So how might one deal with a life sapping parent? Well, if we are to understand the solution, we must first examine the nature of the problem.
Personality Disorders
Understanding narcissistic personality disorder, or NPD, it is essential to understand the dynamics of what constitutes a personality disorder, as this will lay the foundation for understanding the narcissist's psychodynamic processes. Interestingly, this topic is still debated amongst the psychiatric community. Indeed, the Diagnostic and Statistical Manual of Mental Disorders; 5th edition (DSM-5-TR) presents not one, but two diagnostic models for personality disorders. Note: At no point should you attempt to diagnose a mental health disorder, personality disorder or otherwise, in yourself or others. This is a meticulous task which should only be conducted via a licensed and trained mental health professional. This post is simply to provide an overview of the topic and serve for educational purposes should one recognize various signs within people they know.
The first model is a categorical model continued since the fourth rendition of DSM, defining personality disorders as an enduring pattern of inner experience and behavior that differs from the customs of the individual's culture, is relatively stable and inflexible, beginning in adolescents or early adulthood and causing clinically significant distress or impairment. The diagnostic criteria is as follows:
An enduring pattern of inner experience and behavior that deviates markedly from the individual's culture. The pattern is manifest in two or more of the following areas:
The enduring pattern is inflexible across a broad range of situations.
The enduring pattern leads to clinically significant distress or impairment in social, occupational or other important areas of functioning.
The pattern is stable and of long duration and can be traced back to adolescents or early adulthood.
The enduring pattern is not better explained as a consequent or manifestation of another mental health disorder.
The enduring pattern is not attributable to a substance or medical condition.
For the diagnosis of a personality disorder, the individual must present with a problematic pattern that differs markedly from the individual's cultural norms. These patterns manifest in the individual's inner experience and the resulting output behavior. The resulting pattern then, must manifest itself within the individual's cognition (thoughts about self, world and others; belief system; processing of environment), affect (subjective sense of feeling and resulting emotional display) interpersonal relationships (how the individual relates to others) and impulse control. Interestingly, it’s been suggested that personality disorders ARE disorders of interpersonal relationships. Invariably, when one presents with a pathological personality structure, interpersonal relationships are inevitably affected. This has not been affirmed and this debate shall be examined in another post.
Furthermore, the enduring pattern must be inflexible and present in a wide variety of situations. In accordance, it must also be stable and present since adolescence or early adulthood. Inflexibility is characteristic of personality disorders. The presence of pathological personality traits manifest as problematic exactly due to their endurance and inflexibility. Indeed, a relatively prominent trait (ex: 8/10) on a measuring personality inventory need not be pathological, as said person is still capable of adapting to environmental circumstances. Entering the 11 or 12 range however, is indicative of a problematic pattern present within the personality. In other words, those with personality disorders are the same as all others, they are merely pushed to the extreme in some aspect. Therein lies the problem.
As a consequence, the pattern causes clinically significant distress or impairment in social, occupational or other important areas of functioning. In other words, there must be an accompanying sense of suffering or difficulty in various areas of life. Indeed, personality disorders are often ego-syntonic (in proportion with the self view) and thereby do not cause distress to the person. This is in contrast to ego-dystonic disorders (contrasting with self view) who recognize they have a problem and tend to be distressed as a result. Be that as it may, a personality disorder may be diagnosed whether the patient recognizes they have a problem or not.
Lastly, the problematic pattern must not be the result of a substance of misuse/medication, a medical condition, or be better explained by another mental health disorder, such as a depressive or anxiety disorder.
Concluding this model, the DSM presents ten personality disorders, which have been arranged within three clusters, accentuated via a general theme of pathology: Cluster A (paranoid, schizoid, schizotypal) presenting with “odd” or “eccentric” characteristics; cluster B (antisocial, borderline, histrionic, narcissistic) presenting with “dramatic” “emotional” or “erratic” characteristics, and cluster C (avoidant, dependent, obsessive-compulsive) presenting with “anxious” “uptight” or “fearful” characteristics. Relevant to our disorder today is cluster B, whose central phenomena, to an extent, could be seen as poor internal awareness. We shall see how this is relevant to NPD soon.
While the categorical model for personality disorders presents with its distinctive advantages, it is not without its faults. In response, the DSM community has also created a categorical-dimensional hybrid model to exist in correlation with the DSM-IV model to aid in diagnostic validity, rather than to serve in contradiction.
Within this alternative model, a personality disorder is defined as moderate or greater impairment in personality functioning as well as the presence of pathological personality traits. The diagnostic criteria is as follows:
Moderate or greater impairment in personality (self/interpersonal) functioning.
Presence of pathological personality traits.
The impairments in personality functioning and trait characteristics are relatively stable and occur across a variety of contexts.
The individual's personality impairment and inflexible traits are stable across time, with origins that can be traced back to adolescents or early adulthood.
The impairments in personality functioning and trait expressions are not the result of a substance or medical condition.
The impairments in personality functioning and trait expression are not better explained by developmental period or sociocultural context.
To be diagnosed with a personality disorder, the individual must present with moderate or greater impairment within two or more areas of personality functioning, these being identity, self-direction, empathy and intimacy. The level of impairment within these domains is assessed on a five-factor scale ranging from 0 (no impairment), 1 (some), 2(moderate), 3(severe) and 4(extreme). In addition, the person must present with pathological personality traits, the inflexible, maladaptive characteristics of personality disorders previously mentioned. The quantity and individual pathological personality traits present depend on the diagnosis and are quintessential in correctly identifying specific personality pathology. With these two models presented, let us examine narcissistic personality disorder from both perspectives.
Narcissistic Personality Disorder
Within the categorical model, narcissistic personality disorder is classified under cluster B pathology, and defined as “a pervasive pattern of grandiosity, need for admiration and a lack of empathy, beginning by early adulthood and present in a variety of contexts.” The following is its diagnostic criteria:
A pervasive pattern of grandiosity (in fantasy or behavior), need for admiration, and lack of empathy, beginning by early adulthood and present in a variety of contexts as indicated by five or more of the following:
Has a grandiose sense of self-importance (e.g., exaggerates achievements and accomplishments; expects to be recognized as superior without commensurate achievements).
Is preoccupied with fantasies of unlimited success, power, brilliance, beauty or ideal love.
Believes they are “special” and unique and can only be understood by, or should associate with, other special and unique people (and institutions).
Requires excessive admiration.
Has a sense of entitlement (i.e., unreasonable expectations of excessive treatment or automatic compliance with his or her expectations).
Is interpersonally exploitative (i.e., takes advantage of others to achieve his or her goals).
Lacks empathy, is unwilling to recognize or identify with the feelings or needs of others.
Is often envious of others or believes others are envious of him or her.
Shows arrogant, haughty behaviors or attitudes.
Being a complex disorder, the central psychodynamics contributing to its symptomatology are still being investigated under scrutinous research. What seems to be the central characteristic is a sharp break in the developmental period involved in the formation of a consistent and reliant self-image. The resulting factor is a lack of an internal self-esteem “thermostat” for the internal regulation of self-worth, resulting in a complete dependence on the adulation of others to feel alive and worthy. Further evidence for this is the fact that these individuals present almost invariably with an extremely fragile sense of self-worth, with criticisms, challenges or vulnerable moments haunting these individuals incessantly. They may react with indifference, devaluation, disdain, rage or vengeance in response to said scrutiny. While much more may be said about this diagnosis, we shall focus our attention on this disorder's recognition rather than its inherent psychodynamic implications.
Though the complex internal modalities of narcissistic personality disorder shall be saved for a future post, I would be remiss if I did not include the second diagnostic criteria. Though the previous model serves well in recognizing traditional narcissism, also known as “grandiose” narcissism among other names, the dimensional-categorical model contributes more to the now recognized, multifaceted nature of narcissism, including various other presentations in its diagnostic criteria. In this model, narcissistic personality disorder is diagnosed as follows:
As can be seen, more diversity is present within the description of narcissistic symptomatology. Acknowledgement as to the multifaceted presentation of this disorder has been included via the acknowledgement of a deflated self-image or variations in self-image. Various subforms of narcissism have also been included in the associated feature specifications. For example, while grandiosity and attention seeking are necessary for the diagnosis, the individual may present with various neurotic symptomatology, characteristic in more “vulnerable” presentations. Furthermore, other personality traits associated with the domain of antagonism may be present, indicating a more severe, “malignant” level of pathology. While superficially presenting with variable characteristics, the central lack of internal self-esteem regulation is a ubiquitous feature, as are various other psychodynamic properties.
With the disorder defined, you now have a guide to identifying narcissistic individuals in your life. To see the narcissists dynamics in interpersonal relationships, there is one aspect of the internal experience of these individuals which must be examined if we are to understand the narcissists parenting style.
The Internal Paradigm of Narcissists
When a child of a narcissist is victimized, it is normal to want to understand the paradigm of what has happened. When individuals transgress our boundaries, “why?” is a perfectly reasonable reaction. The difficulty in understanding NPD is that children of these individuals presumably possess a healthy personality structure. This alone makes it difficult to grasp the motivations of the narcissist, as the parent and child quite literally live in completely different worlds. While an alien model to be sure, I shall attempt to shed light on this distorted state of mind.
The first factor to understand is that narcissists do not possess introspection; that is, they are not aware of what is happening in the internal world, and thus have no insights into themselves or what they do. This is in contrast to us, who behave with an intention. When we act in a certain way, we understand it is for a reason and use that reason as an explanation for the cause and effect relationship of our actions. In those with NPD, there is an absence of insight into personal motivators and an unawareness of internal factors that contribute to behavioral output.
An example for this paradigm was provided by psychiatrist Alok Kanojia in his lecture on narcissistic parenting. He explained that someone with NPD in his family had exclaimed a hurtful comment towards another member of the family. Dr. Kanojia, in a desire to understand, asked this individual why they had made this comment. The individual interpreted this as a chance to apologize profoundly, admitting they never should have said this and it was wrong on their part. Dr. Kanojia, being knowledgeable about this disorder did not desist, explaining it wasn’t about fault, but simply wanting to understand the why of the comment. The narcissist in question could not provide a response during the course of a forty-five minute conversation, before Dr. Kanojia’s mother introjected that he stop trying, exclaiming that this individual was operating on a different “wave-length” and had no capacity for self-understanding.
This deficiency of introjection is associated with the lack of a consistent self-image previously mentioned. Those with NPD gain the sense of who they are through environmental factors, with their self-esteem molding like clay in accordance to the response of others. As the external environment merely functions for the purpose of self-esteem validation, individuals merely serve as sycophants for the narcissist's self-image. This contributes to a dynamic that causes confusion for non-sufferers of this disorder. Those with NPD view others as extensions of themselves, which is known as “self-objects” in psychology. Because others serve to regulate self-esteem, those with NPD interpret others in this context and fail to recognize the individuality of others. The result is treating others much as one would treat an aspect of themselves, with the expectation that others will cater to the narcissist's needs and serve to reflect the created modality.
Seeing this paradigm, it becomes clear as to what contributes to narcissistic parent-child relationships. As reality is a reflection for self-esteem regulation, the children of these individuals are further seen as an extension of the parent. Children serve to reflect the narcissist's distorted self-image and are treated as instruments for that regard. Children, much like adults, possess their individuality, and as is normal for development, begin to individuate. What happens as a result is that children begin to express authentic characteristics that do not conform to the narcissist’s image. Because those with NPD lack self-awareness, they do not respond consciously to the resulting anxiety of the prospect of the child differing from what serves them. To maintain psychological equilibrium, the narcissist begins to infiltrate the boundaries of the child, controlling what the child may or may not think, feel, say or do as a means to ameliorate anxiety and reduce the child to the self-image they see them as. Of course, healthy individuals naturally defy such domineering attempts, further adding fuel to the narcissists proverbial fire and leading to an escalation of controlling behavior. This continues until the child desists, further contributing to the narcissist's grandiosity in the belief of them being a good parent. They will proclaim this excessive control as a virtue; as a sign of their caring for their children, anxiety about consequences that may befall the child or as they know what is best for their children. In reality, this is a mask for their gaping insecurity and need for others to reflect themselves.
In Dr. Alok Kanojia’s livestream, presents an adolescent with a narcissistic mother who claims that her mother donated her guitar and art supplies while she was at work. This girl in question purchased these items with her own money that she earned from a part-time job. When she confronted her mother about this, the mother responded with various excuses such as “it’s a waste of time”, “there are more important things to worry about” and “I did it for your own good.” All of these serve as confabulations for the NPD mothers treating of her daughter as a self-object who must conform to the internalized image created. Failure to do so leads to controlling behavior as a means of ameliorating the resulting anxiety and creating narratives that result to justify said behavior. Understanding this dynamic, it is obvious why these toxic relationships have such a pernicious effect on children.
It is worth noting that those with narcissistic personality disorder are typically not malevolent. These individuals do love their children (albeit in a dysfunctional manner) and do believe they are doing right by their child. This is also why reasoning with these individuals is impossible. When one states point-blank that they have been hurt, a narcissistic parent will deny the presenting evidence, negating the experience of the child and responding “I don’t hurt you.” Indeed, the intention is not to cause hurt, but merely to have the child conform to the needs, expectations and reflections of the narcissistic parent. Children expressing their hurt in the face of these dynamics fails to penetrate the narcissistic defenses, and quite often has the opposite effect of causing the parent to become more defensive. After the continuation of this dynamic, these individuals will typically turn the tables, positioning themselves as the wounded victim and attacking their children as being “ungrateful”, “defiant” or “stubborn” for the lack of conformity.
It is difficult to imagine the narcissists mentality, as the fantasy world of these individuals can only be directly accessed by sufferers themselves. However, it is because of these defenses that reasoning or expressing hurt will not bear fruit. Being hurt is simply the result of you not understanding; of your ingratitude and failure to appreciate the sacrifices made for you. In this dynamic, you shall always be dictated as to what is correct to think, feel, say, do and be. Hopefully, it is clear now as to why.
With the problem being understood, let us now examine solutions for this issue.
Survival Strategies
On his Youtube channel and among his written works, professor Shmuel “Sam” Vaknin has discussed the topic of narcissism extensively. The source of inspiration for his materials derives from personal experience of narcissism, having been himself diagnosed with narcissistic personality disorder. While explaining the details of narcissistic psychodynamics, he also provides various materials on how to deal with narcissistic individuals.
In a video uploaded to his Youtube channel, Dr. Vaknin presents a lecture where he presents eight strategies for the purpose of manipulating narcissistic individuals. The video serves as a means of survival strategy in which victims of narcissists may survive the toxic, pernicious effect that narcissists inflict on their lives. Below, the techniques are summarized from his video.
No Contact: By far the most effective technique and the only strategy recommended by the psychological community, no contact involves removing the narcissist from your life. In this technique, you simply walk away. You do not maintain contact, directly or indirectly; you do not maintain a relationship; you answer no phone calls, messages or emails; you receive no gifts; you block and do not follow their social media accounts. If necessary, you also remove individuals who may be functioning as spies and sycophants for the narcissist. This technique is also to be utilized if the narcissist is a person normally of emotional proximity in your life, including mother, father, son, daughter, sibling or spouse.
As is usual, various questions may arise involving whether no contact should be utilized in various situations, some of which Dr. Vaknin addresses. What if you have children together? You communicate only via third, legal parties such as lawyers and accountants, never discussing anything that does not directly involve the children. What if you have a thriving, successful business together? You dismantle it. Your sanity, psychological health and survival are more important than any business.
As can be seen, no contact is a strategy that is to be utilized without exception. He further elaborates that there is never a good reason not to go no contact. Any material or financial benefit that may be lost is not worth dealing with a narcissistic individual. As such, no contact is the only tactic recommended and the only strategy that should be utilized.
For those who choose to remain in contact, a further seven strategies remain.
Gray Rock: An emotional equivalency to no contact is our second strategy; gray rock. Here, you simply do not engage with the narcissist. You do not respond whenever possible. When necessary, you respond minimally, factually, one-dimensionally and with the least amount of information possible. You present yourself as bland, unengaged, somewhat stupid, unstimulating, mundane and boring. Ideally, the narcissist will desist in identifying you as a source of supply and will then look for others, leaving you be.
Displacement: In this strategy, you create a bond with the narcissist via uniting under a common enemy. You find somebody (the neighbour; the boss; a sister-in-law) or an institution (the government; church; the United States) who you and the narcissist can agree is a common enemy. In the face of this enemy, you unite and the controlling behaviors diminish.
Mirroring: “Anything you can do, I can do better.” This is the essence of the technique. How the narcissist treats you is exactly what you do to him. He screams at you, you scream at him. He tries to control you, you try to control him. He insults you, you insult him. This is effective for two reasons. Firstly, your narcissistic parent is a coward, like all bullies. As a result, they will back down in the face of escalation. Lastly, this technique has the effect of creating self-awareness in the narcissist. If you’ll remember, narcissists have no introspection, and as such have no self-awareness. Through this technique, you function as a mirror via which the narcissist begins to see himself.
Note, this technique should never be used with a malignant narcissist. This is an individual who also lacks impulse control, presents with aggressive characteristics and various antagonistic features. Do not use mirroring in the face of such individuals. However, this tactic remains effective with “typical” narcissists.
Shared Psychosis: Also known as shared psychotic disorder, folie a deux, stockholm syndrome, delusional narrative and trauma bonding among many others, this technique is exactly the opposite of mirroring. In this case, whatever the narcissist does, you enhance. You feed into his narcissism and amplify exactly what he is transmitting. In doing so, you enter the narcissist's fantasy world and create a parody to show even him how insane he actually is. This has the remarkable effect of producing modesty in the narcissist, who will begin to diminish his grandiosity and express humility in the face of this caricature.
Supply: With this strategy, you feed into the narcissist's grandiosity. You provide attention to the narcissist, affirming his need for admiration and validating his fragile self-esteem. Affirmation serves as a drug to the narcissist, and in this strategy, you serve as the supplier. In this sense, narcissists are dependent personalities in that they need others to affirm their self-concept. When this technique is used correctly, narcissists will begin exhibiting codependent tendencies. Used efficiently, they will begin to depend on you.
Withholding: This technique is exactly the opposite of supply. Here, you fail to provide the drug. Extending further, you may deliberately play into the narcissist's insecurities, deflating the grandiosity.
Intermittent Reinforcement: The previous technique may seem counterproductive, and this is true when used alone. If one is to use withholding, it must be combined with supply, never alone. In this, you provide short periods of supply, then withdrawal into short periods of holding, continuing the cycle as appropriate. When used in this manner, this conjunction is known as intermittent reinforcement.
With these strategies established, Dr. Vaknin points out a ubiquitous feature; these strategies are exactly what the narcissist does to you. In that sense, the way to cope with a narcissist is to become one. Rightfully, he demonstrates that in doing so, you are playing with your soul. The adoption of these characteristics is known as narcissistic-psychopathic overlay; a state in which an individual begins to express cluster B pathology. Luckily, the behaviors are transient and will abate as the individual distances themselves from the narcissist and begins to recover, with the exception of two fundamental things. After narcissistic abuse, the ability to trust others and empathy for other people are greatly compromised, with Vaknin boldly stating that these states will never recover.
Concluding from this rationale, Vaknin further states that the only one of these strategies that should be considered is no contact. These persistent empathic deficits are also found amongst addicts, those with chronic illness and end-of-life patients.
It is understandable why some remain in contact. Often, narcissistic parents will threaten their children financially. “You don’t want a relationship? You’re not getting any help with your tuition.” “Oh, you won’t allow me to see my grandchild? There goes your trust fund.” Those who advise on surviving narcissistic parents will still advise no contact, claiming that no trust fund is worth dealing with a narcissistic parent. Though understandable, that is easier said than done when $200,000.00 is on the line. In these cases, the other strategies may be utilized for going through the motions with this person. Or, as suggested by Dr. Kanojia, one may play a game of symbols, rather than substance. This involves passing credit to your narcissistic parent for something they do not deserve. You include their identity in your accomplishments to reduce the controlling behavior and gain some distance between you and them. The problem is this often leaves people feeling nauseous and disheartened, as it further enables the narcissist without your needs being recognized. As such, we return to the initial advice; go no contact. Dr. Kanojia, though suggesting the game of symbols, also affirms that no contact can be the most useful utilization for these individuals. Would you rather have these individuals perniciously drain your well-being? Why play these games? I will conclude this article with the advice of Dr’s. Kinojia and Vaknin; go no contact. There is nothing worth keeping this person in your life. Your well-being is far more important than anything you could hope to gain, or any villainization others may inflict on you for your distancing and self-protection. As Dr. Vaknin states, don’t even pack your things. Don’t bother. Simply walk away. You deserve happiness, well-being and quality of life, and you will not encounter this with a narcissistic parent.