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#5687 From: "Sam Vaknin author of \"Malignant Self Love - Narcissism Revisited\"" <vaksam@...>
Date: Wed Apr 1, 2009 1:12 pm
Subject: Schizophrenia reassessed as fixation on self
vaksammt
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=============================

 

Schizophrenia reassessed as fixation on self

Jan. 23, 2009
Courtesy Massachusetts 
Institute of Technology
and World Science staff

Schiz­o­phre­nia may blur the bound­a­ry be­tween in­ter­nal and ex­ter­nal real­i­ties by over­ac­ti­vat­ing a brain sys­tem in­volved in self-re­flec­tion, caus­ing an ex­ag­ger­at­ed fo­cus on self, a study has found.

The tra­di­tion­al view of schiz­o­phre­nia is that the dis­turbed thoughts, per­cep­tions and emo­tions char­ac­ter­iz­ing the men­tal ill­ness result from dis­con­nec­tions among the brain re­gions that con­trol these dif­fer­ent func­tions.

But the new stu­dy found that schiz­o­phre­nia al­so in­volves ex­cess con­nec­ti­vity be­tween brain re­gions in­volved in self-re­flec­tion which be­come ac­tive when we think of noth­ing in par­tic­u­lar, or of our­selves.

“Peo­ple nor­mally sup­press this ‘de­fault’ sys­tem when they per­form chal­leng­ing tasks. But we found that pa­tients with schiz­o­phre­nia don’t,” said John D. Ga­bri­e­li of the Mas­sa­chu­setts In­sti­tute of Tech­nol­o­gy, one of 13 au­thors of the study, published Jan. 19 in the ad­vance on­line is­sue of the research journal Pro­ceed­ings of the Na­tional Acad­e­my of Sci­ences.

The findings “may re­flect an in­abil­ity of peo­ple with schiz­o­phre­nia to di­rect men­tal re­sources away from in­ter­nal thoughts and feel­ings and to­ward the ex­ter­nal world,” said MIT’s Su­san Whitfield-Ga­bri­e­li, al­so a co-author.

John Ga­bri­e­li added that he hopes the re­search might lead to ways of pre­dict­ing or mon­i­tor­ing in­di­vid­ual pa­tients’ re­sponse to treat­ments for the ill­ness, which oc­curs in about one per­cent of peo­ple.

Schiz­o­phre­nia is largely ge­net­ic. First-degree rel­a­tives of pa­tients (their par­ents, broth­ers, sis­ters, or chil­dren) are 10 times more likely to de­vel­op the dis­ease than the gen­er­al popula­t­ion. Which genes are re­spon­si­ble are largely un­known. 

The re­search­ers stud­ied three matched groups of 13 sub­jects each: schiz­o­phre­nia pa­tients, non­psy­chot­ic first-degree rel­a­tives of pa­tients and healthy nonrel­a­tives. They chose re­cently di­ag­nosed pa­tients, so that dif­fer­ences in pri­or treat­ment or psy­chot­ic episodes would­n’t bi­as the re­sults. 

The par­ti­ci­pants were brain-scanned us­ing a widely used tech­nique known as func­tion­al mag­net­ic res­o­nance im­ag­ing, while rest­ing and while per­forming easy or hard mem­o­ry tasks.

The re­search­ers fo­cused on the “de­fault” sys­tem, a net­work of brain re­gions whose ac­ti­vity drops when peo­ple per­form hard men­tal tasks. This net­work in­cludes ar­eas of the out­er brain known as the me­di­al pre­fron­tal cor­tex and the pos­te­ri­or cin­gu­late cor­tex, as­so­ci­at­ed with self-re­flec­tion and mem­o­ries about the self. The net­work ap­pears to be­come linked to­geth­er and ac­tive when the mind wan­ders.

The sci­en­tists found that in the schiz­o­phre­nia pa­tients, the de­fault sys­tem was both hyperac­tive and hy­per­con­nected dur­ing rest, and it re­mained so as they per­formed the mem­o­ry tasks. In oth­er words, the pa­tients were less able than healthy sub­jects to sup­press the net­work’s ac­ti­vity dur­ing the task. Interest­ingly, the less the sup­pression and the great­er the con­nec­ti­vity, the worse they per­formed on the hard mem­o­ry task, and the worse their symp­toms.

The hyperac­tive de­fault sys­tem could al­so help to ex­plain hal­lu­cina­t­ions and par­a­noia by mak­ing neu­tral ex­ter­nal stim­u­li seem in­ap­pro­pri­ately self-relevant, the in­ves­ti­ga­tors said. For in­stance, if brain re­gions whose ac­ti­vity nor­mally sig­ni­fies self-fo­cus are ac­tive while lis­ten­ing to a voice on tel­e­vi­sion, the per­son may per­ceive that the voice is speak­ing di­rectly to them. 

The de­fault sys­tem was al­so overac­tive, though less so, in first-degree rel­a­tives of schiz­o­phre­nia pa­tients who did­n’t them­selves have the dis­ease, the re­search­ers said. This sug­gests overac­tiva­t­ion of the de­fault sys­tem may be linked to the ge­net­ic cause of the dis­ease rath­er than to its con­se­quenc­es, they added. The de­fault sys­tem is a hot top­ic in brain im­ag­ing, said John Ga­bri­e­li, partly be­cause it’s easy to meas­ure and is af­fect­ed in dif­fer­ent ways by dif­fer­ent dis­or­ders.

 
 

#5688 From: "Sam Vaknin author of \"Malignant Self Love - Narcissism Revisited\"" <vaksam@...>
Date: Wed Apr 1, 2009 1:13 pm
Subject: Recidivism rates increased in prisoners with mental health disorders
vaksammt
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The Narcissist and Psychopath as Criminals
 
 
The Narcissist is Above the Law
 
 
The Narcissist as Liar and Con-man
 
 
 
 
 
Recidivism rates increased in prisoners with mental health disorders

9/2/2009


Investigating whether mental illness is a risk factor for multiple episodes of incarceration.

MedWire News: Prisoners with mental health disorders, particularly those with bipolar disorder, are more likely to re-offend than their mentally healthy counterparts, US researchers report in the American Journal of Psychiatry.

“Although numerous investigations have reported substantially elevated rates of psychiatric disorders among prison inmates compared with the general population, it is unclear whether mental illness is a risk factor for multiple episodes of incarceration,” Jacques Baillargeon (University of Texas Medical Branch in Galverston, USA) and colleagues explain.

To investigate, the researchers studied data on 79,211 Texas Department of Criminal Justice inmates who began a prison sentence between 2006 and 2007. They used state-wide information systems to gather data on each inmate’s demographic characteristics, history of incarceration for the preceding 6-year period, and history of psychiatric disorders.

In total, 7878 inmates had been diagnosed with major psychiatric disorders, including major depressive disorder, bipolar disorder, schizophrenia, and other psychotic disorders.

Analysis revealed that inmates with major psychiatric disorders were significantly more likely to have been incarcerated on more than one occasion than those without a psychiatric condition. The risk of multiple incarcerations was greatest among inmates with bipolar disorder, who were 3.3 times more likely to have been incarcerated several times than their mentally healthy counterparts.

“Our finding that inmates with psychiatric disorders have an increased risk of having multiple incarcerations has important policy implications,” write Baillargeon and team.

They add: “Addressing this public health crisis adequately will require the continued development of novel and integrated interventions, such as mental health courts, continuity of care programs, and the development of specialised correctional mental health facilities.

“Given the scale and complexity of this problem, it is likely that a coordinated effort among criminal justice, mental health, and public health systems will be necessary to reduce the widespread criminalization of the mentally ill in America.”

MedWire is an independent clinical news service provided by Current Medicine Group, a part of Springer Science+Business Media. © Current Medicine Group Ltd; 2009




#5689 From: "Sam Vaknin author of \"Malignant Self Love - Narcissism Revisited\"" <vaksam@...>
Date: Thu Apr 2, 2009 1:13 pm
Subject: Leadership
vaksammt
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You can download my e-book about Narcissistic and Psychopathic Leaders (at no charge to you) here:
 
 
Idea
Leadership
 
Feb 2nd 2009
From Economist.com
 
Leadership is “one of the most observed and least understood phenomena on earth”, wrote one man in a position to know. In business, interest has focused on three aspects of the phenomenon:
 
• the nature and behaviour of leaders;
 
• the nature and behaviour of those who are led;
 
• the structure of the organisation in which the leading takes place.
 
Most is written about the first of these. There is a visceral fascination with leaders and their character, and with the great issue that surrounds them: can they be made or are they only ever born?
 
There is no general agreement about the qualities of a leader. Field Marshal Montgomery thought that a leader “must have infectious optimism, and the determination to persevere in the face of difficulties. He must also radiate confidence, even when he himself is not too certain of the outcome”. Henri Fayol, an early French writer on management, said that the leader’s task is “thinking out a plan and ensuring its success”. It is, he added, “one of the keenest satisfactions for an intelligent man to experience”.
 
David Ogilvy, founder of an advertising agency, Ogilvy & Mather, and himself a leader of some quality, said:
Great leaders almost always exude self-confidence. They are never petty. They are never buck-passers. They pick themselves up after defeat … They do not suffer from the crippling need to be universally loved … The great leaders I have known have been curiously complicated men.
 
This view of the leader as complicated is supported by the personality of some undeniably great leaders, such as Napoleon and Winston Churchill. It may also lie behind the fact that up to 60% of past presidents of the United States and prime ministers of Britain had lost their fathers before they were 14.
 
The leadership of people like Alfred P. Sloan (see article), the legendary boss of General Motors, however, owed more to the structure and systems that they put in place in their organisations than it did on the individual’s personality. Henry Ford II’s success in revitalising his family’s firm after the second world war depended largely on his reorganisation of the company. The man himself was a jet-setting playboy who rarely met the David Ogilvy standards of a great leader.
 
The leading management thinker on leadership in recent years has been Warren Bennis (see article), a professor at the University of Southern California. He has said that successful leaders follow an almost universal principle of management “as true for orchestra conductors, army generals, football coaches, and school superintendents as for corporate executives”. When they came to head an organisation, successful leaders “paid attention to what was going on, determined what part of the events at hand would be important for the future of the organisation, set a new direction, and concentrated the attention of everyone in the organisation on it”. He also found that the vast majority of successful leaders were white males who remained married to the same person all their lives.
 
Abraham Zaleznik, in an influential article in Harvard Business Review, argued that “because leaders and managers are basically different, the conditions favourable to one may be inimical to the growth of the other”. In other words, a long career as a manager may not be the best training for a leader. Yet this is the training that most business leaders get.
 
The nature of leadership has been discussed since time immemorial. In perhaps the most famous book on the subject, “The Prince”, written in Florence in the 1520s, Niccolň Machiavelli set out his ideas about what a prince must do to survive and prosper, surrounded as he inevitably will be by general human malevolence. Dedicated to Lorenzo de Medici, the book draws on examples from history, of Alexander the Great and of the German city states, to teach its readers some eternal lessons. Many a corporate chief has a copy near his bedside.
 
Narcissism of leaders and authority figures
 
 
 
 
 
 
 
 
Celebrity narcissists
 
 
 
Narcissism and Religion
 
 
 
Bennis, W. and Nanus, B., “Leaders: The Strategies for Taking Charge”, Harper & Row, 1985; 2nd edn, HarperBusiness, 1997
 
Goleman, D., Boyatzis, R. and McKee, A., “Primal Leadership: Learning to Lead with Emotional Intelligence”, Harvard Business School Press, 2003
 
Jay, A., “Management and Machiavelli”, Penguin, 1970
 
Kotter, J.P., “The Leadership Factor”, Free Press, 1988
 
McAlpine, A., “The New Machiavelli”, John Wiley & Sons, 1998
 
Zaleznik, A., “Managers and Leaders: Are they Different?”, Harvard Business Review, May–June, 1977
 
More management ideas
 
This article is adapted from “The Economist Guide to Management Ideas and Gurus”, by Tim Hindle (Profile Books; 322 pages; Ł20). The guide has the low-down on over 100 of the most influential business-management ideas and more than 50 of the world’s most influential management thinkers. To buy this book, please visit our online shop.

#5690 From: "Sam Vaknin author of \"Malignant Self Love - Narcissism Revisited\"" <vaksam@...>
Date: Fri Apr 3, 2009 6:17 pm
Subject: He Counts Your Words
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===========================

Scientist at Work | James W. Pennebaker

He Counts Your Words (Even Those Pronouns)

By JESSICA WAPNER
Published: October 13, 2008

James W. Pennebaker’s interest in word counting began more than 20 years ago, when he did several studies suggesting that people who talked about traumatic experiences tended to be physically healthier than those who kept such experiences secret. He wondered how much could be learned by looking at every single word people used — even the tiny ones, the I’s and you’s, a’s and the’s.

Skip to next paragraph
wordwatchers.wordpress.com

Dr. Pennebaker’s analysis shows the categories of words used more often by each side.

That led Dr. Pennebaker, a professor of psychology at the University of Texas, down a winding path that has taken him from Beatles lyrics (John Lennon’s songs have more “negative emotion” words than Paul McCartney’s) all the way to terrorist communications. By counting the different kinds of words a person says, he is breaking new linguistic ground and leading a resurgent interest in text analysis.

Take Dr. Pennebaker’s recent study of Al Qaeda communications — videotapes, interviews, letters. At the request of the F.B.I., he tallied the number of words in various categories — pronouns, articles and adjectives, among others.

He found, for example, that Osama bin Laden’s use of first-person pronouns (I, me, my, mine) remained fairly constant over several years. By contrast, his second-in-command, Ayman al-Zawahri, used such words more and more often.

“This dramatic increase suggests greater insecurity, feelings of threat, and perhaps a shift in his relationship with bin Laden,” Dr. Pennebaker wrote in his report , which was published in The Content Analysis Reader (Sage Publications, July 2008).

Kimberly A. Neuendorf, a professor of communications at Cleveland State University who has extensively studied content analysis, agreed with that assessment. Mr. Zawahri, she said, “is clearly repositioning himself to provide a singular platform for his opinion” and “reaffirming his status as an important individual in the dynamic.”

Because it is hard for the human brain to count and compare all the I’s, a’s and the’s in a sample of speech or writing, Dr. Pennebaker had to invent a software program to do it. The program, Linguistic Inquiry and Word Count (LIWC, pronounced luke), contains a vast dictionary, with each word assigned to one or more categories.

There are social words (talk, they), biological words (cheek, hands, spit), “insight” words (think, know, consider) and dozens of other groupings. LIWC compares a text sample to its dictionary and, within seconds, provides a readout of how many words appear in each category.

To test-drive the program, Dr. Pennebaker, a pioneer in the field of therapeutic writing, asked a group of people recovering from serious illness or other trauma to engage in a series of writing exercises. The word tallies showed that those whose health was improving tended to decrease their use of first-person pronouns through the course of the study.

Health improvements were also seen among people whose use of causal words — because, cause, effect — increased. Simply ruminating about an experience without trying to understand the causes is less likely to lead to psychological growth, he explained; the subjects who used causal words “were changing the way they were thinking about things.”

Dr. Pennebaker, 58, has conducted numerous studies since then, all of them demonstrating that it’s not just what we say that matters but how we say it. Where traditional linguistics “is really more interested in context, how sentences are put together and what a meaningful phrase is,” he said, “our approach is simply counting words.”

In study after study, the articles and pronouns, which text analysts often call “junk words,” have proved crucial.

For example, Dr. Pennebaker has found that men tend to use more articles (a, the) and women tend to use more pronouns (he, she, they). The difference, he says, may suggest that men are more prone to concrete thinking and women are more likely to see things from other perspectives.

Jeffrey T. Hancock, an associate professor of communication at Cornell, uses word counting to study language and deception, particularly on the Internet.

Liars, he says, use more “negative emotion” words (hurt, ugly, nasty) and fewer first-person singulars. “These very simple dimensions have emerged again and again,” he said, “despite the fact that there were 40 years of research before this.”

Dr. Pennebaker says that because speech patterns are akin to a personal signature, his software might be used to identify authors of anonymous blogs and e-mail messages, and as supporting evidence in legal testimony. But he acknowledges that it cannot be definitive; too much depends on probability.

“In the language world, everything is probability,” Dr. Pennebaker said. “But in our legal system, we have real problems with understanding probability. Everyone has problems with probability.”

Still, the technique is drawing attention from a variety of sectors. Dr. Pennebaker has received a grant from the Army Research Institute to study the language of social dynamics, particularly how leaders use language. Joseph Psotka, a research psychologist at the institute, said that over time, this kind of study “could be very helpful for training and leadership development, but precisely how we don’t know yet.”

Dr. Pennebaker’s program has been translated into several languages, with an Arabic version in the works; Dr. Pennebaker notes that his Qaeda analysis was constrained by its reliance on English translations.

“Function words vary between one language and another and reveal a lot about another culture,” he said.

Dr. Psotka said counting and categorizing the words used by a foreign speaker could provide clues about “the subtle attitudes, not just the meaning of the words — to get a sense of whether or not negotiation or discussion is going smoothly.”

Dr. Pennebaker has also turned his word-counting machinery toward the presidential campaign (at wordwatchers.wordpress.com), and he likes to look at age-old questions like whether Shakespeare had a co-playwright, who wrote the Federalist Papers and even whether a couple will stay together.

“The more similar they are in terms of language,” Dr. Pennebaker said, “the more likely they are to be together several months later.”


#5691 From: "Sam Vaknin author of \"Malignant Self Love - Narcissism Revisited\"" <vaksam@...>
Date: Fri Apr 3, 2009 6:20 pm
Subject: How Democracies Become Tyrannies
vaksammt
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Scroll to the bottom of this message for articles about narcissistic collectives, cultures, and societies!
 
"The state is man writ large."
--Socrates
 
 
 
 
February 16, 2009

How Democracies Become Tyrannies

Back in 1959 the philosopher Eric Hoffer had this to say about Americans and America:

For those who want to be left alone to realize their capacities and talents, this is an ideal country. 
That was then. This is now. Flash forward fifty years to the election of Barack Obama and a hard-left-leaning Democrat Congress. What Americans want today, apparently, is a government that has no intention of leaving any of us alone. 

How could Hoffer have been so wrong about America? Why did America change so quickly? Can a free people willingly choose servitude?  Is it possible for democracies to become tyrannies? How?

The answers to these questions were famously addressed in a few pages tucked within the greatest masterpiece of the classical world: Plato's Republic.  On the surface, and to most reviewers of Plato's writings, the Republic is a dialogue on justice and on what constitutes the just society.  But to careful readers the deeper theme of the Republic is the nature of education and the relationship between education and the survival of the state.  In fact, the Republic is essentially the story of how a man (Socrates) condemned to death for "corrupting" the youth of Athens gives to posterity the most precious gift of all: the love of wisdom.

In the Republic, two young men, Glaucon and Adeimantus, accompany the much older Socrates on a journey of discovery into the nature of the individual soul and its connection to the harmony of the state.  During the course of their adventure, as the two disciples demonstrate greater maturity and self-control, they are gradually exposed to deeper and more complex teachings regarding the relationship between virtue, self-sufficiency, and happiness. In short, the boys begin to realize that justice and happiness in a community rests upon the moral condition of its citizens.  This is what Socrates meant when he said: "The state is man writ large."

Near the end of the Republic Socrates decides to drive this point home by showing Adeimantus what happens to a regime when its parents and educators neglect the proper moral education of its children.  In the course of this chilling illustration Adeimantus comes to discover a dark and ominous secret: without proper moral conditioning a regime's "defining principle" will be the source of its ultimate destruction.  For democracy, that defining principle is freedom. According to Socrates, freedom makes a democracy but freedom also eventually breaks a democracy.

For Socrates, democracy's "insatiable desire for freedom and neglect of other things" end up putting it "in need of a dictatorship."  The short version of his theory is that the combination of freedom and poor education in a democracy render the citizens incapable of mastering their impulses and deferring gratification.  The reckless pursuit of freedom leads the citizens to raze moral barriers, deny traditional authority, and abandon established methods of education.  Eventually, this uninhibited quest for personal freedom forces the public to welcome the tyrant. Says Socrates: "Extreme freedom can't be expected to lead to anything but a change to extreme slavery, whether for a private individual or for a city."

Adeimantus wants Socrates to explain what kind of man resembles the democratic city.  In other words, he wants to know how "democratic man" comes to be and what happens to make this freedom-loving man eventually beg for a tyrant.  Socrates clarifies that the democratic man starts out as the son of an "oligarchic" father -- a father who is thrifty and self-disciplined. The father's generation is more concerned with wealth than freedom. This first generation saves, invests, and rarely goes in for conspicuous consumption.[i]

The father's pursuit of wealth leaves him unwilling and unable to give attention to his son's moral development. The father focuses on business and finance and ignores the business of family. The son then begins to associate with "wild and dangerous creatures who can provide every variety of multicolored pleasure in every sort of way."  These Athenian precursors of the hippies begin to transform the son's oligarchic nature into a democratic one.  Because the young man has had no moral guidance, his excessive desire for "unnecessary pleasures" undermines "the citadel" of his soul.  Because the "guardians" of the son's inner citadel -- truth, restraint, wisdom -- are absent, there is nothing within him to defend against the "false and boastful words and beliefs that rush up and occupy this part of him."

A 1960s revolution in the son's soul purges the last remaining guardians of moderation and supplants new meanings to old virtues: "anarchy" replaces freedom, "extravagance" replaces magnificence, and "shamelessness" replaces courage. The young man surrenders rule over himself "to whichever desire comes along, as if it were chosen by lot."  Here Socrates notes the essential problem when a free society becomes detached from any notions of moral virtue or truth: desires are chosen by "lot" instead of by "merit" or "priority."

For the son the democratic revolution in his soul is complete.  In this stage "there is neither order nor necessity in his life, but he calls it pleasant, free, blessedly happy, and he follows it for as long as he lives."  Socrates gives a brief illustration of the young man's new democratic life:

Sometimes he drinks heavily while listening to the flute; at other times he drinks only water and is on a diet; sometimes he goes in for physical training; at other times, he's idle and neglects everything; and sometimes he even occupies himself with what he takes to be philosophy.  He often engages in politics, leaping up from his seat and saying and doing whatever comes into his mind.  If he happens to admire soldiers, he's carried in that direction, if money-makers, in that one.

In short, the young man has no anchor, no set of guiding principles or convictions other than his thirst for freedom.  His life is aimless, superficial, and gratuitous. The spoiled lotus-eaters of his generation have defined themselves simply by mocking all forms of propriety and prudence.  What's worse, as these Athenian baby-boomers exercise their right to vote, they elect "bad cupbearers" as their leaders.  The new cupbearers want to stay in office so they give the voters whatever they desire.  The public, according to Socrates, "gets drunk by drinking more than it should of the unmixed wine of freedom."  Conservative politicians who attempt to mix the wine of freedom with calls for self-restraint "are punished by the city and accused of being accursed oligarchs."

As conservative politicians court suspicion so do conservative teachers and academics who stubbornly hold on to objective measurements of performance: "A teacher in such a community is afraid of his students and flatters them, while the students despise their teachers or tutors."  Conservatism becomes unpopular just about everywhere, to a point at which even the elderly "stoop to the level of the young and are full of play and pleasantry, imitating the young for fear of appearing disagreeable and authoritarian."

The explosion of boundaries and limits extends even to national identity itself, so that resident aliens and foreigners "are made equal to a citizen."

The citizens' souls become so infected with freedom that they become excessively paranoid about any hint of slavery.  But slavery comes to mean being under any kind of master or limit including the law itself.  Says Socrates: "They take no notice of the laws, whether written or unwritten, in order to avoid having any master at all." That is, any kind of "hierarchy" in a democracy is rejected as "authoritarian."  But this extreme freedom, according to Socrates, eventually enslaves democracy.

As the progressive politicians and intellectuals come to dominate the democratic city, its "fiercest members do all the talking and acting, while the rest settle near the speakers platform and buzz and refuse to tolerate the opposition of another speaker."  There are "impeachments, judgments and trials on both sides."  The politicians heat up the crowds by vilifying business and wealth and by promising to spread the wealth around.  The people then "set up one man as their special champion" and begin "nurturing him and making him great." 

The people's "special champion" however transforms from leader to tyrant.  He "drops hints about the cancellation of debts and the redistribution of land" and continues to "stir up civil wars against the rich."  All who have reached this stage, says Socrates, "soon discover the famous request of a tyrant, namely, that the people give him a bodyguard to keep their defender safe for them."  The people give him this new national security force, "because they are afraid for his safety but aren't worried at all about their own."

Socrates describes the early weeks of the new leader's reign:

"Won't he smile in welcome at anyone he meets, saying that he's no tyrant, making all sorts of promises both in public and in private, freeing the people from debt, redistributing land to them, and to his followers, and pretending to be gracious and gentle to all?"
After a series of unpopular actions, including stirring up a war in order to generate popular support, the leader begins to alienate some of his closest and most ardent advisers who begin to voice their misgivings in private.  Following a purge of these advisors the tyrant attracts some of the worst elements of the city to help him rule.  As the citizens grow weary of his tenure the tyrant chooses to attract foreigners to resupply his dwindling national bodyguard.  The citizens finally decide they've had enough and begin to discuss rebellion. 

At this point in the dialogue Adeimantus asks Socrates incredulously: "What do you mean?  Will the tyrant dare to use violence against [the people] or to hit [them] if [they] don't obey?  Socrates answers:

"Yes - once he's taken away [the people's] weapons."
Thus ends Book VIII of Plato's Republic.  I won't spoil the marvelous ending (Books IX and X) but I would like to spend a few moments drawing some conclusions about the overall message of this fascinating text and its relevance for 21st century Americans.

First, those of us who are incapable of self-mastery will always shamefully prostrate ourselves before messianic political leaders.  The progressive left in America has spent countless generations destroying the guardians of our inner citadel: religion, family, parents, and tradition - in short, conservatism and limits.  When we exhaust the financial and moral capital of previous generations (and future ones, as with the current stimulus bill) we will dutifully line up at the public trough, on our knees.  Citizens capable of self-mastery will always choose to be left alone.  In other words, they'll always choose limited government.

Second, freedom without limits paves the way to tyranny by undermining respect for the law.  When politicians play fast and loose with the law it becomes easier for them and for the people to see special champions as alternative sources of rule.  Today in America the objective basis for law is being attacked on campuses and even in law schools as too authoritarian and too insensitive to the subjective experiences and personal narratives of criminals. The SAT exam has also been under assault for the same reasons. As Socrates warned: extreme freedom will instill a paranoia about any kind of "master" including objective measurements of right and wrong, and of merit based forms of achievement.  But when the citizens become enslaved to their vices they'll dutifully cry out for another kind of master.

Third, is the crucial role of education, which is the underlying theme of Plato's Republic.  The ethos of American education has been for many decades saturated with a simple mantra: choice. What's worse, those few remaining educators who chant the old, Socratic mantra of "judgment" are vilified and harassed by the modern day lotus-eaters as hateful conservatives.  Socrates predicted that all of this would happen in a democracy.  But it is judgment not choice that enables a young person to erect a citadel in the soul.  This eliminates the need for tyrants, and for bailouts too.

Finally, there is a question on the minds of many conservatives today: How does one convince the younger generations of Americans to distrust the growth of the State?  Is it possible for Americans to recover the desire to be left alone in order "to realize our capacities and talents" as Eric Hoffer says? 

I've read that in Iran, many young people chafe at the pervasive despotism there, but when the burning desire for freedom threatens to boil over, the government in Tehran eases its restrictions on the use of personal satellite dishes.  Electronic Soma for the digital age.

Hat tip: Larrey Anderson


[i] As Max Weber noted in his classic work, The Protestant Ethic and the Spirit of Capitalism, the men who built America were guided by deferred gratification and a sense of limits, not by reckless notions of vanity, pride, and display.
 
 
 
 
 

#5692 From: "Sam Vaknin author of \"Malignant Self Love - Narcissism Revisited\"" <vaksam@...>
Date: Mon Apr 6, 2009 9:05 am
Subject: 15th Annual Child Sexual Abuse Awareness confernece in Sacramento April 24 & 25
vaksammt
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Courtesy of Charms
 
 
 
 
 
 
 
 
 
=========================
15th Annual Child Sexual Abuse Awareness conference in Sacramento April 24 and Davis April 25
 
 
APRIL IS CHILD ABUSE PREVENTION and SEXUAL ABUSE AWARENESS MONTH

CA Protective Parents Association
and Incest Survivors Speakers' Bureau  

present
The Fifteenth Annual Northern California
Child Sexual Abuse Awareness Conference

in Sacramento and Davis, CA


Friday April 24, 2009

 
Sierra Health Foundation
1321 Garden Hwy, Sacramento, CA

9:00 am to 5:00 pm

 

Cost: $75 preregistration ($100 on site)

Up to 7 CE credits offered
 
 
TRANSFORMING TREATMENT:
Symptoms, Substances, and Axis IV
 
The Mental Health Services Act was passed by California voters in 2004 to transform public mental health treatment by providing funds to respond to the needs of people with mental health symptoms. The Act mandates effective, innovative programs that lead to wellness and recovery.
 
Steve Mayberg MD, Director of the CA Department of Mental Health, and CA Michael Cunningham, Chief Deputy Director of the Department of Alcohol and Drug Programs, will participate in a panel presentation on effective treatment for people with co-occurring mental health and substance abuse symptoms.
 
Ann Jennings Ph.D., Substance Abuse and Mental Health Services Administration (SAMHSA)-National Center for Trauma-Informed Care, Susan Curry MFT, clinician and EMDR specialist, and Randy Noblitt Ph.D., Alliant International University professor and author will present evidence-based innovative approaches to treatment that can lead to improved outcomes, wellness, and recovery while providing social and cost savings.
 
 Luncheon speaker: Robin Sax, author and Los Angeles Deputy District Attorney who specializes in prosecuting of sex crimes against children.
 
Pre-registration f or Friday April 24, 2009
Name_________________________________________ Agency___________________________
Address_______________________________________ Phone____________________________
Email___________________________________________________________________________
=0 D
 
Please send a check for $75 made out to CPPA to POB 1903, Davis, CA 95617
 
 
Saturday April 25, 2009
 
Veterans’ Memorial Center
203 East 14th Street, Davis, CA
9:30 am to 5:00 pm
 
No cost, no registration
 
U p to 5.5 CE credits offered
 
RITUAL ABUSE in the 21st CENTURY
 
What is ritual abuse?
How does it happen?
What is the evidence?
How do survivors heal?
 
 
Keynote Speaker
 
Randy Noblitt, Ph.D.
 
Ritual Abuse in the 21st Century, edited by clinical psychologist Randy Noblitt Ph.D. and Pamela Perskin Noblitt, is a sweeping overview of the subject of ritual abuse by an international, multi-disciplinary team of writers, researchers, therapists and survivors. 
 
Dr. Noblitt will discuss the evidence of ritual abuse, international research data from over 1,500 survivors, efforts to discredit allegations made by survivors, and the psychological, behavi oral and physical devastation left by such abuse.
 
Pamela Noblitt, co-author with Dr. Noblitt of Cult and Ritual Abuse: Its History, Anthropology and Recent Discovery in Contemporary America/ I>, Jeanne Adams, author of  Drawn Swords,  Anne A. Johnson Davis, author of Hell Minus One  (who has signed confessions from her perpetrators), and survivors of ritual abuse will discuss pathways to wellness and recovery.
 
 
This conference is co-sponsored by The Institute on Violence, Abuse and Trauma (IVAT) at Alliant International University.
IVAT is approved by the American Psychological Association (APA) to sponsor continuing education for psychologists. 
IVAT maintains responsibility for this continuing education program and its contents.
IVAT is recognized by the National Board of Certified Counselors (NBCC) to offer continuing education for National Certif ied Counselors (Provider #5659).
IVAT adheres to NBCC Continuing Education Guidelines. 
IVAT is approved by the CA Board of Behavioral Sciences (PCE #33) to offer continuing education for LCSWs and MFTs. IVAT is approved by the California Board of R egistered Nurses to offer continuing education for nurses (CEP #13737).
IVAT is approved by the State Bar of California to offer Minimum Continuing Legal Education for attorneys (#11600).
IVAT is approved by the California Association of Alcoholism & Drug Abuse Counselors (CAADAC) to offer continuing education for certified alcohol and drug counselors (Provider# 1S-03-499-0109).
CE credits approved by California agencies are accepted in most states. The conference is approved for up to 12.5 hours. Fees for CE credits are $30 in advance and $40 at the door.
 
Conference coordinator can be reached at cppa001@... or 916-233-8381.  Please let us know if you need accommodations.
 

#5693 From: "Sam Vaknin author of \"Malignant Self Love - Narcissism Revisited\"" <vaksam@...>
Date: Mon Apr 6, 2009 9:31 am
Subject: Brain Researchers Open Door to Editing Memory
vaksammt
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=================================
 
 
 
 
Power

Brain Researchers Open Door to Editing Memory

Published: April 5, 2009

Suppose scientists could erase certain memories by tinkering with a single substance in the brain. Could make you forget a chronic fear, a traumatic loss, even a bad habit.

Skip to next paragraph
Fred R. Conrad/The New York Times

André A. Fenton studies spatial memory in mice and rats.

Brain Power

The Speed-Dial Molecule

For all that scientists have studied it, the brain remains the most complex and mysterious human organ — and, now, the focus of billions of dollars’ worth of research to penetrate its secrets.

This is the first article in a series that will look in depth at some of the insights these projects are producing.

Fred R. Conrad/The New York Times

Research by Dr. Todd C. Sacktor, above, and André A. Fenton has demonstrated a chemical’s effect on memory with potential implications for treatment of trauma, addiction and other conditions.

Researchers in Brooklyn have recently accomplished comparable feats, with a single dose of an experimental drug delivered to areas of the brain critical for holding specific types of memory, like emotional associations, spatial knowledge or motor skills.

The drug blocks the activity of a substance that the brain apparently needs to retain much of its learned information. And if enhanced, the substance could help ward off dementias and other memory problems.

So far, the research has been done only on animals. But scientists say this memory system is likely to work almost identically in people.

The discovery of such an apparently critical memory molecule, and its many potential uses, are part of the buzz surrounding a field that, in just the past few years, has made the seemingly impossible suddenly probable: neuroscience, the study of the brain.

“If this molecule is as important as it appears to be, you can see the possible implications,” said Dr. Todd C. Sacktor, a 52-year-old neuroscientist who leads the team at the SUNY Downstate Medical Center, in Brooklyn, which demonstrated its effect on memory. “For trauma. For addiction, which is a learned behavior. Ultimately for improving memory and learning.”

Artists and writers have led the exploration of identity, consciousness and memory for centuries. Yet even as scientists sent men to the moon and spacecraft to Saturn and submarines to the ocean floor, the instrument responsible for such feats, the human mind, remained almost entirely dark, a vast and mostly uncharted universe as mysterious as the New World was to explorers of the past.

Now neuroscience, a field that barely existed a generation ago, is racing ahead, attracting billions of dollars in new financing and throngs of researchers. The National Institutes of Health last year spent $5.2 billion, nearly 20 percent of its total budget, on brain-related projects, according to the Society for Neuroscience.

Endowments like the Wellcome Trust and the Kavli Foundation have poured in hundreds of millions of dollars more, establishing institutes at universities around the world, including Columbia and Yale.

The influx of money, talent and technology means that scientists are at last finding real answers about the brain — and raising questions, both scientific and ethical, more quickly than anyone can answer them.

Millions of people might be tempted to erase a severely painful memory, for instance — but what if, in the process, they lost other, personally important memories that were somehow related? Would a treatment that “cleared” the learned habits of addiction only tempt people to experiment more widely?

And perhaps even more important, when scientists find a drug to strengthen memory, will everyone feel compelled to use it?

The stakes, and the wide-open opportunities possible in brain science, will only accelerate the pace of discovery.

“In this field we are merely at the foothills of an enormous mountain range,” said Dr. Eric R. Kandel, a neuroscientist at Columbia, “and unlike in other areas of science, it is still possible for an individual or small group to make important contributions, without any great expenditure or some enormous lab.”

Dr. Sacktor is one of hundreds of researchers trying to answer a question that has dumbfounded thinkers since the beginning of modern inquiry: How on earth can a clump of tissue possibly capture and store everything — poems, emotional reactions, locations of favorite bars, distant childhood scenes? The idea that experience leaves some trace in the brain goes back at least to Plato’s Theaetetus metaphor of a stamp on wax, and in 1904 the German scholar Richard Semon gave that ghostly trace a name: the engram.

What could that engram actually be?

The answer, previous research suggests, is that brain cells activated by an experience keep one another on biological speed-dial, like a group of people joined in common witness of some striking event. Call on one and word quickly goes out to the larger network of cells, each apparently adding some detail, sight, sound, smell. The brain appears to retain a memory by growing thicker, or more efficient, communication lines between these cells.

The billion-dollar question is how?

In the decades since this process was described in the 1960s and 1970s, scientists have found scores of molecules that play some role in the process. But for years the field struggled to pinpoint the purpose each one serves. The problem was not that such substances were so hard to find — on the contrary.

Skip to next paragraph

Brain Power

The Speed-Dial Molecule

For all that scientists have studied it, the brain remains the most complex and mysterious human organ — and, now, the focus of billions of dollars’ worth of research to penetrate its secrets.

This is the first article in a series that will look in depth at some of the insights these projects are producing.

In a 1999 paper in the journal Nature Neuroscience, two of the most prominent researchers in brain science, Dr. Jeff W. Lichtman and Joshua R. Sanes of Harvard, listed 117 molecules that were somehow involved when one cell creates a lasting speed-dial connection with a neighbor, a process known as “long-term potentiation.”

They did not see that these findings were necessarily clarifying the picture of how memories are formed. But an oddball substance right there on their own list, it turned out, had unusual properties.

A Helpful Nudge

“You know, my dad was the one who told me to look at this molecule — he was a scientist too, my dad, he’s dead now but he had these instincts — so anyway that’s how it all started,” Dr. Sacktor was saying. He was driving from his home in Yonkers to his laboratory in the East Flatbush neighborhood of Brooklyn, with three quiches and bag of bagels bouncing in the back seat. Lunch for the lab.

The father’s advice led the son, eventually, to a substance called PKMzeta. In a series of studies, Dr. Sacktor’s lab found that this molecule was present and activated in cells precisely when they were put on speed-dial by a neighboring neuron.

In fact, the PKMzeta molecules appeared to herd themselves, like Army Rangers occupying a small peninsula, into precisely the fingerlike connections among brain cells that were strengthened. And they stayed there, indefinitely, like biological sentries.

In short: PKMzeta, a wallflower in the great swimming party of chemicals that erupts when one cell stimulates another, looked as if it might be the one that kept the speed-dial function turned on.

“After that,” Dr. Sacktor said, “we began to focus solely on PKMzeta to see how critical it really was to behavior.”

Running a lab is something like fielding a weekend soccer team. Players come and go, from Europe, India, Asia, Grand Rapids. You move players around, depending on their skills. And you bring lunch, because doctoral students logging 12-hour days in a yellowing shotgun lab in East Flatbush need to eat.

“People think that state schools like ours are low-key, laid back, and they’re right, we are,” said Robert K. S. Wong, chairman of the physiology and pharmacology department at SUNY Downstate, who brought Dr. Sacktor with him from Columbia. “You have less pressure to apply for grants, and you can take more time, I think, to work out your ideas.”

To find out what, if anything, PKMzeta meant for living, breathing animals, Dr. Sacktor walked a flight downstairs to the lab of André A. Fenton, also of SUNY Downstate, who studies spatial memory in mice and rats.

Dr. Fenton had already devised a clever way to teach animals strong memories for where things are located. He teaches them to move around a small chamber to avoid a mild electric shock to their feet. Once the animals learn, they do not forget. Placed back in the chamber a day later, even a month later, they quickly remember how to avoid the shock and do so.

But when injected — directly into their brain — with a drug called ZIP that interferes with PKMzeta, they are back to square one, almost immediately. “When we first saw this happen, I had grad students throwing their hands up in the air, yelling,” Dr. Fenton said. “Well, we needed a lot more than that” one study.

They now have it. Dr. Fenton’s lab repeated the experiment, in various ways; so has a consortium of memory researchers, each using a different method. Researchers led by Yadin Dudai at the Weizmann Institute of Science in Israel found that one dose of ZIP even made rats forget a strong disgust they had developed for a taste that had made them sick — three months earlier.

A Conscience Blocker?

“This possibility of memory editing has enormous possibilities and raises huge ethical issues,” said Dr. Steven E. Hyman, a neurobiologist at Harvard. “On the one hand, you can imagine a scenario in which a person enters a setting which elicits traumatic memories, but now has a drug that weakens those memories as they come up. Or, in the case of addiction, a drug that weakens the associations that stir craving.”

Researchers have already tried to blunt painful memories and addictive urges using existing drugs; blocking PKMzeta could potentially be far more effective.

Yet any such drug, Dr. Hyman and others argue, could be misused to erase or block memories of bad behavior, even of crimes. If traumatic memories are like malicious stalkers, then troubling memories — and a healthy dread of them — form the foundation of a moral conscience.

For those studying the biology of memory, the properties of PKMzeta promise something grander still: the prospect of retooling the engram factory itself. By 2050 more than 100 million people worldwide will have Alzheimer’s disease or other dementias, scientists estimate, and far more will struggle with age-related memory decline.

“This is really the biggest target, and we have some ideas of how you might try to do it, for instance to get cells to make more PKMzeta,” Dr. Sacktor said. “But these are only ideas at this stage.”

A substance that improved memory would immediately raise larger social concerns, as well. “We know that people already use smart drugs and performance enhancers of all kinds, so a substance that actually improved memory could lead to an arms race,” Dr. Hyman said.

Many questions in the science remain. For instance, can PKMzeta really link a network of neurons for a lifetime? If so, how? Most molecules live for no more than weeks at a time.

And how does it work with the many other substances that appear to be important in creating a memory?

“There is not going to be one, single memory molecule, the system is just not that simple,” said Thomas J. Carew, a neuroscientist at the University of California, Irvine, and president of the Society for Neuroscience. “There are going to be many molecules involved, in different kinds of memories, all along the process of learning, storage and retrieval.”

Yet as scientists begin to climb out of the dark foothills and into the dim light, they are now poised to alter the understanding of human nature in ways artists and writers have not.


#5694 From: "Sam Vaknin author of \"Malignant Self Love - Narcissism Revisited\"" <vaksam@...>
Date: Tue Apr 7, 2009 2:31 pm
Subject: HealthyPlace Newsletter, April 7, 2009
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HealthyPlace Narcissistic Personality Disorder Community

http://www.healthyplace.com/personality-disorders/malignant-self-love/narcissism-narcissistic-personality-disorder-npd/menu-id-1469/

Narcissistic PD and abuse by narcissists - FAQs, essays, links, and book excerpts.

Transcript of the CHAT regarding abusive narcissists HERE:

http://www.healthyplace.com/personality-disorders/malignant-self-love/narcissism-narcissistic-personality-disorder-npd/menu-id-218/

Transcript of the CHAT about the Narcissistic Personality Disorder HERE:

http://www.healthyplace.com/personality-disorders/transcripts/narcissistic-personality-disorder/menu-id-652/

Transcript of the CHAT about narcissists in the workplace HERE:

http://www.healthyplace.com/personality-disorders/transcripts/narcissism-in-the-workplace/menu-id-62/

Radio Show regarding Relationships with Abusive Narcissists

http://www.healthyplace.com/Radio/archives/audio_narcissism_02-10-12.htm

Hello,

Here's what's happening on the HealthyPlace site this week:

A 'Dear Dad' Letter

We receive many letters each week from people who have faced all sorts of horrible abuse in their lives. Those who want their letters published are usually motivated by the thought of letting other abuse victims know they are not alone in their experiences and pain.

This week, we have a letter from author Roberta Hart. She writes it 13 years after her father's death and describes the torment of suffering from all types of abuse; from emotional to physical to sexual abuse. "I am sharing my life and the process that I have been through in the hopes that more can feel peace. When we carry pain and take inside of ourselves the torment of others, we die inside. I refuse to die, and if this is revenge, then revenge can heal. You decide. I find that revenge is a dish best served heaping and warm. Welcome to dinner."  Her compelling story and accompanying letter are here.

Additional Information on All Abuse Issues

If you have been abused or if you support someone who has, you'll find comprehensive information on all types of abuse (plus videos) in the HealthyPlace Abuse Issues Community. That includes:

For Personal Stories of Abuse

...and what the authors of these sites have learned from their experiences, visit:

And There's the After-Effects of Abuse

"Pros and Cons of Medicating Your ADHD Child" On HealthyPlace TV

Our guest takes medication for ADHD, but decided against it for her child. Find out why. Share you opinion and get insight into effective ways to treat ADHD from our Medical Director, Dr. Harry Croft.

This Tuesday night, April 7. The show starts at 5:30p PT, 7:30 CT, 8:30 ET and airs live on our website.

In the second half of the show, you get to ask Dr. Harry Croft, your personal mental health questions.

Treating Bipolar Disorder

"Living with bipolar disorder can wear you down," writes Michael, a member of the HealthyPlace Support Network. Award-winning author and HealthyPlace Expert Bipolar Patient, Julie Fast, who wrote the Gold Standard for Treating Bipolar Disorder on HealthyPlace.com would agree with that. In one of the videos on bipolar disorder included in that section, Julie discusses the daily battle living with and trying to control her bipolar symptoms (it's the first video on the list).

Celebrate Love!

Bob G., a longtime HealthyPlace member, wrote me last week and said: "how about some lighter reading?"

Alright!  Here's a fun site.  Drop by Larry James' site - "Celebrate Love".  Larry worked with Men Are From Mars author, Dr. John Gray, for many years. His welcome message on the homepage says "Great Relationships Begin Here."  I like that.

And Larry has some great relationships advice articles like:

You can also read Larry's Love Blog

Latest Mental Health News

These stories and more are featured on our mental health news page:

  • Study Hints at New Addiction Therapy
  • Acquiring the Good Traits of a Neat Freak
  • Marriage After the Miscarriage
  • Patients Hospitalized For Mental Illness In Ontario See Decrease In Signs Of Depression, Aggression
  • Folic Acid May Benefit Bipolar Disorder Patients

That's it for now. If you know of anyone who can benefit from this newsletter or the HealthyPlace.com site, I hope you'll pass this onto them. You can also share the newsletter on any social network (like facebook or digg) you belong to by clicking the links below.

Thank you,

Deborah

Community Partner Team
HealthyPlace.com - America's Mental Health Channel
"When you're at HealthyPlace.com, you're never alone."
http://www.healthyplace.com


#5695 From: "Sam Vaknin author of \"Malignant Self Love - Narcissism Revisited\"" <vaksam@...>
Date: Tue Apr 7, 2009 4:50 pm
Subject: When All You Have Left Is Your Pride
vaksammt
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The Narcissist as Liar and Con-man
 
 
Grandiosity, Fantasies, and Narcissism
 
 
=======================================
 
 
Mind

When All You Have Left Is Your Pride

Published: April 6, 2009

Look around you. On the train platform, at the bus stop, in the car pool lane: these days someone there is probably faking it, maintaining a job routine without having a job to go to.

Skip to next paragraph

Related

More Mind Columns

Consults

Have questions about "saving face" and other forms of pride? Ask Dr. Jessica L. Tracy here.

Go to Well »

Web Link

The Nonverbal Expression of Pride: Evidence for Cross-Cultural Recognition (Journal of Personality and Social Psychology)

Pride and perseverance: the motivational role of pride. (Journal of Personality and Social Psychology)

Pride: Adaptive Social Emotion or Seventh Sin? (Psychological Science)

The Wall Street type in suspenders, with his bulging briefcase; the woman in pearls, thumbing her BlackBerry; the builder in his work boots and tool belt — they could all be headed for the same coffee shop, or bar, for the day.

“I have a new client, a laid-off lawyer, who’s commuting in every day — to his Starbucks,” said Robert C. Chope, a professor of counseling at San Francisco State University and president of the employment division of the American Counseling Association. “He gets dressed up, meets with colleagues, networks; he calls it his Western White House. I have encouraged him to keep his routine.”

The fine art of keeping up appearances may seem shallow and deceitful, the very embodiment of denial. But many psychologists beg to differ.

To the extent that it sustains good habits and reflects personal pride, they say, this kind of play-acting can be an extremely effective social strategy, especially in uncertain times.

“If showing pride in these kinds of situations was always maladaptive, then why would people do it so often?” said David DeSteno, a psychologist at Northeastern University in Boston. “But people do, of course, and we are finding that pride is centrally important not just for surviving physical danger but for thriving in difficult social circumstances, in ways that are not at all obvious.”

For most of its existence, the field of psychology ignored pride as a fundamental social emotion. It was thought to be too marginal, too individually variable, compared with basic visceral expressions of fear, disgust, sadness or joy. Moreover, it can mean different things in different cultures.

But recent research by Jessica L. Tracy of the University of British Columbia and Richard W. Robins of the University of California, Davis, has shown that the expressions associated with pride in Western society — most commonly a slight smile and head tilt, with hands on the hips or raised high — are nearly identical across cultures. Children first experience pride about age 2 ˝, studies suggest, and recognize it by age 4.

It’s not a simple matter of imitation, either. In a 2008 study, Dr. Tracy and David Matsumoto, a psychologist at San Francisco State, analyzed spontaneous responses to winning or losing a judo match during the 2004 Olympic and Paralympic games. They found that expressions of pride after a victory were similar for athletes from 37 nations, including for 53 blind competitors, many of them blind from birth.

“It’s a self-conscious emotion, reflecting how you feel about yourself, and it has this important social component,” Dr. Tracy said. “It’s the strongest status signal we know of among the emotions; stronger than a happy expression, contentment, anything.”

In one continuing experiment, Dr. Tracy, along with Azim Shariff, a doctoral student at British Columbia, have found that people tend to associate an expression of pride with high status — even when they know that the person wearing it is low on the ladder. In their study, participants impulsively assigned higher status to a prideful water boy than to a team captain who looked ashamed.

The implications of this are hard to exaggerate. Researchers tend to split pride into at least two broad categories. So-called authentic pride flows from real accomplishments, like raising a difficult child, starting a company or rebuilding an engine. Hubristic pride, as Dr. Tracy calls it, is closer to arrogance or narcissism, pride without substantial foundation. The act of putting on a good face may draw on elements of both.

But no one can tell the difference from the outside. Expressions of pride, whatever their source, look the same. “So as long as you’re a decent actor, and people don’t know too much about your situation, all systems are go,” said Lisa A. Williams, a doctoral candidate in psychology at Northeastern University.

The various flavors of pride may even feel similar on the inside, when the stakes are high enough. “She was always scrupulous about keeping up appearances to herself,” wrote Edith Wharton of her tragic heroine Lily Bart in “The House of Mirth.” “Her personal fastidiousness had a moral equivalent, and when she made a tour of inspection in her own mind there were certain closed doors she did not open.” If you believe it, so will they.

A feeling of pride, when it’s convincing, acts something like an emotional magnet. In a recent study, Ms. Williams and Dr. DeSteno of Northeastern had a group of 62 undergraduates take tests supposedly measuring their spatial I.Q. The patterns flashed by too fast for anyone to truly know how well they did.

The researchers manipulated the amount of pride each participant felt in his or her score. They either said nothing about the score; remarked, in a matter-of-fact tone, that it was one of the best scores they had seen; or gushed that the person’s performance was wonderful, about as good as they had ever seen.

The participants then sat down in a group to solve similar puzzles. Sure enough, the students who had been warmly encouraged reported feeling more pride than the others. But they also struck their partners in the group exercise as being both more dominant and more likable than those who did not have the inner glow of self-approval. The participants, whether they had been buttered up or not, were completely unaware of this effect on the group dynamics.

“We wondered at the beginning whether these people were going to come across as arrogant jerks,” Dr. DeSteno said. “Well, no, just the opposite; they were seen as dominant but also likable. That’s not a combination we expected.”

Therapists say that in time, people usually do better when they come clean. “In some ways it’s easier to do this now, with so many people out of work,” said Michael C. Lazarchick, an employment counselor in southern New Jersey. “You may very well find out that others are going through the same thing, or something like it — ‘Oh yeah, I just took a big cut in pay.’ ”

But in the short term, projecting pride may do more than help manage others’ impressions. Psychologists have found that wearing a sad or happy face can have a top-down effect on how a person feels: Smile and you may feel fleetingly happier. The same most likely is true for an expression of pride. In a 2008 study, the Northeastern researchers found that inducing a feeling of pride in people solving spatial puzzles motivated them to try harder when they tackled the next round.

Pride, in short, begets perseverance. All of which may explain why, when the repo man is at the door, people so often remind themselves that they still have theirs, and that it’s worth something. Because they do, and because it is.

However much pride may go before a fall, it may be far more useful after one.

 
 

#5696 From: "Sam Vaknin author of \"Malignant Self Love - Narcissism Revisited\"" <vaksam@...>
Date: Thu Apr 9, 2009 4:35 pm
Subject: A Typology of Codependence and the Dependent Personality Disorder
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This letter constitutes a permission to reprint or mirror any and all of the
materials mentioned or linked to herein subject to appropriate credit and
linkback. Every article published MUST include the  author bio, including
the link to the author's Web site (at the bottom of this message).

===============================================================
A Typology of  Codependence and the Dependent Personality Disorder
By Sam Vaknin
Author of "Malignant Self Love - Narcissism Revisited"
 

Typology of Codependents

Codependence is a complex, multi-faceted, and multi-dimensional defence against the codependent's fears and needs. There are four categories of codependence, stemming from their respective aetiologies:

(i) Codependence that aims to fend of anxieties related to abandonment. These codependents are clingy, smothering, prone to panic, are plagued with ideas of reference, and display self-negating submissiveness. Their main concern is to prevent their victims (friends, spouses, family members) from deserting them or from attaining true autonomy and independence.

(ii) Codependence that is geared to cope with the codependent's fear of losing control. By feigning helplessness and neediness such codependents coerce their environment into ceaselessly catering to their needs, wishes, and requirements. These codependents are "drama queens" and their life is a kaleidoscope of instability and chaos. They refuse to grow up and force their nearest and dearest to treat them as emotional and/or physical invalids. They deploy their self-imputed deficiencies and disabilities as weapons.

Both these types of codependents use emotional blackmail and, when necessary, threats to secure the presence and blind compliance of their "suppliers".

(iii) Vicarious codependents live through others. They "sacrifice" themselves in order to glory in the accomplishments of their chosen targets. They subsist on reflected light, on second-hand applause, and on derivative achievements. They have no personal history, having suspended their wishes, preferences, and dreams in favour of another's.

From my book "Malignant Self Love - Narcissism Revisited":

"Inverted Narcissist

Also called "covert narcissist", this is a co-dependent who depends exclusively on narcissists (narcissist-co-dependent). If you are living with a narcissist, have a relationship with one, if you are married to one, if you are working with a narcissist, etc. – it does NOT mean that you are an inverted narcissist.

To "qualify" as an inverted narcissist, you must CRAVE to be in a relationship with a narcissist, regardless of any abuse inflicted on you by him/her. You must ACTIVELY seek relationships with narcissists and ONLY with narcissists, no matter what your (bitter and traumatic) past experience has been. You must feel EMPTY and UNHAPPY in relationships with ANY OTHER kind of person. Only then, and if you satisfy the other diagnostic criteria of a Dependent Personality Disorder, can you be safely labelled an 'inverted narcissist'."

(iv) Finally, there is another form of dependence that is so subtle that it eluded detection until very recently.

Counterdependents

Counterdependents reject and despise authority and often clash with authority figures (parents, boss, the Law). Their sense of self-worth and their very self-identity are premised on and derived from (in other words, are dependent on) these acts of bravura and defiance. Counterdependents are fiercely independent, controlling, self-cantered, and aggressive. Many of them are antisocial and use Projective Identification (i.e. force people to behave in ways that buttresses and affirm the counterdependent's view of the world and his expectations).

These behavior patterns are often the result of a deep-seated fear of intimacy. In an intimate relationship, the counterdependent feels enslaved, ensnared, and captive. Counterdependents are locked into "approach-avoidance repetition complex" cycles. Hesitant approach is followed by avoidance of commitment. They are "lone wolves" and bad team players.

From my book "Malignant Self Love - Narcissism Revisited":

"Counterdependence is a reaction formation. The counterdependent dreads his own weaknesses. He seeks to overcome them by projecting an image of omnipotence, omniscience, success, self-sufficiency, and superiority.

Most "classical" (overt) narcissists are counterdependent. Their emotions and needs are buried under "scar tissue" which had formed, coalesced, and hardened during years of one form of abuse or another. Grandiosity, a sense of entitlement, a lack of empathy, and overweening haughtiness usually hide gnawing insecurity and a fluctuating sense of self-worth."

There is great confusion regarding the terms co-dependent, counter-dependent, and dependent. Before we proceed to study the Dependent Personality Disorder in our next article, we would do well to clarify these terms.

Codependents

Like dependents (people with the Dependent Personality Disorder), codependents depend on other people for their emotional gratification and the performance of both inconsequential and crucial daily and psychological functions.

Codependents are needy, demanding, and submissive. They suffer from abandonment anxiety and, to avoid being overwhelmed by it, they cling to others and act immaturely. These behaviors are intended to elicit protective responses and to safeguard the "relationship" with their companion or mate upon whom they depend. Codependents appear to be impervious to abuse. No matter how badly mistreated, they remain committed.

This is where the "co" in "co-dependence" comes into play. By accepting the role of victims, codependents seek to control their abusers and manipulate them. It is a danse macabre in which both members of the dyad collaborate.

The Dependent Personality Disorder is a much disputed mental health diagnosis.

We are all dependent to some degree. We all like to be taken care of. When is this need judged to be pathological, compulsive, pervasive, and excessive? Clinicians who contributed to the study of this disorder use words such as "craving", "clinging", "stifling" (both the dependent and her partner), and "humiliating", or "submissive". But these are all subjective terms, open to disagreement and differences of opinion.

Moreover, virtually all cultures encourage dependency to varying degrees. Even in developed countries, many women, the very old, the very young, the sick, the criminal, and the mentally-handicapped are denied personal autonomy and are legally and economically dependent on others (or on the authorities). Thus, the Dependent Personality Disorder is diagnosed only when such behavior does not conform with social or cultural norms.

Codependents, as they are sometimes known, are possessed with fantastic worries and concerns and are paralyzed by their abandonment anxiety and fear of separation. This inner turmoil renders them indecisive. Even the simplest everyday decision becomes an excruciating ordeal. This is why codependents rarely initiate projects or do things on their own.

Dependents typically go around eliciting constant and repeated reassurances and advice from a myriad sources. This recurrent solicitation of succour is proof that the codependent seeks to transfer responsibility for his or her life to others, whether they have agreed to assume it or not.

This recoil and studious avoidance of challenges may give the wrong impression that the Dependent is indolent or insipid. Yet, most Dependents are neither. They are often fired by repressed ambition, energy, and imagination. It is their lack self-confidence that holds them back. They don't trust their own abilities and judgment.

Absent an inner compass and a realistic assessment of their positive qualities on the one hand and limitations on the other hand, Dependents are forced to rely on crucial input from the outside. Realizing this, their behavior becomes self-negating: they never disagree with meaningful others or criticizes them. They are afraid to lose their support and emotional nurturance.

Consequently, as I have written in the Open Site Encyclopedia entry on this disorder:

"The codependent molds himself/herself and bends over backward to cater to the needs of his nearest and dearest and satisfy their every whim, wish, expectation, and demand. Nothing is too unpleasant or unacceptable if it serves to secure the uninterrupted presence of the codependent's family and friends and the emotional sustenance s/he can extract (or extort) from them.

The codependent does not feel fully alive when alone. S/he feels helpless, threatened, ill-at-ease, and child-like. This acute discomfort drives the codependent to hop from one relationship to another. The sources of nurturance are interchangeable. To the codependent, being with someone, with anyone, no matter whom - is always preferable to solitude."

Read Notes from the therapy of a Dependent (Codependent) Patient


Many additional Frequently Asked Questions (FAQs) about Personality Disorders - click HERE!



==============================================================
AUTHOR BIO (must be included with the article)



Sam Vaknin ( http://samvak.tripod.com ) is the author of Malignant Self
Love - Narcissism Revisited and After the Rain - How the West Lost the East.
He served as a columnist for Global Politician, Central Europe Review,
PopMatters, Bellaonline, and eBookWeb, a United Press International (UPI)
Senior Business Correspondent, and the editor of mental health and Central
East Europe categories in The Open Directory and Suite101.

Visit Sam's Web site at http://samvak.tripod.com

#5697 From: "Sam Vaknin author of \"Malignant Self Love - Narcissism Revisited\"" <vaksam@...>
Date: Fri Apr 10, 2009 1:58 pm
Subject: Combined pharmacotherapy and psychological therapies for post traumatic stress disorder (PTSD)
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Combined pharmacotherapy and psychological therapies for post traumatic stress disorder (PTSD)

Ruth Parslow, Rosemary Purcell, Belinda Garner, Sarah E Hetrick

ORYGEN Research Centre Melbourne Victoria Australia


Table of contents


Background

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Description of condition
PTSD is an anxiety disorder related to exposure to a severe psychological trauma. The estimated life time prevalence is 7.8% and it affects women more than men. PTSD in men is more commonly related to combat exposure, and in women it is more commonly related to rape and sexual assault ( Kessler 1995). The reasons for higher rates in women are not fully understood but may be related to the type of trauma, younger age of exposure to trauma, stronger perceptions of threat and loss of control and biological reactions to trauma, to name a few (Olff 2007 ). On the other hand, gender differences have been noted for ICD-10 but not DSM-IV (APA 1994) diagnostic systems, due to the different endorsement of symptoms by males and females, and different configuration of symptoms in each diagnostic system (Peters 2006). There is some evidence of genetic vulnerability for PTSD (Yehuda 1999). The prognosis is often poor, with up to a third not recovering after many years (Kessler 1995).

PTSD was first brought to public attention by combat veterans and was formally recognised as a clinical disorder in 1980, when its description and diagnostic criteria were specified in the Diagnostic and Statistical Manual of Mental Disorders Version III (DSM-III) (APA 1980). The disorder stands alone in psychiatry in having the requirement of an external stimulus, the traumatic experience, which then results in PTSD symptoms, of which re-experience of the event is common to both major diagnostic systems (DSM and ICD). In DSM, both avoidance and arousal symptoms as well as distress or impairment are required, however, in ICD-10, avoidance and arousal symptoms are listed as common (Lopez-Ibor 2002). DSM is more strict in its definition of PTSD. It has been argued that these clinical decision rules for diagnosis of PTSD may be too restrictive and fail to recognise morbidity and associated impairment of functioning commonly reported by individuals with subthreshold symptoms, particularly those who have chronic PTSD (Mylle 2004).

Finally, PTSD has been differentiated from Acute Stress Disorder (ASD) in which distressing re-experiencing, avoidance and arousal symptoms are reported within two days to four weeks of experiencing a trauma, but persist for no longer than four weeks. For this reason, it is now recommended that treatment for PTSD should not be considered until four weeks after symptoms are first reported (Ballenger 2004).

Description of intervention
Treatments for PTSD were primarily focused on psychological interventions in the years immediately following its formal recognition. Clinicians of this orientation argued that relief of PTSD symptoms achieved with pharmacological interventions was superficial at best, and at worst, could hinder full resolution of the trauma. They also argued that it encouraged patients' early withdrawal from their longer-term psychological treatment ( Friedman 1988). Cognitive behavioural techniques, including exposure types, flooding and stress inoculation have the most empirical support, although interpersonal therapy is also used (Nemeroff 2006 ). Bisson 2005 in a Cochrane systematic review, concluded that trauma-focused cognitive behavioural therapy (CBT), as individual or group therapy, and stress management were effective in reducing PTSD symptoms.

Initially, pharmacological interventions, such as tricyclic antidepressants (TCAs) and mono-amine oxidase inhibitors (MAOIs), were seen only as an adjunct to long-term psychotherapy, usually to address the symptoms of co-morbid depression experienced by those with PTSD ( Boehnlein 1985). By 1992, this position had changed considerably. It was argued that effective treatment of PTSD often required use of pharmacological interventions, although clinicians' awareness of the efficacy of these treatments was generally limited (Davidson 1992 ). Antidepressants, particularly SSRIs, have been the most commonly used pharmacological intervention (Davidson 1999; Davidson 2000). While few RCTs exist, antipsychotic medication is also used, most often in the case of patients who do not respond adequately to antidepressants and psychotherapy (Hamner 2005 ). A Cochrane systematic review of pharmacotherapy concluded that pharmacotherapy can be effective in treating PTSD symptoms, and that SSRIs should be first line agents for this disorder (Stein 2006).

How the intervention might work
Clinical expert opinion on treatment of PTSD has been revised considerably during the past six years. A Consensus Statement on PTSD treatment in 2000 recommended psychotherapy (exposure therapy, stress inoculation training and cognitive therapy) for mild PTSD and a combination of psychotherapy and pharmacotherapy for moderate to severe cases of this disorder (Ballenger 2000). Recommendations made in the most recent update of this statement focus on early use of SSRIs and/or CBT within 3 to 4 weeks of presentation of substantial, persistent PTSD symptomatology. This revised statement advised that treatment for chronic PTSD may be most effective in the longer term when both SSRIs and CBT are included in the treatment plan ( Ballenger 2004). The combination of the two interventions may further enhance treatment outcomes, particularly in those with co-morbid conditions, with pharmacotherapy making exposure therapy more tolerable (Marshall 2000 ).

Why it is important to do this review
While recommended by clinical expert opinion, a systematic review of the literature is required to appraise and assemble the evidence for combination treatments for PTSD.

Return to the table of contents

Objectives

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The purpose of this review is to assess whether the combination of psychological therapy and pharmacotherapy provides a more efficacious treatment for PTSD than either of these interventions delivered separately, and whether combination treatment is tolerable to patients with diagnosed PTSD.

Return to the table of contents

Methods

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Criteria for considering studies for this review

Types of studies

Randomised controlled trials will be included.

Types of participants

Patients of any age or gender with a primary diagnosis of PTSD, diagnosed by a clinician using any diagnostic system will be included. Sub-clinical symptoms will be defined as participants who display at least one symptom in each of the three symptom clusters or any acceptable definition adopted by the trialist. Definitions will be noted and described.

Chronic (>2 years or as defined by trialist) and recent onset (<2 years or as defined by trialist) PTSD with any length of untreated illness, and of any severity (as defined by trialist usually as a score on a PTSD scale), arising from any type of event relevant to the diagnostic criteria, including interpersonal events, disaster or accidents, combat and witnessing an event, will be included. Those with comorbidity, except psychotic illness, will be included. These aspects of the population will be recorded, as they may have an effect on the treatment outcome.

Types of interventions

Intervention
Combination of any type of pharmacotherapy and any type of psychological therapy will be included. Categories of pharmacotherapy will include SSRIs, SNRIs, tricyclic antidepressants, anxiolytic medication, mood stabilizers, atypical antipsychotics and other. Categories of psychological therapy will comprise cognitive and/or behavioural approaches (including exposure therapy), EMDR, interpersonal therapy, supportive counselling and psychodynamic treatments.

Control conditions
1. Waitlist control
2. Placebo
3. Standard treatment
4. Pharmacotherapy alone
5. Psychological therapy alone (this may be the standard therapy)

Types of outcome measures

Primary outcome
1. Change from baseline to endpoint (or endpoint scores) of PTSD symptom severity (clinician rated standardised, validated, reliable rating scales)
2. Change from baseline to endpoint (or endpoint scores) of PTSD symptom severity (self-rated rated standardised, validated, reliable rating scales)
3. Change (or endpoint) in Global Functioning scores (standardised, validated, reliable rating scales)

Secondary outcomes
1. Change from baseline to endpoint (or endpoint scores) of comorbid depression/anxiety (standardised, validated, reliable rating scales)
2. Change from baseline to endpoint (or endpoint scores) of suicidal ideation
3. Suicide attempt (reported in number of events or on standardised, validated, reliable rating scales)
4. Comorbid substance use (reported in number of events or on standardised, validated, reliable rating scales)
5. Vocational and social functioning (either in number of events e.g. return to full time work or on standardised, validated, reliable rating scales)
6. Quality of life (standardised, validated, reliable rating scales)
7. Number of withdrawals due to adverse events (number of events)
8. Cost of treatment

Search methods for identification of studies

For more information see Cochrane Depression, Anxiety and Neurosis Review Group (CCDAN) search strategy

1. Electronic searches
a) The register of trials kept by the CCDAN group will be searched by the Trials Search Co-ordinator (TSC) using the following terms:

CCDANCTR-Studies
Diagnosis = Post-Traumatic Stress Disorders
And
Intervention = "Combined Modality"

The TSC will screen search results to exclude studies which combine two pharmacological interventions within a trial or two psychological therapies within a trial. Studies will also be excluded where the combined treatment is usual care and psychological therapy or pharmacological therapy

CCDANCTR-References
Keyword = "stress disorder*"
Or
Full-text = PTSD or "trauma* stress"

Again, results will be screened in a similar way to above and references obviously not relevant will be excluded.

b) Bibliographic databases, including MEDLINE and PsycINFO, will be searched from 1950 to November 2007. The search strategy used for each database is included in an additional table Table 1.

c) National Research Register (http://www.update-software.com/National/nrr-frame.html), Clinical Trials (http://clincaltrials.gov/ct/gui/c/r), the Australian Clinical Trials Register (http://www.actr.org.au/trialSearch.aspx) and Current Controlled Trials (http://www.controlled-trials.com) will be searched.

There will be no restrictions applied in the search in terms of date or language of publication. Any published (including Internet publication) or unpublished (including unpublished abstracts and reports) will be included.

2. Reference lists
The reference section of each included trial will be searched.

3. Hand searching
Conference abstracts for the following will be hand searched:
ASPR 1999-2001, and 2005
WPA, Epidemiology and Public Health, 2003
European Congress on Traumatic Stress, 2005

4. Personal Communication
In order to ensure that as many as possible RCTs are identified, the authors of the included trials and other experts in the field will be consulted to find out if they know of any published or unpublished RCTs in the area, and which were not yet identified.

Data collection and analysis

Selection of studies
Two review authors will independently select trials for possible inclusion in the study. Firstly, the titles and abstracts of trials identified from the search will be independently reviewed. Secondly, each review author will independently examine the full text of all studies that they consider to be of possible relevance. Each review author will compile a list of studies, which they believe meet the inclusion criteria. The contents of each review author's list will be compared, and any discrepancies discussed. Any disagreement will be resolved by discussion and consensus between all of the review authors.

Data extraction
Two review authors will independently extract data using specially developed data extraction forms. Information will be collected on:
1. Participants: age, gender, ethnicity, incident episode, length of time since episode, length of time since onset of PTSD, severity of PTSD, previous treatment for PTSD or other mental health disorders, type and severity of comorbid substance use disorder(s) and other psychiatric comorbidities and suicide-related behaviours.
2. Interventions and comparisons: description of medication including planned and actual dose, length of treatment and description of psychological intervention including type, whether it is delivered to groups or individuals, whether it is manualised, who delivers it and for how long, and the actual amount of therapy received. Information on other adjunctive interventions will also be collected. The number of participants randomised to each group, as well as total drop-outs and drop-outs due to adverse effects will be extracted.
3. Outcome measures: description of measures used, timing of administration, continuous/dichotomous nature, psychometric properties, references.
4. Results: point estimates and measures of variability and frequency counts for dichotomous variables.

One review author will compile all comparisons and enter outcome data into the Review Manager software program for meta-analysis. A second review author will perform double-data entry to ensure accuracy of results. Missing data will be obtained from trial authors wherever possible.

Assessment of risk of bias in included studies
Two review authors will independently assess the risk of bias of the included trials using a descriptive approach as advocated by the Cochrane Handbook for Systematic Reviews of Interventions (Higgins 2008 ). Potential for bias, including selection, performance, attrition and detection bias, will be considered using the following criteria:

1. Sequence generation
Was the allocation sequence adequately generated?

2. Allocation concealment
Was the allocation adequately concealed?

3. Blinding of participants, personnel and outcome assessors
Were the allocated interventions adequately blinded during the study? (participant/care provider)? How did you know that blinding was maintained? (In this review, given psychotherapy is one of the interventions, it is not possible for the participant and provider to be blinded). Were the outcome assessors adequately blinded to the allocated interventions?

4. Incomplete outcome data
Were dropouts and exclusions adequately addressed? (Were losses to follow-up described?) Were intention-to-treat analyses used?

5. Selective outcome reporting
7. Have authors reported on all the outcomes they set out to? To assess reporting bias, we will record which of the review outcomes were available with usable data from each included trial as well as noting which of the review outcomes were only reported in terms of whether there were significant differences between groups. Additionally the other outcomes (not collected for the review) reported by the trialists in the paper publication(s) will be compiled.

6. Other sources of bias
Was the study apparently free of other problems that could mean a high risk of bias e.g. early stopping, baseline imbalance, choice of design, evidence of carry over effect, funding?

Each criterion will be graded as yes, no or unclear, and will be scored as adequate (A), unclear (B) or inadequate (C), according to the guidelines in the Cochrane Handbook for Systematic Reviews of Interventions (Higgins 2008 ). When criteria are scored as unclear, one review author will attempt to obtain further information from the authors of the trial. The review authors will discuss any disagreement in the assessment of risk of bias to reach a consensus.

Data analysis
Review Manager software will be used for statistical analysis.

Measures of treatment effect
For dichotomous outcomes, such as 'response', results from each trial will be expressed as a Risk Ratio (RR) with 95% confidence intervals, and combined in meta-analysis.

Continuous outcomes, such as symptom measures, may be presented in several ways. When absolute values of post-treatment means and standard deviations (SD) are given, using the same rating scale across studies, these will be used to calculate the mean difference (MD) and 95% confidence intervals. If different scales are used to measure the same outcomes the standardised mean difference (SMD) will be calculated with 95% confidence intervals and then combined for meta-analysis.

Unit of analysis issues
Cross-over trials will be included only when it is possible to extract data from the first treatment period; or when inclusion of data from both treatment periods is justified by a sufficiently long wash-out period to minimise the effects of 'carry-over'. Data from both periods can only be included when it is possible to determine the correlation between participants' responses to interventions in the different phases ( Elbourne 2002).

Review authors will also check for and report where skewed data exist and it may be appropriate to report these in additional tables.

Dealing with missing data
Authors will be contacted for any missing data. If necessary, missing data will be imputed (e.g. calculating SDs from standard errors and p-values) and this will be clearly documented in the review. Data from intention-to-treat (ITT) will be extracted in the first instance with the type of imputation carried out by trialists noted. Where possible, observed case (OC) data will also be extracted and results compared with ITT data. The assumptions inherent in both these types of data will be discussed.

Assessment of heterogeneity
Clinical homogeneity will be satisfied when participants, interventions and outcome measures are considered to be similar. All of the analyses will be stratified by medication category. For trials that are clinically heterogeneous or present insufficient information for pooling, a descriptive analysis will be performed. Statistical homogeneity will be assessed using the I-squared (I2) statistic (Higgins 2003).

Assessment of reporting biases
We will investigate the potential for publication bias using a funnel plot for the primary outcomes relating to PTSD diagnosis and/or symptoms. Publication bias has long been associated with funnel plot asymmetry, however, asymmetry may be due to reasons other than publication bias and is difficult to assess in the case of a small number of trials. For this reason, an assessment of the risk of reporting bias will also be included as stated above.

Data synthesis
For all meta-analyses a fixed effects (Mantel 1959) meta-analysis will be used in the first instance. If statistical heterogeneity is found, it will be examined by subgroup and sensitivity analyses. If this does not account for heterogeneity, we will use random effects models (DerSimonian 1986 ). When the pooled summary statistic differs clinically between models, this will be reported.

Subgroup analysis and investigation of heterogeneity
If statistical heterogeneity is found, it will be examined by the following subgroup analyses, should there be a sufficient number of studies.
1. Newly developed vs short term (acute) vs chronic PTSD
2. Mild vs severe PTSD
3. Children/adolescents vs adults
4. Comorbid substance use disorders (SUD) vs no comorbid SUD

Sensitivity analyses
Sensitivity analyses will be performed to assess the effect of risk of bias. The following groups will be defined:
1. Allocation concealment is rated as inadequate, not used or unclear (and attempts to clarify with authors fail) (A)
2. Blinding of outcome assessment is not done or unclear (and attempts to clarify with authors fail) (B)
3. Intention-to-treat analysis is not done or probably not done (and attempts to clarify with authors fail) (C).

These criteria for assessing the risk of bias have been shown to influence estimates of treatment effect (Juni 2001). Sensitivity analyses will be performed in which studies categorised as A, B or C are excluded.

If statistical heterogeneity is found, it will be examined using the above sensitivity analyses, should there be a sufficient number of studies.

Return to the table of contents

Acknowledgements

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Potential conflict of interest

Return to the table of contents

History

Return to the table of contents

Protocol first published: Issue 3, 2008


Date
Event
Description

7 March 2007
New citation required and major changes
Substantive amendment

Return to the table of contents

Contributions of authors

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Ruth Parslow conceived the review and is guarentor. Ruth Parslow co-ordinated the development of the protocol with all authors contributing equally to the design and development of the protocol.

Return to the table of contents

Sources of support

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Internal sources


ORYGEN Research Centre, University of Melbourne, Australia.

External sources


No sources of support supplied

Return to the table of contents


References

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Additional references

 APA 1980 American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 3rd Edition. Washington, DC: American Psychiatric Association, 1980.
 APA 1994 American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 4th Edition. Washington, DC: American Psychiatric Association, 1994.
 Ballenger 2000 Ballenger JC, Davidson JR, Lecrubier Y, Nutt DJ, Foa EB, Kessler RC, et al.Consensus Statement on Posttraumatic Stress Disorder from the International Consensus Group on Depression and Anxiety. Journal of Clinical Psychiatry 2000;61 Suppl 5:60-6. Links
 Ballenger 2004 Ballenger JC, Davidson JR, Lecrubier Y, Nutt DJ, Marshall RD, Nemeroff CB, et al.Consensus Statement update on posttraumatic stress disorder from the International Consensus Group on Depression and Anxiety. Journal of Clinical Psychiatry 2004;65 Suppl 1:55-62. Links
 Bisson 2005 Bisson J, Andrew M. Psychological treatment of posttraumatic stress disorder (PTSD). Cochrane Database of Systematic Reviews 2005, Issue 3. Links
 Boehnlein 1985 Boehnlein JK, Kinzie JD, Ben R, Fleck J. One-year follow-up study of posttraumatic stress disorder among survivors of Cambodian concentration camps. American Journal of Psychiatry 1985;142:956-9. Links
 Davidson 1992 Davidson J. Drug therapy for post-traumatic stress disorder. British Journal of Psychiatry 1992;160:309-14. Links
 Davidson 1999 Davidson JR, Connor KM. Management of posttraumatic stress disorder: Diagnostic and therapeutic issues. Journal of Clinical Psychiatry 1999;60 Suppl 18:33-8. Links
 Davidson 2000 Davidson JR. Pharmacotherapy of posttraumatic stress disorder: Treatment options, long-term follow-up, and predictors of outcome. Journal of Clinical Psychiatry 2000;61 Suppl 5:52-6. Links
 DerSimonian 1986 DerSimonian R, Laird N. Meta-analysis in clinical trials. Controlled Clinical Trials 1986;7:177-88. Links
 Elbourne 2002 Elbourne DR, Altman DG, Higgins JP, Curtin F, Worthington HV, Vail A. Meta-analyses involving cross-over trials: methodological issues. International Journal of Epidemiology 2002;31(1):140-9. Links
 Friedman 1988 Friedman MJ. Toward rational pharmacotherapy for posttraumatic stress disorder: An interim report. American Journal of Psychiatry 1988;145:281-285. Links
 Hamner 2005 Hamner MB, Robert S. Emerging roles for atypical antipsychotics in chronic post-traumatic stress disorder. Expert Review of Neurotherapeutics 2005;5(2):267-75. Links
 Higgins 2003 Higgins JP, Thompson SG, Deeks JJ, Altman DG. Measuring inconsistency in meta-analyses. BMJ 2003;327(7414):557-60. Links
 Higgins 2008 Higgins JPT, Green S (editors). Cochrane Handbook for Systematic Reviews of Interventions Version 5.0.0 [Updated February 2008]. The Cochrane Collaboration 2008. Available from www.cochrane-handbook.org.
 Juni 2001 Juni P, Altman DG, Egger M. Assessing the quality of controlled clinical trials. BMJ 2001;323:42-6. Links
 Kessler 1995 Kessler RC, Sonnega A, Bromet E, Hughes M, Nelson CB. Posttraumatic stress disorder in the National Comorbidity Survey. Archives of General Psychiatry 1995;52(12):1048-60. Links
 Lopez-Ibor 2002 Lopez-Ibor JJ. The classification of stress-related disorders in ICD-10 and DSM-IV. Psychopathology 2002;35(2/3):107-11. Links
 Mantel 1959 Mantel N, Haenszel W. Statistical aspects of the analysis of data from retrospective studies of disease. Journal of the Nationall Cancer Institute 1959;22:719-48. Links
 Marshall 2000 Marshall RD, Cloitre M. Maximizing treatment outcome in post-traumatic stress disorder by combining psychotherapy with pharmacotherapy. Current Psychiatry Reports 2000;2:335-40. Links
 Mylle 2004 Mylle J, Maes M. Partial posttraumatic stress disorder revisited. Journal of Affective Disorders 2004;78:37-48. Links
 Nemeroff 2006 Nemeroff CB, Bremmer JD, Foa EB, Mayberg HS, North CS, Stein MB. Posttraumatic stress disorder: A state-of-the-science review. Journal of Psychiatric Research 2006;40:1-21. Links
 Olff 2007 Olff M, OLangeland W, Draijer N, Gersons BPR. Gender differences in posttraumatic stress disorder. Psychological Bulletin 2007;133(2):183-204. Links
 Peters 2006 Peters L, Issakidis C, Slade T, Andrews G. Gender differences in the prevalence of DSM-IV and ICD-10 PTSD and ICD-10 PTSD. Psychological Medicine 2006;36:81-9. Links
 Stein 2006 Stein DJ, Ipser JC, Seedat S. Pharmacotherapy for posttraumatic stress disorder (PTSD). Cochrane Database of Systematic Reviews 2006, Issue 1. Links
 Yehuda 1999 Yehuda R. Biological factors associated with susceptibility to posttraumatic stress disorder to posttraumatic stress disorder Biological factors associated with susceptibility to posttraumatic stress disorder. Canadian Journal of Psychiatry 1999;44(1):34-9. Links


#5698 From: "Sam Vaknin, author of Malignant Self Love - Narcissism Revisited" <vaksam@...>
Date: Sat Apr 11, 2009 12:34 pm
Subject: Books about Jung and Jungean Theories of the Mind/Psyche
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Jung Lexicon: A Primer of Terms and Concepts (c1991), by Daryl Sharp (PDF at innercitybooks.net)
 
 
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#5699 From: "Sam Vaknin, author of Malignant Self Love - Narcissism Revisited" <vaksam@...>
Date: Sat Apr 11, 2009 12:27 pm
Subject: Books about Love and Loving
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Falling in Love and Loving, by Francesco Alberoni
 
 
I Love You (A Theory of Love), by Francesco Alberoni
 
 
 
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#5700 From: "Sam Vaknin, author of Malignant Self Love - Narcissism Revisited" <vaksam@...>
Date: Mon Apr 13, 2009 9:22 am
Subject: Follow Sam Vaknin on Twitter
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  1. Added section about energy security to my article about economic scarcity http://samvak.tripod.com/sc...
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  3. @tompin Good to find old friends here!
  4. The grandaddy of encyclopedias, the Britannica http://samvak.tripod.master...
  5. The Six Sins of the Wikipedia http://www.narcissistic-abu...
  6. Saying goodbye to Encyclopedia Encarta http://samvak.tripod.master...
  7. "Twitter: Narcissism or Age-old Communication?" http://tinyurl.com/d7oswm
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  10. MindGames is now available on Project Gutenberg: http://www.gutenberg.org/et...
  11. New book "The Facts and Fictions of the Securities Industry". Free download on Scribd, DocStoc, and http://samvak.tripod.com/fr...
  12. New book: Abuse, Trauma, and Torture - Their Consequences and Effects on Scribd and here: http://tinyurl.com/ajx6nq
  13. I did write this article: "Barack Obama: Narcissist or Merely Narcissistic?" http://tinyurl.com/al63ga
  14. I did NOT write the article about Barack Obama that's making the rounds: http://www.snopes.com/polit...
  15. Posted Prof. Gail Hornstein's Bibliography of First Person Narratives of Madness, 4th edition on Scribd (http://www.scribd.com/)
  16. Posted "From Alexander to Obama: Narcissistic and Psychopathic Leaders" on Scribd and here: http://tinyurl.com/ajx6nq
  17. Posted first draft of new book "MindGames" on Scribd and here: http://tinyurl.com/ajx6nq

#5701 From: "Sam Vaknin, author of Malignant Self Love - Narcissism Revisited" <vaksam@...>
Date: Tue Apr 14, 2009 8:51 am
Subject: Twitter and the Future of Discourse, Part 1
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Twitter and the Future of Discourse, Part 1

To its detractors, Twitter is little more than a pipeline through which bores and narcissists flush their short, uninteresting brain droppings. Those who love Twitter say it's nothing short than the future of mass communication. Is Twitter here to stay, or will it soon be bumped aside by the next big thing in social media technology?


From Laid-Off to Entrepreneur: Launching a Web Biz on a Shoestring. "That day" has arrived. For whatever reason, the job you’ve been working for years is no longer there for you. Times are tough; people are facing unemployment in droves. In today's economic age, however unfair, it's a reality. What do you do now? [Download PDF: 10 pgs | 558k]

The entire world, it seems, is all aflitter about Twitter More about Twitter. Everywhere you turn, from Bill O'Reilly trashing the world of tweets on The View to Rick Sanchez praising it on CNN, someone's got something to say about Twitter. Is there something to this tweet-fest or are we all drowning in a sea of self-fascination?

"It has become fashionable to castigate Twitter, the microblogging service, as an expression of rampant narcissism," Sam Vaknin, author of Malignant Self Love: Narcissism Revisited, told TechNewsWorld. "Yet narcissists are verbose, and they do not take kindly to limitations imposed on them by third parties. Thus, rather than gratify the average narcissist and provide him or her with narcissistic supply -- attention, adulation, affirmation -- Twitter is actually liable to cause narcissistic injury."

That's welcome news to the masses that tweet endlessly about the more mundane aspects of their lives. Despite the constant preening on Twitter, at least it isn't narcissism.

However, if it isn't an exercise in narcissism, what's the big deal about tiny messages?

Pre-Historic Twitter and the Death of Dinosaurs

From the dawn of civilization, when writing was the province of the few and esoteric, people have been memorizing information and communicating it using truncated, mnemonic bursts, explained Vaknin. "Sizable swathes of the Bible resemble Twitter-like prose. Poetry, especially blank verse, is Twitterish," he said. "To this very day, newspaper headlines seek to convey information in digestible, resounding bits and bites. By comparison, the novel -- an avalanche of text -- is a newfangled phenomenon."

Short communiqués existed before recorded history and now reign supreme in modern technology from text messaging and IMs to Twitter. Is Twitter here to stay, or will it be the downfall of people and businesses that reject truncated communication modes -- the dinosaurs of our time?

The Tweet Test

"This is the million-dollar question," Brad Wayland, vice president of business development and partner at BlueCotton.com, a custom-design online T-shirt company, told TechNewsWorld. "I listened to a panel the other day that included representatives of Carnival Cruise Lines, JCPenny, and H&R Block. It was very interesting to observe that, although they are all using Twitter, they are not sure of its purpose and what it is accomplishing for their customers."

No doubt it's tough to put Twitter to the test. Reliable return on investment (ROI) metrics do not yet exist, although several attempts have been made to measure other things like influence and reach of individual Twitter entities. For the most part, the pro-Twitter argument is anecdotal but clearly observable.

For example, Wayland attended the South by Southwest Interactive conference (SXSW), where there were several panels, parties and events going on at any given moment. To keep up with all the action, he searched Twitter using "#sxsw" (a tag agreed on by attendees). He could then view every update that each person made as long as they included "#sxsw" in their tweets. People use the hash (#) tag to help segregate their updates for the people who are interested in them. "So when Gary Vaynerchuk decided he was going to a certain tech party, he would post -- "heading to the Parish, be there #sxsw" and 20 minutes later, there were hundreds of people trying to get into the party," says Wayland.

In another incident, the rousing round of Twitter-bashing surrounding a poorly received Motrin ad resulted in the ad being pulled, and the random tweet found complaining about a service or product is sometimes rapidly answered by the offending company and quickly resolved. In this way, even with the absence of hard metrics, one can see the value of Twitter by extrapolating from hard data available through CRM Get ahead of the competition with data mining. Learn more! metrics -- so much so that leading CRM vendors such as Salesforce.com (NYSE: CRM) More about Salesforce.com are integrating Twitter.

Ubiquitous as the Phone?

In any event, the question of metrics may be the wrong question entirely.

"Essentially it's the same question as 'what's a phone for?'" Brendan Cooper, Metia's social media expert, told TechNewsWorld. "It's a fairly basic thing, but very useful if you actually need to talk to someone. It's for communicating and sharing, and people will always want and need to do this."

Just like telephones and email, Twitter is a tool and nothing more. Whether it works for an individual or a business is totally dependent on how it is actually used.

"It is a tool and one of many," Larry Weintraub, cofounder and CEO of Fanscape, a digital marketing firm whose clients include clients AT&T, Samsung, Paramount Pictures, M&Ms, State Farm Insurance, MTV and Universal Music Group, told TechNewsWorld. "Before there was Twitter, people were text messaging. Why weren't they just calling? Because they didn't want to have a conversation; just make a point and move on."

"We need to recognize that this is an accepted form of communication -- quick bursts of information that our friends and coworkers can access and decide if they want to know more," adds Weintraub. "Twitter itself will most likely be replaced by something else in a matter of months or years. That is how social media works. What is hot today is replaced by something tomorrow."

Tweeting After Twitter

"The basic concept of communicating short bites of information will still be here; whether Twitter is the leader in the format remains to be seen," says Weintraub.

Indeed, the power of the tweet is perhaps diluted by its own money drain.

"The financial challenge is how to monetize their operations," Don Patterson, assistant professor at the University of California Irvine's Bren School of Information and Computer Sciences, told TechNewsWorld. "They are growing rapidly, and behind the scenes that growth translates into bandwidth, computation and personnel costs. Given the state of the economy, I wouldn't be surprised if they had to drastically change their core function in order to remain viable."

However, Patterson said, changing their core function would alienate many of Twitter's loyal users who can fairly easily move to another service that provides similar functionality.

Ironically, the second biggest challenge Twitter faces is on the social front.

"The social challenge they face is something fundamental to how they architected their service," explained Patterson. The way Twitter thinks about tweets is as a shout-out to the world, he said, and while it has some capability to limit this, culturally Twitter is a public broadcast service. This is great for 11 percent of the adult Internet users who need to self-promote themselves as part of their jobs, he explained, but that leaves 89 percent who are likely doing it for fun. Corporations also spend a lot of time self-promoting, so it seems Twitter is a good fit for advertising as well, but that setup may end up shook-up.

"If Twitter finds the need to charge for their services, the 89 percent tweeting for fun are going to find that it's not worth it and will go somewhere else," says Patterson. "This will reduce Twitter's value to the self-promoters and corporations alike. Together with the financial challenge, this suggests that Twitter will have to have a radically new kind of business model to survive."

No worries -- Facebook More about Facebook has already copied Twitter. Others will surely do the same soon.

In the meantime, please retweet the link to this article, lol @bakercom1.

Stay tuned for Part 2.

 Click here to be notified when the next installment in this series is published.


#5702 From: "Sam Vaknin, author of Malignant Self Love - Narcissism Revisited" <vaksam@...>
Date: Tue Apr 14, 2009 9:30 am
Subject: If Looks Could Steal
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Scroll to the bottom of this message for resources about the Psychology of Scams and Financial Crime!
 
==================================

 
Op-Ed Contributor

If Looks Could Steal

Published: March 21, 2009

IN all the hue and cry that has surrounded Bernard Madoff since news of his preternaturally elaborate Ponzi scheme broke last December, we have chosen to concentrate our inquiry and analysis on the perpetrator and his far-flung world, as though we might thereby begin to answer the question of what made him tick.

Yet, as a culture that tends to look for black-and-white, reductionist explanations, it is doubtful that we will ever fill in the gaps in our understanding of a situation that is shot through with ambiguity. There is no single code word — no “Rosebud” — that will lead us to decipher the Madoff phenomenon, no eureka realization that will account for his strange and ultimately ruinous trajectory or the dissociative behavior that allowed him to believe one thing while doing another. What this intense focus has enabled us to do, however, is to skim over the psychology of the other participants in the drama: the ones who got taken.

Given the demonization of Mr. Madoff and the intense sympathy for the plight of those smaller investors who trusted him, it is easy to forget that he actually did bring something to the table. Indeed, what is lost amid the fury of some of those who handed their money over to him is that theirs was a voluntary — nay, eager — association. No one was holding a gun to anyone’s head, saying sign up with Mr. Madoff or else.

Far from it: people scrambled to find a home within his financial orbit, auditioning for the role of Madoff client the way you would try out for a place at an Ivy League college, nudging connections to put in a good word, calling in favors to get in on a piece of the Madoff action. (Although those who were duped are referred to in the press as “victims,” it seems to me it would be more accurate to define them as casualties. Victims are specifically sought out; casualties are an indirect consequence of some larger action.)

What Mr. Madoff brought to the table, I think, was a sense of mishpocha, of being part of an extended family, but one you carefully chose rather than being arbitrarily born into. He seemed to humanize the cold, frequently anonymous business of investing by giving it an avuncular face. By all accounts, he was the quintessential nice guy. (I did not know Mr. Madoff nor did I invest with his firm, but have a sibling who did business with him.) And, no small thing: he looked trustworthy. He has the sort of pleasant mien that makes you think he has your best interests at heart.

This is both the problem and the mystery of the man — and speaks to what so enrages people. If you’re going to be a con man, that is, you should at least look the part. No matter how much we’re told appearances are deceiving, we think we know better. Or rather, we think we’re exempt from the deception that ensnares others. In a way, Mr. Madoff and those he defrauded were co-dependent, the one offering a cover of benign paternalism and the other buying into the act. It’s interesting to me that institutional investors were the least likely to overlook the irregularities in his records; they weren’t looking to be part of a family, they were merely looking to make money.

At the heart of the matter, of course, are the complex feelings we all bring to the subject of money itself. We covet it but we are ashamed of overtly lusting after it. We know money is frequently a matter of luck or conniving rather than a just reward, yet we regard very rich people with no small amount of awe. How ever did they do it? Although a gift for making money may not indicate any larger sphere of talent, we willy-nilly ascribe great intelligence to financiers.

I remember attending a small dinner party where George Soros was one of the guests; it made sense to me that he held the floor when he discussed matters he was expert on, but I couldn’t figure out why all of his opinions, on whatever subject — be it interior design or the value of single-sex schools — were treated as equally valid. And then it occurred to me: he was much wealthier than the other dinner guests, which meant that everything he said was ipso facto of sovereign interest.

Meanwhile, the animus against the rich continues to thrive, especially among the chattering classes (has anyone ever been among a group of artsy types who had anything positive to say about the wealthy?), even as they are held up as exemplars of initiative and drive. Mr. Madoff must have originally represented some sort of de-tainting agent, the moneymaking genius who just happened to be someone your cousin knew or your dentist recommended. He took the edge off the harsh reality of making money and in the process gave filthy lucre a warm, haimish glow.

It helped rather than hindered his “Uncle Bernie” image that no one could figure out exactly how he achieved his gains, neither the people who presumably understood such things nor the people who didn’t. Whether you chose to keep your eyes averted from the actual process or tried to look closely into it didn’t matter much in the end. He imparted his own casual, low-key mystique to the inherent mystique that surrounds money — for many of us, money remains at the level of the magical, like coins conjured from behind someone’s ear — and it all added up to an impenetrable seduction.

When I think of Mr. Madoff himself, I am reminded of Geoffrey Wolff’s wonderful memoir of his con-artist father, “The Duke of Deception.” A small-scale operator by comparison to Mr. Madoff, Mr. Wolff’s father had “bluster in his voice” and lied about everything, from his religion to his college, for what appears to be no reason at all. At the end of Mr. Wolff’s examination of the parent he continued to trust long after he should have, we are left with the jigsaw puzzle of a personality in which the pieces don’t finally fit together. “I couldn’t ever seem to learn,” he writes, “where my father’s edge was; one step on terra firma, the next off and tumbling into space.”

Perhaps that is as good a definition of what it is to deal with a sociopath as any, but to call Mr. Madoff a sociopath isn’t really to explain him so much as to explain our failure to pick up on his scam. “Everything that deceives,” decreed Plato, “can be said to enchant.” Enter the sorcerer, the ganef, the man without qualities but with steady returns — and, I might add, a family man to the end. (Mr. Madoff has not implicated his family; even sociopaths have their loyalties.)

Enter us, the believers, the ones who signed on for the ride until it went off the rails, leaving wreckage as far as the eye could see.

==========================
In December 2008, Bernard Madoff, a pillar of the Jewish community and of Wall Street, admitted to having run a 50 billion USD Ponzi (Pyramid) scheme, the biggest scam in history.
 
It is still debatable whether Bernard Madoff fits the profile of a classic scammer. Anti-Semites blame his ancestry, the society and culture he grew in:
 
 
To understand his psychology, you may wish to start by reading this short story I have written. It tackles in minute detail the psychodynamic processes in a con-man's mind as well as the curious bond that inevitably forms between perpetrator and victim
 
 
Madoff is, in all likelihood, a psychopathic narcissist:
 
For a more detailed view of pathological narcissism and the Narcissistic Personality Disorder (NPD) - click on these links:
 
 
 
 
 
 
NPD (Narcissistic Personality Disorder) and AsPD (Antisocial Personality Disorder, Psychopathy, or Sociopathy)
 
 
 
Is Madoff malicious?
 
 
He feels immune to the consequences of his actions and reinterprets his crimes to fit an ego-syntonic narrative:
 
 
 
The Narcissist and Psychopath as Criminals
 
 
The Narcissist is Above the Law
 
 
The Narcissist as Liar and Con-man
 
 
Does the Narcissist Have a Multiple Personality (Dissociative Identity Disorder)?
 
 
Grandiosity, Fantasies, and Narcissism
 
 
He feels no remorse
 
 
He blames his victims (or the Universe) for the mess (he has alloplastic defenses)
 
 
He loves the attention
 
 
You can download my book about financial crime here:
 

#5703 From: "Sam Vaknin, author of Malignant Self Love - Narcissism Revisited" <vaksam@...>
Date: Wed Apr 15, 2009 2:05 pm
Subject: HealthyPlace Newsletter, April 14, 2008
vaksammt
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HealthyPlace Narcissistic Personality Disorder Community

http://www.healthyplace.com/personality-disorders/malignant-self-love/narcissism-narcissistic-personality-disorder-npd/menu-id-1469/

Narcissistic PD and abuse by narcissists - FAQs, essays, links, and book excerpts.

Transcript of the CHAT regarding abusive narcissists HERE:

http://www.healthyplace.com/personality-disorders/malignant-self-love/narcissism-narcissistic-personality-disorder-npd/menu-id-218/

Transcript of the CHAT about the Narcissistic Personality Disorder HERE:

http://www.healthyplace.com/personality-disorders/transcripts/narcissistic-personality-disorder/menu-id-652/

Transcript of the CHAT about narcissists in the workplace HERE:

http://www.healthyplace.com/personality-disorders/transcripts/narcissism-in-the-workplace/menu-id-62/

Radio Show regarding Relationships with Abusive Narcissists

http://www.healthyplace.com/Radio/archives/audio_narcissism_02-10-12.htm

Here's what's happening on the HealthyPlace site this week:

Prescription Assistance

With the economy in bad shape, many with mental health concerns write us asking where they can get help with paying for their psychiatric medications and mental health services (this link is a table of contents page listing every article we have on the subject). We have two major sections on the site that address those issues:

  1. Free or Low-Cost Prescription Medication Assistance
  2. Finding and Paying for Mental Health Treatment

"Managing Your Panic Attacks" On HealthyPlace TV

Our guests successfully overcame their debilitating panic attacks. Find out how. Share your opinion and get insight into effective ways to treat panic disorder, panic attacks from our Medical Director, Dr. Harry Croft.

This Tuesday night, April 14. The show starts at 5:30p PT, 7:30 CT, 8:30 ET and airs live on our website.

In the second half of the show, you get to ask Dr. Harry Croft, your personal mental health questions.

Follow-up to 'Dear Dad Letter'

Last week's personal story from Roberta Hart, detailing her experiences with child abuse and the impact it had on her, compelled many people to write in and share their thoughts.

Maryann: "Similar to Roberta, I witnessed my mother sexually abusing my brother. I was 13 at the time and was afraid and didn't know what to do. Today, I live with the guilt of my brother's suicide at the age of 22."

DeeDee: "I'm writing to tell you that some "letters to abusers" end up causing more harm than good. I wrote a 5 page letter to my abuser who was still alive at the time. Instead of an apology, I got a lot of denial and my parents and brothers refuse to even talk to me. I'm a complete outcast in my family and to tell you the truth, I feel very alone and wish I hadn't written that letter."

and finally, this note from Michael: "Regretfully, I'm like Roberta Hart's father, an alcoholic who stole my daughter's childhood. I am in recovery, but I will never be able to recover from the pain and suffering that I have caused. Every day, it is difficult for me to live with what I have done."

Additional Insights on Abuse

  1. How Child Abuse Affects Children
  2. How Does Physical abuse Impact A Child?
  3. Impact of Psychological Abuse on Children’s Mental Health and Emotional Well-being
  4. Adults Sexually Abused as Children (Adult Survivors of Child Sexual Abuse)
  5. Reporting Child Abuse
  6. All HealthyPlace Articles on Abuse

Are You Interested in Alternative Mental Health Treatments?

Many people are.  The National Institute of Health reports over 30% of people with psychiatric disorders have tried alternative mental health treatments from diet and nutrition to self-help and various types of therapies.  In the HealthyPlace Alternative Mental Health Community, we have comprehensive information on alternative treatments for mental health conditions including:

Latest Mental Health News

These stories and more are featured on our mental health news page:

  • When All You Have Left Is Your Pride
  • A Day in the Life of a Medical Examiner
  • Family Ties Provide Protection Against Young Adult Sucidal Behavior
  • Antipsychotics Linked to Neurocognitive Impairments in Some Bipolar Patients
  • Stress And Depression Vary By Region, According To New Study

That's it for now. If you know of anyone who can benefit from this newsletter or the HealthyPlace.com site, I hope you'll pass this onto them. You can also share the newsletter on any social network (like facebook or digg) you belong to by clicking the links below.

Thank you,

Deborah

Community Partner Team
HealthyPlace.com - America's Mental Health Channel
"When you're at HealthyPlace.com, you're never alone."
http://www.healthyplace.com


#5704 From: "Sam Vaknin, author of Malignant Self Love - Narcissism Revisited" <vaksam@...>
Date: Wed Apr 15, 2009 2:18 pm
Subject: Why some women go back to their abusers
vaksammt
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Rescue Fantasies - Surviving the Narcissist

http://samvak.tripod.com/faq80.html

The Malignant Optimism of the Abused

http://samvak.tripod.com/journal27.html

The Inverted Narcissist - Codependence and Relationships with Abusive
Narcissists

http://samvak.tripod.com/faq66.html

Codependence and the Dependent Personality Disorder

http://samvak.tripod.com/personalitydisorders22.html

The Dependent Patient - A Case Study

http://samvak.tripod.com/personalitydisorders56.html

Danse Macabre - Trauma bonding and the Stockholm Syndrome

http://samvak.tripod.com/abusefamily.html

The Cult of the Narcissist

http://samvak.tripod.com/journal79.html

Mourning the Narcissist

http://samvak.tripod.com/faq68.html

The Three Forms of Closure

http://samvak.tripod.com/abuse17.html

Back to La-la Land

http://samvak.tripod.com/journal78.html

The Spouse/Mate/Partner of the Narcissist

http://samvak.tripod.com/faq6.html
 
 

Why some women go back to their abusers

  • Story Highlights
  • Chris Brown and Rihanna are reportedly back together despite rumors he beat her
  • A victim's return to her abuser is common, therapists who treat both say
  • Women who are beaten often feel overwhelming guilt, shame and anxiety
  • Abuser may try to psychologically manipulate victim into thinking it's her fault
  • Next Article in Health »
By Elizabeth Landau
CNN
 
(CNN) -- A middle-of-the-night fight, a surprise pullout from the Grammy Awards, leaked photos, a police investigation -- new pieces of the puzzle of the alleged assault of pop singer Rihanna by her boyfriend Chris Brown have been emerging since early February.
Singers Rihanna and Chris Brown, shown performing in December, are rumored to be back together.

Singers Rihanna and Chris Brown, shown performing in December, are rumored to be back together.

Then, nearly three weeks after the alleged battery, the couple was reportedly together again. The reconciliation was reported just days before Brown's arraignment, which is expected Thursday in Los Angeles, California. Update: Chris Brown charged with two felonies

Brown, 19, has issued an apology for "what transpired" but neither he nor Rihanna, who just turned 21, has directly addressed the allegations.

Many would ask why anyone would return to an abusive partner after leaving, but therapists who treat both abusers and victims say it's common.

The effect is like a "pendulum of pain," said Steven Stosny, counselor and founder of the anger and violence management program CompassionPower, which treats people convicted of abuse in the home.

Abuse victims will "leave out of either fear, anger or resentment," he said. "But then, after the fear, anger or resentment begins to subside, they feel guilt, shame, anxiety, and that takes them back."

After a violent incident, there is often a "honeymoon period" during which the abuser may apologize profusely, give the victim gifts and persuade the victim to stay, experts say. But when that period is over, the abuser may once again become violent. Blog: The tangles of domestic abuse

The reasons for returning to an abusive partner may relate to the days of early humans, who had to fend for themselves in the wild. The powerful psychological mechanisms that lead people to stay in abusive relationships may have developed for survival reasons, Stosny said.

"To leave an attachment relationship -- a relationship where there's an emotional bond -- meant certain death by starvation or saber-tooth tiger," he said.

Abuse happens in both low-income and high-income couples, said Joanna Snawder, who counsels students and community members at the Metropolitan State College of Denver in Colorado. A wealthy woman who has never worked may not want to change her lifestyle, while a poor woman may be financially dependent on her boyfriend or husband.

Regardless, women may not want to break off an abusive relationship because they are afraid to be independent, don't know how to take care of themselves or don't want to face shame from friends and family, she said.

Sometimes the abuser can get his partner to stay with him through manipulation, for instance, telling a woman that he will kill himself if she leaves him, said Mark Crawford, a clinical psychologist based in Roswell, Georgia. Crawford has seen many women stay in relationships because they couldn't bear the guilt of an outcome such as this.

"There are some women who need to be needed so badly they'll put up with anything," Crawford said. "Even if the guy beats the crap out of them, they just feel that responsible for the other person."

The term "the cycle of abuse" is often used to describe how coming from an abusive family is believed to make an individual more likely to be an abuser or to stay in an abusive relationship. "Unless we do a lot of psychological work, we often repeat family structures and dynamics that seem normal to us," Snawder said.

On the other hand, some people who grow up in abusive households do not repeat the behavior they saw at home, she said.

One student Snawder advises voluntarily went back to her abusive boyfriend after having a restraining order placed against him. They are together, but the man is assaulting the young woman again.

"It's really important that a woman reach out and get support from friends, family or a counselor who can help her see that she doesn't have to go back to that relationship," she said.

Men aren't always the abusers. There are relationships in which the woman is the abuser and the man is the victim, and all of the behavioral patterns happen in reverse. For instance, the woman makes the man feel like it's his fault for being beaten, Crawford said.

"Those men just don't have the sense of self to say 'This is not acceptable,'" he said.

Stosny's celebrity clients who have been abusive to their romantic partners may have been negatively affected by their rise to fame early in life, he said. They see themselves as above others, and feel they are entitled to punch someone whenever they feel like it.

"I had one professional basketball player who sexually assaulted a girl. He really in his heart didn't believe that she didn't want to have sex with him," Stosny said.

Can there ever be a happy ending for an abusive relationship? Experts agree that it's unusual, but a relationship in which a partner has been violent can become healthy again if, and only if, the abusive person seeks counseling to change his or her mindset.

"If you don't believe that you have a problem, and you believe the person drove you to it, you're going to have a really hard time seeing that you have a problem," Snawder said.

In practice, however, the victim usually just needs to move on to someone else, she said.


#5705 From: "Sam Vaknin, author of Malignant Self Love - Narcissism Revisited" <vaksam@...>
Date: Thu Apr 16, 2009 8:56 pm
Subject: Genes Show Limited Value in Predicting Diseases
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=============================
 
 
Genes Show Limited Value in Predicting Diseases
Published: April 15, 2009

The era of personal genomic medicine may have to wait. The genetic analysis of common disease is turning out to be a lot more complex than expected.

Skip to next paragraph
Ken Cedeno for The New York Times

David B. Goldstein of Duke University is among the geneticists who are debating which path to follow in disease research.

Since the human genome was decoded in 2003, researchers have been developing a powerful method for comparing the genomes of patients and healthy people, with the hope of pinpointing the DNA changes responsible for common diseases.

This method, called a genomewide association study, has proved technically successful despite many skeptics’ initial doubts. But it has been disappointing in that the kind of genetic variation it detects has turned out to explain surprisingly little of the genetic links to most diseases.

A set of commentaries in this week’s issue of The New England Journal of Medicine appears to be the first public attempt by scientists to make sense of this puzzling result.

One issue of debate among researchers is whether, despite the prospect of diminishing returns, to continue with the genomewide studies, which cost many millions of dollars apiece, or switch to a new approach like decoding the entire genomes of individual patients.

The unexpected impasse also affects companies that offer personal genomic information and that had assumed they could inform customers of their genetic risk for common diseases, based on researchers’ discoveries.

These companies are probably not performing any useful service at present, said David B. Goldstein, a Duke University geneticist who wrote one of the commentaries appearing in the journal.

“With only a few exceptions, what the genomics companies are doing right now is recreational genomics,” Dr. Goldstein said in an interview. “The information has little or in many cases no clinical relevance.”

Unlike the rare diseases caused by a change affecting only one gene, common diseases like cancer and diabetes are caused by a set of several genetic variations in each person. Since these common diseases generally strike later in life, after people have had children, the theory has been that natural selection is powerless to weed them out.

The problem addressed in the commentaries is that these diseases were expected to be promoted by genetic variations that are common in the population. More than 100 genomewide association studies, often involving thousands of patients in several countries, have now been completed for many diseases, and some common variants have been found. But in almost all cases they carry only a modest risk for the disease. Most of the genetic link to disease remains unexplained.

Dr. Goldstein argues that the genetic burden of common diseases must be mostly carried by large numbers of rare variants. In this theory, schizophrenia, say, would be caused by combinations of 1,000 rare genetic variants, not of 10 common genetic variants.

This would be bleak news for those who argue that the common variants detected so far, even if they explain only a small percentage of the risk, will nonetheless identify the biological pathways through which a disease emerges, and hence point to drugs that may correct the errant pathways. If hundreds of rare variants are involved in a disease, they may implicate too much of the body’s biochemistry to be useful.

“In pointing at everything,” Dr. Goldstein writes in the journal, “genetics would point at nothing.”

Two other geneticists, Peter Kraft and David J. Hunter of the Harvard School of Public Health, also writing in the journal, largely agree with Dr. Goldstein in concluding that probably many genetic variants, rather than few, “are responsible for the majority of the inherited risk of each common disease.”

But they disagree with his belief that there will be diminishing returns from more genomewide association studies.

“There will be more common variants to find,” Dr. Hunter said. “It would be unfortunate if we gave up now.”

Dr. Goldstein, however, said it was “beyond the grasp of the genomewide association studies” to find rare variants with small effects, even by recruiting enormous numbers of patients. He said resources should be switched away from these highly expensive studies, which in his view have now done their job.

“If you ask what is the fastest way for us to make progress in genetics that is clinically helpful,” he said, “I am absolutely certain it is to marshal our resources to interrogate full genomes, not in fine-tuning our analyses of common variations.”

He advocates decoding the full DNA of carefully selected patients.

Dr. Kraft and Dr. Hunter say that a person’s genetic risk of common diseases can be estimated only roughly at present but that estimates will improve as more variants are found. But that means any risk estimate offered by personal genomics companies today is unstable, Dr. Kraft said, and subject to upward or downward revision in the future.

Further, people who obtain a genomic risk profile are likely to focus with horror on the disease for which they are told they are at highest risk. Yet this is almost certain to be an overestimate, Dr. Kraft said.

The reason is that the many risk estimates derived from a person’s genomic data will include some that are too high and some that are too low. So any estimate of high risk is likely to be too high. The phenomenon is called the “winner’s curse,” by analogy to auctions in which the true value of an item is probably the average of all bids; the winner by definition has bid higher than that, and so has overpaid.

Dr. Kari Stefansson, chief executive of deCODE Genetics, an Icelandic gene-hunting company that also offers a personal genome testing service, said deCODE alerted clients to pay attention to diseases for which testing shows their risk is three times as great as average, not to trivial increases in risk.

Dr. Stefansson said his company had discovered 60 percent of the disease variants known so far.

“We have beaten them in every aspect of the game,” he said of rival gene hunters at American and British universities.

The undiscovered share of genetic risk for common diseases, he said, probably lies not with rare variants, as suggested by Dr. Goldstein, but in unexpected biological mechanisms. DeCODE has found, for instance, that the same genetic variant carries risks that differ depending on whether it is inherited from the mother or the father.

 
 

#5706 From: "Sam Vaknin, author of Malignant Self Love - Narcissism Revisited" <vaksam@...>
Date: Fri Apr 17, 2009 4:54 pm
Subject: Does Bo Know He’s Top Dog?
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Why Do We Love Pets?
 
 
 
Does Bo Know He’s Top Dog?
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MEET THE PRESS

By DOUGLAS QUENQUA
Published: April 15, 2009

SOONER or later, someone is going to ask Bo, the 6-month-old Portuguese water dog who moved into the White House this week, if he knows the answer to a simple question: Who’s a good boy?

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Related

One Obama Search Ends With a Puppy Named Bo (April 13, 2009)

The Caucus: The Bo Peep Show (April 14, 2009)

Times Topics: Bo (Dog) | White House Pets

Stephen Jaffe/Agence France-Presse — Getty Images

George Bush's Barney.

The question will of course be rhetorical, since Bo, whose raison d’ętre is to be furry and sweet, has significantly fewer performance expectations than his master. But it will by no means be idle, at least not to the psychologists, neuroscientists, philosophers and kissy-face dog owners who for centuries have pondered the mysteries of canine consciousness. What, they ask, does a creature that lives to chew shoes and chase tennis balls really know about himself and his surroundings?

These questions are intriguing enough when applied to household pets — do they know why they’re not allowed on the couch? That we are coming home again? That the houseguests do not like to be sniffed and jumped on? — but downright trippy when it comes to dogs like Bo. All of a sudden, photographers shoulder one another aside to snap his picture, and the president of the United States scampers behind him.

Does Bo wonder, in whatever way he might be capable, what all the fuss is about? Does he know he’s the most famous dog in the world?

Yes — or he soon will, said Cecelia Ruggles, a Connecticut dog breeder who owns Stump, the Sussex spaniel who won Best in Show at the Westminster Kennel Club show this year. She is also an owner of J. R., a bichon frisé who won Westminster in 2001, and several other champions.

“Oh, they know they’re famous, and they definitely get an attitude,” she said.

Like many people in the dog business, Ms. Ruggles takes a fairly anthropomorphic view of her animals’ cognitive abilities. “What distinguishes show dogs from other dogs is that they realize what’s going on, they know what they’re doing,” she said. “That’s what makes them who they are.”

J. R., for instance, knows how to make an impressive entrance at a press conference. “He waves his paws — it’s his signature,” Ms. Ruggles said. “It’s not something we taught him to do, it’s just something he does.”

But many dog owners are quick to tell stories about the precocity of their pets (often, long after the interest of the listener has waned), and skeptics chalk these tricks up to personality rather than brains. Even people who have studied the intelligence of dogs are doubtful that Bo has any clue he is an international media star.

“No,” declared Stanley Coren, a professor of psychology at the University of British Columbia and the co-author of “What Do Dogs Know?” “Dogs don’t know fame.”

What dogs do know, said Professor Coren, is their position within their social group, whether they are at the top or the bottom of their pack.

“They know about comfort, and they know how much they can demand and get away with,” he said. So with the first family treating him like royalty for the time being, “that might be equivalent to fame. He might think he has groupies.”

By that standard, Bo’s perception of his surroundings won’t be all that different from any other well-pampered family dog, he said.

“I’m certain there are hundreds of thousands if not millions of dogs who are owned by blue-collar workers who really feel that they are extremely special,” Professor Coren said.

Based on the behavior of previous four-legged White House occupants, it is hard to draw too many conclusions. During the George W. Bush presidency, Barney the Scottish terrier had his own Web page on www.whitehouse.gov (which he shared with the Bushes’ other dog, Miss Beazley), and showed his gratitude by biting a Reuters reporter during the administration’s waning days. Socks and Buddy, the Clintons’ cat and dog, drew enough mail that Hillary Rodham Clinton assembled a book of letters, though Socks’s nastiness to Buddy got him gifted to Betty Currie when the Clintons left the White House.

Perhaps a better role model for Bo was Millie the springer spaniel, who not only “dictated” a book to her owner, Barbara Bush, but also gave birth to a camera-ready litter of puppies.

The idea that a dog could tell a red carpet from a housebreaking pad may sound far-fetched. For centuries, however, the mysteries of animal awareness have occupied some of mankind’s most respected thinkers.

Thomas Aquinas, the 13th-century Catholic philosopher, believed that animals possessed just enough consciousness that people should spare them outright abuse, if not the frying pan. René Descartes, who divided the world into two distinct substances, mind and matter, said that animals were purely mechanical beings that lacked an inner life (a classification that rings hollow to anyone who has heard the noise a beagle makes when you step on its tail). Darwin, Aristotle and Immanuel Kant also tried, unconvincingly, to wrap their heads around animal minds.

But canine cognition has become a serious science in the past few decades. More or less.

Starting in the late 1990s, Marc Bekoff, then a professor of ecology and evolutionary biology at the University of Colorado, used his dog, Jethro, to conduct a landmark study he called “The Yellow Snow Project.”

 

“For five winters I collected piles of yellow snow on the path where I walk my dog in the mountains outside of Boulder,” he said. “Then I would move them along the bike path and watch what Jethro did.”

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Kevin Lamarque/Reuters

Bill Clinton's Buddy.

Related

One Obama Search Ends With a Puppy Named Bo (April 13, 2009)

The Caucus: The Bo Peep Show (April 14, 2009)

Times Topics: Bo (Dog) | White House Pets

Jim Young/Reuters

FIRST PETS The Obamas’ Bo, joins an elite group.

“He basically spent a longer time sniffing the other dogs’ urine than his own,” Mr. Bekoff said.

Professor Coren, who has studied Mr. Bekoff’s work (animal psychology is a tight-knit field), said that the yellow snow experiment offered proof that dogs have a sense of themselves versus other dogs. “It’s the first level of consciousness, knowing that you are there and a separate entity from everyone else,” Professor Coren said.

His own claim to fame is a series of tests conducted in the early 1990s that measured how many sounds, signals and gestures dogs could comprehend. He concluded that the average dog had roughly the same cognitive abilities as a 2-year-old human, a finding that is now commonly cited among pet owners.

“It’s helpful because when dealing with a dog, you can ask yourself, ‘What would I expect of a 2-year-old kid?’ ” he said.

Still, no matter how many pointy-headed tests are dreamed up, there will always be pet owners who believe their dogs possess the magical ability to apprehend their larger place in the world.

“People love to humanize their dogs,” said Mathilde DeCagny, the Hollywood trainer who worked on “Marley & Me.” “But Bo is not walking in the White House right now thinking, ‘I scored!’ ”

Which is not necessarily a bad thing. Some animal rights advocates have criticized the Obamas for adopting a dog from a private breeder rather than from a shelter. But the choice somehow seems less cruel once you remove the suggestion of Oliver Twist-like emotional despair. “I have gotten so many e-mails today from people saying it’s too bad they didn’t get a mutt from the pound who would know that he is special,” Mr. Bekoff said.

“But come on,” he laughed. “Bo doesn’t know that, and neither would a pound dog.”

 

Note: Why Do We Love Pets?

The presence of pets activates in us two primitive psychological defense mechanisms: projection and narcissism.

Projection is a defense mechanism intended to cope with internal or external stressors and emotional conflict by attributing to another person or object (such as a pet) - usually falsely - thoughts, feelings, wishes, impulses, needs, and hopes deemed forbidden or unacceptable by the projecting party.

In the case of pets, projection works through anthropomorphism: we attribute to animals our traits, behavior patterns, needs, wishes, emotions, and cognitive processes. This perceived similarity endears them to us and motivates us to care for our pets and cherish them.

But, why do people become pet-owners in the first place?

Caring for pets comprises equal measures of satisfaction and frustration. Pet-owners often employ a psychological defense mechanism - known as "cognitive dissonance" - to suppress the negative aspects of having pets and to deny the unpalatable fact that raising pets and caring for them may be time consuming, exhausting, and strains otherwise pleasurable and tranquil relationships to their limits.

Pet-ownership is possibly an irrational vocation, but humanity keeps keeping pets. It may well be the call of nature. All living species reproduce and most of them parent. Pets sometimes serve as surrogate children and friends. Is this maternity (and paternity) by proxy proof that, beneath the ephemeral veneer of civilization, we are still merely a kind of beast, subject to the impulses and hard-wired behavior that permeate the rest of the animal kingdom? Is our existential loneliness so extreme that it crosses the species barrier?

There is no denying that most people want their pets and love them. They are attached to them and experience grief and bereavement when they die, depart, or are sick. Most pet-owners find keeping pets emotionally fulfilling, happiness-inducing, and highly satisfying. This pertains even to unplanned and initially unwanted new arrivals.

Could this be the missing link? Does pet-ownership revolve around self-gratification? Does it all boil down to the pleasure principle?

Pet-keeping may, indeed, be habit forming. Months of raising pups and cubs and a host of social positive reinforcements and expectations condition pet-owners to do the job. Still, a living pet is nothing like the abstract concept. Pets wail, soil themselves and their environment, stink, and severely disrupt the lives of their owners. Nothing too enticing here.

If you eliminate the impossible, what is left - however improbable - must be the truth. People keep pets because it provides them with narcissistic supply.

A Narcissist is a person who projects a (false) image unto others and uses the interest this generates to regulate a labile and grandiose sense of self-worth. The reactions garnered by the narcissist - attention, unconditional acceptance, adulation, admiration, affirmation - are collectively known as "narcissistic supply". The narcissist treats pets as mere instruments of gratification.

Infants go through a phase of unbridled fantasy, tyrannical behavior, and perceived omnipotence. An adult narcissist, in other words, is still stuck in his "terrible twos" and is possessed with the emotional maturity of a toddler. To some degree, we are all narcissists. Yet, as we grow, we learn to empathize and to love ourselves and others.

This edifice of maturity is severely tested by pet-ownership.

Pets evoke in their keepers the most primordial drives, protective, animalistic instincts, the desire to merge with the pet and a sense of terror generated by such a desire (a fear of vanishing and of being assimilated). Pets engender in their owners an emotional regression.

The owners find themselves revisiting their own childhood even as they are caring for their pets. The crumbling of decades and layers of personal growth is accompanied by a resurgence of the aforementioned early infancy narcissistic defenses. Pet-keepers - especially new ones - are gradually transformed into narcissists by this encounter and find in their pets the perfect sources of narcissistic supply, euphemistically known as love. Really it is a form of symbiotic codependence of both parties.

Even the most balanced, most mature, most psychodynamically stable of pet-owners finds such a flood of narcissistic supply irresistible and addictive. It enhances his or her self-confidence, buttresses self esteem, regulates the sense of self-worth, and projects a complimentary image of the parent to himself or herself. It fast becomes indispensable.

The key to our determination to have pets is our wish to experience the same unconditional love that we received from our mothers, this intoxicating feeling of being adored without caveats, for what we are, with no limits, reservations, or calculations. This is the most powerful, crystallized form of narcissistic supply. It nourishes our self-love, self worth and self-confidence. It infuses us with feelings of omnipotence and omniscience. In these, and other respects, pet-ownership is a return to infancy.


#5707 From: "Sam Vaknin, author of Malignant Self Love - Narcissism Revisited" <vaksam@...>
Date: Sat Apr 18, 2009 4:35 pm
Subject: Books about Gambling
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Narcissism, Substance Abuse, and Reckless Behaviors

============================================================================

There are many fascinating links and factoids in the archive - click on this
link and then click on "previous" or "next" to view additional messages.

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WANT MORE?

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#5708 From: "Sam Vaknin, author of Malignant Self Love - Narcissism Revisited" <vaksam@...>
Date: Tue Apr 21, 2009 8:14 am
Subject: HealthyPlace Newsletter, April 20, 2009
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HealthyPlace Narcissistic Personality Disorder Community

http://www.healthyplace.com/personality-disorders/malignant-self-love/narcissism-narcissistic-personality-disorder-npd/menu-id-1469/

Narcissistic PD and abuse by narcissists - FAQs, essays, links, and book excerpts.

Transcript of the CHAT regarding abusive narcissists HERE:

http://www.healthyplace.com/personality-disorders/malignant-self-love/narcissism-narcissistic-personality-disorder-npd/menu-id-218/

Transcript of the CHAT about the Narcissistic Personality Disorder HERE:

http://www.healthyplace.com/personality-disorders/transcripts/narcissistic-personality-disorder/menu-id-652/

Transcript of the CHAT about narcissists in the workplace HERE:

http://www.healthyplace.com/personality-disorders/transcripts/narcissism-in-the-workplace/menu-id-62/

Radio Show regarding Relationships with Abusive Narcissists

http://www.healthyplace.com/Radio/archives/audio_narcissism_02-10-12.htm

Here's what's happening on the HealthyPlace site this week:

What Is It Like Living with Major Depression?

It's estimated that 15 million (5-8%) American adults suffer with major depression. It's the most serious form of depression and can require very aggressive treatment.  For instance, Julia writes us to say "major depression kills a person's spirit."

In sharing his major depression experience with HealthyPlace.com, Barry laments: " Imagine if you are carrying a 200 lb backpack and then having your saddest life experience dominating your every thought."

This week, we have several stories of living and coping with major depression. Some are success stories, others are fighting the battle or decided to stop fighting and just live with major depression.

More info on Major Depression:

  1. Signs, Symptoms, Causes of Major Depression
  2. Treatment of Major Depression
  3. Gold Standard of Treating Depression: Award-winning mental health author, Julie Fast, maintains that what it really takes to effectively treat depression and manage your depression symptoms is a comprehensive plan.
  4. Depression Treatment Videos
  5. Videos on Depression

But what happens when you have major depression that won't go away? You've tried every depression medication under the sun, in every dosage, combination of psychiatric medications, therapy, and yet, the heavy feeling of major depression remains.

"What To Do When You Have Treatment-Resistant Depression" On HealthyPlace TV

Our guest survived a severe form of treatment-resistant depression. Find out how. Share your opinion and get insight into effective ways to manage your depression from our Medical Director, Dr. Harry Croft.

This Tuesday night, April 21. The show starts at 5:30p PT, 7:30 CT, 8:30 ET and airs live on our website.

  • TV Show Blog with this week's show info
  • Dr. Croft's blog post on "What is Treatment-Resistant Depression?" (It's an interesting read because Dr. Croft reports that some doctors really don't know how to effectively treat major depression leaving their patients feeling that they are treatment-resistant. And some patients don't follow through with their depression treatments.)

Sometimes, treating severe depression takes extraordinary measures. Here are a few:

For previous HealthyPlace TV archived shows, on topics such as stopping self-injury, whether to medicate your ADHD child, and the devastation caused by untreated bipolar disorder, click the "on-demand" button on the player.

In the second half of the show, you get to ask Dr. Harry Croft, your personal mental health questions.

How Do I? ...

A lot of people want mental health treatment, but aren't sure of what steps to take.

Improving Your Teen’s Independent Thinking Skills

Do your children seem too dependent on you to help them make decisions? Dr. Steven Richfield, the Parent Coach, has some suggestions to make them more independent thinkers.

Parenting an ADHD Child (or other special-needs child)

On the subject of parenting children, do you have a child with ADHD or another psychiatric disorder? In these instances, parenting can be really exhausting. It's important to remember to take care of yourself too

More interesting articles on parenting a child with a mental illness:

Latest Mental Health News

These stories and more are featured on our mental health news page:

  • Mental Illness on the Stage and Screen is Often Portrayed in Extreme Ways
  • Task to Aid Self-Esteem Lifts Grades for Some
  • Stop Smoking: How to Improve Your Chances of Success
  • Questions to Ask A Therapist Before Therapy
  • Physical Illness And Depression

That's it for now. If you know of anyone who can benefit from this newsletter or the HealthyPlace.com site, I hope you'll pass this onto them. You can also share the newsletter on any social network (like facebook or digg) you belong to by clicking the links below.

Thank you,

Deborah

Community Partner Team
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#5709 From: "Sam Vaknin, author of Malignant Self Love - Narcissism Revisited" <vaksam@...>
Date: Tue Apr 21, 2009 8:17 am
Subject: Journal of Personality Disorders Vol. 23, No. 2, April 2009 is now available online
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Find additional articles about personality disorders here - click on the links:
 
 
 
 
NEW! "Personality Disorders Revisited" (450 pages about the Borderline, Narcissistic, Antisocial-Psychopathic, Histrionic, Paranoid, Obsessive-Compulsive, Schizoid, Schizotypal, Masochistic, Sadistic, Depressive, Negativistic-Passive-Aggressive, Dependent, and other Personality Disorders!)
 
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Guilford Publications Inc.
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 Journal of Personality Disorders

Dear subscriber,

The new issue of Journal of Personality Disorders (volume 23, issue 2, April 2009) is now available online. Click here to access this issue. This issue includes the articles described below.

Kind regards,

The Atypon Link Alerter

 Issue contents
Editorial
Authors: Paul S. Links
doi:10.1521/pedi.2009.23.2.i
Page start: i
View Header/Abstract   View PDF article (19K)   View PDF with links (19 K)
Identity Style in Patients With Borderline Personality Disorder and Normal Controls
Authors: Carsten RenĂ© Jørgensen, PhD
doi:10.1521/pedi.2009.23.2.101
Page start: 101
View Header/Abstract   View PDF article (63K)   View PDF with links (63 K)
Defense Mechanisms Associated With Borderline Personality Disorder
Authors: Mary C. Zanarini, EdD; Jolie L. Weingeroff, MA; and Frances R. Frankenburg, MD
doi:10.1521/pedi.2009.23.2.113
Page start: 113
View Header/Abstract   View PDF article (53K)   View PDF with links (53 K)
Temperament as a Prospective Predictor of Self-Injury Among Patients With Borderline Personality Disorder
Authors: Alexander L. Chapman, PhD; Christina M. Derbidge, MS; Emily Cooney, PhD; Phan Y. Hong, PhD and Marsha M. Linehan, PhD
doi:10.1521/pedi.2009.23.2.122
Page start: 122
View Header/Abstract   View PDF article (86K)   View PDF with links (86 K)
Attentional Bias to Personally Relevant Words in Borderline Personality Disorder is Strongly Related to Comorbid Posttraumatic Stress Disorder
Authors: Katja Wingenfeld, PhD; Christoph Mensebach, PhD; Nina Rullkoetter, PhD; Nicole Schlosser, MS; Camille Schaffrath, MS; Friedrich G. Woermann, MD; Martin Driessen, PhD, MD and Thomas Beblo, PhD
doi:10.1521/pedi.2009.23.2.141
Page start: 141
View Header/Abstract   View PDF article (105K)   View PDF with links (103 K)
Meta-Analyses of Mood Stabilizers, Antidepressants and Antipsychotics in the Treatment of Borderline Personality Disorder: Effectiveness for Depression and Anger Symptoms
Authors: Deanna Mercer, MD, FRCPC; Alan B. Douglass, MD, FRCPC and Paul S. Links, MD, FRCPC
doi:10.1521/pedi.2009.23.2.156
Page start: 156
View Header/Abstract   View PDF article (185K)   View PDF with links (138 K)
A Cross-Cultural Study of the Higher-Order Structures Underlying Personality Disorders in French-Speaking Africa and Switzerland
Authors: Christine Rigozzi, MSc; JĂ©rĂ´me Rossier, PhD; Donatien Dahourou, PhD; Marcel Adjahouisso, MSc; Jennifer Ah-Kion, MSc; Denis Amoussou-Yeye, PhD; Oumar Barry, PhD; Uma Bhowon, PhD; Cherifa Bouatta, PhD; Daouda DougoumalĂ© CissĂ©, MSc; Mamadou Mbodji, PhD; Franz Meyer de Stadelhofen, PhD; David Minga Minga, MSc; Caroline Ng Tseung, MSc; François Ondongo, PhD; Mohamed Nouri Romdhane, PhD; Nicole Sfayhi, PhD; DieudonnĂ© Tsokini, PhD and Sabrina Verardi, MSc
doi:10.1521/pedi.2009.23.2.175
Page start: 175
View Header/Abstract   View PDF article (66K)   View PDF with links (66 K)
The Age Distribution of Self-Reported Personality Disorder Traits in a Household Population
Authors: Simone Ullrich, PhD and Jeremy Coid, MD
doi:10.1521/pedi.2009.23.2.187
Page start: 187
View Header/Abstract   View PDF article (130K)   View PDF with links (115 K)
Dimensions of Psychopathy in Relation to Suicidal and Self-Injurious Behavior
Authors: Marc T. Swogger, PhD; Kenneth R. Conner, PsyD, MPH; Sean C. Meldrum, MS; and Eric D. Caine, MD
doi:10.1521/pedi.2009.23.2.201
Page start: 201
View Header/Abstract   View PDF article (118K)   View PDF with links (97 K)

#5710 From: "Sam Vaknin, author of Malignant Self Love - Narcissism Revisited" <vaksam@...>
Date: Thu Apr 23, 2009 5:23 pm
Subject: Online Psychology Books
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NEW BOOK : Political Psychology (2009 Edition)

Title : "Narcissistic and Psychopathic Leaders"

Author : Shmuel (Sam) Vaknin

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Narcissistic and psychopathic leaders come in all shapes and degrees of virulence. Learn to recognize them in various settings (the workplace, religion, politics) and to cope with the toxic fallout of their "leadership".

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NEW BOOK : ABUSIVE RELATIONSHIPS

Title : "Abuse, Trauma, and Torture - Their Consequences and Effects"(2009 Edition)

Author : Shmuel (Sam) Vaknin

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The effects on victims and survivors of traumatic experiences, long-term and repeated abuse, and torture. Includes in-depth profile of the Narcissistic Abuser and hundreds of links to literature and resources.

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NEW BOOK : ABUSIVE RELATIONSHIPS

Title : "Narcissism Book of Quotes"(2007 Edition)

Author : Members of Sam Vaknin's Narcissistic Personality Disorder Topic in Suite101

Description :

The Narcissistic Personality Disorder (NPD) and relationships with abusive narcissists and psychopaths: the point of view and lessons of the victims.

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NEW BOOK : MENTAL HEALTH

Title : "Malignant Self Love - Narcissism Revisited" - Eighth Edition (Revised November 2006) - Excerpts (2007 Edition)

Author : Shmuel (Sam) Vaknin

Malignant Self Love - Narcissism Revisited

Description :

The Narcissistic Personality Disorder (NPD) and relationships with abusive narcissists and psychopaths - Frequently Asked Questions (FAQs), journal entries, excerpts from the archives of the Narcissism List.

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DOWNLOAD Chat Transcripts, Interviews, and Articles about Pathological Narcissism

 

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NEW BOOK : MENTAL HEALTH

Title : "The Developmental Psychology of Psychopathology" - Second Online Edition (2007 Edition)

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Psychopathology as the outcome of problems in early childhood development.

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NEW BOOK : MENTAL HEALTH

Title : "The Conundrums of Psychology" - Second Online Edition (2007 Edition)

Author : Shmuel (Sam) Vaknin

Description :

The fundamental assumptions underlying the modern study of psychopathology examined.

URL OF FREE CONTENT: http://samvak.tripod.com/index.html

DOWNLOAD FREE EBOOK (MS-Word File, latest edition):

http://www.narcissistic-abuse.com/psychology.rtf

http://www.narcissistic-abuse.com/psychology.pdf

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http://gorgelink.org/vaknin/psychology.pdf

http://www.authorsden.com/adstorage/161/psychology.doc


#5711 From: "Sam Vaknin, author of Malignant Self Love - Narcissism Revisited" <vaksam@...>
Date: Fri Apr 24, 2009 8:55 am
Subject: Examining the Relations Among Narcissism, Impulsivity, and Self-Defeating Behaviors
vaksammt
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Better late than never. Academe is catching up to work I have done 14 years ago: narcissism as epidemic (Campbell and Twenge); the narcissist's special sense of time (Kernberg); the narcissism of celebrities (Pinsky); and now this.
 
Click on these links to learn more about impulsivity and self-destruction in the narcissist:
 
 
 
 
 
 
 
 
Courtesy of Bill
 
http://www3.interscience.wiley.com/journal/122279066/abstract


Journal of Personality
Volume 77 Issue 3, Pages 761 - 794

Published Online: 25 Mar 2009


Examining the Relations Among Narcissism, Impulsivity, and Self-Defeating Behaviors

Joshua D.  Miller  1  , W. Keith  Campbell  1  , Diana L.  Young  1  , Chad
E.  Lakey  1  , Dennis E.  Reidy  1  , Amos  Zeichner  1  , and Adam S. 
Goodie  1
  1 University of Georgia

 Correspondence concerning this article should be addressed to Joshua D.
Miller, Department of Psychology, University of Georgia, Athens, GA
30602-3013. E-mail: jdmiller@....

 This research was supported in part by National Institutes of Health
research grant MH067827 to A.S.G. Data for Study 2 were collected as part of the
Georgia Personality Addiction Affect and Decision-making (G-PAAD) study.


ABSTRACT

A recent meta-analysis (S. Vazire & D. C. Funder, 2006) suggested that
narcissism and impulsivity are related and that impulsivity partially accounts
for the relation between narcissism and self-defeating behaviors (SDB). This
research examines these hypotheses in two studies and tests a competing
hypothesis that Extraversion and Agreeableness account for this relation. In
Study 1, we examined the relations among narcissism, impulsivity, and
aggression. Both narcissism and impulsivity predicted aggression, but impulsivity did
not mediate the narcissism–aggression relation. In Study 2, narcissism was
related to a measure of SDB and manifested divergent relations with a range
of impulsivity traits from three measures. None of the impulsivity models
accounted for the narcissism–SDB relation, although there were unique
mediating paths for traits related to sensation and fun seeking. The domains of
Extraversion and low Agreeableness successfully mediated the entire
narcissism–SDB relation. We address the discrepancy between the current and
meta-analytic findings.

DIGITAL OBJECT IDENTIFIER (DOI)
10.1111/j.1467-6494.2009.00564.x About DOI


© 2009 Wiley Periodicals, Inc.
Copyright © 1999-2009 John Wiley & Sons, Inc. All Rights Reserved.

#5712 From: "Sam Vaknin, author of Malignant Self Love - Narcissism Revisited" <vaksam@...>
Date: Fri Apr 24, 2009 11:49 am
Subject: Psychotherapy Goes from Couch to Yoga Mat
vaksammt
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Narcissists and Psychopaths Devalue Their Psychotherapists
 
 
Can narcissism be cured? Scroll to the bottom of this message to find out!!!
================================================
 
 
 

Psychotherapy Goes from Couch to Yoga Mat

yoga therapy
Rana Faure / Photodisc / Getty

Talk. Share. Cry. Stretch? Psychotherapy has historically been an exercise of the mind, but in the offices of more and more modern-day mental-health providers, emotional healing is taking place not just on the couch but on the yoga mat.

The burgeoning field is called yoga therapy, and its practitioners include psychiatrists, psychologists and social workers who incorporate yoga poses and meditative breathing into their sessions, as well as yoga teachers who want to learn how to address the emotions that bubble up in students during class or in private sessions. The idea, say yoga therapists, is to allow yoga to empower people while priming them to access their deepest emotions.

A typical yoga-therapy session with Dr. Elizabeth Visceglia, a psychiatrist and yoga therapist based in New York City, often starts with some kind of breath work — energizing breaths for people who are depressed, balancing breaths for those with anxiety. Then patients practice yoga poses geared to their specific needs. People with severe posttraumatic stress disorder, for example, are prone to losing their sense of being in the room when they experience a vivid reliving of their trauma. So Visceglia has them hold simple grounding positions, like the warrior or chair pose, before transitioning into talk therapy.

"Emotional memories are stored in your body," Visceglia says. "A group yoga class, is not structured to enable you to process that. Ideally one would want to work with someone who is paying attention to both the physical and emotional experiences."

That's the philosophy behind yoga therapy instruction at Phoenix Rising in West Stockbridge, Mass., where yoga therapists, who do not need to be mental-health practitioners, learn to address both the mind and body in one-on-one sessions and group classes. A Phoenix Rising yoga therapist puts clients in assisted yoga postures and does a kind of "verbal exploration" of the present moment. The yoga therapist acts as a witness to clients' exploration, with empathy and positive regard for their experience.

The concept of healing the mind via the body, and vice versa, has been around for decades. "Freud used to work with hysterical women with unconscious conflicts that they couldn't express through words," says Visceglia. "Only through looking at the symptoms of their body [like phantom pregnancies] could they even get to what was psychologically needed for healing."

Since the days of Freud, research into the mind-body relationship has come a long way. Studies show that not only are your mental health and mood dependent in large part on physical factors like exercise, but also unchecked stress, anxiety and depression can affect physical health, increasing blood pressure, heart disease and even risk of death. So it was perhaps inevitable that patients would start bringing their yoga mats into therapy.

The practice is quickly gaining popularity. There are now close to 50 schools of yoga offering yoga-therapy training in the U.S. And the International Association of Yoga Therapists has more than tripled its membership from 2003 to 2009, to about 2,500 members. "Now we have more licensed health-care providers, including psychologists, coming in who are interested in using yoga in their work," says Kelly McGonigal, the editor in chief of the International Journal of Yoga Therapy.

In fact, yoga therapy may even offer some aid to psychiatry's most intractable patients. Visceglia is in the process of analyzing data from a recent study she conducted at Bronx State Psychiatric Center on the effects of yoga therapy in people with chronic schizophrenia, some of whom have been hospitalized for 15 to 20 years. Her study suggests a decrease in negative symptoms and an increase in quality of life. The endocrine system and parasympathetic nervous system are out of whack in schizophrenia patients; yoga affects these systems, Visceglia says, leading to an increased overall feeling of calm.

That sense of peace is what Joan Stenzler, a licensed clinical social worker and a yoga teacher in Fresh Meadows, N.Y., tries to create in her sessions. In addition to using physical yoga poses, Stenzler teaches her clients about the five koshas, or layers of consciousness, in yoga: physical, energetic, mental-emotional, wisdom and bliss. "Each kosha represents one aspect of our existence or consciousness and can potentially be open and accessible to the individual, or blocked," says Stenzler, who helps patients identify and free themselves from their areas of blockage.

"When I first came [to therapy] I was having a lot of anxiety and physical symptoms that made me feel trapped," says Rachel W., a special-education teacher. "Through yoga, Joan helped me witness what I was experiencing and train myself to think past my body."

But some experts are cautious about the combo therapy. Their main concern is safety: Are psychotherapists really equipped to teach yoga? "Yes, but only with extensive yoga training," says Bo Forbes, a clinical psychologist, yoga teacher, and founder and director of the Center for Integrative Yoga Therapeutics in Boston. She believes that psychotherapists should have in-depth study of yoga and a strong background in anatomy and alignment to limit client injuries. Currently, there are no official licenses or standards of practice for yoga therapy.

Further, says Forbes, many mental-health experts who try yoga therapy may have a difficult time overcoming the mores of their profession. "As psychologists, we have been schooled against touch. For example, it can take work for the clinicians who go through our teacher-training programs to overcome that prohibition."

Already, however, many therapists are guiding downward-dog poses in the office. Stenzler says yoga and psychotherapy make a perfect union — which is what yoga actually translates to in Sanskrit. "The goal and intention in psychotherapy is to support a patient to be who they always were. And that's yoga! I've been doing it all along and didn't realize," Stenzler says.

=================================

Healing and Curing Narcissism

http://malignantselflove.tripod.com/faq63.html

http://malignantselflove.tripod.com/faq77.html

http://malignantselflove.tripod.com/faq70.html

http://malignantselflove.tripod.com/faq12.html

http://malignantselflove.tripod.com/10.html

http://malignantselflove.tripod.com/case03.html

http://malignantselflove.tripod.com/faq31.html

http://malignantselflove.tripod.com/abusefamily8.html

http://samvak.tripod.com/personalitydisorders37.html

http://samvak.tripod.com/personalitydisorders45.html


#5713 From: "Sam Vaknin, author of Malignant Self Love - Narcissism Revisited" <vaksam@...>
Date: Fri Apr 24, 2009 2:17 pm
Subject: Treatment of Detainees in U.S. Custody
vaksammt
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LINKS
 
 
 
Also Read:
 
 

The Argument for Torture

http://samvak.tripod.com/torture.html

The Psychology of Torture

http://samvak.tripod.com/torturepsychology.html

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#5714 From: "Sam Vaknin, author of Malignant Self Love - Narcissism Revisited" <vaksam@...>
Date: Sat Apr 25, 2009 7:08 pm
Subject: Classification of Abusive Behaviors
vaksammt
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This letter constitutes a permission to reprint or mirror any and all of the
materials mentioned or linked to herein subject to appropriate credit and
linkback. Every article published MUST include the  author bio, including
the link to the author's Web site (at the bottom of this message).

===============================================================
 A Classification of Abusive Behaviors
By Sam Vaknin
Author of "Malignant Self Love - Narcissism Revisited"
 

Abusive conduct is not a uniform, homogeneous phenomenon. It stems and emanates from multiples sources and manifests in a myriad ways. Following are a few useful distinctions which pertain to abuse and could serve as organizing, taxonomical principles (dimensional typologies) in a kind of matrix.

1. Overt vs. Covert abuse

Overt abuse is the open and explicit, easily discernible, clear-cut abuse of another person in any way, shape, or form (verbal, physical, sexual, financial, psychological-emotional, etc.).

Covert abuse revolves around the abuser's need to assert and maintain control over his victim. It can wear many forms, not all of which are self-evident, unequivocal, and unambiguous.

2. Explicit vs. Stealth or Ambient abuse (Gaslighting)

A more useful distinction, therefore, is between explicit (manifest, obvious, indisputable, easily observable even by a casual spectator or interlocutor) and stealth (or ambient) abuse, also known as gaslighting. This is the fostering, propagation and enhancement of an atmosphere of fear, intimidation, instability, unpredictability and irritation. There are no acts of traceable explicit abuse, nor any manipulative settings of control.

3. Projective vs. Directional abuse

Projective abuse is the outcome of the abuser's projection defense mechanism. Projection is when the abuser attributes to others feelings and traits and motives that he possesses but deems unacceptable, discomfiting, and ill-fitting. This way he disowns these discordant features and secures the right to criticize and chastise others for having or displaying them. Such abuse is often cathartic (see the next pair of categories).

Directional abuse is not the result of projection. It is a set of behaviors aimed at a target (the victim) for the purpose of humiliating, punishing, or manipulating her. Such abusive conduct is functional, geared towards securing a favored and desired outcome.

4. Cathartic vs. Functional abuse

While pair number (3) above deals with the psychodynamic roots of the abuser's misbehavior, the current pair of categories is concerned with its consequences. Some abusers behave the way they do because it alleviates their anxieties; enhances their inflated, grandiose self-image; or purges "impurities" and imperfections that they perceive either in the victim, or in the situation (e.g., in their marriage). Thus, such abuse is cathartic: it is aimed at making the abuser feel better. Projective abuse, for instance, is always cathartic.

The other reason to abuse someone is because the abuser wants to motivate his victim to do something, to feel in a certain way, or to refrain from committing an act. This is functional abuse in that it helps the abuser to adapt to his environment and operate in it, however dysfunctionally.

5. Pattern (or structured) vs. Stochastic (or Random) abuse

Some abusers heap abuse all the time on everyone around them: spouse, children, neighbors, friends, bosses, colleagues, authority figures, and underlings. Abusive conduct is the only way they know how to react to a world which they perceive to be hostile and exploitative. Their behaviors are "hard-wired", rigid, ritualistic, and structured.

Other abusers are less predictable. They are explosive and impulsive. They have a problem with managing their anger. They respond with temper tantrums to narcissistic injuries and real and imaginary slights (ideas of reference). These abusers appear to strike "out of the blue", in a chaotic and random manner.

6. Monovalent vs. Polyvalent abuse

The monovalent abuser abuses only one party, repeatedly, viciously, and thoroughly. Such abusers perpetrate their acts in well-defined locations or frameworks (e.g., at home, or in the workplace). They take great care to hide their hideous exploits and present a socially-acceptable face (or, rather, facade) in public. Their are driven by the need to annihilate the object of their maltreatment, or the source of their frustration and pathological envy.

In contrast, the polyvalent abuser casts his net wide and far and does not "discriminate" in choosing his prey. He is an "equal opportunity abuser" with multiple victims, who, often, have little in common. He is rarely concerned with appearances and regards himself above the Law. He holds everyone - and especially authority figures - in contempt. He is usually antisocial (psychopathic) and narcissistic.

7. Characteristic (personal style) vs. Atypical abuse

Abuse amounts to the personal style of most Pattern, or Structured abusers (see point 5 above). Demeaning, injurious, humiliating, and offensive behavior is their modus operandi, their reflexive reaction to stimuli, and their credo. Stochastic, or Random abusers act normatively and "normally" most of the time. Their abusive conduct is an aberration, a deviation, and perceived by their nearest and dearest to be atypical and even shocking.

8. Normative vs. Deviant abuse.
 

We all inflict abuse on others from time to time. Some abusive reactions are within the social norms and not considered to be indicative or a personal pathology, or of a socio-cultural anomie. In certain circumstances, abuse as a reaction is called for and deemed healthy and socially-commendable.

Still, the vast majority of abusive behaviors should be regarded as deviant, pathological, antisocial, and perverse.

 

It is important to distinguish between normative and deviant abuse. A total lack of aggression is as unhealthy as a surfeit. The cultural context is critical in assessing when someone crosses the line and becomes an abuser.



==============================================================
AUTHOR BIO (must be included with the article)



Sam Vaknin ( http://samvak.tripod.com ) is the author of Malignant Self
Love - Narcissism Revisited and After the Rain - How the West Lost the East.
He served as a columnist for Global Politician, Central Europe Review,
PopMatters, Bellaonline, and eBookWeb, a United Press International (UPI)
Senior Business Correspondent, and the editor of mental health and Central
East Europe categories in The Open Directory and Suite101.

Visit Sam's Web site at http://samvak.tripod.com

#5715 From: "Sam Vaknin, author of Malignant Self Love - Narcissism Revisited" <vaksam@...>
Date: Mon Apr 27, 2009 11:44 am
Subject: Phil Hendrie Show on Psychopaths and Narcissists (VIDEO-AUDIO)
vaksammt
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Click on these links to watch video and listen to audio files of the PHIL
HENDRIE SHOW:

http://www.youtube.com/watch?v=MTpSWLQAXWw

http://www.youtube.com/watch?v=UBZBWhqbLC4

Phil Hendrie and Dr Sam Vaknin

Phil Hendrie interviews Dr Sam Vaknin, author of Malignant Self Love -
Narcissism Revisited. Dr Vaknin is also a psychopath. Phil gets into the
head of a fascinating man who is the center of the documentary I PSYCHOPATH
as part of the Phil Hendrie Show's CRIME NIGHT -- the last Friday of every
month.

Phil Hendrie Show is a nationally syndicated talk show heard in over 90
cities across the country. Check us out on the web at
http://www.philhendrieshow.com/ and click on affiliates
(http://www.philhendrieshow.com/Affiliates/ ) to find out if we broadcast in
your town.

#5717 From: "Sam Vaknin, author of Malignant Self Love - Narcissism Revisited" <vaksam@...>
Date: Tue Apr 28, 2009 12:56 pm
Subject: Keira Knightley TV spot targets domestic violence
vaksammt
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Tips, Advice, Coping Strategies in Abusive Relationships - click on these links:
 
 
 
 
 

Keira Knightley TV spot targets domestic violence

  • Story Highlights
  • Two-minute ad shown in U.K. depicts actress being beaten by boyfriend
  • Charity's spot will be on television and in movie theaters
  • Women's Aid says two women in U.K. killed by current or ex-partner each week
  • Next Article in Entertainment »
LONDON, England (CNN) -- Actress Keira Knightley released a violent commercial Thursday highlighting the problem of domestic violence. In the two-minute film, Knightley is beaten by an abusive boyfriend after she arrives home from a day of filming.
"While domestic violence exists in every section of society, we rarely hear about it," Knightley says.

Actress Keira Knightley's public service spot was directed by Joe Wright of "Atonement."

 The commercial, made for the charity Women's Aid, was launched online. It will be shown on television and in movie theaters, the group said.

The film, called "CUT," was directed by Joe Wright, who directed Knightley in "Atonement." At the end, the words "Isn't it time someone called cut?" appear on screen.

According to the Web site for Women's Aid, two women are killed by a current or former partner in the United Kingdom in an average week.

 In a statement on the charity's Web site, Knightley said, "I wanted to take part in this advert for Women's Aid because while domestic violence exists in every section of society, we rarely hear about it."

"We may not think we know someone who has experienced domestic violence, but this does not mean that it is not happening," she said.

 
 

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