Narcissism: In Greek mythology, Narcissus was known for his beauty. According to Tzetzes, he rejected all romantic advances, falling in love with his own reflection in a pool of water. 1/30 #March4Justice #EnoughIsEnough
He was so fascinated by himself that, one morning, when he was trying to get still closer to his reflection, he fell into the water and drowned. In his place sprouted a flower bearing his name. 2/30
In Freudian psychiatry, narcissism is an excessive degree of self-esteem or self-involvement, a condition that is usually a form of emotional immaturity (Read my Thread: ‘Why I switched from self-esteem to self-compassion?’). 3/20
Narcissus’ story is a cautionary tale about the catastrophic effects of excessive self-esteem; the danger of narcissism. A lot of people have asked me to make a thread on this topic. I have hesitated for several reasons: 4/30
I’m not the biggest fan of labels. However, they certainly have a place to determine what is what and to assess risk of harm. Often we all share the full gamut of psychological symptoms; differing in their intensity, duration and impairment or harm. 5/30
I’m also mindful not to tweet specific diagnoses so that readers do not diagnose themselves or others. I also do not want to unnecessarily trigger anyone. That’s why I’ve focused on classical pieces, contemporary approaches, trauma more broadly and tools for wellbeing. 6/30
However, I do see a benefit to exploring this topic within the context of #March4Justice. If you want a textbook definition of Narcissistic Personality Disorder (NPD) then you can Google search the DSM-5 classification. I will steer away from that approach for this thread. 7/30
So what’s the point of this thread then? A taste of narcissism and some respite. In her book, The Narcissist in Your Life: Recognizing the Patterns and Learning to Break Free, Julie Hall describes twelve unspoken rules that dictate family interactions in narcissistic homes: 8/30
‘Acceptance is Conditional’: children must comply with the family narrative and value system. Differences are rejected and pathologised; ‘Submission is Required’: to the dominant authority, no matter how ignorant, arbitrary, cruel, or destructive; 9/30
‘Someone Must Be Blamed for Problems’: typically a family scapegoat made to bear the burdens of the family’s problems, frustration, and unhappiness; ‘Vulnerability Is Dangerous’: Mistakes, accidents, and weaknesses, even ones you take responsibility for, 10/30
are cause for shaming treatment that can persist for years; ‘You Must Take Sides’: Just as there is blame and shame, there are sides, and if you are not on the dominant narcissist’s side you are wrong; 11/30
‘There Is Never Enough Love and Respect to Go Around’: love and respect are limited to whomever else is deemed worthy, usually a favoured "golden" child; ‘Feelings Are Wrong’: Only the narcissist has free rein to express feelings, have emotional reactions, and make demands; 12/30
‘Competition, Not Cooperation, Rules the Day’: One-upmanship, favouritism, and constant comparison create a harshly competitive environment that undermines trust and breeds hostility and betrayal; 13/30
‘Appearances Are More Important Than Substance’: Even if everyone is suffering, they must smile for the family photo; ‘Rage Is Normalised’: Everyone is expected to swallow and endure the dominant narcissist’s irrational, explosive, and perhaps also violent rage; 14/30
‘Denial Is Rampant’: abusive incidents; continual atmosphere of fear; ongoing mistreatment of scapegoats; and routine forms of neglect; ‘There Is No Safety’: Although the scapegoat is the target of abuse, everyone’s on hyperalert because no one’s safe from blame and rage. 15/30
The classic feature of the narcissistic family is that it looks perfect from the outside. When outsiders are looking in, it smiles back like nothing’s wrong. Everything seems perfect. But if you look deeper you will eventually find all the problems that it actively hides. 16/30
Now for the sake of justice, imagine that in Australia we are all one big family. If these unspoken rules do not apply to our big family then we can say we have justice. However, if they do apply then perhaps we do need urgent change. That is a decision only you can decide. 17/30
Can a narcissist change? People with NPD rarely seek therapy because they may neither notice nor care about their impact on others. However, they can and do change, but only when they have insight and are willing to. 18/30
Because of this resistance, their loved ones often seek treatment to cope themselves: to live with their loved one/s or a work colleague/s; for protection and/or safety planning; to work on their own associated trauma; for grief and loss when they finally have no contact. 19/30
Essentially these loved ones want three things: justice, validation and reparation. In other words, they’re being treated inappropriately and want to make things right; they want this injustice acknowledged (seen and heard); they want to repair the fractured relationship/s. 20/30
Unfortunately, this often cannot occur because their loved one’s participation is required. However, a good therapist can remind them that ultimately we must give these things to ourselves: make things right for ourselves, validate ourselves, repair and heal ourselves. 21/30
When we do we will find the pillars of trauma informed practice within our own recovery: safety, trustworthiness, choice, collaboration and empowerment. This may (or may not) require leaving our loved one/s behind. Safety is primary. 22/30
When we do we will have recognised how the negative operation of power (i.e. families, educators, employers, government, or religious institutions) triggered our threat defences and the subsequent meanings we made that shaped our entire lives. 23/30
When we do we can ensure our own wellbeing by recreating our own lives and meanings grounded in vital protectors: our body, mind/emotion, social connection, country, cultural and spirituality. 24/30
When we do we will remember that we do not need to be more: prettier, handsomer, smarter, faster, wealthier, popular, or more powerful. 25/30
Is a baby born half or whole?

Every baby, ant, butterfly, tree, rainbow and the entire sky is already enough as it is. We too are a piece of the whole of existence already enough as we are. 26/30
When we do we can stare trauma in the face and see it for what it really is: Not feeling safe, loved, accepted or a sense of belonging. As long as our environment is safe, we can love and accept ourselves and we do always belong. 27/30
When we do we will have switched from self-esteem (i.e. wanting to be special and above average) to self-compassion (kindness, common humanity, mindfulness). 28/30
Knowing this is: justice, validation, reparation. Always was, always will be. Whole. This empowerment, seeks to empower all. 29/30
Trauma is disconnection; empathy fuels connection.

Australia is one big family really.

That is why I #March4Justice. 30/30

❤️

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More from @drlouisehansen

18 Mar
How to Prevent Trauma from Becoming PTSD: “The good news is that the intensity of emotional pain always reduces with time. This is not just a trite sentiment, as there are neurological studies that have found the ways the brain works to heal emotional wounds. 1/19 #March4Justice
The brain is geared for survival and is always looking for new threats and information, which means old experiences eventually route to the back of the line to direct your attentional resources to what is new and potentially important. 2/19
My clients often respond to this concept by stating: “This can't be true, because I have been in the same emotional pain for so long, and my traumatic event was years and years ago.”  3/19
Read 19 tweets
18 Mar
“A new type of survivor guilt: The term survivor guilt is usually used to describe emotional distress some people feel after surviving a traumatic event in which others have died, such as a natural disaster or terrorist attack.
It has been identified in military veterans, 1/14
those who survived the Holocaust, 9/11 survivors, and emergency first responders. COVID-19 has certainly been a traumatic experience and has had a profound impact on mental health. Around 1,000 people have died by suicide in Australia since it began and 2/14
modelling from the University of Sydney found suicide deaths could rise by 25% annually for the next five years. During COVID-19 we have witnessed the conventional type of survivor guilt associated with surviving the coronavirus when hundreds of thousands haven’t. 3/14
Read 14 tweets
18 Mar
Disoriented-Disorganized Attachment Pattern and Increased Risk of Further Traumatization (Part 2/2): “Established insecure attachment patterns are empirically associated with a higher rate of traumatic events and subsequent trauma. 1/23
Further trauma has a disastrous impact on affective and socio-cognitive development. Sexual or aggressive exposures of abuse by a parent, for example, are particularly devastating if they are based on a previous relational context of emotional neglect. 2/23
They may promote “identification with the aggressor” and, as a result, may create intrapsychic relational representations of “perpetrators and victims” in rapid reversals. However, this dominant pattern is based on a massive obstruction of general mentalization functions. 3/23
Read 23 tweets
18 Mar
Psychobiology of Attachment and Trauma—Some General Remarks From a Clinical Perspective (Part 1/2): “Early representatives of psychoanalysis argued that the roots of human social motivation are primarily physical and sensory (hunger, sexuality) 1/31
and that satisfaction and/or frustration of these needs lead to the infant’s initial approach to the mother. John Bowlby (1907–1990) strongly opposed this theoretical approach. Based on numerous empirical observations he developed a different theory: 2/31
the infant’s hunger for its mother’s love and presence is as great as its hunger for food. Attachment is therefore a “primary motivational system” with its own workings. Rene Spitz had made similar empirical observations with orphaned children some years earlier. 3/31
Read 32 tweets
17 Mar
How to use ‘The Hand Model of the Brain’ to Explain our Reaction to Stress: Dr. Daniel Siegel’s hand model of the brain helps children imagine what’s happening inside their brain when they get upset so that they can identify and deal with the emotions more effectively. 1/10
First, let’s see what the hand model of the brain looks like: As its name suggests, you need to use your hand for this. Your wrist is the spinal cord upon which the brain sits, your palm is the inner brainstem, and your thumb is your amygdala (or guard dog). 2/10
If you place your thumb in the palm, you’ll form the limbic system. Your other fingers are your cerebral cortex, and the tips of your fingers are your prefrontal cortex (or wise owl). 3/10
Read 10 tweets
17 Mar
Don’t ostracise drugs users – empathise with them: Dr Gabor Maté was recently awarded the Order of Canada for his work on trauma and addiction. The following is adapted from his book ‘In the Realm of Hungry Ghosts: Close Encounters with Addiction’: 1/37 #March4Justice
“From Abraham to the Aztecs, ancient cultures exacted human sacrifices to appease the gods – that is, to soothe their own anxieties and to placate false beliefs. Today, we have our own version of this, as evidenced by the overdose crisis sweeping North America. 2/37
These lost lives are offered up, we might say, for the appeasement of our own false beliefs and denial. Addicted people are victimised by our society’s disinclination to come to terms with the root sources, psychology and neurobiology of addiction, 3/37
Read 37 tweets

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