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The Carlat Psychiatry Podcast

Narcissism

The Carlat Psychiatry Podcast

Pocket Psychiatry: A Carlat Podcast

Health & Fitness, Mental Health, Medicine, Alternative Health

4.8440 Ratings

🗓️ 30 June 2025

⏱️ 11 minutes

🧾️ Download transcript

Summary

Two ways to approach narcissism in therapy, and how AI can ramp up the problem. CME: (https://www.thecarlatreport.com/blogs/2-the-carlat-psychiatry-podcast/post/5440-psychopharm-secrets-coming-off-meds)Take the CME Post-Test for this Episode (https://www.thecarlatreport.com/blogs/2-the-carlat-psychiatry-podcast/post/5441-narcissism)Published On: 06/30/2025Duration: 10 minutes, 44 secondsChris Aiken, MD and Kellie Newsome, PMHNP have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Transcript

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0:00.0

Should you mirror the narcissist or confront them?

0:02.9

Find out in today's podcast.

0:08.8

Welcome to the Carlyte Psychiatry Podcast, keeping psychiatry honest since 2003.

0:14.6

I'm Chris Sagan, the editor-in-chief of the Carlat Psychiatry Report.

0:18.3

And I'm Kelly Newsom, a psychiatric MP and a dedicated reader of every

0:22.2

issue. In 2017, the Italian government issued a long overdue, not guilty verdict to one of their

0:32.1

most famous poets. The crime he was accused of had taken place over 2,000 years earlier.

0:38.7

The poet was Ovid.

0:40.5

The Roman Emperor Augustus had him exiled to the remote regions of what is now Romania,

0:46.8

where he languished in isolation.

0:49.8

Ovid had done something that challenged the emperor.

0:52.9

Exactly what, we don't know, but the year of his

0:55.9

banishment, eight years after the birth of Christ, coincides with the publication of his most

1:02.9

important work of verse, the metamorphosis. And it's in that piece that Ovid brings to life

1:09.6

the myth of Narcissus, the young man who fell in love with his own reflection, and whose name became enshrined as narcissistic personality disorder in 1980s, DSM-3.

1:19.7

But Ovid's version took the myth one step further. He introduced another character that concerns us today, Echo.

1:26.5

Echo was a mountain nymph who had the gift of Gab,

1:29.8

but she used that gift to trick people.

1:32.2

And so the gods cursed her.

1:34.0

From now on, Echo could only repeat what other people say.

1:37.1

Her tongue now limited.

1:38.5

Echo met and fell in love with Narcissus.

...

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