The speaker discussed how sudden emergence of memories and insights can be destabilizing and must be handled carefully in therapy to avoid overwhelming or retraumatizing patients, noting shifts away from debriefing to safer, structured approaches. He distinguished narcissism from psychopathy, explaining that goal-oriented, power-seeking, fearless individuals who pursue money and status are more characteristic of primary psychopathy than narcissistic personality disorder. He described narcissists as emotionally shallow and manipulative, using simulated closeness to extract narcissistic supply and treating children instrumentally, praising younger children while coercively controlling older ones who resist. Sudden Insight, Psychopathic Narcissists & Why Narcissists Manipulate Their Children | LIVE Q&A