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In therapy, the emotional reaction a therapist has to a patient (counter-transference) is a valuable source of information. If a therapist suddenly feels incompetent or fearful, it may be because the patient with a personality disorder is unconsciously devaluing them to gain control of the session.

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Worrying that you might be a fraud is a positive indicator of self-awareness and integrity. Genuinely duplicitous or evil people don't spend time questioning their own authenticity; therefore, feeling like an imposter is a good starting point.

The distinction between a difficult personality and a clinical disorder lies in consistency and impact. A disorder involves traits like antagonism being a chronic, 'all day, every day' pattern that consistently interferes with the individual's life and the lives of others, not just a context-specific behavior.

Counterintuitively, individuals with severe personality disorders do not respond positively to empathy and nurture. These pro-social behaviors actually make them more exploitative. They are often immune to punishment and perceive empathy as a vulnerability in others, which they then leverage for their own gain.

When seeking therapy, the single most critical factor for success is the rapport between the client and therapist. This sense of trust and connection outweighs the importance of any specific therapeutic technique, such as CBT or psychodynamic therapy.

The feeling of being an "imposter" is often misinterpreted. It typically signals self-awareness about being new or inexperienced, not an intent to deceive. Recognizing this allows you to reframe the feeling as normal and reasonable, rather than a personal failing that requires self-flagellation.

Narcissistic power isn't always domineering. Covert narcissism controls people from a position of perceived weakness, using tools like passive aggression, constant guilt-tripping, and making others feel responsible for their well-being to make them submit.

Contrary to the arrogant stereotype, vulnerable narcissists present as sullen, anxious victims. They live in fantasies of great achievements but fail to act, blaming others for their lack of success. This form of narcissism is compelling because it masks itself as sensitivity or hardship.

Manipulative individuals often betray their intentions through "danger zone" cues they cannot control. These include lip pursing (a universal withholding gesture), physically distancing from a statement, and a significantly increased blink rate, which indicates the high cognitive load associated with deception.

While emotional awareness is beneficial, the language of therapy is often co-opted by the ego. People weaponize concepts like "boundaries" not for self-protection, but as a subtle form of controlling others' behavior, turning feelings into a tool for manipulation.

Experiencing imposter syndrome is a natural human response, indicating you're humble enough to recognize you're not a finished article. The goal is not to cure it but to learn to manage and 'dance with' the feeling. It's a sign you're neither a psychopath nor a complete narcissist.

Therapists Can Use Their Own Feelings of Incompetence as a Diagnostic Tool | RiffOn