Constructing the Psychotherapy Narrative

[THIS POST IS A BIT DIFFERENT FROM MY USUAL STYLE; IT’S ADAPTED FROM SOME IDEAS I’M EXPLORING IN MY NEW BOOK ABOUT NARCISSISM] At the beginning of our first session I ask MacKenzie, a 32-year-old single woman, what prompted her to seek treatment. Although she mentions occasional depression and anxiety, she seems most focused on… Continue reading Constructing the Psychotherapy Narrative

On Optimism

Over the course of my practice, I’ve come to know a few men and women who emerged from families so toxic and dysfunctional that I often wondered how they managed to survive, emotionally speaking, and why they hadn’t long ago surrendered to despair. Given how little goodness they encountered in their post-uterine world, why did… Continue reading On Optimism

On Pessimism

I haven’t been posting much lately because I’ve been focused on my book about narcissism, plus I just completed another article for The Atlantic, which you can find here. It’s about bullying as a kind of narcissistic behavior, linking the Richie Incognito story with the suicide of Rebecca Sedgwick and further thoughts on Lance Armstrong.… Continue reading On Pessimism

Joy in the Psychotherapy Relationship

Naomi, one of my long-term clients and a therapist herself, has been talking in session lately about joy. The importance of joy in the mother-infant relationship, in adult romantic relationships, and in the relationship between therapist and client. Her ideas have grown out of her own practice, partially stimulated by our work together and informed… Continue reading Joy in the Psychotherapy Relationship

Antisocial Personality Disorder: The Sociopath Next Door

I’ve been reading The Sociopath Next Door by Martha Stout — an excellent and yet frustrating book about antisocial personality disorder. Stout’s engaging style and in-depth clinical experience with victims of sociopathic predators bring the subject to vivid life. The vignettes read more like suspense novels: as the character of the sociopath gradually unfolds, your… Continue reading Antisocial Personality Disorder: The Sociopath Next Door