Episode 012 - Narcissistic and Antisocial Personality Disorders Through an IRT Lens

Episode 012 - Narcissistic and Antisocial Personality Disorders Through an IRT Lens

Summary: In Episode 12 of the Loving Differently Podcast, Dr. Kenneth Critchfield, Ph.D., and Dr. Eliza Stucker-Rozovsky, Psy.D., continue their Personality Harmonics series with a deep dive into Narcissistic Personality Disorder (NPD) and Antisocial Personality Disorder (ASD) through the lens of Interpersonal Reconstructive Therapy (IRT). Rather than treating DSM-5 personality disorders as flat labels, Ken and Eliza explore how these patterns can be understood as developmental and relational adaptations. This episode walks through the prototypic pattern, developmental histories, and exclusionary and inclusionary criteria for both NPD and ASD. This episode is especially relevant for clinicians working with trauma, interpersonal patterns, personality disorders, and challenging therapeutic alliances. It offers an IRT-informed way to hold empathy and accountability together while thinking carefully about case formulation, therapist adherence, and treatment timing. Note: The Loving Differently Podcast is for educational and informational purposes only. The content discussed in each episode is not a substitute for professional mental health care, diagnosis, or treatment. Listening to this podcast does not create a therapist-client relationship with either of the hosts. If you are experiencing psychological distress, relationship difficulties, or a mental health emergency, please seek support from a licensed mental health provider in your area or contact your local emergency services. Subscribe for more IRT-focused discussions. Send us your questions at lovingdifferentlypodcast@gmail.com [lovingdifferentlypodcast@gmail.com]. Timestamps: 00:00 LDP Episode 012 final 02:39 Narcissistic Personality Disorder Overview 08:23 NPD Developmental History 30:26 IRT Treatment Approach for NPD 48:13 Antisocial Personality Disorder 57:28 ASPD Developmental History 01:09:36 IRT Treatment Approach for ASPD 01:21:21 Wrap-Up & What's Next

Episode 011 - Interpersonal Harmonics Mini Series Ep 3 - Histrionic Personality Disorder and Borderline Personality Disorder

Summary: This episode continues our personality disorder prototype series by exploring histrionic personality disorder (HPD) and its relationship to borderline personality disorder (BPD) through an Interpersonal Reconstructive Therapy (IRT) lens. Clinical Psychologists Ken and Eliza examine how both patterns center around fears of abandonment, but diverge in how individuals attempt to meet those needs—highlighting coercive dependency in HPD and shifting relational dynamics in BPD. The episode also addresses gendered assumptions in diagnosis and the importance of case formulation over labels. Clinicians will gain a deeper understanding of how interpersonal patterns develop, how they present in therapy, and how to respond without reinforcing maladaptive cycles. This discussion offers practical insight into working with personality disorders in a way that is compassionate, nuanced, and clinically effective within an IRT framework. If you like this episode, please subscribe, like, and share with your friends. Let us know what you want to hear us talk about in future episodes - we are listening! Check out the ⁠IRT Institute ⁠ [http://irtinstitute.com]website for more information on IRT, including training for mental health professionals. We have also created an ⁠episode guide⁠ [https://www.irtinstitute.com/lovingdifferentlypodcast] that gives more detailed information about each episode. Note: The Loving Differently Podcast is for educational and informational purposes only. The content discussed in each episode is not a substitute for professional mental health care, diagnosis, or treatment. Listening to this podcast does not create a therapist–client relationship with either of the hosts. If you are experiencing psychological distress, relationship difficulties, or a mental health emergency, please seek support from a licensed mental health provider in your area or contact your local emergency services. Timestamps: 00:00 Introduction to the series and rationale 02:30 Framing personality disorders through IRT and SASB 05:00 Overview of borderline personality dynamics 08:00 Introducing histrionic personality disorder 12:00 DSM vs interpersonal understanding 16:00 Developmental history of histrionic patterns 21:00 Similarities and differences between HPD and BPD 27:00 Clinical implications and therapy dynamics 35:00 Countertransference and therapist awareness 45:00 Closing thoughts and preview of next episode References: https://www.irtinstitute.com/lovingdifferentlypodcast for specific references

Episode 010 - Interpersonal Harmonics Mini-Series Ep 2 - Borderline and Passive Aggressive Personality Disorders

Summary: In Episode 010, we (Dr. Ken Critchfield and Dr. Eliza Stucker-Rozovsky, licensed clinical psychologists) continue our personality prototype series through the lens of Interpersonal Reconstructive Therapy (IRT). We focus on borderline personality disorder (BPD) and passive-aggressive patterns, exploring how developmental trauma and complex interpersonal learning shape enduring patterns seen in DSM-5 personality disorders.We unpack core IRT concepts such as complex codes, copy processes, and the “gift of love,” illustrating how interpersonal patterns—like fear of abandonment, coercive care-seeking, and self-sabotage—develop and persist. We also examine how developmental trauma contributes to paradoxical dynamics (e.g., love paired with fear, autonomy paired with punishment), and how these patterns play out in therapy.This episode is designed for clinicians seeking a deeper, formulation-driven understanding of personality disorders beyond symptom checklists. We emphasize how recognizing interpersonal patterns can guide more effective, compassionate treatment. If you like this episode, please subscribe, like, and share with your friends. Let us know what you want to hear us talk about in future episodes - we are listening! Check out the ⁠IRT Institute ⁠ [http://irtinstitute.com]website for more information on IRT, including training for mental health professionals. We have also created an ⁠episode guide⁠ [https://www.irtinstitute.com/lovingdifferentlypodcast] that gives more detailed information about each episode. Note: The Loving Differently Podcast is for educational and informational purposes only. The content discussed in each episode is not a substitute for professional mental health care, diagnosis, or treatment. Listening to this podcast does not create a therapist–client relationship with either of the hosts. If you are experiencing psychological distress, relationship difficulties, or a mental health emergency, please seek support from a licensed mental health provider in your area or contact your local emergency services. Timestamps: * 0:00 — Intro * 1:35 — Episode Introduction * 1:38 — Personality Prototype Series Overview * 3:34 — Understanding Complex Codes * 5:50 — BPD Interpersonal Summary * 7:12 — BPD Developmental History * 25:33 — BPD Necessary & Exclusionary Conditions * 42:47 — Transition to Passive-Aggressive PD * 43:35 — Passive-Aggressive PD Overview * 48:38 — Passive-Aggressive Interpersonal Summary * 1:03:45 — Passive-Aggressive Treatment Approach * 1:13:40 — BPD vs. Passive-Aggressive: Comparing Patterns * 1:19:15 — Closing References:

Episode 009 - Interpersonal Harmonics Mini Series Ep 1 - Avoidant, Dependent, and Obsessive Compulsive Personality Disorders

In this episode, Ken Critchfield, PhD and Eliza Stucker-Rozovsky, PsyD begin a new miniseries on Interpersonal Harmonics—a core concept in Interpersonal Reconstructive Therapy (IRT)—by exploring Cluster C personality disorders through an interpersonal lens. We walk through avoidant, dependent, and obsessive-compulsive personality patterns, highlighting how these presentations extend beyond DSM-5 symptom lists into deeply rooted interpersonal patterns shaped by developmental trauma and learning histories. Using SASB-informed thinking and copy process theory, we examine how early caregiving environments shape internal self-criticism, fears of rejection or incompetence, and rigid perfectionism. Throughout the episode, we emphasize a central IRT principle: these are not “disordered people,” but adaptive love stories gone wrong. By understanding the interpersonal logic behind these patterns, clinicians can move beyond diagnosis toward meaningful case formulation and compassionate, effective treatment. Note: The Loving Differently Podcast is for educational and informational purposes only. The content discussed in each episode is not a substitute for professional mental health care, diagnosis, or treatment. Listening to this podcast does not create a therapist–client relationship. Timestamps (00:00) – Launching the Interpersonal Harmonics miniseries (02:00) – Why Cluster C personality patterns first (04:30) – Avoidant personality: beyond anxiety (06:30) – Fear of rejection, humiliation, and longing for connection (09:00) – Developmental origins and criticism (17:30) – Therapy stance with avoidant patients (43:30) – Transition to dependent personality (45:00) – Developmental pathways to dependency (52:00) – DSM vs interpersonal patterns in dependency (01:01:00) – Transition to obsessive-compulsive personality (01:03:00) – Perfectionism and fear of imperfection (01:08:00) – Living in the courtroom (01:14:00) – Therapy stance for OCPD (01:24:00) – Experiencing life beyond perfectionism (01:28:30) – Summary of Cluster C

Episode 008 - Highlight Reel

Check out episode 008 where we review an upcoming publication and its implications. Paper referenced: Panizo, M. T., Harrison, E. G., & Critchfield, K. L. (in press, 2026). Interpersonal Diagnosis of Personality Disorders: Explaining Comorbidity and Enhancing Clinical Relevance. Journal of Psychotherapy Integration.