Association for NPD/Psychopathy Survivor
Treatment, Research & Education

The International Associational Body for
the Narcissistic Abuse Counseling Field

Field Development Accomplishments and Contributions

Field Development Work


Founded a Personality Disorder Program and created a dual-focus track for partners and children of Personality Disorders

Began data collections and mapping of relational dynamics identified as ‘Pathological Relationships’ (today called Narcissistic and Psychopathic Abuse)

Worked on re-development of inpatient Women’s Trauma/Women’s Personality Disorder Inpatient unit, the development of multi-site Intensive Outpatient Programs for Women’s Trauma, and sole developer of a Long-Term Residential Treatment Center for women with Dissociative Identity Disorder/Multiple Personality Disorder.


Began data collections of trauma differentiations in the survivor population of Pathological Relationships

Began data collections of survivor personality features in Pathological Relationships


Isolated and identified atypical trauma symptom of cognitive dissonance in population as a ‘chronic and persistent’ form of CD

Introduced the concept of personality disorder relationships in the published book How to Spot a Dangerous Man and workbook

Established Therapist Training

Personality Testing of the survivors utilizing The TCI assessment and first discussion of the results of it in the first edition of the book Women Who Love Psychopaths: Inside the Relationships of Inevitable Harm with Psychopaths, Sociopaths & Narcissists, as well as relational dynamics and resulting trauma; book referenced as ‘seminal’ contribution to a new field

2nd Edition of Women Who Love Psychopaths: Inside the Relationships of Inevitable Harm with Psychopaths, Sociopaths & Narcissists, included expanded understanding of stages of relational development, typical behaviors of PD partners during stages of the relationship, trauma as a primary diagnosis of survivors, and introduction of the first model of care treatment and recovery map

Introduction of ‘Pathological Relationships’ via Psychology Today column

Developed and ran a prototype inpatient hospitalization program for further development of treatment protocols for survivors of Pathological Relationships

Launched website for survivors (2005)

Relational Expert on Pathological Relationships in The Canadian Broadcast Corporation (CBC)/The National Geographic Channel documentary The Psychopath Next Door with Drs Robert Hare and Stephen Porges


Introduction of Pathological Relationships via multiple conference lectures, including an APA sponsored conference through The Relationship Training Institute

200+ articles written on Pathological Relationships and survivors published on website

Began collaboration with Purdue University on collegiate research on survivors for large sample multi-assessment study of personality trait elevations

Began the utilization of the Purdue research data, new data collections from our Trauma Study of survivors and Cognitive Dissonance Study of survivors compiled into the 3rd edition of the book Women Who Love Psychopaths: Inside the Relationships of Inevitable Harm with Psychopaths, Sociopaths & Narcissists; including an updated view of a model of care treatment and recovery map


Publication of the 3rd Edition of the book Women Who Love Psychopaths: Inside the Relationships of Inevitable Harm with Psychopaths, Sociopaths & Narcissists, a 400+page book of field compilations in Pathological Relationship theory expansion, trauma, atypical trauma, and cognitive dissonance data collections

Approximately another 150+ articles for survivors written on Pathological Relationships for the website

World Narcissistic Abuse Awareness Day established by Bree Bonchay, LCSW, served as faculty speaker since 2016

Began our ‘Living Recovery Program’ online, trauma reduction program for survivors of Pathological Relationships

Began the formation of The Association for NPD/Psychopathy Survivor Treatment, Research & Education, a clinical theory-based training program


Website for The Association launched

Published data collection on Trauma Bonding and Cognitive Dissonance

Published for therapists a 300+page treatment manual Treating the Survivors of Narcissistic and Psychopathic Abuse: A Clinical Focus on Evidence-Based and Trauma-Informed Treatment Protocols

Data collected for deeper studies on Atypical Trauma and the introduction of ‘dual dysregulation’ theory in survivors

Published for therapists Trauma Bonding And Cognitive Dissonance—How They Are Connected and published Common Treatment Errors in Treating and Coaching Survivors of Narcissistic Abuse

The development of clinical training materials for PESI, Inc. (worldwide mental health CE prover) on Pathological Relationships/Narcissistic Abuse

Therapist Training with PESI launched in 2021 in the US, UK, and AU (approximately 10,000 have taken the workshop) and on The Assn’s website

Collaboration with Evergreen Certification Company to provide the initial content of training theory to meet the Certification Standards for a Certification (C-NATS) Clinical Narcissistic Abuse Treatment Specialist


(Pending) Collaboration with Evergreen Certification Company to provide the content of training theory to develop a Certification in Atypical Trauma Certification for Narcissistic Abuse

Develop videos for therapists on YouTube called ‘Shrink Think’ addressing common treatment issues

Clinical Lectures and Training

Ruth Ginsberg Lecture Series ‘Women and The Law on Domestic Violence’ Thomas Jefferson Law School

End Violence Against Women International, Keynote

Study Outcomes shared on our behalf at The Society for the Scientific Study of Psychopathy

National Organization for Victim Assistance (NOVA)

The US Army—Psychologists and Family Advocate Training

APA San Diego ‘Staying Ahead of the Curve in Domestic Violence’ Training

The State of Georgia Commission on Family—For Judges and Prosecutors
The Victimology Academy

The Institute for Relational Harm Reduction’s Therapist Training (our inhouse training)

Nystrom Counseling Centers

( * Sample, not exhaustive)

Books: Chapters, Forewords, Citations, Theory Inclusions, Consultation

‘Insight is 20/20: How to Trust Yourself to Protect Yourself From Narcissistic Abuse and Toxic Relationships,’ Foreword, citations, theory inclusions (Pumphrey, Chelli, LPC).

‘Why Can’t I Just Leave? A Guide to Waking Up and Walking Out of a Pathological Love Relationship,’ Foreword, citations, theory inclusions (Milstead, Kristen, Ph.D.)

‘Psychopath Online: Risky Relationships While Dating,’ Citations, (Duvringe, L. and Florette, M). (Sweden)

‘The STOP Program for Women: Skills, Techniques, Options and Plans for Better Relationships,’ Chapter, Handouts, Worksheets (Wexler, David, Ph.D.)

‘Dangerous Liaisons: How to Recognize and Escape from Psychopathic Seduction,’ Citations, Theory Inclusions (Moscovici, Claudia)

‘#MeToo-Informed Therapy: Counseling for Men, Women, and Couples, Citations, theory inclusions, and theory consultation (Wexler, David Ph.D. and Sweet, Holly, Ph.D.)

‘Understanding Female Offenders: Psychopathy, Criminal Offender, Assessment and Treatment,’ relational dynamics and victim trauma consultation, (Smith, Jason, Ph.D., Gacono, Carl, Ph.D., Cunliffe, Ted, Ph.D.)

Multiple citations in survivor books on Narcissistic Abuse.

Research Advisor

Advisor consultant for research study at Metanoia Institute and Middlesex University in the UK: ‘The Long Road Back to Self: An Exploration of the Lived Experience of a Survivor’s Journey of Recovery After Being in a Relationship With a Partner Who Displays Psychopathic Traits,’ by Jayne Dales-Tibbott, MSc, UKCP, BACP

Clinical Work

30 years of working with C-PTSD and above on Trauma Continuum

Personality Disorders, and survivors and children of PDs

Individual and Group Treatment

Program development—inpatient, outpatient, multidisciplinary approaches, and modalities

Specific development of techniques for use with Pathological Relationship Survivors including:

• A clinical, evidence-based, and trauma-informed model of care treatment approach (and manual)

• Cognitive Dissonance approaches (Flip the Script, the Link and Label Method, and more)

• The Structured Inventory For Narrative Work

• The Pathometry Checklist

• Pathology Education Guidelines

• Using Neuroscience and The Brain Venn with Survivors

• Atypical Trauma Checklist and Comparison to PTSD

• Brief Cognitive Dissonance Checklist

• Contraindications in Treatment for Survivors of Narcissistic Abuse

• Super Traits of Personality -vs- Codependency Charts and Differentiation Scales

(* Sample, not exhaustive list)

Provided services to survivors of Pathological Relationships via:

• In person

• Tele-health

• Online year-long trauma reduction program

• Retreats

• Intensives

Contact Info

Sandra L. Brown, MA

Survivor website:

Therapist and Professional Association website:

Facebook and Instagram: The Institute for Relational Harm Reduction

Facebook for The Association: Association for NPD/Psychopathy Survivor Treatment

YouTube: The Institute for Relational Harm Reduction

YouTube for The Association: Association for NPD/Psychopathy Survivor Treatment called ‘Shrink Think’ addressing common treatment errors

Connect With the Association