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Presentation in Stress and Depression Management Webinar, October 2020 In 1995, I coined the phrase “narcissistic abuse” to describe a subtype of abusive behavior that was all-pervasive (across multiple areas of life) and involved a plethora of behaviors and manipulative or coercive techniques. Narcissistic abuse differed from all other types of abuse in its range, sophistication, duration, versatility, and express and premeditated intention to negate and vitiate the victim’s personal autonomy, agency, self-efficacy, and wellbeing. The victims of narcissistic abuse appeared to present a clinical picture substantially different to victims of other, more pinpointed and goal-oriented types of abuse. They were more depressed and anxious, disoriented, aggressive (defiant reactance), dissociative, and trapped or hopeless owing to learned (intermittently reinforced or operant conditioned) helplessness. In short: they were in the throes of trauma bonding (Stockholm syndrome), a kind of cultish shared psychosis (folies a deux). Repeated abuse has long lasting pernicious and traumatic effects such as panic attacks, hypervigilance, sleep disturbances, flashbacks (intrusive memories), suicidal ideation, and psychosomatic symptoms. The victims experience shame, depression, anxiety, embarrassment, guilt, humiliation, abandonment, and an enhanced sense of vulnerability. C-PTSD (Complex PTSD) has been proposed as a new mental health diagnosis by Dr. Judith Herman of Harvard University to account for the impact of extended periods of trauma and abuse. Find and Buy MOST of my BOOKS and eBOOKS in my Amazon Store:
