Posts

confabulation

Is it narcissism or confabulation? It can be a difficult to tell these two apart as distinguishing sarcasm and “humorously delivered” criticism. Is a person deliberately lying when they confabulate? Here’s a quick definition of confabulate.

In the formal version, confabulate means to talk, with roots found in the words ‘fable’ and ‘fabulous.’ In the world of psychiatry, it means to fabricate imaginary experiences as compensation for loss of memory. This is common in alcohol induced dementias aka Korsakoff syndrome (a type of dementia often associated with alcohol abuse), but it also has been observed in cases of Alzheimer’s disease and frontotemporal dementia.

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narcissism

Lately the world is abuzz with talk of narcissism. Politics aside, sometimes I see this in the therapy room. It is more subtle than you might expect. These behaviors are not as black and white as this yin/yang symbol. Indeed, this set of emotional behaviors is more like 50 shades of gray! Why? Because it is often difficult for a partner to pin down why they are the ones feeling exhausted and depressed when dealing with a narcissist. Is it Oz? The comparison of Oz as the epitome of the narcissist is used by Eleanor D. Payson in her book The Wizard of Oz And Other Narcissists. She sees the wizard from the movie The Wizard of Oz as a glowing example of narcissism, and Dorothy as the “codependent” who repeatedly and desperately tries many ways to please him in her goal of getting back home. In this classic example, both parties fit together in a yin and yang manner, perpetuating this painful dance.

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