This presentation begins by defining personality disorders (PDs) as enduring, maladaptive patterns of behavior and inner experience that impair relationships, with a focus on Cluster B disorders like Narcissistic (NPD) and Borderline (BPD) Personality Disorders due to their prevalence in couples counseling. We’ll explore how PDs manifest as an "Emotional Ponzi Scheme House of Cards," where fragile defenses (e.g., grandiosity in NPD, splitting in BPD) create volatile dynamics—such as idealization-devaluation cycles or boundary violations—that destabilize partnerships. Drawing from sources like Landucci & Foley (2014), we’ll highlight common pairings (e.g., NPD+BPD, NPD+OCPD) and their unique challenges, including emotional volatility, poor insight, and countertransference risks for therapists. The introduction will emphasize the importance of recognizing these patterns early to tailor interventions effectively.
The second part outlines evidence-based interventions for couples with PDs, integrating eclectic strategies from Livesley’s (2005) phased approach—safety, containment, regulation, exploration, and integration—with specific techniques like boundary setting (Hafeez), DBT skills (Fruzzetti & Fruzzetti, 2003), and Gottman’s relational methods. We’ll discuss how therapists can serve as a “mirroring self-object” (Landucci & Foley) to validate injuries while fostering empathy and collaboration, illustrated through fictional case studies: “Laura and David” (NPD+BPD) navigating rage and abandonment fears, and “Alice and Eugene” (NPD+OCPD) balancing drama and control. The presentation concludes with practical tips—establishing a holding environment, managing countertransference, and setting common goals—supported by sources like Lachkar (1998), to equip clinicians with tools to stabilize these complex relationships.
Pathology and Partnership:
When Personality Disorders Meet Couples Counseling
Sunday, September 07, 2025, 10:00 AM EDT - 1:00 PM EDT
Presenter: Simcha Feuerman
Course Length: 3 Hours
This workshop Offers 3 Live Interactive Continuing Education Credits
This presentation begins by defining personality disorders (PDs) as enduring, maladaptive patterns of behavior and inner experience that impair relationships, with a focus on Cluster B disorders like Narcissistic (NPD) and Borderline (BPD) Personality Disorders due to their prevalence in couples counseling. We’ll explore how PDs manifest as an "Emotional Ponzi Scheme House of Cards," where fragile defenses (e.g., grandiosity in NPD, splitting in BPD) create volatile dynamics—such as idealization-devaluation cycles or boundary violations—that destabilize partnerships. Drawing from sources like Landucci & Foley (2014), we’ll highlight common pairings (e.g., NPD+BPD, NPD+OCPD) and their unique challenges, including emotional volatility, poor insight, and countertransference risks for therapists. The introduction will emphasize the importance of recognizing these patterns early to tailor interventions effectively.
The second part outlines evidence-based interventions for couples with PDs, integrating eclectic strategies from Livesley’s (2005) phased approach—safety, containment, regulation, exploration, and integration—with specific techniques like boundary setting (Hafeez), DBT skills (Fruzzetti & Fruzzetti, 2003), and Gottman’s relational methods. We’ll discuss how therapists can serve as a “mirroring self-object” (Landucci & Foley) to validate injuries while fostering empathy and collaboration, illustrated through fictional case studies: “Laura and David” (NPD+BPD) navigating rage and abandonment fears, and “Alice and Eugene” (NPD+OCPD) balancing drama and control. The presentation concludes with practical tips—establishing a holding environment, managing countertransference, and setting common goals—supported by sources like Lachkar (1998), to equip clinicians with tools to stabilize these complex relationships.
Total Duration: 3 Hours (180 Minutes)
