What is Psychological Manipulation?

Psychological manipulation or gaslighting involves someone else controlling your thoughts, emotions or behavior (see my article: What Are 7 Signs You're Being Gaslighted?).

What is Psychological Manipulation?

The primary goal of psychological manipulation is control.

The manipulation can be subtle or it can be more overt. 

In addition, the person doing the manipulation might or might not be aware they're manipulating.

Manipulation can start out relatively small and build up over time, which makes it difficult for you to realize you're being manipulated.

Sometimes people who are outside of this dynamic can detect the manipulation more easily than you can. 

You might not want to believe that someone close to you is trying to manipulate you so you might second guess yourself about what's going on.

Why is Psychological Manipulation So Damaging?

As mentioned above, you might not recognize you're being manipulated which can cause you to be in denial about it.

What is Psychological Manipulation?

In addition, over time, you might lose trust in your own thoughts, feelings and behavior and, instead, you rely solely on the person who is manipulating you. This means you're giving up your power to the person manipulating you.

    

See my articles: 

Are You Giving Up Your Power to Someone Who Doesn't Treat You Well? 

Taking Back Your Power

What Are the Signs You're Being Manipulated in a Relationship?

The following list includes some of the most common signs that you're being manipulated.

Your partner might exhibit some of these signs and not others:

• They Blame You for Their Actions: They don't take responsibility for the things they do. Instead, they blame you. If they lose their temper, go out and binge drink or engage in other destructive behavior, they blame you. From their  perspective, you made them do it.

• They Try to Convince You That You're Wrong: They make excuses for their behavior. They might try to twist what happened to get you to appear as if you're the one who is wrong and they're right. They also tend to be relentless in getting you to take the blame for whatever happened and they don't stop until you say you were wrong.

• They Put Words in Your Mouth and Distort What You Say: People who are highly skilled at manipulation know how to turn your words against you until you're convinced of what they're saying. However, what they're doing is distorting your words through trickery so they can have the upper hand in the situation. And, if you don't realize this, you might allow your partner to do this and then you doubt yourself.

• They Blame You If You Don't Trust Them: If you don't go along with their manipulation, they tend to portray themselves as being trustworthy (when they're not) and blame you for not trusting them--even if, objectively, they have shown themselves to be untrustworthy many times.

What is Psychological Manipulation?

• They Keep Secrets: Whether their secrets are big or small, they tend to keep secrets from you. The secrets might involve where they are, who they're with or what they're doing. Even when you find out about their secrets and it makes no sense to you why they're keeping this secret, the problem isn't necessarily about the particular secret--it's about the fact that they're withholding information from you as a way to have the upper hand. In addition, if they find out you didn't tell them something that you weren't necessarily keeping a secret (e.g., going to the mall with a friend), they can get upset that there's something you're doing--no matter how innocent--that they don't know about because it means they're not in control of this aspect of your life. So, there's a double standard here about what they feel is okay for them and what they feel is okay for you.

• They Don't Like You to Have Privacy: This is similar to keeping secrets. Even if you've given them no reason to mistrust you, they want to know everything that's going on with you--who you saw, who you spoke to, where you went, when you went and so on. They might also want to check your phone, email and texts so you don't have any privacy because when you have privacy, they can't control that part of your life which makes them feel uncomfortable. But when it comes to their privacy, they insist on it. Once again, this is about control and it's another double standard (see my article: What's the Difference Between Privacy and Secrecy?).

• They Try to Make You Feel Guilty: They can try to make you feel guilty in a number of different ways. For instance, if you made a mistake, they might keep bringing it up as a way to make you feel guilty and bad about yourself. They might keep bringing up your mistakes long after they occurred. This is another way they try to control you.

• They Use Passive Aggressive Tactics: When they're angry with you, instead of talking about it directly, they act out in ways they know would annoy you to get back at you. Then, they might deny they were behaving in a passive aggressive way out of spite.

• They Use Your Trust Against You: They might offer to help you in your time of need. Then, when you trust them and accept their help, they put you down for needing and accepting their help. They try to make you feel like you're "weak" for needing their help--even if they offered to help.

• They Don't Like You to See Friends and Family: People who are highly manipulative know that if you have loved ones in your life, generally speaking, you're less likely to allow yourself to be manipulated because you'll be getting feedback from others about your partner's behavior, which your partner won't like. They want to be the only ones who influence and control you so your loved ones are threatening to your partner.

• They Start Arguments About Little Things: Even if you want to be easygoing and agreeable, a partner who wants to manipulate you might start a small fight with you as a way to get you to give in to them. Their strategy is to control you.

• They Blame You For Other People's Actions: In addition to blaming you about their actions, they might blame you for other people's actions. For instance, if someone at a party flirts with you and, objectively, you didn't encourage this behavior, instead of blaming the other person for flirting, your partner finds a way to blame you. They might say you encouraged the flirting by what you wore to the party or how you spoke or anything else. This type of behavior often gets confused with jealousy, but it's really about manipulation.

• They Talk Down to You and Belittle You: They speak to you in a condescending way. This is a form of emotional abuse. They want you to feel inferior to them or that you wouldn't be able to survive without them (see my article: Belittling Behavior in Relationships).

• They Behave in a Self Centered Way: They make the relationship center around them. If you need their emotional support, they invalidate your feelings. They might point out that either they have it much harder than you do and tell you that you have no right to your feelings. This is a form of narcissism and emotional abuse (see my article: Narcissism: An Emotional Seesaw Between Grandiosity and Shame).

There are many other ways that a partner can manipulate, but the ones mentioned above are some of the most common ones. And, as previously mentioned, your partner doesn't have to exhibit all of these signs in order to be manipulative.

This article focused on psychological manipulation between two partners in a relationship, but this form of manipulation can occur between any two or more people.

Get Help in Therapy

Psychological manipulation is damaging to your self esteem and your sense of self. 

Get Help in Therapy

Over time, you might feel so disempowered that, even when you realize you're being manipulated, you continue to give away your power to your partner because you have become increasingly emotionally dependent upon them.

Rather than struggling on your own, seek help from a licensed mental health professional who has experience helping clients to overcome this problem.

About Me

I am a licensed New York psychotherapist, hypnotherapist, EMDR, AEDP, EFT, Somatic Experiencing and Sex Therapist

With over 20 years of experience, I work with individual adults and couples (see my article: What is a Trauma Therapist?).

To find out more about me, visit my website: Josephine Ferraro, LCSW - NYC Psychotherapist.

To set up a consultation, call me at (917) 742-2624 during business hours or email me.

Are You in a Relationship With Someone Who Has a Dark Triad Personality?

If your relationship started out well but now you're seeing toxic personality traits in your partner, you might be in a relationship with someone who has a Dark Triad Personality.

The Dark Triad Personality

The Dark Triad psychological theory was originally proposed in 2002 by researchers Kevin Williams and Delroy Paulus who identified three malevolent personality traits:

• Narcissism

• Psychopathy

• Machiavellianism

Any one of these traits would be difficult in a relationship, but the combination of all three traits in the Dark Triad Personality make them especially challenging.

So, let's look at each one separately:

• Narcissism:
• A need for admiration and attention
• A sense of entitlement
• Arrogance
• A lack of empathy for others
• Manipulation and exploitation of others for their own gain
• Feeling like they're the "victim" when they are the ones who victimize others
• Criticizing others
• Envying others or believing others envy them
• Expecting special treatment

• Psychopathy: There are two types of psychopathy: Primary psychopathy and secondary psychopathy (psychopathy should not be confused with psychosis).

• Primary Psychopathy:
• Cold
• Callus
• Manipulative
• Often successful
• No remorse or guilt for the negative impact they have on others

• Secondary Psychopathy:
• Impulsive risk taker with bad results
• Usually unsuccessful

• Machiavellianism: 
• Cunning
• Deceitful
• Acting only in their own self interest
• Lacking empathy for others

How Do You Know If You're With Someone Who Has a Dark Triad Personality?

People who have a Dark Triad personality are very good at masking their negative qualities so you don't see it at first.  They often use their charm to disarm people until they get what they want.

Both men and women can have a Dark Triad Personality.  

A typical example is the man who is a "player" or "F-Boy" (see my articles: Understanding the Underlying Emotional Dynamics of Players - Part 1 and Part 2).

The combination of the following characteristics might indicate you're with someone who has a Dark Triad Personality:

• They're Usually Successful:  Assuming they have primary psychopathy, they usually know how to succeed by selfishly putting their own interests first--often at the expense of others. In addition to whatever skills and talent they might possess, they know how to use charisma (and possibly good looks) to manipulate the right people who can help them to get ahead.  Then, they often discard those people because they're no longer useful to them. It's not unusual for them to engage in unethical or illegal behavior once they have succeeded.  

• They Often Have Problems With Anger Management: They might not explode in front of their boss because that could ruin their chance for success, but they might unleash their rage and impulsivity at you behind closed doors. 

• They Have a Hard Time Maintaining a Long Term Relationship: They usually have a string of brief relationships.  They might be in a relationship for a few years or more if they find partners with low self esteem who are willing to put up with their bad behavior (e.g., cheating, lying and so on).  Also, when they're in a relationship, they have no sense of shame or guilt about lying and cheating (see my article: What Are the 12 Telltale Signs You're With a Womanizer).

• They're Cold Towards Others: While they're trying to get what they want, whether it's a sexual conquest or a job promotion, they know how to manipulate by appearing as if they're kind, friendly and agreeable, but this is only a means to an end. Once they've gotten what they want, they're cold and unfeeling.

• They Engage in Impulsive and Risky Behavior: For people with primary psychopathy, the risky and impulsive behavior often pays off because they usually have good instincts--but this is not the case for people with secondary psychopathy.  People with secondary psychopathy often take big risks and get small or no rewards.

• They Don't Have Morals, Ethics and Empathy: People with a Dark Triad Personality will lie, cheat and manipulate to get what they want and not think about the impact on others because they don't care. They're lacking in morals, ethics and empathy. They only care to the extent that it might get in the way of what they want.

• They Bully Others: They might engage in verbal, emotional or physical abuse to get what they want. Their objective is to gain power over others.

Next Article: In my next article, I'll give tips on how to handle a Dark Triad personality.

About Me

I am a licensed New York City psychotherapist, hypnotherapist, EMDR, AEDP, EFT, Somatic Experiencing and Sex Therapist.

I work with individual adults and couples.

To find out more about me, visit my website: Josephine Ferraro, LCSW - NYC Psychotherapist.

To set up a consultation, call me at (917) 742-2624 during business hours or email me.

                

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Understanding How Parental Conditional Love is Connected to Perfectionism and Shame

If you struggle with perfectionism, you might not understand why.  This article is about growing up with parents who give conditional love, and the connection between conditional love, perfection, and shame.

What Causes Perfectionism and Shame?

The feeling that you need to be perfect and the shame that comes with that are often linked to conditional love based on your accomplishments or being gratifying to your parents (see my article: The Connection Between Perfectionism and Shame).

Conditional Love, Perfection, Shame

Since there is no such thing as a perfect human being, these individuals grow up feeling ashamed whenever they're not perfect.

The roots of perfectionism and shame often include some of the following factors:

• The parents' excessive demands for high achievements with conditional love based on those achievements

• The parents' criticism as well as shame-inducing and controlling behavior when the child doesn't live up to the parents' perfectionistic standards

• The parents' All or nothing thinking 

• The child's feelings of inadequacy, low self esteem, shame and guilt for falling short of the parents' expectations

• The parents' excessive praise for achievements which they believe reflect well on them (conversely, if the child doesn't meet the parents' expectations, the parents feel this reflects poorly on them, which is why they often become angry and withhold love from the child).

This dynamic sets up an ongoing negative cycle of:

• Parents making demands of the child for perfection
• The child trying to be perfect for the parents but usually falling short (no one can be perfect)
• Parents withholding their love because the child hasn't met their demands
• The child feeling unlovable and ashamed
• Then cycle begins again

During those times when the child meets the parents' expectations (e.g, the child gets all A's on their report card), the parents are excessive in their praise, which sets up the child, who wants to be loved, to try to meet those standards every time to get the praise.

The demand for perfection can occur in many areas of a child's life:

• Perfect grades in school
• Perfect performance in sports
• Perfect eating habits
• Looking perfect, as defined by the parents' standards
• Getting the highest grades in the class
• Being chosen as the valedictorian
• And so on

Perfectionism and Shame in Adult Romantic Relationships

Children who grow up with parents who demand perfection as a condition for love will usually go above and beyond to try to meet their parents' expectations.  

Later on, as adults, they often choose emotionally unavailable partners who reinforce that they're only lovable or, more often unlovable. This is because these partners provide conditional love--like the parents did.  Usually the conditional love includes gratifying the partner's narcissistic needs.

More often than not, people who are perfectionists have internalized their parents' conditional love at such a deep level that they might not see the emotional abuse they endured with their parents or, as adults, with their romantic partners.

You might wonder why someone who was raised under these circumstances would choose a partner who was so like their parents. The answer is that these choices are made on an unconscious level as these individuals gravitate to partners who are familiar to them.

Clinical Vignette

The following clinical vignette illustrates the long term consequences of growing up in a home where parents demanded perfection.  This vignette is a composite of many cases with all identifying information removed. It is typical of many clinical cases where a person grew up with conditional love based on his achievements.

Ron

When Ron was a child, he often heard his father say things like, "If you can't do it right, don't do it at all," which made Ron anxious when he tried to do something new.  If Ron didn't understand it immediately, his father became impatient with Ron and yell.  

During those times, Ron's mother would withdraw because she was intimidated by the father. So, she wasn't able to defend Ron or provide him with emotional support.

Ron's father was the Little League coach for Ron's team.  Whenever Ron was at bat, he would be so nervous because he knew his father would yell at him in front of the other children if he missed the ball.  

After several incidents where Ron felt humiliated in front of his friends, he quit the team.  Then his father criticized him for being "a quitter," but Ron preferred that to having to deal his father's anger and disappointment every time he was at bat.

By the time Ron was in his mid-teens, his friends began dating girls. Ron felt too self conscious and ashamed to talk to any of the girls at school.  He acted like he didn't care about dating.  He pretended to be so busy with schoolwork that he didn't have time for girls. But, inwardly, he felt ashamed and annoyed with himself for not being able to talk to the girl he liked.

The following year there was another girl he had a crush on.  She liked him too. She was assertive so she asked him out and they became boyfriend and girlfriend until they each left for different colleges.  

By the time Ron sought help in therapy, he was in his early 30s and he had been in two serious relationships.  He was a little more confident than when he was a teenager, but most of the time the women he liked were the ones who pursued him.

Ron knew his perfectionism and shame were holding him back and it was surfacing in all areas of his life--his relationships, his work and in his friendships.

Whenever he was given a new task to do at work, he would get anxious because he was afraid of making a mistake. He could almost hear his father's voice scolding him for not doing the task perfectly (see my article: Overcoming Your Fear of Making a Mistake).

His therapist recommended that they do Ego State Therapy, which is a type of Parts Work similar to Internal Family Systems (IFS).  Ego States Therapy was developed by John and Helen Watkins in the 1970s, '80s and '90s.  

She asked Ron to remember a recent time when he felt he had to do something perfectly and where this was accompanied by shame (see my article: Shame is at the Root of Most Emotional Problems).

Ron remembered something that came up at work when he was attempting to solve a technical problem for the first time.  He remembered feeling that sinking feeling in the pit of his stomach and a heaviness in his chest as if his father was watching him and being critical.

When Ron was immersed in the memory along with the emotions and related bodily sensations, his therapist asked him to go back in time to the earliest time when he felt this way (this technique is called the Affect Bridge).

Experiential Trauma Therapy 

Ron's earliest memory of feeling this way was when he was four years old. His father was teaching him to play a board game for the first time and Ron wasn't understanding it.  He had the same emotions, sinking feeling and sense of heaviness.

Then, his therapist asked Ron to imagine someone who could have been there for him and who would have been an ally.  She added that it was clear there had been no one there for him at the time, but she wanted him to use his imagination.

After thinking for a bit, Ron said he would have wanted his first grade teacher, Ms. Simms to be there. This technique of imagining a nurturing figure who would have been helpful is called an imaginal interweave (for an explanation of imaginal interweaves and other forms of internal resources see this article I wrote).

His therapist asked what Ms. Simms would have done if she had been there and saw his father criticizing him and making Ron feel ashamed.  Ron said she would told his father in a polite, tactful way that this was not the way to talk to a child.  He also said he knew his father had a lot of respect for Ms. Simms so he would have listened to her.

Experiential Trauma Therapy

Ron and his therapist continued to work this way and, over time, Ron was able to work through his shame and his need to be perfect.  

Along the way, he also realized his paternal grandfather behaved in the same way with his father, so it was no surprise that Ron's father internalized this way of being and perpetuated it with Ron (see my article: Intergenerational Trauma).

Gradually, Ron overcame his traumatic experiences with experiential trauma therapy.

Conclusion

The vignette above is an abbreviated summary of one way an experiential trauma therapist would work with trauma (see my article: Why Experiential Therapy is More Effective Than Talk Therapy to Overcome Trauma).

The effect of perfectionism and shame show up in many different ways.  The vignette above is just one way.  

As mentioned before, many people, who grow up under these circumstances, often pick romantic partners who are similar to their parents, who demanded perfection.  These partners usually have narcissistic qualities that they have no insight into.

A person, who grew up being shamed for not being perfect, has a blind spot with regard to picking narcissistic partners.  

These narcissistic partners usually withhold their love if the individual isn't gratifying enough or doesn't make them look good in some way.  And, typical of people with narcissistic traits, they lack empathy for the partner they are shaming. This is because they don't relate to their partner as if the partner was a separate individual--as opposed to an extension of themself.

The Affect Bridge allows clients to connect emotional experiences they are having in the here-and-now with their origins from the past.  

The imaginal interweave, like was the first grade teacher, Ms. Simms in the vignette, gives clients a new healing experience that gets internalized (see my article: Developing Internal Resources and Coping Skills).

Imaginal interweaves are used throughout the course of experiential trauma therapy to counteract the effects of growing up with messages about perfection and shame. 

When to Get Help in Trauma Therapy

If you feel held back in your life by unresolved traumatic experiences, you could benefit from working with an experiential therapist who does trauma work (see my article: What is a Trauma Therapist?).

Once you're free from your traumatic history, you can lead a more fulfilling life.

About Me

I am a licensed New York City psychotherapist, hypnotherapist, EMDR, AEDP, EFT, Somatic Experiencing and Sex Therapist.

I am an experiential trauma therapist who works with individual adults and couples. I have helped clients to overcome trauma.

To find out more about me, visit my website: Josephine Ferraro, LCSW - NYC Psychotherapist.

To set up a consultation, call me at (917) 742-2624 during business hours or email me.

What is Sexual Narcissism? Part 2: A Clinical Vignette

In Part 1 of this topic, I gave a definition, described the characteristics of this dynamic, and distinguished sexual narcissism from Narcissistic Personality Disorder (NPD).  In this article, I'm providing a clinical vignette to illustrate how the dynamics of sexual narcissism can play out in a relationship.

What is Sexual Narcissism?

What Are the Telltale Signs of a Sexual Narcissist?

As a brief recap, the following behaviors usually characterize sexual narcissists (see Part 1 for a more detailed description):

• Charming During the Initial Phase of a Relationship: Sexual narcissists like the thrill of the chase, so during the initial stage of a relationship they're often charming until they get what they want. 

• Grandiose Behavior With Underlying Low Self Esteem: Although their behavior is grandiose with regard to their perception of their sexual prowess, they often have an underlying sense of low self esteem.  

• A Focus on the Physical Over the Emotional: Their primary focus is on having sex--not establishing an emotional connection.  

• A Lack of Empathy For Their Partner: Their partner exists to please them.  They often don't see their partner as having their own needs and wants. 

• Negative Reactions If They Don't Get What They Want: They might get angry, critical, sarcastic or passive aggressive when they don't get what they want from their partner.

• Put Down Their Partner: In order to feel superior or manipulate their partner into doing what they want, a sexual narcissist will often belittle their partner by calling their partner names or putting them down in other ways.

• Treat Their Partner Poorly After Sex: After sex, they usually don't engage in cuddling or being affectionate with their partner. 

• Infidelity: The sexual narcissist is often unfaithful.  Once the thrill of the chase is over, they want to find the next person to pursue sexually because this is what they most enjoy--the sexual conquest.  They're often not concerned about whether their behavior will hurt their partner.

Clinical Vignette:

The following clinical vignette is based on a composite of many cases with all identifying information removed to protect confidentiality:

Carol

At the point when Carol sought help in therapy, she had asked her husband, Mike, to move out of their home due to his cheating.  

She explained to her therapist that throughout their courtship and 10 year marriage, she had discovered numerous incidents of his infidelity.  Each time she confronted him about it, she believed his promises not to do it again.  He seemed genuinely remorseful--until the next time.  Then, the cycle would begin again--as if he had never promised to change his behavior (see my article: Broken Promises).

The last straw occurred for Carol when she found out that Mike was having an affair with a casual acquaintance of theirs, Ann. Hoping to end Carol and Mike's marriage, Ann sent Carol a video of Mike and Ann having sex.

At first, Carol wasn't sure what she was seeing.  Then, when she realized she was looking at a video of Mike and Ann having sex, Carol was crushed.  

At first, as he usually did, Mike denied any involvement with Ann, but when Carol showed him the video, he was silent.  

Not being able to deny it anymore, he told Carol that he had sex with Ann once, and he wasn't aware that she was videotaping them.  Then, he went into a rage blaming Ann for being seductive and manipulative and for sending this video to hurt Carol and destroy their marriage.

Carol recognized his pattern of not taking responsibility for his actions, and she told him to move out that night.  In response, Mike begged Carol to allow him to stay so they could work things out.  He even agreed to attend couples therapy--something he refused to do when Carol had suggested it many times before.

Believing Mike was sincere, Carol allowed him to stay with the understanding they would attend couples therapy.  But a week later when she made an appointment with a couples therapist, Carol was disappointed and hurt to discover that Mike refused to go.  She realized that his offer to go to couples therapy was just another manipulation, so she packed his bags and insisted that he move out.  Reluctantly, he went.

Carol told her therapist she realized throughout their marriage she had been trying to get their relationship back to how it was during the initial stage of their courtship when they were in college and he was trying to persuade her to go out with him.  He was charming, funny and seemingly thoughtful.  But, at the time, she was in a committed relationship so she politely rejected Mike's offers to take her out.  

At first, she thought Mike would be dissuaded from pursuing her when he found out she was in a relationship with someone else but, as she looked back on it, she realized, if anything, Mike became even more persistent.  

When her boyfriend ended their relationship to return to his prior girlfriend, Carol was so heartbroken that when Mike approached her again for a date, she agreed to go out with him--even though her friends on campus told her he was a "player," also known as a womanizer (see my article: Understanding the Underlying Emotional Dynamics of Men Who Are Players).

She  reasoned to herself that he was attractive and funny, she was flattered by his attention, and she wanted a distraction from her heartbreak.

Initially, Carol thought she would only go out with Mike once or twice and it would help her to forget about her breakup.  But Mike was so charming and attentive that she kept seeing him.  At that point, she thought he was fun and exciting, and when she was with him, she didn't think about her ex.

Six months into their relationship, Carol found out through the grapevine that Mike had lied to her.  Not only was he secretly seeing other women on campus, he was also having an affair with an older woman in his hometown whenever he went home for a visit.

At first, Mike denied that he was cheating on her, but when Carol confronted him with photos posted on social media by the women he was seeing, he blamed her for his infidelity.  

He told her that she was neglecting him and spending too much time studying and participating in college activities.  He also blamed her for not meeting his sexual needs.  He told her that if she spent more time with him, he wouldn't need to see other women.

In retrospect, Carol told her therapist, this was the start of allowing Mike to manipulate her and blame her for their problems, which continued into their marriage.  

A month after their marital separation, Carol was ready to work on herself in therapy.  She stopped taking Mike's increasingly panicked calls or reading his text messages because she knew she had to put herself first and work on herself.

Through her work in therapy, Carol learned how her family history contributed to her problems.  She saw many of Mike's narcissistic and manipulative characteristics in her father, who also had multiple affairs, which her mother passively endured.  

Over the next year, she worked through her traumatic childhood history with EMDR therapy as well as the trauma she endured in her relationship with Mike (see my article:  How Does EMDR Therapy Work: EMDR and the Brain).

During that time, Carol continued to block Mike from calling or sending email or text messages to her.  But eight months into their separation, he sent her a letter where he said he was devastated by their separation.  For the first time in their relationship, he said, he felt genuinely remorseful and he wanted to change, so he was attending individual therapy.

Initially, Carol didn't believe Mike.  He had lied to her so many times before so she didn't see any reason to believe him now.  At the time, she was consulting with an attorney to begin divorce proceedings.  

Carol was also feeling much better about herself and she didn't want to endure any more emotional abuse from Mike.  But at the end of his letter he asked her to come to one of his sessions to meet his therapist, and Carol was curious:  Was it possible for Mike to change?

After she discussed this with her therapist, Carol agreed to attend one session with Mike and his therapist.  It was awkward, at first, to see Mike in his therapist's reception area after having no contact with him for so long.

During the session, Mike's therapist explained that he had been treating Mike for sexual narcissism, and he explained how sexual narcissism is related but different from Narcissistic Personality Disorder, NPD (see my article: What is Sexual Narcissism - Part 1).

Mike's therapist also talked about the progress Mike had made in coping with his sexually compulsive and impulsive behavior.  In addition, at the start of therapy, he sent Mike for a psychological evaluation to rule out Attention Deficit Hyperactivity Disorder (ADHD), which is often related to sexual compulsivity and other impulsive behavior, and the tests revealed no ADHD.

He suggested that they attend Emotionally Focused Therapy (EFT) for couples to see if they could work out their problems in couples therapy (see my articles: What is EFT Couples Therapy? and How EFT Couples Therapy Can Improve Your Relationship).

After being hurt and disappointed so many times, Carol wasn't convinced that Mike could change.  She talked about whether or not to attend couples therapy in her own individual therapy.  

One the one hand, she didn't want to set herself up for another disappointment.  One the other hand, she sensed that Mike was brought down so low by their separation that he just might be motivated to take responsibility and work on changing his behavior (see my article: Developing Internal Motivation to Change).

A few weeks later, after much consideration, Carol agreed to attend EFT couples therapy with Mike as they both continued to attend their own individual therapy (see my article: What Happens During the Initial Stage of EFT Couples Therapy?).

Several months into couples therapy, Carol felt they had made enough progress to move back in together for a trial period of six months.

There were times during this period when Mike slipped into parts of his old behavior, like blaming Carol for his mistakes instead of taking responsibility, but he quickly realized the error in his thinking and took responsibility. He also stopped cheating.

As part of their agreement to move back in together, Carol had full access to Mike's email, texts, social media and computer files.  She found no evidence of infidelity and, although she was leery at first, she was beginning to trust Mike again.

Their progress in their individual and couples therapy was gradual, but they both believed their relationship was now better than it had ever been (see my article: Progress in Therapy Isn't Linear).

A year after they completed couples therapy, they received a follow up call from their couples therapist, which was agreed upon during their couples therapy, and they were still doing well.

Conclusion

Sexual narcissism exists on a continuum.  

Some people have more of a problem than others, and many people with this problem are unwilling to get help.

A person who is in a relationship with a sexual narcissist often, unknowingly, colludes with their partner's behavior because of their own psychological history.  As illustrated in the vignette above, Carol was primed for this relationship due the family dynamics in her childhood home with a father who was sexually narcissistic and a mother who passively endured his behavior.

For some sexual narcissists, the motivation to change their behavior comes when they have endured the loss of a relationship.  Then, they're willing to do the necessary work to change.  Even then, they have to be vigilant so they don't slip back into old behavior patterns.

Other sexual narcissists say they'll change (and maybe even believe it at the time when they say it), but once they have what they want again, they're no longer motivated to work on themselves.  

Anyone with a partner who is a sexual narcissist has to let go of whatever denial they're holding onto about their partner and their relationship, see their part in the dynamic, and decide for themselves if they're willing to try couples therapy to work out their problems.

Although the vignette above is about a man who is a sexual narcissist, women can also be sexually narcissistic.  

Also, be aware that the dynamics of sexual narcissism can play out differently in different relationships.  The example given above is just one manifestation of this problem.

Getting Help in Therapy

Whether you're the person who is in a relationship with a sexual narcissist or you see these traits in yourself, you can benefit from working with a licensed mental health professional.

Individual and couples work for sexual narcissism is neither quick nor easy, so you both need to be motivated to do the work.

Doing nothing won't change anything, so if you're struggling on your own, seek help from a licensed psychotherapist.  

About Me

I am a licensed New York City psychotherapist, hypnotherapist, EMDR, AEDP, EFT and Somatic Experiencing therapist.

I work with individual adults and couples.

To find out more about me, visit my website: Josephine Ferraro, LCSW - NYC Psychotherapist.

To set up a consultation, call me at (917) 742-2624 during regular business hours or email me.

 

What is Sexual Narcissism? Part 1

People with sexual narcissistic traits are self centered and usually have an inflated view of their sexual abilities.  They're primarily focused on what they want and, in the process, they can be manipulative, aggressive and coercive to get what they want (see my article: Understanding the Underlying Emotional Dynamics of "Players").

What is Sexual Narcissism?

Their focus is primarily on having sex and they often have little ability or interest in developing emotional intimacy with their sexual partners.

They believe they have a right to sex. They're also usually not interested in what their partners want sexually.

If they're in a relationship, they're often unfaithful and lack empathy for their partners (see my article: The Connection Between Infidelity and a Need to Feel Desirable).

Like most other psychological problems, sexual narcissism is on a continuum with some people exhibiting more traits than others.

What is the Difference Between Sexual Narcissism and Narcissistic Personality Disorder?

Sexual narcissism and Narcissistic Personality Disorder (NPD) are related, but they are two separate concepts.  

As a personality disorder, NPD is observable in all areas of a person's life--whether it's their romantic relationships, familial relationships or with work colleagues.

Sexual narcissism shows up specifically in sexual relationships.  Although it's possible for someone with NPD to also engage in sexual narcissism, a sexual narcissist doesn't necessarily have a NPD.

Another difference is that while a sexually narcissistic person is often aggressive, someone with NPD doesn't necessarily engage in aggressive behavior or, at least, it's not part of the criteria for diagnosing NPD.

What Are the Telltale Signs of a Sexual Narcissist?

• Charming During the Initial Phase of a Relationship: Sexual narcissists like the thrill of the chase, so during the initial stage of a relationship they're often charming until they get what they want. Once the chase is over and they have what they want, they no longer feel the need to be charming and engaging.  At that point, they usually take their partner for granted.

• Grandiose Behavior With Underlying Low Self Esteem: Although their behavior is grandiose with regard to their perception of their sexual prowess, they often have an underlying sense of low self esteem.  The grandiosity is a cover up for a poor sense of self.  They also use sex and their many sexual conquests to boost their poor sense of self.

• A Focus on the Physical Over the Emotional: Their primary focus is on having sex--not establishing an emotional connection.  Having sex isn't about emotional intimacy for them--it's about sexual performance, dominance and boosting their ego.  They often have an inflated sense of their sexual performance--regardless of how their partner feels about it (see my article: What is Performative Sex?).

• A Lack of Empathy For Their Partner: Although they might try to charm and impress their partner during the initial phase of a relationship, once the thrill of the chase is over, from their point of view, their partner exists to please them.  They often don't see their partner as having their own needs and wants. They often pressure their partner to perform sexual acts their partner might not be interested in.  They can demand sex from their partner regardless if their partner is tired, sick or in pain.

• Negative Reactions If They Don't Get What They Want: They don't like it when their partners don't give them what they want.  They might get angry, critical, sarcastic or passive aggressive (e.g., giving their partner the cold shoulder or the silent treatment). They might try to guilt trip their partner into doing what they want. Taking on the role of the victim is typical of the sexual narcissist--even while they're the one who is victimizing their partner.

• Put Down Their Partner: In order to feel superior or manipulate their partner into doing what they want, a sexual narcissist will often belittle their partner by calling their partner names or putting them down in other ways (see my article: What is Belittling Behavior?).

• Treat Their Partner Poorly After Sex: After sex, they usually don't engage in cuddling or being affectionate with their partners. Usually this is because they lack the ability, but also because they don't feel the need after sex because they've gotten what they were interested in.  It doesn't matter what their partner might need.

• Infidelity: The sexual narcissist is often unfaithful.  Once the thrill of the chase is over, they want to find the next person to pursue sexually because this is what they most enjoy.  They're often not concerned about whether their behavior will hurt their partner.

In my next article, I'll provide a clinical vignette to illustrate what sexual narcissism looks like in a relationship.

Getting Help in Therapy

If you're with someone who is a sexual narcissist or if you recognize these traits in yourself, you can benefit from working with a licensed mental health professional.

Rather than trying to resolve this problem on your own, seek help.

About Me

I am a licensed New York City psychotherapist, hypnotherapist, EMDR, AEDP, EFT and Somatic Experiencing therapist.

I work with individual adults and couples.

To find out more about me, visit my website: Josephine Ferraro, LCSW - NYC Psychotherapist.

To set up a consultation, call me at (917) 742-2624 during regular business hours or email me.