Sunday, November 25, 2007

The Wizard of Oz & Other Narcissists

Ever had a relationship with Dr. Jekyll? Or was that Mr. Hyde? Whether it's your boss, your brother or your spouse, if you think you could be dealing with a narcissist you need to read The Wizard of Oz and Other Narcissists: Coping with the One-Way Relationship in Work, Love, and Familyby Eleanor Payson. Ellie was kind enough to answer some questions for me -- hopefully, you'll have an "Aha!" moment and know what to do:

How do you define narcissism to someone when they ask you “Hey, Ellie, I heard you wrote a book? What’s it about?"


When people use the word narcissist, or narcissistic in the informal context he/she may simply be referring to someone who is behaving selfishly or is self-absorbed in a given circumstance. On the other hand, in a more pathological sense narcissism references a pervasive preoccupation with self that is out of balance with a healthy give and take in his/her relationships. I should qualify here that this is particularly true of those inner circle relationships such as a significant other, close friends, or family members. In essence pathological degrees of narcissism reflect a disturbance that distorts a person’s relationship between “self and other.” The narcissistic individual is someone who has an undeveloped self, an immature “I,” and is compensating by striving to prop up a grandiose “me” (the false self of the narcissist.) In other words, his/her preoccupation with maintaining a grandiose me distorts and overrides an ability to give genuine consideration and regard for other(s).

When we think of the resources that are called narcissistic supplies we can begin to get a handle on what this means. Narcissistic supplies are those exchanges between people that foster the well being of each person in a relationship - well being that comes from knowing that we are individuals of value, special and important just because we breathe, just because we exist. A person with a healthy self is able to exchange an unconditional regard (verbally and nonverbally) in his/her relationships. This presence of unconditional regard may be seen in the admiring gleam in our eyes, a spoken appreciation, an effortful listening that seeks to understand and empathize, a willingness to hold ourselves accountable for injuries we may have caused, and so on. Someone who is narcissistically defended inevitably requires many more “strokes” of affirmation, recognition, efforts at understanding, support, etc., than they are able to give. In fact, there is a kind of obliviousness to the recognition of these exchanges in the unconditional sense. This is because the narcissistic individual is externally focused on conditional realities for maintaining the grandiose me such as; how much power and status one has, how beautiful or handsome one is, how effective in his/her career one is, etc. These external realities become the source of pseudo affirmation, and the narcissist is inevitably desperately attached to the maintenance of these external realities for self-worth. The individual with narcissistic personality disorder (NPD) can barely acknowledge what is meant by unconditional regard of self and other. Consequently, the narcissist requires an endless supply of affirmation to keep his/her false, or substitute self, intact. Ironically, the narcissist is unable to make use of unconditional affirmation as true nourishment and similarly unable to give it.

How does a narcissist tip his hand? How do you know he's a narcissist and not just a jerk?

Often the slang expressions of “jerk,” and perhaps more colorful terms, do seem to be the layperson’s language for describing narcissistic traits in a person. However, once we have “vented our spleen” we may want to take a deeper look at the person and our relationship so that we can act wisely and at times with the imperative for self-preservation. We may discover that there is more healthy substance to the person than we thought, or perhaps the opposite. The surface presentation of a person can appear to have any quality – from “jerk” to “charmer” to “sophisticate, intellectual, drama queen/king, officious professional,” etc. It is what exists under the surface (or perhaps more to the point - what does not exist under the surface) that we want to recognize. Developing discernment in taking the full measure of a person and the full measure of ourselves is what we must learn if we want to have more fulfilling and mature relationships. The misleading facade of individuals with personality disorders is the danger to be on the lookout for, and we can be tantalizingly tempted to forego the effortful discovery process. If we miss the presence of a deeper disturbance such as the narcissistic personality disorder in a person, we may end up struggling for our very psychological, financial, or even physical survival.

A few of the clues that I cite in my book are:
Excessively:
- Requires attention, admiration, special consideration, recognition
- Demonstrates a grandiose sense of entitlement
- Manipulates and pursues his/her agenda (often relentlessly, tenaciously)
- Criticizes self and others
- Holds unrealistic expectations of self and others, alongside an over-estimation of self and his/her needs
- Demonstrates an all or nothing approach to life -- win/lose

Limited ability to:
- Fulfill mutually held “understandings.” Agreements seem to morph over time with creative "revisionist" ability
- Self-reflect and take ownership of a problem
- Tolerate anything perceived as criticism, or oversight
- Feel genuine or deep empathy for others
- Recognize the needs of others (except superficially)
- Recognize others as independent agents (separate selves)

These deeper limitations and disturbing defenses are inevitably camouflaged by the façade of some impressive or competent surface presentation mentioned earlier. The greatest danger here is that the outer demeanor often has a powerful aura of seduction emanating from a personality that projects the promise of larger than life charm, power, competence, originality, etc. The potency of this seduction is often so captivating that we can be induced into a kind of suspension of belief where our critical faculties for noticing distortions and inconsistencies are switched off. This is the crossroads, so to speak, of our own codependent tendencies that are necessary to heal if we really expect to steer clear of these dangerous relationships, or navigate them safely.


So, is narcissism treatable with therapy or drugs?


As far as the neurobiological issues that are involved, this is in many ways unchartered territory. However, I am always skeptical of individuals or approaches that lay claim to having all the answers from either the neurobiological side or the psychological side. In truth, we are a complex mix of both. Many individuals with a mental illness or a mental disorder will have what are called co-morbid issues, such as depression, anxiety, attention deficit disorder, that are in need of evaluation and treatment. Once we achieve relief from one or more of these conditions (sometimes through effective psychotropic medications) we stand a much better chance to develop a more effective self-observing ego that can allow greater possibilities for growth and change. Individuals with narcissistic personality disorder almost without doubt have any number of co- morbid issues that once treated would allow him/her to function more appropriately.

What should someone who’s in a relationship with a narcissist do?

The first thing to do is reach out and get help and not stop until you feel that you have found someone who can validate and understand what you are going through. If the therapist is overly anxious and quick to dismiss the possibility that you are involved with someone with severe narcissism or perhaps full blown NPD then move on until you find a therapist who can appreciate the illusive nature of recognizing the realities of the problem. Then, second, commit to therapy to deal with your own issues (codependency, or a mix of narcissistic and codependency issues, etc.) and stay in the healing process as you utilize all the normal tools of therapy including books that can help with insight and empowerment. In therapy we need to be willing to work through our own blind spots, our shadow self as Carl Jung would call it. This is the only way out of our tendency to idealize which is often unconscious and compulsive. If there is any way of finding a support group or forming one, this is another invaluable tool.

Learning some immediate tools for asserting boundaries to create safety in these relationships is a must, and for this I believe, Where to Draw the Line: How to Set Healthy Boundaries Every Day by Anne Katherine is a must read. Since my book came out, I discovered books that I wish I had listed in my bibliography such as The Verbally Abusive Relationship: How to Recognize it and How to Respond by Patricia Evans, and other books that have been published recently. Amazon.com offers excellent reviews for selecting these. On the home stretch of the healing process, coaching can be an invaluable tool for maintaining self-care and goals that lead to empowerment. Working with a coach like yourself, Michele, who is familiar with the depth of the issues and the importance for ongoing healing work is a true bonus.

Thanks for the plug, Ellie. To find out more about Eleanor Payson and her work, go to www.eleanorpayson.com

Sunday, November 18, 2007

Doing Enough?

Raise your hand if you feel like you're not doing enough.

Accomplishments? Nothing major. Rewards? Few. Performance? Not as good as it could be. What still needs to be done? Everything.

If this sounds familiar, then you probably were on the phone with me this week, or buttonholed me at that party Friday night.

It seems so many people look at themselves with utter disappointment. What they do doesn't matter, and if it does matter then talking about it is bragging so... let's not talk about it. No time to rest. No time to reflect. More stuff to do. Got to keep moving.

The problem with this mindset is pretty clear. Thinking this way ratchets your stress level up to 11 on a 10 point scale, and never allows you the satisfaction of a job well done. When there's no satisfaction in what you're doing, there's no way to like what you're doing.

A man has a performance review at work. His supervisor and peers consistently rate his work at 4s and 5s, on a 5 point scale. He, however, rates himself at a 1 or a 2 on all categories. He's mystified at how his co-workers can rate him so high -- he doesn't believe them. Don't they know he's a failure? He could be doing so much more.

A woman feels she's disappointing her husband because she's not a gourmet cook, and her housekeeping skills are not so hot, especially with the baby in the picture and given her full-time job. She spends a lot of time apologizing. He says there's nothing to apologize about -- he loves the food she cooks and thinks she's a wonderful mother. She doesn't believe him. Doesn't he know she's a failure? She could be doing so much more.

Her husband feels he's disappointing her because he's not making as much money as her brother, and he's not as good with a power tool as most men. She tells him she's proud of his work and that power tools aren't that important, that she loves him and he's a good father. He doesn't believe her. Doesn't she know he's a failure? He could be doing so much more.

So whaddya gonna do? Well, let me suggest two things.

First, ask yourself: What will success look like? Put yourself in the successful mindset. What's your life like then? Make a list of all the elements that compose your successful life.

Now, look at your list. How realistic is it? How much is under your direct control? If success looks like taking time to write -- you can do that. If success looks like everyone obeying your commands with no argument -- you can't do that, sadly, even if you became a dictator. Dictators often die horribly messy deaths in their attempts to squash the thoughts and behaviors of others -- and who wants that?

Understand where your unrealistic definitions of success come from ("I want people to obey me because I hate arguments") and, instead of banging your head against the wall, learn some techniques to disagree effectively. You can start with the book Crucial Conversations by Patterson, Grenny et al.

Second, take a few minutes to look at what you've really accomplished. At this time of year, I always sit down and write out 20 Things I Have Accomplished This Year. They can be ordinary things like: got the trash to the curb every week. Think that doesn't matter? Hey, what's the alternative? A huge pile of smelly trash spilling out all over your yard? Believe me, getting the trash to the curb matters! As does paying your bills on time, or getting a physical, or a colonoscopy, or training a new employee at the office. Getting through the budget process, or caring for an elderly parent, or making your kid's school lunches -- they all matter. And you've accomplished all of them.

But you haven't cured cancer. Or won the Nobel Peace Prize (unless you're Al Gore). OK. But your best friends and closest family would likely give you a prize for all you do for them. Am I right?

My guess is that you are probably doing enough. More than enough. Acknowledging that and giving yourself credit for it can help reduce your stress level. And, looking a hard look at your expectations of success laid next to your actual accomplishments can provide a roadmap for your future success. Your roadmap may show that you need to reallocate your time and attention -- and spend more time creating meaningful success and less time wallowing in your perceived failure.

Sunday, November 11, 2007

The Sacrifice of Veterans

Living in the Washington, DC area as I do, I'm surrounded by icons of our nation's history. Nearly every day I cross the Potomac River and am greeted by the majestic Lincoln Memorial, with the Washington Monument obelisk just behind it, the stately Jefferson Memorial off to the right. Out of habit I look to the Capitol Dome -- if it's lit, I know that Congress is in session. The Iwo Jima Memorial is a favorite -- my father's apartment has overlooked it for at least twenty years -- and each of the sculpted men straining to plant the flag is like an old friend.

Whenever I see these monuments I try not to take them for granted. I try to remember that I feel lucky and blessed to live in this country. Every once in a while, I am reminded that not all the monuments in this town are so easily seen.

A few years ago, I took my kids to lunch at a McDonald's near their school. We pulled in and noticed a van unloading some young men in hospital scrubs. This being a big city, we didn't pay too much attention. I did notice that the guys were young, scrubbed, with short haircuts -- and giddy like kids.

It wasn't until we were inside, in line, that I could read one of the young men's t-shirt. It said: "Don't touch me here -- bullet hole." And, "Please don't hug me -- broken rib!" He had circled areas and notes all over his front, and his back. All four of the young men had similar markings on their shirts, and pants.

That's when I realized -- these were wounded soldiers. Recovering soldiers. Not much older than my son. Happy as all get out to be away from Walter Reed Army Hospital for just a few minutes. Happy to just be standing there, ordinary guys, ordering a Double Quarter Pounder with Cheese and fries.

Just a few weeks ago, I was shopping for groceries and noticed a woman -- model tall, polished ponytail, a little bit younger than me, Ingrid Bergman cheekbones. That alone would have caused me to notice her. But she was wearing a runner's prosthesis on her right leg, and her left leg was pockmarked by small, healing wounds from her ankle to the hem of her runner's shorts. Shrapnel wounds, I guessed. I weighed the idea that it could have been a car accident. But the way she carried herself? Like a soldier. That's when I knew how she'd been hurt.

For a moment, I didn't know how to manage my own feelings. I wanted to offer to push her cart because that wasn't easy for her, or to pay for her groceries, or at least tell her I appreciated her sacrifice.

Because I haven't sacrificed very much during this war, to be honest. Unlike my grandmother, I haven't had to do without, save ration coupons, worry about loved ones serving. No, I've had it pretty easy.

And this woman in the grocery store -- she lost that leg doing something I did not do. She served and she sacrificed. I followed her for a few minutes, wondering if I should say something, wondering if she wanted to talk about it. Wondering if calling attention to her would be the right thing or the wrong thing to do.

In the end, I did nothing. Nothing more than say a silent, grateful prayer for her and her family. With hopes that her external and internal wounds will heal.

On this Veteran's Day, let's remember the men and women of the past who have served our country since the Revolutionary War, but let's take special note -- and special care -- of those who are serving today.

Their sacrifice is its own towering monument to our country. And for that, I am grateful.

Sunday, November 04, 2007

The Absence of Perfect

I struggled with writing today. I couldn't find the perfect opening sentence -- the one line that would grab you and compel you to read on. The perfectly turned phrase. An ideal piece of writing that you would remember forever, and forward to your friends and family with a tear in your eye and a lump in your throat. The Great American Blog.

I just couldn't get there. I had writer's block. I was stuck.

So, I asked myself one of my favorite questions, "In the absence of the perfect solution, what are my options?"

In the absence of the perfect intro, my options were a) to not write anything, b)to just write something, c) to go shopping.

Just for the record, I chose b). As appealing as c) was. And I got unstuck.

When you're stuck in any aspect of your life, ask yourself the same question, "In the absence of the perfect solution, what are my options?"

Being stuck is tough. Going neither forward, nor back -- just standing in place, watching the world whirl by. Removed. Stuck.

Pursuit of perfection often leads to stuck-ness. "I can't have guests until my house is perfect" or "I have to finish my MBA before I can apply for a new job" or "I guess I'm still single because I'm just too picky" -- all statements in pursuit of perfection. All statements which keep us stuck.

Shooting for the ideal is what we're taught from the time we're dandled on grandma's knee. "Don't settle! Hold onto your dreams! You can be anything you want to be!" But the dark side to what your grandma told you is that sometimes holding on to the ideal prevents you from doing anything at all.

Which is safe. But stuck.

When I pursue perfection, I limit my vision to only that which corresponds to my narrow vision of "perfect". According to advertisers, the perfect solution for any single woman is a hunky, hairless, pouting, slightly sweating guy who stares vaguely into the distance. Were I to hold on to that ideal, I would miss the OK-looking, kind, thoughtful, intelligent, slightly hairy available guy who would be a good partner for me.

Perfection is elusive. It's a soap bubble of joy. It only exists when we're not blowing too hard. Perfection is in the spontaneous hug of a four year old. It's in the kindness of strangers. It's there in a great big belly laugh. It's in the last place you'd expect to find it.

Perfection ceases to exist the harder you look for it.

So, when holding out for the ideal prevents you from actually living your life, and keeps you stuck, know your options. Choose one that will enlarge your experience and allow you to grow.

When you do, you'll stop being stuck. It'll be perfect.