WEBVTT
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Hi, Warriors.
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Welcome to One in Three.
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I'm your host, Ingrid.
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Leaving an abusive relationship is never simple, especially when that relationship involved a narcissist or coercive control.
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My guest today, Dr.
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Lisa, specializes in exactly that.
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She's here to share insight and practical guidance to help you better understand and navigate the complexities of recovery.
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Here's Dr.
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Lisa.
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Hi, Dr.
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Lisa.
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Thank you for joining me.
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And welcome to One in Three.
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Thank you, Ingrid.
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Thank you for having me.
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It's really a privilege, and I'm really excited to be here with you today.
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I am so excited for this as well.
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So before we get into our conversation, can you just give us a little bit of a background so we get to know you some?
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Hmm, okay.
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Well, um, this is kind of my third career.
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If anybody had ever told me I'd have three careers in my lifetime, I would never would have believed them.
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Um I am a retired diabetic limb salvage and wound treatment specialist.
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I did that for the first 10 years of my career.
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I did that as a single mom for the first five years, getting through medical school and getting through surgical residency.
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So I always tell people my girl and I went to school together.
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Um, it was really fun going to UC San Diego to visit when she was considering colleges.
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She's now much older, but we went into the chemistry um lecture hall.
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And it's huge, right?
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It's a UC system.
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And I said, Hey baby, you do you do you recognize this room?
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You've been here.
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She's all mom, I've never been here.
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I go, yeah, you have.
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She goes, Mama, this is the first time I've been on this campus.
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I go, no, it's not.
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You did your whole, I did my whole last quarter with you here.
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We sat in this room.
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My last class was chemistry.
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And I would put you in the sling and just sit right in the back of the classroom with you.
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So yeah, you've been in this, you've been in this lecture hall.
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Um, so it's kind of fun.
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It was kind of fun going through all that with her and letting her see as a woman, we can do all things.
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There are just seasons in which we can do them all well, right?
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So I did that for my first 10 years.
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I retired in 2006.
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I have four children.
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Um, my two middle uh needed some extra help with their um learning challenges.
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They both had learning challenges.
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One was more severe than the other, and I just had to make a decision at that time.
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I couldn't do a full surgical practice and meet their needs.
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And it wasn't a job for a nanny or a grandma.
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It was a job for mom.
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And I realized that there were many of me, well, not many, I'm gonna say three at that time in the Southwest region that did diabetic limb salvage and wound treatment.
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But there was only one of me at home that could do what I could do.
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So I closed my practice and drove my charts over to my good friend and said, listen, I sent out a letter.
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They know I'm retiring and take good care of my patients.
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And then for the next 15 years, I stayed home with all of my kids.
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Um, helped my my third, who um didn't understand the spoken word when he was born.
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All we were were Peanuts' parents.
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So it was very intensive therapy for him.
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And I can say I would never, people go, do you wish you had never retired?
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I go, no, I know that boy just graduated from USC a few years ago and designs and builds sets all over the world.
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Like he's a really beautiful human being.
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All four of my kids are beautiful human beings.
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But during that time, I got involved with an evangelical megachurch in Southern California and spent my first five years in MOPS in leadership, which a lot of you in the Christian world know as mothers of preschoolers.
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And after that, I was asked to launch a Bible study and a women's leadership program that I knew nothing about.
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I'm a surgeon.
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I don't know anything about leadership.
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I don't know anything of anything about anything.
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And I was like, well, okay.
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And by the grace of God, it survived the first year.
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And it was a really beautiful experience.
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There were 160 women every year, and they would come in and we would basically apply God's word and figure out what they were supposed to do with their lives, because many of us in that circle are raised to believe that it's to be a mom and a wife is your highest calling.
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And to have them be reoriented that no, as a Christ follower, your highest calling is to be an image bearer of Christ.
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And if that plays out, that you're a mother and a wife, then yeah, then that's where I guess she would say that your highest calling is.
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But we all have a calling in this world, and we're all called and born at a time of this, because it's a specific work only for us to do.
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And as I was walking through that, there were women that were coming to me each year that were really in bad marriages, like abusive marriages, that I would be having to walk with them, with the church through and realize the church was providing support for them.
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There came a point in my marriage where I realized that I had to make the decision to stay or go.
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And I had to start preparing to do so.
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And so I stepped away from women's leadership and I spent years preparing.
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And I finally came to a point where I let my husband know that it was time for us to separate and it was time for me to leave.
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And I can't talk too much about that on a public forum.
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All I'll say is that our passion is born from our ashes.
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Today I am now a narcissistic abuse and coercive control specialist.
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I'm a betrayal trauma-informed coach.
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It's what I do, it's what I love.
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I'm a domestic violence abuse specialist.
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I really don't like to use the word violence because it intimates to this world that someone has to put a hand on you.
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And most forms of abuse in this world never involve a bruise.
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They involve something much more insidious called coercive control, which is what I specialize in, and it's what I help women realize they are experiencing.
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Because most women that come to me don't understand that what is going on in their marriages isn't because of them, it's happening to them.
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And then the person that they started the relationship with was never a real person.
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No, and that is the really hardest part of the grieving with my clients is I let them know there will be no healing, there will be no movement forward unless two things are done.
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And one, that is grieving what you thought you had, because what you thought you had never existed.
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Right?
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Something was being presented to you, and that is not what the reality of your life was.
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And the second thing was is that you do, you do need to accept the reality of the circumstances in which you find yourself and which you were living, because unless we can live in that reality, unless we can align what happened to us with the reality of who was doing it to us, we can't move on.
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We're stuck.
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And it's very hard to reconcile.
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It's very hard to reconcile that the person that was meant to love, protect, provide for you, partner with you, that they were doing things to make you feel that you were less than, that you could find nothing better, that there was something wrong with you, that you had some sort of mental illness and you should consider being medicated, that your friends wouldn't understand that your family wasn't for you, that they are the only ones that are for you, and that's how it starts, is the alienation is very, very insidious, and it's one of the primary tools a coercive controller uses is to isolate you from your family and friends and your community.
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So the only person that you're relying on, the only person that you're looking to to see and reflect who you are is your partner.
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Right.
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And I definitely want to get into all the details of coercive control because there's a lot of misunderstandings there, and uh, you know, it is becoming part of the legal definition of domestic abuse in certain states and different countries across the world.
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So I want to focus a lot on that.
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But before we get into that, there are now not all of these personalities turn somebody into an abuser necessarily in a domestic situation, but there are a lot of personality disorders that are included with abusers.
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And those are psychopaths, sociopaths, and narcissists.
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And I think there's a lot of confusion in between what those are and it in the healing aspects, sometimes it does help to understand what your abuser may have been diagnosed with.
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It I think it definitely uh helps or it stops minimizing the overuse of especially the word narcissist.
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I think a lot of people overuse that.
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And um, in that respect, I think it is important to understand what these personality disorders are and how they can uh influence what's happening to you.
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And maybe actually understanding what these personality personality disorders are, it may help somebody understand more the situation that they currently are in.
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So do you mind just going through each of those and explaining to us what those are and what that can mean for us?
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Absolutely, absolutely.
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You know, there are a lot, there's still a part of our our academics that say it, you know, unless you're licensed and qualified, you can't diagnose narcissism.
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And yet Dr.
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Romini just came out with a great book.
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Uh it isn't you, it isn't you, I think it's it isn't you.
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I could be wrong.
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Um, her latest book, and she's like, you know, people say that, yet when you're the person who's experienced it, you can look at the cluster of behaviors.
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And if the clusters of behaviors fit, well, isn't that how we usually assign a diagnosis to anybody is by a cluster of behaviors.
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And with narcissism and sociopathy and psychopathy, we that's what we're looking at.
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We're looking at a cluster of behaviors.
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And to be quite honest, very rarely is a narcissist, a psychopath, or a sociopath ever diagnosed because they don't ever think anything's wrong with them.
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So they don't ever, ever go in to get therapy, or let alone be diagnosed.
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And the closest that they'll get usually is marriage counseling.
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But the only reason they're showing up to marriage counseling is to make sure that the counselor knows how broken you are and what you're doing that you need to change to make the marriage better, so that you could have a good marriage, because they're they're an absolute beautiful individual and they're loving and kind and compassionate, and that's how they show up.
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And when we show up, we are reactive, we are upset, we are beyond being able to function because nobody that we've talked to about what's going on with us understands.
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And worse than that, it will be something where not only is your trauma being put upon you, but then because you're the person who's willing to do the work, the counselor then looks to you because you're the easy target to get to implement changes to try to make some movement in the marriage.
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And that's the problem with marriage counseling when you're married to one of these personality types.
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It's contraindicated.
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You should never go to couples counseling if you're married to one of these personality types, because they show up as very charismatic and caring, and all of the focus is put on you.
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And then you end up experiencing therapeutic abuse on top of the narcissistic abuse and the course of control that you're experiencing at home.
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And everything that that personality type is learning in therapy, they are learning it, they are internalizing it, they're learning the verbiage, they go home, they weaponize it, and they use it against you.
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So when we're talking about these personality styles, there are some people who believe that there's some type of insanity involved in it.
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And then there's another line of thinking, like Peter Salerno, who I really admire, that they're saying they know exactly what they're doing, they're extraordinarily strategic about it.
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Nothing is happenstance, although we spend most of our times in those relationships thinking that they didn't mean what they did, or if they had only known how we felt about something, they wouldn't have taken that action or said those things.
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And that's inaccurate.
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It's absolutely inaccurate.
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They're very strategic.
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Everything they do has a purpose.
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So let's go back to the base, let's go back to domestic abuse, let's go back to a mindset because all of this revolves around a mindset.
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This entire world is steeped and embedded in patriarchy and misogyny.
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We just went through the Me Too movement.
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A lot of people will say we made a lot, we, we, we held a lot, we got a lot of ground in the Me Too movement, and I'm going to disagree because I'll tell you what, these years later, I don't see a lot of dis, I don't see a lot of difference in our justice system with the care or concern or understanding or the care to learn on the part of our justice system, our attorneys and our judges to actually understand what coercive control is so that they can actually implement justice and care for those they're meant to protect.
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So when we're talking about a mindset, when we talk about patriarchy and misogyny, we're talking about entitlement, right?
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Patriarchy and misogyny bears out a mindset of entitlement.
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And in that entitlement, there is there's a an innate sense of the right to exert control over those in your sphere of influence.
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Everything else is born out of that.
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So when we're talking about um uh a partner sexually acting out, having multiple affairs, having emotional affairs, when we're talking about uh uh the fact that you don't have a credit card in your name, that you don't have access to the bank accounts, when you're at home and you're told that because you're the wife, you need to submit and do things the way your partner wants them done.
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When you find that you're in a relationship where as long as we're all doing what your partner wants to do, it's all roses and butterflies.
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But the minute that you state that you don't want to go to a specific restaurant because it doesn't make your stomach feel well, and you end up going someplace else, there's that underlying verbiage the entire time of why we couldn't go to a certain restaurant because uh mommy, and it's mommy's fault that we couldn't go a specific place.
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And there's always a sense of punishment and retribution if you disagree, if you speak your voice, you'll find in these relationships that if you actually look back on them, even when you can think of the good memories and you can think of the wonderful things done for you, they were never just for you.
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It was always because it it benefited his needs or somebody else's needs that he wanted to impress or he wanted to align with them in those homes.
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Everybody learns their place, everybody figures out how they're gonna cope to get along.
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And it's very ironic that these men will walk around and say, Oh, well, you know, happy wife, happy life.
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And that's the farthest thing from the truth, right?
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We learn to adjust because we know there will be no happy wife, happy life, if what our what our goals and our needs don't align with theirs, right?
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So in those homes, as long as everybody's following what makes dad happy and nobody's pushing against him, life's pretty peaceful.
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Most of the time in those homes, you will not notice till your kids get to the age where they start utilizing their voice, and once they start utilizing their voice, your partner will attempt to make consequences more severe for them, because his job is to keep everybody inside his box.
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His job is that when you go out, everybody mirrors off the we he gets to mirror off of your entire family and how beautiful it is for the entire world to see what a beautiful man he is, because look at his beautiful family, right?
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When you start voicing your own opinion, that's not tolerated, and that's a wound.
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Whether you are an abuser, a narcissist, a psychopath, a sociopath, the minute you step outside the box, that's when the physical abuse starts.
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Most people don't realize that.
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They just think that's why I say abuse and not violence.
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Because most abusers Keep you under wraps, in their box, presenting to the world how they want to present by the use of coercive control.
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When we're talking about narcissistic personality traits, there is a spectrum, right?
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You people can have traits and then they can have the disorder.
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And yeah, I will say that, especially in this political climate, the word narcissist is being thrown around a lot.
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Right?
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When I'm working with my clients, though, and that's the thing, right?
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We it would be good to have a diagnosis.
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I'd really love to have a diagnosis.
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Well, 99% of the time you're not going to get a diagnosis because your man's not going to submit to that.
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He's not even going to go to therapy on his own.
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So what we do is, and I love how Dr.
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Romney put has um termed it in her new book, is antagonistic.
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They're antagonistic personality types.
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So if you're antagonistic, what do you do?
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What are your clusters of behaviors?
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You're just looking to really, it's like trying to poke the bear all the time with the people that are in your life, right?
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Antagonistic personality types are always trying to do something to make themselves look better, to be better, to make somebody feel less than, so that they can feel superior to.
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Because in the narcissistic spectrum, even though their persona or their mask is kind and loving and charismatic, and they are just the Boy Scout, the white knight, the one that's willing to go mow the neighbor's lawn, right?
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Or help the other neighbor move out of their home.
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Yet in their own homes, they're not doing any of those things.
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Right?
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They're going and visiting their friend in the hospital.
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They're helping to take them to physical therapy.
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Yet you have surgery and you're post-op, not two days, and they invite their friend over to have a big banquet with all of the food that all of your friends brought over so that your family would have meals during your recovery.
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And you're left sitting on the side of your bed in so much pain on a footstool because you can't get back into your bed and your partner has not come to even check on you to see how you're doing in three hours.
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And you're two days post-op.
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But to the world, wow, he's actually wow, he's actually taking his friend to PT.
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What a good guy.
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Wow.
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He's actually going over and spending four days with his with his mom because her her her health is failing.
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And we all know, well, yeah, his mom's health is failing, so he's there to figure out financially where do things stand because that's what he's concerned about.
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Because all the all the toys in the sandbox belong to him, right?
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So when we're looking at narcissistic personality disorder, what I try to help my my clients focus on is let's not get down in the weeds with it with the diagnoses.
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Let's look at the present behaviors.
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Because does it really matter whether they have a true personality disorder or not?
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If you're implementing protective boundaries and you're reclaiming your voice, and you've made an intentional ask of him to do the work that he needs to do to repair the relationship, all we need to do is actually sit back and let him be him.
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Right?
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The most loving thing that we can do in a relationship is to allow our partner to do exactly what we want.
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We want to live a life of freedom without fear that's uncontrollable.
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Us in those choices, we make those choices in fidelity to our relationships.
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Individuals that are entitled make choices that are good for them.
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So when we are able to lay out what our non-negotiables are, implement our protector boundaries to protect ourselves and have become grounded enough and be able to not sit in emotional reactivity and actually understand the arrows that are being shot at us that we don't react and sit back, all we need to do is watch the choices that our spouse makes to see if there's going to be change or not.
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Because that's what we're looking for.
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We're looking for change in behavior.
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And if there is no change in behavior, and the choices that are continuing to be made are not honoring to you, your children, your marriage, your personhood, you get to make a choice.
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And it is not my job nor my role to tell you whether you should stay or go.
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Every woman chooses to stay or go for their own reasons.
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And the only person that gets to make that choice is that woman or that partner, if we're talking about individuals in an LGGBQIA community.
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There are many reasons we stay, and there are many reasons we go, and all of those are to be honored.
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There's no shame and there's no guilt in any of those decisions that we make when we are looking at a place of survival and figuring out how to remain safe and keep our children safe.
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Now, when we're talking about psychopaths and sociopaths, I believe they are more common than we believe that they are.
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Right?
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All I'm and and the truth is, is that where where is that overly?
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Like most people would say, you know, not all abusers are narcissists, but all narcissists are abusers, right?
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When we're talking about sociopathy and psychopathy, we're just talking about things that are so far off the bell curve.
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And the difference is, is you know, sociopathy, there's a social component, there's the charisma, there's the ability and uh to feel empathy, but that felt empathy is meant to be used against you, right?
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Psychopathy is evil.
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Sociopathy is evil.
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For me, those are two very hard things to distinguish because you can have a psychopath show up that's charismatic, right?
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That will take all everything that you have and utilize it for their own good, and you will never know until somebody else exposes it to you what you're dealing with, and in all of those disorders, and coercive control, right?
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It's very easy to see when someone's an overt narcissist, it's very easy to see when someone is uses violence to keep you in under wraps and under control.
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But these, the coercive control, the covert, vulnerable narcissist, the sociopath, and the psychopath, do we really need to know the distinction?
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What we know in those disorders is they're insidious and they're strategic.
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And if less you know what you're looking at, you will never see it.
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But once you see them, you will never unsee them.
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Right.
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And I agree with you.
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I don't think that there's necessarily an importance of understanding if the your person that you've your partner is psychopath versus sociopath versus narcissist or a combination, maybe of a couple of those.
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And I feel maybe that the need for certain individuals to be able to put that on their abusers to display some shame that we all carry as a victim of, well, if I know that I was with a psychopath, then I understand it's all on him.
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It wasn't me or a sociopath or a narcissist, you know, any of those.
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But let's let's get into the coercive control more.
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I know you have talked a little bit about that, but definitely we need to understand what it is, how it, what it looks like, uh, you know, the importance of it.
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I think it should be included in the domestic abuse definitions for sure.
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And it's yes, and I think in those certain places in the different states and the different countries where it is, there is probably a burden of proof of how can you prove that you are a victim of coercive control.
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So let's let's get into that.