Psychobabble

Hannah Spier, MD

Psychiatrist analyzing how cultural trends and modern therapy incentivize dysfunction. hannahspier.substack.com

  1. #54. Why Women Get Away With Narcissism (3 Patterns You’ll Recognize)

    2 DAYS AGO

    #54. Why Women Get Away With Narcissism (3 Patterns You’ll Recognize)

    In this video, I walk through three everyday patterns in which narcissistic traits are reframed as vulnerability, self-awareness, or moral superiority and therefore escape recognition altogether. From self-diagnosis culture to parenting ideology, these behaviours are often praised rather than named appropriately.I also make an important distinction between Munchausen by proxy and the narcissistic mother, two dynamics that are frequently conflated, but psychologically and motivationally very different.This is not about demonising women or dismissing genuine mental health struggles. It’s about understanding how certain traits gain social immunity by wearing the language of care, suffering, and insight, and why that makes them so difficult to name. Episode Chapters: 00:00 Why This Is Never Called Narcissism02:18 Narcissism That Looks Like Vulnerability06:12 Self-Diagnosis as Status and Shield12:04 Munchausen by Proxy vs. the Narcissistic Mother18:47 Gentle Parenting and Moral Superiority25:36 Why This Pattern Is So Hard to Name Psychobabble Insider Interview: The Four Horsewomen of Modern FeminismA conversation with David Maywald on misandry, gamma bias, gynocentrism, and gaslighting, and how these cultural forces shape therapy culture, family dynamics, and emotional double standards. Upcoming Live SessionThis Saturday, 31st January at 2 PM Eastern, I’ll be hosting a live clinical case session with Luella Jonk, PhD, on couples therapy: “When She Says She’s Done.”A real-time analysis of emotional withdrawal, shutdown, resentment, and what actually happens in relationships when one partner disengages. Please join in the conversation! This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit hannahspier.substack.com/subscribe

    19 min
  2. #52 The Survival Guide for Dealing with Cluster B and Borderline Women

    24/12/2025

    #52 The Survival Guide for Dealing with Cluster B and Borderline Women

    This episode sits very deliberately at the “how do I deal with this?” level. It’s for people who find themselves repeatedly destabilised in relationships marked by manipulation, emotional volatility, and confusion — and who are tired of being told to simply communicate better, be more empathetic, or search for faults that aren’t actually there. As the year comes to a close, I wanted to write a brief note about Psychobabble. What many of you have responded to most strongly, and how I’m shaping the project going forward. What I’ve enjoyed most over the past weeks, especially through the live sessions, is how concrete and personal these conversations have become. When people bring real situations, real patterns, real moments of confusion, the psychological mechanisms stop being abstract. They become recognisable. And once they’re recognisable, they become manageable. That experience has pushed me to think carefully about how Psychobabble should evolve. All essays and podcast episodes will remain free on Psychobabble — orientation pieces, cultural psychology, and broader analyses that help make sense of what’s happening around us. I want the ideas themselves to circulate widely, and that won’t change. Paid Psychobabble, however, is becoming the place where we go deeper together. This is where we’ll work carefully through psychological mechanisms as they actually present in real life. Going forward, you’ll have access to twice‑monthly live clinical case sessions — a single, ongoing space where we work through real (composite and anonymised) cases tied to recent essays and episodes, take questions, and focus on precision. You’ll have access to the full recording after, in case you missed the session. In addition, the paid tier will include in‑depth, members‑only interviews with academics and authors that expand on the clinical and cultural themes, but differ from the regular public episodes. If you’re a paid subscriber, nothing is being taken away. What’s changing is focus and intentionality. I want to create a clearly defined space for shared investigation and practical understanding. Where clinically specific material — the kind that helps people orient themselves in difficult, personal situations — can be handled properly, with context and care. I’m genuinely excited about this direction! The live sessions have shown me what becomes possible when this work is done in a more contained, collaborative way and I’m looking forward to building that out further in the coming year. To those of you who read, comment, restack, share, challenge, and support this work — whether as free readers or paid subscribers — thank you! I wish you a thoughtful and steady start to the New Year. Warmly,Hannah This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit hannahspier.substack.com/subscribe

    20 min
  3. 26/11/2025

    Female Luxury Beliefs with Rob Henderson

    In this episode I speak with Rob Henderson author of Troubled and originator of the concept luxury beliefs: ideas that raise the status of the elites while harming the people with the least margin for error.But today we look at something he’s rarely asked to unpack: the female side of luxury beliefs. 00:00 – Introduction & Who Is Rob Henderson?01:13 – What Luxury Beliefs Really Are02:17 – Are There Female Luxury Beliefs?04:08 – COVID Softness & Lowering Standards06:55 – Feminine Teaching Norms and Real-World Harm09:03 – Learning Loss: Who Paid the Price?12:06 – Daycare, Working-Class Mothers & Elite Hypocrisy13:09 – “Walk the 50s, Talk the 60s”18:13 – Compassion in Public, Authoritarian at Home22:08 – “All Families Are Equal” as a Luxury Belief30:44 – Marriage Collapse & Class Inequality31:08 – Rob’s Upbringing and the Need for Structure32:36 – Would Conscription Fix Fatherlessness?37:21 – How Female Norms Shape Male Mental Health39:01 – Dani Slikowski & Elite Female Competition40:18 – The Impossible Standards Set by Elite Women42:49 – “Men Should Be More Emotional” as a Luxury Belief44:04 – Does Feminism Hurt Women the Most?47:29 – Boys Are More Hurt by Instability Than Girls Upgrade, become a Psychobabble Insider and follow us over to the extended conversation! You will also have access to the full Psychobabble gallery, the chat, live streams, more essays and more exclusive insights! This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit hannahspier.substack.com/subscribe

    50 min

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Psychiatrist analyzing how cultural trends and modern therapy incentivize dysfunction. hannahspier.substack.com

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