Narcissism
The Carlat Psychiatry Podcast
Pocket Psychiatry: A Carlat Podcast
4.7 • 524 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: Take the CME Post-Test for this Episode
Published On: 06/30/2025
Duration: 10 minutes, 44 seconds
Chris 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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