Relational Dynamics of the Narcissistic Family
- The psychology of a narcissistic parent
- The scapegoat child’s function in the narcissistic family
- How the scapegoat child is made to feel the worthless
Devaluation, Deprivation and Control: The Creation of the Family Scapegoat and Pathogenic Beliefs
- Devaluation: The child is treated as if they are lower status
- Deprivation: Emotional support is withheld from the child
- Control: The child is domineered by the narcissistic parent
- How healthy developmental goals threaten relationship to parent
- 8 common pathogenic beliefs held by the scapegoat child
Use a Control-Mastery Theory (CMT) Approach to Treatment
- Goal of therapy: safely pursue sacrificed developmental goals
- How and why pathogenic beliefs persist into adulthood
- Respond in ways that do not align with the client’s pathogenic beliefs
- Overview of empirical support for CMT
- Indications and contraindications
Apply a 5-Step Case Conceptualization Method
- Step 1: Tailor treatment around each specific client’s goals
- Step 2: Identify pathogenic beliefs that block progress towards goals
- Step 3: Understand the past traumas that made those beliefs necessary
- Step 4: How the client may unconsciously test whether those beliefs are still true
- Step 5: Respond in ways that helps clients answer “No” to their tests
- Case studies: Learn to apply CMT’s 5-step case conceptualization
The Family Scapegoat Survivor Treatment Toolbox: Strategies for Replacing Self-Blame with Self-Compassion and Self-Worth
- Specific strategies for validating the survivor’s experience
- Anxiety management tools to address survivor’s anxiety around success
- Self-compassion practices to shift clients from self-blame
- Present-focused interventions to redirect the focus from their parents to themselves
- Cognitive restructuring exercises to challenge and test pathogenic beliefs
- Use reflective questioning to explore underlying issues
- Boundary setting skills
- Go no contact and other considerations
- Research, risks and limitations
- Boundary setting skills to protect themselves from abuse


