Behavioral Therapy Counseling Role-Play - Client with Symptoms of Narcissistic Personality Disorder
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- čas přidán 14. 06. 2017
- This video features a behavioral therapy counseling role-play session in which behavioral techniques are used to address workplace relationship problems. The client (played be an actress) has symptoms consistent with Narcissistic Personality Disorder.
Dr. Grande is an ironic name for a specialist in narcissism.
I'll refrain from commenting because nobody else could match the quality of my comment.
That NPD was pretty obvious, a covert NPD is pretty much impossible to spot in an interview. More role-play sessions please, they help a lot to put a face and body language to those lists of 'signs'
OMG! GIve that girl an Oscar! Her timing, her inflections, her facial expressions...she MUST have a narc in her life LOL!
She's probably a clinician who works with or has worked with narcissists.
OMG. She was outstanding!!! So realistic. I'm blown away.
She would only accept the Oscar when it gets to her level.
Dr. Grande's ability to remain impartial and unbiased during this session is paramount to the therapeutic relationship. His questions were nonjudgemental and reflective of this client's feelings and cognitions. He interjected with suggestions that were still in line with the comfort level of the client but also challenged her current way of thinking. I feel that his positive regard is what allowed the client to be receptive to his suggestions and see things from a perspective other than her own.
Kudos to the actress! I have worked with a pathological narcissist for many years, and I can testify that the actress has captured the nuances of this personality extremely well. Usually, narcissists are portrayed in movies as bombastic and pushy, but they have this quality of unperturbed aloofness with the air of misunderstood visionary, and this actress reproduced that attitude exactly. The empathy of the therapist is also something to marvel at. To empathize with a narcissist is not an easy feat.
I worked with a covert narcissist in a therapy room and it is extremely painful, the anger, defensiveness, lack of awareness, extreme arrogance, competitiveness, no boundaries...- it is hard to work with someone who uses therapy just as a vehicle to prove themselves they are right. Lesson #1: how they treat other people, they will eventually treat you, the therapist.
Can you be a narcissist if you know what you do and how you are is wrong? Is this a thing?
@@benibad9355 Yes, but most of the time they are not self-aware of it.
Not all who have NPD, act like this.some know how to play it off and hide it better.
This actress is amazing. I hated her within a few minutes, haha
I would rather have a narcissist like her than have a player hater.
Sometimes the narcissist like her is right, but player haters are always wrong.
😅
A narcissist asking for help: please, help me stop being so awesome so the world can at least be at my level.
Why is everyone soo critical towards narcissists? I get it that they're not nice people but still people, I can't really help myself
Drozy coder They’re not just “not nice” people . They hurt people . They’re manipulating people . Parents who have narcissistic traits hurt their children, they have no remorse, because they have 0 or minimal empathy . Because even if you understand their motives you can’t make them an excuse for them to act the way they act . Because it’s not the child’s job to do that in any circumstance . Because they can destroy their child mental health for life . Nobody said they are not people, but people can be evil or nice or both and people can hurt other people conciounsly or not, that’s what people with narcissistic traits do .
A covert narcissist would EASILY manipulate the situation. They would be the most humble person in the world.
She’s very obvious but there are so many narcissists harder to spot, more subtle than her
This is why I am not a therapist... I could not remain neutral.
I totally agree
Hans Franz 😂
I had the exact same thought. I used to want to be a psychologist but I think it's good that I'm not!
Agreed! It would be tough not to say things like, " It doesn't strike you as odd that..." or? "what you are saying is..."
I could not be an actress, because I would laugh at my own lines
If everyone is mad at you, it's not them.
She even got the narc posture hahahaha
The client is so confident and feels like she is above all of her coworkers. Dr Grande helps her to realize that she can stop criticizing her coworkers' work performance. The client is willing to give this a try because she feels as though this will prove that she is right.
This made me tired simply watching her. She always comes back full circle to herself.
she says only her boss is on her level, yet, he's the boss and she's still his employee. narcissists really are not logical like they think they're.
That's illogical within itself. Lol.
I don't think that you understood this scenario.
To sum it up, she was more of a high minded perfectionist who has formed a habit of critiquing her coworkers.
But she thinks that they can do better than whatever they are doing.
In most businesses, management usually do push their employees to be more self motivated, goal oriented, and produce more results.
Her level of performance and competitiveness, in her field, was at a higher level than most of her coworkers because of her narcissistic tendencies and individualistic attitude. Even if she exaggerated some of her efforts, she inadvertently undermines her coworkers' best efforts.
In that opinion, she would veiw and respect her boss as an obviously high performer or a go getter with no problem getting results.
So she would basically be calling out all of her lower performing coworkers and all of the noncompetitive coworkers as lazy and lackadaisical.
But what she would lack within herself is that she is only a small part of their company's team, not at all the best part of the company. Especially if she is doing what's in her skillset to do.
She should trust her coworkers is doing what's within their own skillset to do and congratulate them instead of comparing their talents to her own or covertly competing with them in order to fuel her narcissistic desires and then openly criticizing them for not being as talented as herself.
This type of person should try to more mindful of other people's differences, and also see the power in team and how it complements others' strengths and weaknesses.
Low self esteem is the root cause of narcissism. I talk too a colleague daily on a professional level. The grandiose, the jealousy, the talking down is always rooted in low self esteem. Like anything in life it can be changed, however it’s changing the routine they are used too. Criticism is hard for anybody but somebody that has been acting their whole life it takes time. She diagnosed herself the whole time but the ego gets in the way.
Omg, this finally confirms my former boss was indeed a narcissist. No wonder I was so traumatized from that job. I thought something was wrong with me. I have since moved on to a new job and am again working with toxic people with similar traits. No escape! These disordered robots are everywhere. The worst ones however are the ones that act like victims. The lady in this video seems tamer and like she would be easier to handle. There are way worse, manipulative ones that are fully aware of how twisted and terrible they are and like to see you suffer.
Narcissists don’t typically say these things exactly, but it’s how they come across and what they believe but they are too ashamed to admit it because they know something is wrong with them but they try to hide that
Dr. Grande portrayed a wonderful example of how a client should be treated in a non judgement manner. It was also interesting to see how he was able to listen to the client and not undermine her perception of her experiences while also enlightening the client on how others may view her.
“It’s pretty hard not to make any errors in accounting. With the numbers;
the AMOUNT of numbers.....”. GOLDEN
I have an anecdote to share... a sobering moment in the life of a narcissist... i was hanging out in a café with my friends. I noticed a girl in a white blazer behind my back. I saw her in a reflection of a store window. For some reason she caught my attention and it was bothering me. I kept throwing brief peeks at her image, and spent an entire evening thinking what a dork she is... simple, unkempt, just beneath presentable looking girl. It was all done in comparison, i used her to boost my confidence. When it was time to leave, i turned around to see her directly. To my astonishment and just sheer confution i realized that nobody was sitting behind our table at all, and i was looking into my own reflection mirrored from different angles of the windows from across the promenade that we were at. It was one deeply sobering moment for me that impacted my outlook, compassion and understanding of myself and people around me.. on many levels. I grew up. This experience helps me understand that people can confuse confidence with insecurity. Even though these two are the opposites with apparent distinguishing features, narcissists have the ability to experience confidence by using environment to prove it. Real confidence is when you dont need to outshine, outsmart, outloud, outstand, out...something
We can help people who struggle with feelings of needing to outstand at the cost of others, by understanding a concept of real confidence and cohabitat in peace with them.. we all get episodes of narcissism when we allow situations turn into conflicts. That's the painful truth, otherwise we would be compassionate with narcissists. I know my ideas will upset people here, so i apologize for that and invite everyone to just consider it.. that's how i see things, i havent experienced any worse to know any better. And it's probably not needed.. but there.. just a voice
Wow!! That is deep and refreshing!!
I've lived with my brother's covert narcissist wife for 30 years. Never hated her but understood she had a disorder and have tried at various times to be compassionate and understanding. It resulted in nothing but the same behavior. Your comment I believe is one without a lot of experience and plenty of naivete. I know we are all unique and much is along a "spectrum" but that's my experience.
First thing, WOW! She is really full of herself. Second thing, the counselor was able to stay focused on the underlying concern rather than the presented concern. A goal was set by the client and the counselor. It was specific, measurable, and based on what the client believed she could do, or in this case, willing to not do.
This is a good eye opener lesson for a new counselor working with a "harder" than normal client. In this session the counselor was able to not address the overbearing narcissistic personality itself and try to make the client change who they are, but instead they were able to see the personality and create avenues where the client did not have to change who they are but give ideas to take a step back to modify the personality a little. This is exactly in line with the goals of behavior therapy, the counselor will target a behavior and set goals the client can work towards. In this case the counselor gave the client the goal of toning their comments down in order to regain the flow of the employees. The counselor basically took the clients suggestion of sugar coating with the employees and sugar coated with her. Instead of telling her that her high thoughts of herself were the cause of the problems among the employees, the counselor stated a suggestion in such a way that it enabled the client to feel at ease with the goal and move forward with it.
This actress did a great job demonstrating Narcissistic Personality Disorder! I noticed her lack of empathy for her employees, projecting blame, minimizing their criticism, and denying problems. This individual would be a very tough client to work with! The therapist really had his work cut out for him and he did an excellent job in getting her to a point where she could come to a conclusion on what might need to change. The constant reflection, paraphrasing, and challenging/confronting techniques allowed the client to restructure her perception of her employees and change her behaviors. It was also fascinating to see how she started therapy as a challenge to prove her boss wrong and ended up being receptive and willing to change her behaviors.
I agree Lauren that by the end she was willing to make some changes. Only because it would prove "them wrong" and her right. Dr. Grande used the techniques very effectively to get to this resolution with her. He didn't argue with her, tell her that she is being totally ridiculous but instead re-framed the situation to make her want to make changes.
A cocky facade to mask many underlying insecurities.
Yes!
This is brilliant 😂 she's the female version of 2 dudes I've met, a female boss I had, or two or three, or four...when they're really struggling to let in any criticism of themselves, they get this 😳 look on their faces, like they go there, then immediately retreat back to blaming everyone else cos they are just perfect. This is a great video, well funny x
I would love to see a video on how someone with autism could be misdiagnosed as someone with NPD.
The counselor did a great job in remaining calm and neutral throughout this session. I believe this is a tough client to work with in the sense that she did not intentionally come into counseling for help, but to prove others wrong in their opinions of her. The counselor was willing to provide an outlook on the antecedents and the consequences of the client's situation with her coworkers, and proceeded to try to encourage ways that the client could better her relationships with those in her workplace.
Dr. Grande, you continue to amaze me!
I thought the counselor did an excellent job as remaining neutral during this counseling session. There were certain times throughout this role play video that I had a difficult time trying to remain neutral. I believe the counselor did an excellent job with demonstrating behavioral techniques with the client. The counselor assisted the client with goal setting in order to make sure the goal was specific and measureable.
Loved seeing this type of counceling in action. I’ve read about the modality and learned a lot by watching you.
Last 2 jobs..... had her as a boss. God this is so cathartic.
This example was extremely helpful for me to get an idea of symptoms in a direct experience with a person with NPD. Thank you very much for this one Dr Grande.
Hats off to Dr. Grande! When I first started watching I was curious as to how this session would play out because the client did not see any need for change in her ways. I think that by being patient with the client and allowing her to propose the idea of how to approach things in a more beneficial manner was very helpful.
My main thought watching this vid? They put up with her for 15 years?
Dr. Grande did a great job illustrating what it means to be non-judge mental and having positive intentions for the client even if you are not in agreement with their thoughts. This makes it clear what narcissistic personalities can look like. He did not compromise her quality of care regardless of what his personal views were.
Thank you Dr.Grande very informative as usual. Countertransperance between the client and the therapist was excellent your body language is inviting and none threatening great session.👏
Dr. Grande- I enjoyed your entire body language when talking to this client. Throughout this entire session, you were challenging the client but in an empathetic way. The open ended questions allowed the client to think about what was going on within her, she still believed that everyone was wrong and she was right; complete narcissistic behavior. The question's such as "would that help you," the client responses was able to think about what would change in the relationships, to "make the company better." You stated that your desire for the company to improve and their discontent to the comments that you make. You were able to validate her concerns, created new steps to reduce the tension and were able to suggest for the client to use cool down techniques.
Dr.Grande you were so patient with the client. Engaging with her from her perspective was advantageous, and probably made her comfortable in the session. Asking her "What do you think needs to be fixed?", "Do you think there are any steps...?" seemed to make her feel in control and apart of her session. I think that will make her homework worth doing. Thank you for the video.
I can appreciate the way Dr. Grande handled this client. I imagine it is not an easy task to work with a narcissist. However, the session went smoothly and the client was advised to try something new, keeping her comments to herself. Nice work.
This is another successful video portraying an interesting therapy. I enjoy seeing the therapy placed into action, and having a great example/ visual of how it is supposed to be applied in a counseling session.
I really admire Dr. Grande’s approach when working with an individual who displays symptoms of narcissistic behavior, as I can imagine it can be quite challenging. It is clear that Dr. Grande focused the conversation around the client's behavior by asking specific questions pertaining to the client’s behavior towards her coworkers and the situation as a whole, such as questioning the client about what she can do to reduce the tension between her and her coworkers. By focusing on the client’s behavior, Dr. Grande was able to work with the client to determine specific goals or ways to alleviate the conflict between the client and her coworkers. While working with an individual who sees no fault in her behaviors, I find that Dr. Grande did a great job in demonstrating how to work effectively with such an individual, while remaining neutral towards the situation and behaviors being displayed.
I found this video very helpful in that the counselor really saw the issue from the client's perspective. He did not push her to try to see it from other's perspectives. When it came to setting behavioral goals with the client he put the client in control and therefore take ownership and find her own reasons why the behavior change would work for her.
I like how Dr. Grande adeptly used the client's frame of thinking/understanding to allow her to develop specific goals and strategies that she could use to better her difficulties at work. For someone who began the session completely without blame with reference to interpersonal difficulties, Dr. Grande was able to "flip the script" while maintaining complete empathy and positive regard toward the client, allowing the client to identify specific behaviors which she could work on to better the situation.
Dr Grande is doing a great job assisting the client through this counseling session as she has the idea that there is nothing better than her at her job and she wants the other to do better but the way that she is vocalizing is causing issues in the company. Dr Grande presents confrontational questions to get the client to alter her way of thinking and seeing things from others point of view.
This channel has really been my saviour, especially am a psychologists student first year 😊😊😊
I know how she feels to be honest. It would be hard for colleagues to reach my level of awesomeness in the office.
Excellent presentation. It is very important not to criticize a patient with this thinking pattern. I loved the way in which Dr. Todd navigated this interaction. Thank you
The actress played the role incredibly well. Kudos to her 👏👏
This is terrific, and insightful content!
Thank you so much!
Amazing how widespread this disorder is, at different degrees, of course. I can think of 10+ friends or coworkers. Is it possible that our society today might cause or encourage this kind of attitude?
Doc, PLEASE do more of these!! So helpful!
I give Dr. Grande such props for maintaining the utmost professionalism and neutrality while working with this client! The paraphrasing and challenging incongruencies that Dr. Grande was doing were excellent and really seemed to help the client understand why she was there as well as address the relationships that she has with her coworkers. Likewise, the questions he was asking was appropriate to best understand the client's feelings of why she believes her coworkers are not “on her level.” As a whole, Dr. Grande did just enough probing that he was finally able to get the client to recognize (ever so slightly) where her issue may lie as well as a way to help find peace in her work environment.
First of all-That girl can act! She did a good job of portraying a person with narcissistic traits. Dr. Grande did an excellent job of re-framing her reasons for being in therapy in a way that doesn't completely shut her down but also doesn't play into her arrogance. For instance by suggesting that getting along with her co-workers would be beneficial to her. Then he was able to target specific behaviors such as her offering feedback to her co-workers. He also presented very non threatening to her especially when he asked if certain alternate behaviors would work. Awesome role play!
Dr. Grande utilizes Behavioral Therapy in this session well while working with a client that may seem hard to deal with. Even so, Dr. Grande uses a neutral tone and does not appear to get emotional at any point which is awesome. I also thought the client did such a great job in exhibiting the behaviors of someone with Narcissistic Personality Disorder.
I'm late to the party but...very helpful to see the different traits in conversation. Thanks for making this series.
It is amazing to see just how important attending, non-judgment, and use of basic listening skills are. They may seem simple, but they come a long way and are the base for any counseling relationship. First, Dr. Grande uses a non-judgmental attitude to help this client, I think that a person with this disorder may be difficult to deal with, so maintaining a non-judgmental attitude is essential. Dr. Grande's use of probing questions, interpretation, paraphrasing were necessary in helping the client see the many different behaviors she exhibited and came to awareness of how her work relationships could improve. Additionally, we begin to see how this type of therapy helped the client being to tether herself to reality and the present and how she exhibits herself around her work mates.
This was a very interesting video. I imagine it is very hard to work with a client with this type of mindset. How can you fix something when they don't think there is anything wrong? It was difficult to get her to admit that there is something to improve. She finally acknowledged that the relationship between herself and the coworkers has room for improvement. One way she decided to do this was to stop comparing their work to her own. This certainly doesn't change her thoughts, but might improve her behavior and allow her to come off as less arrogant.There are definitely a lot of things you want to say to her, but Dr. Grande did a good job at holding back.
Dr Grande you have the patience of a Saint!
All due respect, Doctor, but that is hilarious. 😂
Job well done.
The client's acting skills were superb. If anyone was ever confused about Narcissistic Personality Disorder, they should watch this video to grasp a better understanding. From a counseling view, Dr. Grande handles this session very well. The client feels that her coworkers are wrong and that she's not the problem. Throughout the session, Dr. Grande confronts her with challenging questions that guide her thinking in order to prove her case that everyone else is the problem. He even offers her a few suggestions in efforts to keep peace at the workplace. However, the client's goal is to still prove her point.
Oh geez. This just confirmed all doubts I had in my head about my ex. How did I ever go along with this.
I would like to see the next few sessions. Knowing that NPD is caused by devopmental trauma that she Might agree to work on, when would you begin to ask questions about her early childhood? Is there a way to get them to address their emotional incompetence perhaps by discussing their awful parent/s/abusive home life?
The gentle approach you are using is very clever. She has agreed to mind her interactions and come back in. That is major for this type of person. But do you ever get to dig in more? How do you do that? Will they ever be able to acknowledge the injury that caused them to have trouble empathizing with others and work on it? This client has an Ivy League education (as oft stated). Could psychoeducation be effective?
What a really brilliant person in that position would do: Get out of there. Change jobs or start your own company. Level up. If you're the smartest person in the room, you're in the wrong room.
What Narcs do: Thinking they're brilliant but stay put nonetheless. They like being the smart one (no matter if they truly are) and enjoy the drama. Also changing the environment, working with really talented people might damage their fragile egos.
There were a couple different components I liked about this video. First of all, I can only imagine how difficult it might be to work with an individual with narcissistic personality disorder and attempt to highlight their own erroneous behavior. Dr. Grande did a great job of staying firm when it came to pointing out the reasons why she was referred to counseling, but also listening to her and validating her own feelings surrounding the issue. He said things like, "do you think you could do that" rather than just directing her what to do which I am sure she would not be responsive towards. Dr. Grande also subtly suggested different behavioral modification the client could employ, and made them sound more appealing by highlighting some of the potential benefits (i.e. having a better relationship with one's coworkers).
She acts perfectly as a narc girl. Thank you both ❤
If this were a real life situation, I'd honestly be surprised that a narcissist would go into counseling at all, even to "disprove a point" against someone else. I mean, most narcs would never set foot in a counseling clinic. Are you kidding? They avoid it like the plague! LOL Now that said, I am aware that some narcs have gone to counseling to do things like this or pretend to change to stay in their victims' lives, I get that, but it just shocks me whenever I hear of a narc going into a counseling office for any reason. Usually, they're the ones who say they don't need counseling, they don't need to bother in such trivial matters, so they don't look into it. I literally had a narc cousin tell me, in the most defensive and insecure voice possible, "I don't need counseling!" to tell me in other words that the way our "relationship" would improve would have to be all on me.
If this actress were a real narcissist, I'd like to see a sequel session where this therapist gets to interview her employer and coworkers. Especially if they've suffered with her for 15 years. That would be so much fun. LOL
I haven"t seen this before!Excellent portrayal. Great to see you work with a client, Dr. Grande.
counseling someone with such a narcissistic attitude looks like it can present some challenges and appears that it could be intimidating at first. However, i feel that this was a good example of remaining neutral and trying to still be totally for the client. it was good to see some progress throughout the session despite knowing that the client did not see any issues with themselves at first.
So helpful as a LPC-IT that finds this to be an therapeutically intimating and activating population to work with!
Dr.Grande you are awesome. Thanks a lot for your educational videos.
Great job dr. Grande. Please kindly have an example of a therapy session with pathological/
malignant NPD husband, with different types: covert, overt and overt/covert... and with varying reactions.
Thank you so much for doing a great task with the other doctors in this most dangerous mental disorder.
She's playing a joke it's hilarious. But guys don't get played into the "us vs them" that as humans we tend to do. We're all flawed, we're not above of these people with disorders. Doc in the video is having the right mindset.
It's Angela from "The Office"
Yes, another one of these showing a covert Narc would be great! They are super sneaky...
An overt narc. Much easier to deal with than the covert variety.
(yeah, I know she was acting).
A covert would have given no signals and would be hard to reproach.
A covert would have said all the right things. And the therapist would be none the wiser not actually knowing the person or the situation or circumstances.
I know cocky overt narcs like this exist. But even an overt narc when cornered will modify their behaviour somewhat.
I get that this was for 'display' purposes. People like this really do exist. Some of them really are that obvious. But the chances of getting one just like this in a clinical setting and behaving this way? I'd say that would be a minimal use case scenario.
Massive fan of Dr. Grande though. Very under-rated.
This kind of role-playing thing is still very intriguing though. I could see it maybe being used in a setting where a victim of a narc acts out the problems they have been having with the narc, in a kind of projection-reversal scenario. But that's probably getting too deep.
Good work all the same.
are you a narc?
123ubuntu666 I agree
I agree with ya. If this is an average example of a narcissist than they must be rare.
123ubuntu666 Yes You are soo right. MAN!!!
I disagree. As far as I understand narcissism, it's perfectly possible to be overt and covert at the same time. Overt is when the narc is feeling confident and on top of his game. Covert is when he's feeling depressed, disempowered or backed into a corner. The narcissistic supply then comes from being the victim. It's just a different strategy and a different state of mind.
I like the neutrality that Dr. Grande maintained when working with this client because a client with narcissistic personality disorder seems difficult to work with and could bring up a bias in a counselor. Dr. Grande showed no signs of being bias because he was understanding of the client's position and remained empathetic to help the client even though she was only there to prove her boss wrong. In the end, they came to an agreement on something for the client to try to adjust her behavior which was laying low and not saying so much to her coworkers, and this could shape a positive reinforcement if things improve within the client's work relationships.
This is an wonderful example of a therapist remaining open-minded. With the client having NPD, the therapist was able to approach the client with using behavior therapy techniques. I am not sure if this client is ready to change her behavior, or even accept that she issues to work on. It must be really hard for the therapist to work with someone with this dx.
The client does not appear ready to change or even able to admit that she may even have a problem while at work. Even with coming to counseling she has to right, so she comes to counseling in order to prove that she is a perfect employee. It is very apparent that the client thinks she is better than most people except her boss, who seen as "above her ".
Dr. Grande did a good job helping the client realize that she may need to adjust how she is talking to other co-workers in order for the work place to run smoothly.
Janice Dixon it’s not real
sadly my family would find all these behaviors normal
my narc is more cunning than this
oh wow!! THAT was insufferable! And a really excellent role play ! Wow... that was really good.
So difficult to act like that when u r an actor! Congrats. A relative of mine is exactly like that unfortunately.
Please keep such videos coming! Your case studies are much more closer to reality. I liked how you were very non judgemental and did not attempt to de-throne this person from their mental pedestal. Instead, you encouraged them to come up a solution that fit their own personality and motivation.
What I didn't like was that you didn't ask further probing questions to uncover their motivations for thinking why they are better than other people. They did offer one explanation that they make zero mistakes in accounting, and if it's corroborated, then that's not narcissism. They are actually better. Sure, they can be cocky and opinionated as well. They do not offer any reason, though, for why they are the best employee ever. Do they think people who don't go to Ivy League are undeserving of respect? Further questions should uncover these things. On balance, yes, they are narcissistic, because they never seem to think they can make an error in judgement or thinking.
In this session, the counselor was adamant that there was nothing wrong with her and that she had to prove her boss wrong for sending her to counseling. She says she wants the company to improve but she isn't wanting to go about it in the best way possible. I think that Dr.Grande is doing a great job by asking her questions, like "Do you think there are any steps you can take to reduce the tension in those relationships?". I found those questions to be excellent for this client because it allows her to see other's points of view and perhaps change her behavior. By asking these questions it gave the client a goal to work towards and to see if she is able to change her behavior. Although, throughout the session, it was clear that the client's narcissistic personality disorder is hindering her from being able to recognize flaws in her own behavior.
Rachel Newberry I agree that her personality disorder made it impossible for the client to see any error in her methods or take ownership of her flaws. If it were not for counselors being able to remain neutral and agreeing to help everyone, she may have not had anywhere that she could go for help. It would be interesting to see some later sessions to find out if it is ever possible for her to find a little bit of balance and empathy. I don’t know a lot about what is typically expected with this disorder long term.
It was fascinating to watch this session. Dr. Grande got the client to agree to stop making comments about coworkers, and the client left feeling as though they would be proved right. It would be interesting to see what would happen in the next session, and if the client's perception was changed if her plan to let others point out coworker incompetence did not occur, or if she would find another excuse for why it did not happen the way she thought it would.
Dr. Grande did an excellent job in remaining neutral during this session. I can see how difficult it would be to work with someone who is presenting with Narcissistic Personality Disorder. She clearly did not see any issues with her behaviors and the session proved that. There was a struggle in establishing a target behavior to focus on, but I liked how Dr. Grande was able to pull from information she provided in the session to help the client establish a target behavior that she could agree to work on (refraining from commenting on co-workers performance). I am curious, how would future sessions look with this client? Would it continue to be more of the same with regard to her not finding any fault in her own behaviors?
She did this soo well x
I love this lady’s accent :)
The question I would ask her is "What are the things in your life that bring you joy?" because she seems pretty joyless. I have a hunch that this focus would help her to lower her guard.
I like the way Dr. Grande guides the client into figuring out what she could do to reduce the tension in the relationships she has at work even though it is very difficult for her to see any error in her viewpoints. I find it interesting that he is not trying to change the narcissist's personality but focusing more on the current issue at hand which is the difficulty that she is having at work. I appreciated his guidance for the client because it allowed her in her "brilliance" to make a decision that would work for those around and as well as herself. He is completely non-judgemental with the client which maintains the relationship and guides it towards a resolution. Pretty cool!
Will they really just blatantly admit how great they think they are, like that? She sounds like she's delusional. Don't real narcissist at least try to hide the fact that they believe they're better than everyone else and pretend they're normal so people won't catch on to what they really are? Don't they at least try to put on that they know how to be humble?
In the role play, Dr. Grande demonstrated assessing the client through an initial behavioral interview and functional analysis. It was clear that he was aiming to understand the presenting problem through behavioral terms by obtaining very specific information regarding the client's target behavior. This is evidenced by questions such as "what if anything do you think needs to be fixed here?' and "how long has this been an issue for you?". Dr. Grande assisted the client identifying specific and measurable ways to dissolve conflict with her coworkers, ultimately setting manageable goals while better understanding the antecedents and consequences of her behavior. The client in this role play displayed a high sense of self-efficacy which most likely originated from continued past success and praise from others. Dr. Grande showed a great way of working with the client's high expectations of self and others to ultimately strengthen the therapeutic relationship and promote positive change towards discussed goals.
Her blinking and total lack of affection or appreciation or REVELATION is what is so accurate for me
Thank you for your education.
I agree putting a face on it to a view of reality. Role play is helpful.
GREAT job, you two. :) very good tips here! ty
You're welcome!
I feel that such things happen in the workplace irrespective of the person being a narcissist. I saw it happening with two of my colleagues and recently with me. Targetted workplace politics can drag you into thinking that you are the problematic person rather than others. It is not even about competence. It is more about workload, discrimination, and xenophobia as well in an intercultural setup.