theodore Millon. We outline Millon’s take on “structurally defective structures” as being at risk of falling apart into psychosis at all levels of functioning, with the most severe levels of schizotypal deteriorating into schizophrenia. We then discuss the characteristics of mild, moderate, and severe subtypes, specifically: Disengaged Eccentrics, Apprehensive Eccentrics, the Insipid Schizotypal, the Timorous Schizotypal, the Immobile Schizophrenic, and the Disorganized Schizophrenic.  🆘Are you a clinician stuck on a case? To schedule a consultation, please visit the practice website! 👉https://www.questpsych.org/ Chapters 00:00 Intro & History of Schizotypal Subtypes 02:45 Theodore Millon’s Theory on Schizotypal Personality 07:00 The Mild Eccentric Level        08:21 Disengaged Eccentrics       09:39 Apprehensive Eccentrics 10:48 The Moderate Schizotypal Level       11:57 Insipid Schizotypal       18:17 Timorous Schizotypal 21:26 The Severe Schizophrenic Level        22:56 Immobile Schizophrenic        26:08 Disorganized Schizophrenic 29:05 Summary & Conclusion 

In this episode of the Personality Couch Podcast, we (licensed clinical psychologists Doc Bok and Doc Fish) dive into the origins, diagnostic criteria, and oddities associated with schizotypal personality disorder and what it means to be almost psychotic, but not quite. We unpack idiosyncrasies and “cognitive slippage” of schizotypals that include odd speech patterns, suspiciousness, emotional expression, and social anxiety. This episode also highlights the importance of cultural context in diagnosis and not overpathologizing trends or religious norms. We also explore the overlap with and risk of schizophrenia in schizotypals, along with long-term implications of living in a quasi-psychotic cognitive space. 🆘Are you a clinician stuck on a case? To schedule a consultation, please visit the practice website! 👉https://www.questpsych.org/ Chapters 00:00 Intro & History of Schizotypal Personality  01:15 DSM Criteria Schizotypal Personality       02:59 Ideas of Reference      05:35 Odd Beliefs and Magical Thinking               08:18 Exploring Cultural Oddities vs Psychosis      11:05 Unusual Perceptual Experiences      12:44 Odd Thinking & Speech      17:45 Suspiciousness and Paranoia      18:34 Emotional Expression, Behavior, and Appearance      20:13 Lack of Close Relationships and Anxiety 23:42 Schizotypal Differential Diagnosis 24:46 Schizotypals’ Relationship to Schizophrenia 29:33 Summary and Conclusion

In this episode of The Personality Couch, we (licensed clinical psychologists Doc Bok and Doc Fish) explore the origins and nuances of schizotypal personality disorder, its genetic links to schizophrenia, and the clinical observations that define it. We discuss the evolution of the term 'schizotypal' in the DSM, the implications of schizotypy, and how environmental factors and social learning influence its development. We also uncover observable traits of schizotypal individuals, their social interactions, and self-concept, providing a comprehensive overview of this intriguing personality disorder that is not quite psychotic, but close. 🆘Are you a clinician stuck on a case? To schedule a consultation, please visit the practice website! 👉https://www.questpsych.org/ Chapters 00:00 Intro & History of Schizotypal Personality  01:34 Genetic Research on Schizotypal 05:17 Clinical Research on Schizotypal 08:47 Schizotypal in the DSM 09:29 Schizotypy and Borderline Personality Organization 12:17 Schizotypy Defined 14:32 Schizotaxia Defined 17:39 Schizotypic Endophenotypes Explained 19:57 When Schizotypy Manifests 21:28 Observable Traits of Schizotypal Personality Disorder 30:44 Summary and Conclusion 

In this episode of The Personality Couch, we (licensed clinical psychologists Doc Bok and Doc Fish) compare and contrast schizoid and schizotypal personality disorders, as well as schizophrenia. We define key terms, explore the overlap and differences among these disorders, and introduce the concept of schizotypy as a genetic predisposition towards schizophrenia. We further discuss the concept of schizotaxia, or “cognitive slippage” and the impact of birth trauma on schizo development. We also share our opinions about where schizoid fits on this continuum and if they are schizotypes or not.  🆘Are you a clinician stuck on a case? To schedule a consultation, please visit the practice website! 👉https://www.questpsych.org/ Chapters 00:00 Introduction & Defining Terms           01:14 Schizoid Personality Defined           01:49 Schizotypal Personality Defined           06:30 Schizophrenia Defined 09:05 Overlap of Schizoid, Schizotypal, & Schizophrenia 12:48 Differences Among Schizoid, Schizotypal, & Schizophrenia 14:34 Meehl’s Model of Schizotypy & Genetics           16:29 Schizotypy Defined 20:00 Premature Birth & Low Birth Weight in Schizo Disorders 22:39 Schizoids’ Unique Relationship to Schizotypy 28:34 Summary & Conclusion

In this episode of The Personality Couch, we (licensed clinical psychologists Doc Bok and Doc Fish) compare and contrast avoidant and schizoid personalities. While schizoid and avoidant personality disorders have overlapping traits but distinct characteristics, personality psychologists have argued about it for decades. In this episode, we explore the definitions of each disorder and ongoing debates surrounding if these disorders are the same thing or not. We end by sharing our thoughts about whether schizoid personality and avoidant personality are the same or different, while giving a critical opinion about the DSM’s limiting definitions of both. 🆘Are you a clinician stuck on a case? To schedule a consultation, please visit the practice website! 👉https://www.questpsych.org/ Chapters 00:00 Intro & Schizoid and Avoidant Definitions 02:29 Historical Context of Avoidant Personality Disorder 04:31 Kretschmer's Theory & Anesthesia vs Hyperasthesia 08:17 The Argument for Splitting or Merging Disorders 10:51 Overlapping Symptoms of Avoidant and Schizoid 11:49 Differences in Schizoid and Avoidant Personalities 20:19 Our Opinions and Discussion 35:21 Summary & Conclusion

In this episode of The Personality Couch, we (licensed clinical psychologists Doc Bok and Doc Fish) take a critical look at the subtypes of schizoid personality, critiquing existing definitions and theories, particularly the 6 subtypes of Dr. Theodore Millon. We explore his mild, moderate, and severe subtypes: the Reserved Apathetic, Introspectively Apathetic, Remotely Asocial, Languidly Asocial, Depersonalized Schizoid, and Affectless Schizoid. We propose our own 5 subtypes and invite our schizoid listeners and viewers to share which type they identify with the most! 🆘Are you a clinician stuck on a case? To schedule a consultation, please visit the practice website! 👉https://www.questpsych.org/ Chapters 00:00 Introduction & Schizoid Personality Recap 02:21 Historical Subtypes - Brief Review 03:09 Akhtar’s Covert & Overt Schizoid 05:08 Understanding Millon’s Personality Theory 07:51 Millon’s Mild Subtype: The Reserved Apathetic 10:32 Millon’s Mild Subtype: The Introspectively Apathetic 12:15 Millon’s Moderate Subtype: The Remotely Asocial   14:34 Millon’s Moderate Subtype: The Languidly Asocial 16:52 Millon’s Severe Subtype: The Depersonalized Schizoid 19:16 Millon’s Severe Subtype: The Affectless Schizoid 22:04 Doc Bok & Fish Subtype: The Master Masker 25:19 Doc Bok & Fish Subtype: The Quietly Antisocial 27:38 Doc Bok & Fish Subtype: The Depressive Schizoid 30:08 Doc Bok & Fish Subtype: The Slothy Schizoid 32:03 Doc Bok & Fish Subtype: The Scattered Professor 34:25 Conclusion and Listener Engagement

In this episode of The Personality Couch, we (licensed clinical psychologists Doc Bok and Doc Fish) answer your most-asked questions about schizoid personality. We address misconceptions about schizoid and settle its pronunciation debate (is it skii-zoid or skitz-oid?). We also explore the significant role (or not) of maternal relationships in schizoid’s development. Relatedly, we take a critical look at emotional expression, where we discuss the impact of gender expectations, and the nuanced understanding of fear of intrusion. We further explore power dynamics at play in schizoid behavior, their expression of anger, and how this personality navigates our highly social world. 🆘Are you a clinician stuck on a case? To schedule a consultation, please visit the practice website! 👉https://www.questpsych.org/ Chapters 00:00 Introduction to Schizoid Personality 00:50 Pronunciation of Schizoid 04:19 How The Hosts Know About Schizoid 09:54 The Role of Masking in Schizoid Personalities 13:16 Gender Differences in Schizoid Expression 14:46 Does Mom Really Matter?  16:52 Alternative Pathways to Schizoid Development 24:04 Power Dynamics, Fear, & Control in Schizoid Behavior 30:00 Anger & Emotional Expression in Schizoids 34:02 Schizoid & The Big 5 Personality (OCEAN) 35:18 Schizoids & Raisins 37:05 Conclusion & Final Thoughts

In this episode of The Personality Couch, we (licensed clinical psychologists Doc Bok and Doc Fish) unpack the differences and similarities between schizoid personality disorder and autism spectrum disorder, and whether you can be diagnosed with both. We start by discussing the limitations of current research before investigating the underlying causes of social withdrawal seen in both conditions. We conclude by emphasizing that while they may share observable traits, their origins and implications are fundamentally different. 🆘Are you a clinician stuck on a case? To schedule a consultation, please visit the practice website! 👉https://www.questpsych.org/ Chapters 00:00 Introduction to Schizoid & Autism 00:58 Problems with ASD & SzPD research 04:42 Autistic Thinking Defined 05:26 Autistic Fantasy Defined 05:54 Autism Name Origins  06:25 Autistic Contiguous Position Defined 08:22 Similarities b/w Autism & Schizoid 10:54 Genetics & Etiological Differences          11:40 Schizophrenia’s Genetics          12:37 Autism Genetics 14:50 Can Schizoid and Autism Co-Occur? 17:58 Development of ASD vs SzPD           18:46 Imagination in Schizoid vs ASD  19:08 Late Diagnosing of ASD + Cultural Trends 21:24 Viewer Question: Phantasy of the Schizoid 25:18 Mirror Neurons in ASD vs SzPD 28:05 Our Thoughts About Dual ASD & SzPD Diagnoses 36:05 Summary & Conclusion

In this episode of The Personality Couch, we (licensed clinical psychologists Doc Bok and Doc Fish) use a fresh psychodynamic perspective to look at the misunderstood, quiet, awkward, and socially backwards schizoid. We explore the misunderstandings and stigmas surrounding schizoids, their emotional depth, and the historical perspectives that have shaped our understanding of this personality type. Our conversation highlights the internal struggles of schizoids, their coping mechanisms, and the rich inner lives they lead, often hidden from the outside world. We also take a look at the superpower of the schizoid and how they spot others’ disingenuousness. We emphasize the unique internal experiences of schizoids and the need for a compassionate approach in relationships and in clinical practice. 🆘Are you a clinician stuck on a case? To schedule a consultation, please visit the practice website! 👉https://www.questpsych.org/ Chapters 00:00 Introduction to Schizoid Personality 01:42 What do Schizoids Look Like? 03:30 Stigmatization of Schizoids 05:05 Historical Names & Schizoids’ Discovery           06:18 Kahlbaum’s Heboid Personality           06:47 Hoch’s Shut In Personality           07:05 Kraeplin’s Mildly Defective Personality           07:26 Bleuler’s Schizoidie Personality           08:07 Jung’s Introverted Personality 09:12 Menninger & Schizoid’s False Shell / Exterior 09:52 Winnicott & Schizoid's False Self 10:35 Guntrip on Depression & Anhedonia in Schizoids 12:26 Schizoids as Therapists 13:40 Akhtar’s Overt & Covert Personality Features 15:08 Nancy McWilliams’ Psychodynamic Schizoid           15:43 Attachment’s Influence on Schizoid           16:25 Schizoid’s Core Fears           18:32 Schizoid and Histrionic Connection           19:40 Schizoid’s Defense Mechanisms 23:03 Sense of Self & Castle Metaphor 24:08 Schizoid vs Obsessive Compulsive Personalities 24:38 The Colorful Inner World of Schizoids 27:40 Schizoids’ Superpower 30:30 Summary and Conclusion

In this episode of The Personality Couch, we (licensed clinical psychologists Doc Bok and Doc Fish) dive into one of the most misunderstood personalities: the quiet, awkward, and socially backwards schizoid. We take a critical look at the DSM’s definition of this personality; the developmental pathways leading to schizoid traits; and the unique and complex inner world of schizoids. Using a turtle metaphor, we explore how schizoids resort to fantasy and withdraw inside their shell, escaping from the overwhelming social world. We also explore how schizoid types are often mislabeled as having autism and briefly discuss their differences. We conclude by discussing reasons for the schizoid’s withdrawal, highlighting that our global misunderstanding of this type drives them further away from relationships and from psychological help.  🆘Are you a clinician stuck on a case? To schedule a consultation, please visit the practice website! 👉https://www.questpsych.org/ Chapters 00:00 Introduction to Schizoid Personality 03:45 Attachment Trauma in Schizoids 05:50 Schizoids are Like Turtles  07:18 Problems with the DSM-5 Schizoid 08:41 Psychodynamic Schizoid: A Conflict-Based Approach 10:33 Schizoid vs Autism Spectrum Disorder (ASD) 15:57 DSM Criteria for Schizoid Personality Disorder           19:41 The Challenges of Goal Setting            20:48 Decreased Sexual Desire           22:04 Sherlock Holmes: The Quintessential Schizoid           23:20 Anhedonia vs Depression in Schizoids           25:02 Difficulty Forming / Indifference to Relationships            30:33 Emotional Coldness and Detachment           33:53 Anger & Joy in Schizoids           37:36 Not Psychosis or Autism 38:36 Summary & Closing

In this episode of the Personality Couch Podcast, I (licensed clinical psychologist, Doc Bok) take a different approach and lean into the clinical practice part of this podcast. I spill the tea on significant changes in the healthcare landscape, particularly focusing on the rise of telehealth and the influence of venture capital-backed mega telehealth companies. I highlight the conflicts of interest with wealthy investors, ethical and privacy concerns, and market consolidation that threaten the integrity of mental health care and private practice as we know it. This episode emphasizes the importance of patient and clinician awareness, and I provide actionable steps to navigate the evolving healthcare environment. 📝Let me know your feedback on this "tea spilling episode!" https://www.personalitycouch.com/#contact 👩‍💼Are you a clinician stuck on the business side of private practice? To schedule a consultation, please visit the practice website! https://www.questpsych.org/ Chapters 00:00 Healthcare Changes Post Pandemic 03:24 What is a Venture Capital Company? 04:13 How Venture Capital Telehealth is Different From Private Practice 05:29 Meet the Telehealth Companies’ Investors 08:02 Conflicts of Interest for Investors 09:52 Privacy Concerns 12:19 Ethical Concerns 14:28 Market Consolidation 19:02 Vertical Integration 20:09 Therapists’ Stories & Lawsuits 23:12 What Can Patients Do? 24:08 What Can Clinicians Do?

In this episode of The Personality Couch, we (licensed clinical psychologists Doc Bok and Doc Fish) dive deep into the dark end of the paranoid personality spectrum, focusing on three notorious cases of mass murder: Jeffrey Weise (school shooter), Richard Farley (jilted lover), and Timothy McVeigh (Oklahoma City bomber). We explore the psychological underpinnings of each of these severe paranoid personalities, the impact of childhood trauma, and how their psyches came unglued. We firstly look at the case of Weise, a 16-year-old school shooter who experienced significant childhood trauma and rejection at the hands of his family. We then turn to look at Farley, an incredibly dangerous example of how erotomania, or extreme unrequited love, can turn into your worst nightmare. Lastly, we take a close look at the infamous Timothy McVeigh, a domestic terrorist obsessed with fantasy, fiction, and comics about revenge. Separating from the Army, but desperate to be a hero, he found an enemy in the very US Government that he used to defend. Our discussion emphasizes that while not all paranoid personalities are violent (most aren’t), paranoid personalities in forensic settings can quickly unravel, making them among the most likely to commit mass murder. Are you a clinician stuck on a case? To schedule a consultation, please visit the practice website to contact us! https://www.questpsych.org/  Chapters 00:00 Introduction to Paranoid Personalities and Violence 02:07 Childhood Trauma’s Impact 05:00 Case Study: Jeffrey Weise - The Traumatized Killer     05:37 Weise’s background     07:52 The Day of the Shooting     10:18 Motivations     11:11 Analysis & Discussion 14:00 Case Study: Richard Farley - The Rejected Lover     14:50 Farley’s obsession with Laura Black     17:45 The Day of the Shooting     21:50 Farley’s Motivations     23:30 Analysis & Discussion         24:46 Masochistic Infatuation Defined         25:18 Erotomania Explained 27:22 Case Study: Timothy McVeigh: The Oklahoma City Bomber     27:44 Background     33:07 Leading up to the Bombing     36:48 Motivations     38:30 Analysis & Discussion 40:19 Summary & Conclusions

In this episode of The Personality Couch Podcast, we (licensed clinical psychologists Doc Bok and Doc Fish) unpack how paranoia, paranoid personalities, and psychotic disorders overlap. We explore the line between personality disorders and psychosis; misuse of the term schizophrenia; and introduce the concept of paraphrenia as it relates to psychosis in the paranoid personality. We also explore the historical context of paranoia, the nuances between paranoia and delusions, and how the terms became so intertwined in history. We end with our own unfiltered thoughts about limitations to DSM diagnostic categories and how paranoia became so confusing! Are you a clinician stuck on a case? To schedule a consultation, please visit the practice website, which will guide you to the email address to use. https://www.questpsych.org/ Chapters 00:00 Introduction to Paranoia and Psychosis 02:14 Defining Paranoia 03:15 Sociocultural Paranoia: The Salem Witch Trials 04:22 How Paranoia Leads to Psychosis: A Train Metaphor 06:51 Defining Delusions     08:21 Persecutory Delusions     08:55 Delusions of Grandeur     09:32 Jealous Delusions     10:01 Erotomanic Delusions 12:01 When Paranoia Becomes a Diagnosis 13:14 Paranoia in Personality Disorders 14:34 Wait- Paranoid Schizophrenia is NOT a Diagnosis?! 16:03 Defining Paraphrenia 16:43 Defining Schizophrenia 17:54 How is Paranoid Personality Disorder Different from Schizophrenia? 22:50 The Difference Between Schizophrenia and Paraphrenia 23:11 Confusion in Definitions and DSM Limitations 27:24 Closing

In this episode of The Personality Couch Podcast, we (licensed clinical psychologists Doc Bok and Doc Fish) continue our discussion about paranoid personality disorder, exploring its three severity levels: Mild, Borderline, and Paraphrenic. We unpack the six subtypes of paranoid personalities as outlined by Dr. Theodore Millon: The Self-Righteous Mistrustful, The Obdurate Mistrustful, the Querulous Paranoid, the Insular Paranoid, the severe Fanatic Paraphrenic, and Malignant Paraphrenic. We highlight the fragility of Paranoids at all levels of severity, noting they can easily deteriorate with stressors and setbacks. We emphasize the importance of understanding these very common personality dynamics in all settings, especially with increasing paranoia in the post-pandemic world. Are you a clinician stuck on a case? To schedule a consultation, please visit the practice website, which will guide you to the email address to use. www.questpsych.org Chapters 00:00 Introduction to Paranoid Personality Disorder 03:44 Paranoid Personality Disorder Symptoms 06:03 Historical Examples     06:09 Timothy McVeigh - Oklahoma City Bombings     06:36 Richard Farley - Erotomania 07:52 Explaining the 3 Severity Levels 09:30 Mild Paranoid Personalities: Mistrustful Types 10:16 Self-Righteous Subtype 14:28 Obdurate Subtype 17:14 Moderate Paranoid Personalities: Disorder Level     17:44 Querulous Subtype     21:32 Insular Subtype 23:52 Severe Paranoid Personalities: Paraphrenic Level     25:44 Fanatic Subtype     30:57 Malignant Subtype 36:12 Summary & Conclusion

In this episode of The Personality Couch Podcast, we (licensed clinical psychologists Doc Bok and Doc Fish) help differentiate between paranoid and borderline personality disorders. We explore the similarities and differences between these two disorders, discussing their core characteristics, emotional responses, symptoms, and how our own intuition helps us more than we realize. We specifically look at the instability unique to these two personality disorders and how both express anger, shame, and fear. As both disorders can have fleeting episodes of psychosis, we also discuss how delusions can show up in each, but how their triggers are vastly different. We further discuss our own personal experiences treating both disorders and ways we use our intuition to guide diagnosis. We end by highlighting the need for empathy in treatment and welcome other providers to reference this information or to contact us directly if in need of a consultation. To schedule a consultation, please visit the practice website for more information! www.questpsych.org Chapters 00:00 Intro to Paranoid vs Borderline Personality Disorders 01:59 What is an Unstable Personality Structure? 03:34 Borderline Personality Symptoms Explained 06:50 Paranoid Personality Symptoms Explained 08:30 Comparing and Contrasting BPD and Paranoid PD     08:32 Anger     11:40 Shame     13:03 Fear     14:15 Paranoia & Psychotic Episodes     15:54 Fluidity vs. Rigidity 17:21 Using Intuition with Paranoid and Borderline Personalities     17:35 Dramatic Narratives     19:44 Dependent and Avoidant Attachment Dynamics     23:35 Countertransference     25:20 How they Present to Treatment     26:31 Suicidality & Trauma 28:47 Summary, Learning, and Conclusion

In this episode of The Personality Couch Podcast, we (licensed clinical psychologists Doc Bok and Doc Fish) reveal the complex, dangerous, and often misdiagnosed Paranoid Personality Disorder (PPD). We discuss the rising prevalence of PPD in the post-pandemic world, the clinical challenges in identifying and treating these individuals, and the critical differences between Paranoid Personalities and narcissism. We believe you’re seeing more of these types in your circles as well, and we want you to be equipped with knowledge so you can best protect yourself! Thus, we unpack not only the DSM-5-TR characteristics of Paranoid Personality Disorder, but we also reveal our clinical experience with these types. We include common themes such as: lack of trust, severe gastrointestinal issues, sadomasochism, medical self-sabotage, shedding identities, and the paranoid character’s unique relationship with aggression towards the same-sex. We reveal why we think this type is popping up even more in our circles, what the pandemic had to do with it, and how you can identify these types to keep yourself safe!   Chapters 00:00 Intro & Dangers of the Paranoid Personality 04:10 Clinical Observations & Post-Pandemic Trends 08:20 Defining Paranoid Personality Disorder 16:35 Warning Signs of PPD Beyond the DSM 27:00 Comparing Paranoid Personality and Narcissism 29:25 Why the Post-Pandemic Narcissist?

In this episode of The Personality Couch Podcast, we (licensed clinical psychologists Doc Bok and Doc Fish) unveil the darkest aspects of personality, focusing on narcissism at its most severe forms. We explore the spectrum of personality types that range from mildly unpleasant to dangerously malignant, discussing examples and case studies that illustrate their risk in relationships. We specifically unpack narcissistic and paranoid personality disorders, malignant narcissism, antisocial personality disorder, psychopathy and sociopathy, and sadistic personalities. While further exploring the characteristics, overlaps, and distinctions among these disorders, we end with a discussion about terrorism and extreme manifestations of sadism. Chapters 01:02 Stone’s Spectrum of Darkness 01:23 Level 1: Negative Traits 04:35 Level 2: Narcissistic & Paranoid Personality Disorders 07:23 Paranoid Personality Disorder 10:48 Level 3: Malignant Narcissism 13:47 Level 4: Antisocial Personality Disorder 15:08 Antisocial vs Narcissistic Personality Disorder 17:24 Antisocial Personality vs Psychopath 18:38 Level 5: Psychopathy 21:27 Level 6: Sadistic Personalities 28:54 Summary & Closing

In this episode of The Personality Couch Podcast, we (licensed clinical psychologists Doc Bok and Doc Fish) unpack the dangerous dynamics of malignant narcissism in political leadership. We first explore how these leaders rise to power, the psychological factors that enable their ascent, and the societal conditions that make populations susceptible to their charm. We introduce the narcoticizing and honeymoon phases of their reign where the malignant charmer woos their adoring audience. We then explore the characteristics that define malignant narcissist leaders, including how they navigate crises, the corruptibility of their conscience, and their devolution into psychotic thought processes. Further expounding on the dangers of their paranoia and their need for enemies, we share how no one escapes unscathed from these types in leadership. Our discussion concludes with reflections about the aftermath of the malignant narcissist’s reign, and the recovery and healing process from the trauma they inflict. Chapters 00:00 Intro to Malignant Narcissism in Leadership 02:56 Factors Enabling their Rise to Power 06:51 The Appeal of the Authoritarian Leader 08:46 The Narcoticizing Phase 11:13 The Honeymoon Phase 13:56 Characteristics of Malignant Narcissist Leaders    17:24 Decision Making and Crises    20:30 Corruptible Conscience    21:08 Paranoia and Psychosis in Power    24:20 The Need for Enemies 27:04 Life Cycle and End of their Reign 33:21 Rising from the Ashes of Narcissism

In this episode of The Personality Couch Podcast, we (licensed clinical psychologists Doc Bok and Doc Fish) delve into the complex and dark characteristics of malignant narcissism, exploring its origins, characteristics, and using examples from popular culture, particularly the film 'American Psycho'. Citing Eric Fromm’s original work on defining evil, we discuss his triad of: necrophilious orientation, incestuous symbiosis, and malignant narcissism. Using connections to historical figures and Alfred Hitchcock's ‘Psycho,’ we briefly explore what this triad looks like. After drawing on research across the decades to define characteristics of malignant narcissism, we further discuss the spectrum of antisocial behavior, aggression, sadism, and paranoia prominent in these types. While discussing how malignant narcissists operate in personal relationships and positions of power, we end by exploring the overlap of malignant narcissism and psychopathy. Chapters 00:41 History of Malignant Narcissism's Path to Evil 01:16 Fromm's Triad of Evil Overview 03:35 Alfred Hitchcock's Psycho Example 06:23 Early Research on Malignant Narcissism 09:24 The 4 Characteristics of Malignant Narcissism 09:43 Symptom 1: Narcissistic Core 12:36 Symptom 2: Antisocial Behavior 14:27 Malignant Narcissism vs Antisocial Personality Disorder 16:25 Symptom 3: Sadism or Aggression 21:58 Malignant Narcissism in Relationships 23:01 Symptom 4: Paranoia and Verge of Psychosis 25:02 Malignant Narcissism vs. Psychopathy 26:41 Where We Find Them and Why We Follow Them

In this episode of The Personality Couch Podcast, we (licensed clinical psychologists Doc Bok and Doc Fish) unpack the tricky topic of communal narcissism, exploring its characteristics, behaviors, and the environments in which these individuals thrive. We discuss the distinction between agentic and communal traits, the illusion of selflessness, and how communal narcissists often deceive themselves and others. We further highlight the presence of communal narcissism in charities, social media, and religious organizations. By examining the darker aspects of this personality type, we discuss insights about collective narcissism and the potential for harmful group dynamics. The episode concludes with insights on recognizing communal narcissism in relationships and its correlation with wealth and power. Chapters 00:00 Intro & History of Communal Narcissism 03:40 What is Communal Narcissism? 05:39 Where Communal Narcissists Show Up 09:22 Social Media in Communal Narcissism 12:15 Communal Narcissism in Religious Settings 13:36 Cults and Collective Narcissism 18:31 Communal Narcissism in Politics 19:42 Recognizing the Signs of Communal Narcissism 23:17 Communal Narcissism in Relationships 26:37 Summary and Key Takeaways

In this episode of the Personality Couch Podcast, we (licensed clinical psychologists Doc Bok and Doc Fish) explore the complex world of narcissism, focusing on its various subtypes. We unpack grandiose narcissism, its characteristics, as well as fun names in history. Our conversation transitions to communal narcissism, highlighting its deceptive nature and how it can manifest in social settings and religious communities. Next, we examine malignant narcissism, the most severe form, characterized by antisocial, paranoid, and sadistic traits. Lastly, we uncover vulnerable narcissism and the tricky, inside-out way they show up in relationships. The episode concludes with a comparative analysis of danger in these narcissistic subtypes, urging listeners and viewers to beware! Chapters 00:00 Introduction to Grandiose Narcissism 12:00 Understanding Communal Narcissism 22:04 The Complexities of Malignant Narcissism 32:18 Exploring Vulnerable Narcissism 40:32 Most Dangerous Subtypes Ranked

In this episode of the Personality Couch Podcast, we (licensed clinical psychologists Doc Bok and Doc Fish) delve into the complexities of pathological narcissism, exploring its various expressions, including covert, overt, grandiose, and vulnerable narcissism. We discuss how these themes of overt and covert narcissism appear in all narcissistic individuals, as do grandiose and vulnerable themes. We articulate how covert narcissism is under the surface in thoughts and fantasies, whereas overt narcissism is behavioral. We also highlight the shiny, extroverted themes of grandiose narcissism, while discussing the underlying emotional issues associated with vulnerable narcissism, including shame, anger, and moodiness. We overall emphasize the overlap between grandiose and vulnerable narcissism, detailing that both can coexist within a single individual, leading to a range of ways pathological narcissism can present. Chapters 00:00 Introduction to Pathological Narcissism 03:26 Distinguishing Between Covert and Overt Narcissism 09:39 Exploring Grandiose and Vulnerable Narcissistic Themes 12:37 The Psyche of Grandiose Narcissism 19:54 The Psyche of Vulnerable Narcissism 30:10 Similarities Between Grandiose and Vulnerable Narcissism 33:19 Summary and Closing References Akhtar, S. (2000). The shy narcissist. In J. Sandler, R. Michels, & P. Fonagy (Eds.), Changing ideas in a changing world: The revolution in psychoanalysis: Essays in honour of Arnold Cooper, (pp. 111-119). Blaney, P. H., Krueger, R. F., Millon, T. (Eds.). (2014). Oxford textbook of psychopathology (3rd ed.). Oxford University Press. Kernberg, O. F. (2009). Narcissistic personality disorders: Part 1[Editorial]. Psychiatric Annals, 39(3), 105–107, 110, 164–166. Horowitz, M. (2009). Clinical phenomenology of narcissistic pathology. Psychiatric Annals, 39(3), 124–128. Pincus, A. L., & Roche, M. J. (2011). Narcissistic grandiosity and narcissistic vulnerability. In W. K. Campbell & J. D. Miller (Eds.), The handbook of narcissism and narcissistic personality disorder: Theoretical approaches, empirical findings, and treatments (pp. 31–40). John Wiley & Sons. Wink, P. (1991). Two faces of narcissism. Journal of Personality and Social Psychology, 61(4), 590–597 Personality Couch Links Website https://www.personalitycouch.com/ Blog https://www.personalitycouch.com/blog/ Instagram https://www.instagram.com/personalitycouch/ Facebook https://www.facebook.com/personalitycouch #mentalhealthpodcast #mentalhealthprofessionals #mentalhealth #narcissisticpersonality #narcissism #narcissist #narcissitic #personalitydisorder #personality #personalitypsychology #narcissisticabuse #narcissismawareness #bpd #borderline #borderlinepersonalitydisorder #borderlinepersonality #toxicrelationships #vulnerablenarcissism #grandiose #covertnarcissist #overtnarcissist

In this episode of the Personality Couch Podcast, we (licensed clinical psychologists Doc Bok and Doc Fish) delve into the complexities of narcissism and narcissistic personality disorder (NPD). We explore the historical origins of narcissism, the DSM criteria for diagnosing NPD, and the key characteristics of individuals with this disorder, including a lack of empathy and pervasive envy. Our conversation highlights the roots, characteristics, and the dual nature of narcissism, as well as the challenges in researching NPD. We highlight characteristics such as grandiose self-importance, the need for excessive admiration, and the interpersonal exploitation that can occur in relationships. We also give a preview on the vulnerable aspects of narcissism, highlighting how it can manifest as low self-esteem and social withdrawal, a topic that will be discussed in an upcoming episode! Chapters 00:00 Intro to Narcissistic Personality Disorder 01:07 Historical Context of Narcissism 06:02 Defining Narcissistic Personality Disorder 09:32 First Symptom: Lack of Empathy     10:52 NPD vs Autism 14:24 Second Symptom: Envy 15:46 Third Symptom: Fantasies of Success, Power, Beauty 16:33 Fourth Symptom: Grandiosity 17:55 Fifth Symptom: The Need for Specialness 20:54 Sixth Symptom: Excessive Admiration 22:22 Seventh Symptom: Entitlement 24:17 Eighth Symptom: Exploitation in Relationships 26:25 Ninth Symptom: Arrogance and Haughty Attitudes 27:37 Vulnerable Narcissism References: American Psychiatric Association. (2022). Diagnostic and statistical manual of mental disorders: DSM-5-TR (5th edition, text revision.). https://doi.org/10.1176/appi.books.9780890425787 Blaney, P. H., Krueger, R. F., Millon, T. (Eds.). (2014). Oxford textbook of psychopathology (3rd ed.). Oxford University Press. Blashfield, R. K., & Intoccia, V. (2000). Growth of literature on the topic of personality disorders. American Journal of Psychiatry, 157(3), 472-473. Millon, T. (2011). Disorders of personality: Introducing a DSM / ICD spectrum from normal to abnormal (3rd edition). John Wiley & Sons, Inc. South, S. C., Eaton, N. R., & Krueger, R. F. (2011). Narcissism in official psychiatric classification systems: Toward DSM-5. In Campbell, W. K. & Miller, J. D. (Eds.), The handbook of narcissism and narcissistic personality disorder: Theoretical approaches, empirical findings, and treatments (pp. 22-30). John Wiley & Sons, Inc.. https://doi.org/10.1002/9781118093108.ch3

In this episode of the Personality Couch Podcast, we (licensed clinical psychologists Doc Bok and Doc Fish) unpack the 5 major signs of pathological narcissism, as well as 3 bonus invisible signs of narcissism. We explore warning signs of pride, superiority, vanity, and inauthenticity (among others!), providing insights into how these traits manifest in behavior and relationships. We also explore how anger and lack of empathy manifest. We end the episode by discussing vulnerable narcissistic themes that are less observable, like emptiness, helplessness, and low self-esteem. Our discussion highlights everyday narcissism, as well as darker aspects of it, including antisocial and murderous examples of such. Chapters 00:00 Introduction to Pathological Narcissism 01:28 Defining Pathological Narcissism 04:55 Sign 1 of Pathological Narcissism: Pride & Self-Righteousness    07:06 Defining Defensive Self-Sufficiency    08:45 Vigilante Narcissism 10:45 Sign 2 of Pathological Narcissism: Superiority & Inferiority    13:20 Specialness & Entitlement 16:50 Sign 3 of Pathological Narcissism: Vanity & Inauthenticity 19:23 Sign 4 of Pathological Narcissism: Anger & Contempt 22:45 Sign 5 of Pathological Narcissism: Decreased Empathy & Callousness 26:12 Invisible Signs of Pathological Narcissism (Vulnerable Narcissism) 32:44 Summary and Closing References: Blaney, P. H., Krueger, R. F., Millon, T. (Eds.). (2014). Oxford textbook of psychopathology (3rd ed.). Oxford University Press. McWilliams, N. (2011). Psychoanalytic diagnosis: Understanding personality structure in the clinical process (2nd ed.). Guilford Press.

In this episode of the Personality Couch Podcast, we (licensed clinical psychologists Doc Bok and Doc Fish) delve into the complexities of narcissism, exploring its cultural labeling, the distinction between pathological and trait narcissism, and its development from infancy. We discuss the importance of understanding narcissism in contemporary society, the confusion surrounding its definition, and how it manifests in all personality pathology and personality disorders. The conversation emphasizes the need for clarity in labeling narcissistic behaviors, the balance between healthy and pathological narcissism, and the impact of parenting styles on narcissistic traits. Our discussion highlights the importance of understanding narcissism as a spectrum and the need for realistic self-reflection. Chapters 00:00 Introduction to Narcissism and Misuse of the Term 03:31 What is Narcissism? 10:38 Narcissism in Childhood Development 16:13 Pathological Narcissism 24:12 The Role of Parenting in Narcissistic Development 25:22 The Complexity and Variability of Narcissism Personality Couch Links Website https://www.personalitycouch.com/

In this episode of the Personality Couch Podcast, we (licensed clinical psychologists Doc Bok and Doc Fish) explore the cultural and clinical trends of 2024, focusing on global unrest, political polarization, re-examining power dynamics, and the ongoing mental health crisis. We discuss the impact of trauma awareness and the complexities of the victim mentality, as well as state-specific mental health trends revealed through recent research. In this episode, we further explore the state of mental health in America, discussing various mental health trends across states, the impact of misinformation on mental health, and the public's outrage towards healthcare practices, as evidenced in the assassination of United Healthcare’s CEO. We delve into the role of venture capital in telehealth and the ethical implications of profit-driven healthcare. The conversation emphasizes the need for advocacy and ethical change in the mental health landscape, urging listeners to engage in positive dialogue and action. Chapters 00:00 Cultural and Clinical Trends of 2024 03:54 Global Unrest and Political Polarization 6:55 Re-examining Power Dynamics, Trauma, and Victim Mentality     12:22 Cosmetic Facial Scar Study     13:32 Attitudes Towards Trauma Study 15:25 The Mental Health Crisis and Its Impacts     16:30 State-Specific Mental Health Trends 2024 23:08 Health Insurance and Public Outrage 27:36 The Impact of Venture Capital on Telehealth 31:03 Advocacy and Ethical Change in Mental Health Personality Couch Episodes Referenced: Personalities that Kill (Ep. 07): https://youtu.be/Ob7WLEX7ZvQ What's Trending in Our Culture and How it Affects Mental Health (Ep. 09): https://youtu.be/uJKTb9Qj8RA References: Global Election Results: https://apnews.com/article/global-elections-2024-incumbents-defeated-c80fbd4e667de86fe08aac025b333f95 https://abcnews.go.com/538/democrats-incumbent-parties-lost-elections-world/story?id=115972068 https://www.ft.com/content/e8ac09ea-c300-4249-af7d-109003afb893 https://time.com/6550920/world-elections-2024/ Trauma and Our Perceptions: Jones and McNally Facial Scar Study (2022): https://psycnet.apa.org/record/1981-28014-001 Kleck and Strenta Study on Expectancy and Trauma (1980): https://psycnet.apa.org/record/1981-28014-001 Mental Health Trends By State: https://mhanational.org/issues/state-mental-health-america https://www.aol.com/mental-illness-plagues-va-n-184111928.html Mental Health Venture Capital Companies’ Impact: https://www.amha-or.com/the-toxic-impact-of-venture-capital-on-psychotherapy https://www.reddit.com/r/therapists/comments/143v1yg/venture_capitol_funded_mental_health_companies/?rdt=44172 https://www.chesshealthsolutions.com/2023/08/17/the-dark-side-of-venture-capital-investments-in-healthcare/

In this episode of the Personality Couch Podcast, we continue to explore the complexities of Borderline Personality Disorder (BPD), particularly focusing on the lesser-known subtype: Quiet BPD. We delve into the historical origins of the term 'borderline,' discuss the various subtypes of BPD, and highlight the differences between Quiet and Noisy BPD. The conversation also touches on the lack of recent empirical research on Quiet BPD and the cultural emergence of the term. We further emphasize the importance of understanding the internal versus external presentations of BPD symptoms and the implications for treatment. The discussion emphasizes the importance of recognizing the different types of BPD and the need for nuanced understanding in both clinical practice and societal perceptions. Chapters 00:00 BPD Name and Subtypes in History 04:32 As-If Patients and Quiet BPD Connection 11:09 Quiet BPD and Millon’s Discouraged Type 14:44 Current Research on BPD Subtypes    15:52 Internalizing BPD    20:24 Externalizing BPD    25:42 Mixed-Ambivalent BPD 31:30 Quiet BPD Today and Subtype Importance 34:10 Summary and Closing References Cohen, C. P., & Sherwood, V. R. (1991). Becoming a constant object in psychotherapy with the borderline patient. Jason Aronson. Deutsch, H. (1942). Some forms of emotional disturbance and their relationship to schizophrenia. The Psychoanalytic Quarterly, 11(3), 301-321. https://doi.org/10.1002/j.2167-4086.2007.tb00257.x Gunderson, M. D. (2010). Revising the borderline diagnosis for DSM-V: An alternative proposal. Journal of Personality Disorders, 24, 694–708. Johnston, J. (2010). Being disturbed: Integration and disintegration in the patient and professional relationship. Psychoanalytic Psychotherapy, 24(3), 231-251. https://doi.org/10.1080/02668734.2010.502306 Millon, T. (2011). Disorders of personality: Introducing a DSM / ICD spectrum from normal to abnormal (3rd edition). John Wiley & Sons, Inc. Rosse, I. C. (1890). Clinical evidences of borderland insanity. The Journal of Nervous and Mental Disease, 15(10), 669-683. Sherwood, V. R., & Cohen, C. P. (1994). Psychotherapy of the quiet borderline patient: The as-if personality revisited. Jason Aronson. Stern, A. (1938). Borderline group of neuroses. The Psychoanalytic Quarterly, 7, 467–489. Wolf, K., Scharoba, J., Noack, R., Keller, A., & Weidner, K. (2023). Subtypes of borderline personality disorder in a day-clinic setting—Clinical and therapeutic differences. Personality Disorders: Theory, Research, and Treatment, 14(5), 555–566. https://doi.org/10.1037/per0000624

In this episode of the Personality Couch Podcast, we dive into the complexities of Borderline Personality Disorder (BPD) treatment, in particular, the healing power of the invisible dynamics in therapy. We discuss the importance of motivation and insight in recovery for BPD, and the significance of the therapeutic relationship. The conversation emphasizes that while BPD is treatable, the journey is often non-linear and requires active participation from the patient. We also highlight the necessity of setting boundaries within therapy to create a safe and effective environment for healing. In this conversation, we discuss the importance of evaluating effort in therapy, the significance of attachment, and the challenges posed by boundary violations. Our conversation also explores the concepts of transference and counter-transference, the process of repairing ruptures in the therapeutic relationship, and the methods of facilitating insight and connections in therapy. Overall, this discussion emphasizes the individualized nature of treatment and the invisible dynamics that play a crucial role in the therapeutic process. Chapters 00:00 Understanding Treatability and Recovery in Borderline Personality Disorder (BPD) 05:50 The Role of Motivation in Treatment 11:28 Which Treatment is Best for BPD? 14:08 Our Approach to BPD Therapy: Invisible Concepts 14:58 Boundaries in Therapy 21:15 The Therapy Relationship 22:51 Bad Therapy 26:51 Transference and Counter-Transference 33:35 Facilitating Insight and Connections 36:35 Summary and Conclusion

In this episode of the Personality Couch Podcast, we delve into the complexities of Borderline Personality Disorder (BPD), focusing on the themes of suicidal ideation and self-harm. We explore the DSM criteria for BPD, the motivations behind self-harming behaviors, and the stigma associated with these actions. The conversation emphasizes the importance of understanding the emotional pain experienced by individuals with BPD and the impact on their relationships. We provide insights into navigating these dynamics, the need for professional help, and the significance of setting boundaries. Chapters 00:00 Introduction to Borderline Personality Disorder (BPD) Series 01:46 DSM Criteria for Suicidal Ideation and Self-Harm in BPD 03:31 Triggers for Self-Harm and Parasuicidal Behaviors 07:36 Reasons for Self-Harm and Parasuicidal Behaviors 10:11 Defining the Parasuicidal and Self-Harm Spectrum 13:59 Additional Reasons for Self-Harm and Parasuicidal Behaviors 17:24 Self-Harm and Parasuicidal Behaviors Outside of BPD 18:51 Hidden Self-Harm 20:36 Stigma and Motives of Behavior 29:39 Navigating Relationships and BPD 38:29 Conclusion and Key Takeaways CRISIS RESOURCES Text Line: Text HOME to 741-741; a trained crisis counselor receives the text and responds quickly. National Hopeline Network: https://www.thehopeline.com/ National Suicide Prevention Lifeline @ 988 or https://988lifeline.org/ American Foundation for Suicide Prevention @ https://afsp.org/ -https://www.mentalhealthishealth.us/better-together-summit/ Psychoeducation https://www.nimh.nih.gov/health/topics/borderline-personality-disorder/index.shtml https://www.nami.org/learn-more/mental-health-conditions/borderline-personality-disorder https://www.borderlinepersonalitydisorder.org/

In our second episode of the Borderline Personality Disorder (BPD) series, we discuss how this condition manifests in relationships and clinical practice. We explore the pervasive patterns of instability, fear of abandonment, and the role of attachment theory in understanding BPD, while also touching on psychosis and dissociation. Our conversation highlights the challenges faced by individuals with BPD in their relationships and the dynamics that arise in therapeutic settings. We further emphasize the importance of understanding the multifaceted nature of BPD and the need for compassionate approaches in treatment. Chapters 00:00 Borderline DSM Symptoms Overview 04:09 First Signs and Symptoms in Treatment 07:45 Fear of Abandonment and Its Impact 09:56 Attachment Theory and BPD 16:58 Fear of Abandonment and the Dynamics of Therapy 24:39 Episodes of Psychosis and Dissociation in BPD 30:43 Conclusion Book Referenced: 1984 Borderline Book- John Gunderson, M.D.: https://www.amazon.com/Borderline-Personality-Disorder-John-Gunderson/dp/0880480203 Other Resources: BPD: https://www.nimh.nih.gov/health/topics/borderline-personality-disorder/index.shtml BPD: https://www.nami.org/learn-more/mental-health-conditions/borderline-personality-disorder BPD: https://www.borderlinepersonalitydisorder.org/

In this episode of the Personality Couch Podcast, we delve into the complexities of Borderline Personality Disorder (BPD). We discuss the stigma and misinformation surrounding BPD, the media's misrepresentation of the disorder, and the need for a more nuanced understanding of its symptoms and diagnosis. The conversation highlights the emotional experiences of individuals with BPD, the criteria for diagnosis, and the importance of recognizing the spectrum of presentations within the disorder. We advocate for a reboot in the classification of personality disorders to better reflect the lived experiences of those affected by BPD. Chapters 00:00 Introduction to Borderline Personality Disorder 01:16 Media Misrepresentation of BPD 05:39 Borderline as a Movement, Not a Category 11:20 The Need for a Reboot in BPD Classification 15:09 Emptiness and Vague Symptoms in BPD 17:16 BPD and No Emotional Skin 18:37 Diagnosing BPD 20:12 Impulsivity in BPD 22:59 Instability in Sense of Self 26:50 Unstable Relationships 32:55 Unstable Moods 37:16 Symptoms in Quiet BPD 39:49 Summary and Closing

In this episode of the Personality Couch Podcast, we discuss common myths surrounding therapy and therapists. We debunk misconceptions about therapists being perfect, the necessity of shared experiences for effective therapy, and the idea that therapists are always analyzing everyone. The conversation emphasizes the importance of empathy, the reality of therapists' personal struggles, and the motivations behind choosing a career in therapy. We also address the financial aspects of being a therapist and encourage listeners to seek help without being deterred by myths. Chapters 00:00 Introduction to Therapy Myths 01:02 Therapists Are Perfect and Have No Problems 05:02 Therapists Have to Experience the Same Problems to be Helpful 09:52 Therapists Are Always Analyzing Everyone 15:46 Therapists Have Favorite and Least Favorites 18:22 My Therapist Thinks I'm Crazy/a Burden 21:42 Therapists Get into this Profession to Work through Personal Issues 29:01 Therapists Are All About the Money 33:29 Conclusion and Encouragement for Therapy Seekers

In this episode, we dive into the concept of the drama triangle, a psychological model that explains interpersonal conflict through three roles: the victim, the persecutor, and the rescuer. We explore the historical context of the drama triangle, its origins in transactional analysis, and how these roles manifest in relationships, particularly in the context of personality disorders. Our conversation emphasizes the importance of recognizing these dynamics to disrupt unhealthy patterns and foster healthier interactions. 00:00 Introduction to the Drama Triangle 01:16 Historical Context of the Drama Triangle 07:59 The Purpose of the Drama Triangle 10:44 Roles in the Drama Triangle 10:57 The Victim 15:43 The Persecutor 20:44 The Rescuer 27:24 Childhood's Influence on the Drama Triangle 30:50 Being Cast In a Role 35:21 Disrupting the Drama Triangle 36:07 Drama as Smoke to the Personality Fire 37:00 Stop, Drop, and Roll 43:16 Conclusion and Future Discussions

In this episode, we discuss how we diagnose personality disorders as licensed professionals in clinical practice. Personality data is often observed as early as the initial contact for treatment. Once treatment begins, we engage in a "meta process" of observing what's going on inside ourselves as professionals, as well as the dynamic in the room. Because of the nuances and complexities of diagnosing personality disorders, psychological testing is an important tool to peel back the layers of the psyche. We end by discussing what psychological testing involves and point listeners to resources if they are interested in an evaluation. Chapters 00:00 Intro 03:58 Indicators of Personality Dynamics Before Treatment Starts 06:21 The Referral Question and the Alphabet Soup 08:36 Unsuccessful Medication Trials 10:34 First Appointment: Interpersonal Dynamics 15:18 Ruptures in Relationships and Social Difficulties 17:16 The Unspoken Dynamics of Personality Disorders 24:33 Using Psychological Testing to Diagnose Personality Disorders 37:41 Resources and Conclusion Resources https://www.psychologytoday.com/ https://www.nami.org/ https://www.questpsych.org/ (Offering Deep Dive Psychological Evaluations In Virginia)

In this episode of the Personality Couch Podcast, we discuss four trends we have observed in the post-pandemic world: collective trauma, mental health diagnoses as identity labels, over-identification with neurodivergence, and self-diagnosing. We explore the impact of the pandemic on mental health, including increased anxiety and hostility. We also discuss how mental health diagnoses have become identity labels, providing a sense of validation and belonging. We delve into the over-identification with neurodivergence, particularly autism, and the challenges of diagnosing this condition. Lastly, we address the issue of self-diagnosing and the proliferation of misleading information on social media platforms. Chapters 00:00 Introduction and Overview 01:46 Chapter 1: The Impact of Collective Trauma on Mental Health 10:43 Chapter 2: Mental Health Diagnoses as Identity Labels 18:40 Chapter 3: The Over-Identification with Neurodivergence 27:13 Chapter 4: The Proliferation of Self-Diagnosing and Misinformation 37:16 Conclusion Articles Referenced: On Healthcare Workers' Mental Health Symptoms: -https://blogs.cdc.gov/niosh-science-blog/2023/02/06/phw-violence/ On TikTok Mental Health Misinformation:  -https://www.mmm-online.com/home/channel/nearly-84-of-mental-health-videos-on-tiktok-are-misleading-study/  -https://www.psychiatrictimes.com/view/psychiatry-on-tiktok-providing-education-to-teens-in-an-ethical-manner -https://www.cbsnews.com/news/social-media-mental-health-self-diagnosis/ -https://www.psychiatry.org/news-room/news-releases/new-study-information-on-youtube-tiktok-on-did -https://www.salon.com/2022/04/09/why-teens-are-self-diagnosing-on-tiktok/

In this episode of the Personality Couch Podcast, we provide an overview of the Enneagram personality typology as a growth tool instead of a personality "box" or label. We discuss our personal journeys with the Enneagram, our typologies, and how we use this non-diagnostic tool in clinical practice. By exploring the different centers of intelligence (body, head, and heart) and the three types within each center, we highlight the key characteristics and tendencies of each of the 9 types, including their strengths and challenges. Chapters 00:00 - Introduction to the Enneagram 01:00 - Our Enneagram Journeys 07:30 - Enneagram as a Growth Tool, Not a Box 10:15 - Enneagram Overview 12:02 - The Heart Center: Type 2s 15:48 - The Heart Center: Type 3s 19:47 - The Heart Center: Type 4s 25:04 - The Head Center: Type 5s 30:32 - The Head Center: Type 6s 34:08 - The Head Center: Type 7s 36:43 - The Body Center: Type 8s 41:36 - The Body Center: Type 9s 44:20 - The Body Center: Type 1s 48:36 - The One - Five Dynamic of Doc Bok and Doc Fish A Few of Our Favorite Enneagram resources: * https://www.enneagraminstitute.com/ * https://sleepingatlast.podbean.com/ * https://cac.org/daily-meditations/the-enneagram-an-introduction/ (Richard Rohr)

In this episode of the Personality Couch Podcast, we discuss personality darkness and specifically focus on personalities that are prone to violence and extreme behavior. We also discuss two important research studies, the Milgram study and the Stanford prison experiment, that shed light on the capacity for humans to engage in harmful acts. We then delve into the different personality types within Cluster A (schizoid, schizotypal, and paranoid); Cluster B (borderline, histrionic, and narcissistic); and Cluster C (avoidant, dependent, obsessive-compulsive) and discuss their risk levels for violence and murder. In this conversation, we also explore sadistic personalities, a category not included in the DSM, but included in multiple other personality theories. We highlight the characteristics and behaviors associated with each type and discuss the potential for violence and destructive behavior. The conversation emphasizes the importance of understanding these personalities and their potential risks in order to promote awareness and better understanding of human behavior. Chapters 00:00 Introduction: Personality Darkness and Violence 02:43 The Influence of Authority: Milgram’s Study 05:03 The Influence of Situational Factors: Zimbardo’s Stanford Prison Experiment Cluster A: 08:01 Schizoid 10:18 Schizotypal 12:27 Paranoid  - 18:45 Paranoid Subtypes: Querulously, Insular, Malignant Cluster B: 23:01 Borderline 27:05 Histrionic 28:58 Narcissistic  - 31:26 Narcissistic Subtypes: Elitist, Exploitative, Unprincipled 35:00 Antisocial  - 37:17 Antisocial Subtypes: Reputation-Defending and Malevolent 41:44 Sadistic Personalities Cluster C: 46:22 Avoidant 47:43 Dependent 50:32 Obsessive-Compulsive Personality 55:54 Summary and Closing

In this episode of the Personality Couch, we discuss personality flavors and typologies from a psychodynamic lens, using ice cream as our metaphor. Unique to the psychodynamic perspective is the multi-dimensional way it captures personality. We explore psychodynamic’s three personality axes throughout the episode: the severity axis (ranging from personality style to disorder level); the organizational axis (representing movement and disintegration within personality structures); and the character axis (representing distinct personality names and characteristics). We further explore psychopathic, schizoid, depressive and manic, self-defeating, borderline/cyclophrenic, and dissociative personality structures within this framework. A note to our audience: this is a complex and deep topic, and we recommend tuning in to episodes 04 and 05 first: Personality Disorders as Ice Cream Flavors and Millon’s Personality Types (as Ice Cream flavors) first before diving in. Alternatively, you can check out our blogs with visual aides here to guide you: https://www.personalitycouch.com/blog/psychodynamic-personality-classification-as-ice-cream/ 00:00 Introduction to Psychodynamic Tradition 01:46 The Multidimensional Approach to Personality 02:45 The Severity Axis: From Style to Disorder 05:17 The Organizational Axis: State Change in Personality     6:46 Neurotic as Freezer Burned Ice Cream     7:03 Psychotic as Melted Ice Cream     7:23 Borderline as Melting Ice Cream 10:40 The Character Axis: Personality Categories 11:05 Psychopathic (Antisocial) Personality 11:40 Schizoid Personality 17:36 Self-Defeating (Masochistic) Personality 18:50 Manic and Depressive Personality     20:58 Cyclophrenic/Borderline Personality     24:39 The Complexities of the Name “Borderline”     26:59 Introjective and Anaclitic Depressive Personality     29:32 Quiet Borderline 31:55 Dissociative Personality 36:32 Summary

In this episode, we continue discussing personality typologies, focusing on Dr. Theodore Millon's classifications. We explore six unique types in terms of their characteristics, behaviors, and potential co-occurring disorders. Speculating on what ice cream flavor each type would be, we use creative and humorous descriptions to bring levity to an otherwise complex topic! Chapters 00:00 - Intro 01:50 - Melancholic Personality: The Gloomy Type 07:02 - Turbulent Personality: The Energetic Type 17:09 - Sadistic Personality: The Pain Inflicting Type 21:56 - Masochistic Personality: The Willing Victim Type 27:20 - Negativistic Personality: The Grouchy and Skeptical Type 32:28 - Compulsive Personality: The Perfectionistic Type 41:14 - Conclusion