Hi Everyone.
I've been reading a book called Schema Therapy by Jeffrey Young, Janet Klosko and Marjorie Weishaar. It is talking about therapy for Borderline Personality Disorder (often an offshoot of NPD - closely related - shares many traits).
Here is a fascinating excerpt from the viewpoint of therapy that may help you to understand the underlying thinking of the person suffering from BPD: (the definition of schema will be explained in the following)
"We have identified five main modes that characterize the patient with BPD:
1. Abandoned Child
2. Angry and Impulsive Child
3. Punitive Parent
4. Detached Protector
5. Healthy Adult
We summarize the modes briefly to provide an overview, then describe each one more fully.
The Abandoned Child mode is the suffering inner child. It is the part of the patient that feels the pain and terror associated with most of the schemas, including Abandonment, Abuse, Deprivation, Defectiveness, and Subjugation (your needs are more important than my own). The Angry and Impulsive Child mode is predominant when the patient is enraged or behaves impulsively, because her basic emotional needs are not being met. The same schemas may be triggered as in the Abandoned child mode, but the emotion experienced is usually anger. The Punitive Parent mode is the internalized voice of the parent, criticizing and punishing the patient. When the Punitive Parent mode is activated, the patient becomes a cruel persecutor, usually of herself. In the Detached Protector mode, the patient shuts off all emotions, disconnects from others, and funtions in an almost robotic manner. The Healthy Adult mode is extremely weak and undeveloped in most patients with BPD, especially at the beginning of treatment. In a sense this is the primary problem: patients with BPD have no soothing parental mode to calm and care for them. This contributes significantly to their inability to tolerate separation."
The underline is my own emphasis.
The book is great, however it is aimed at practicing clinicians, so lots of therapist speak.
Dandylife