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Malignant Narcissism, Sociopathy, Psychopathy, and NPD
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In this video I am going to discuss what is called malignant narcissism, which is a combination of NPD, ASPD, sociopathy, and psychopathy. There is considerable evidence in research and clinical case studies that overlap exists between these personality types complicating the lives of those with these disorders, those who are in relationships with them, and those who work with them. Knowledge is key to identification, management, safety, and treatment and that’s what I’m here to provide.
Research has suggested that antisocial PD may be a subgroup of narcissistic personality disorder, called malignant narcissism. Malignant narcissistic features include: antisocial features, paranoid traits, and egosyntonic aggression (explain), a grandiose sense of self-importance, preoccupation with fantasies of unlimited success, power and brilliance, a belief in being special or unique, a strong need for excessive admiration, a sense of entitlement, interpersonal exploitativeness, a lack of empathy and prominent envy.
Other traits may include an absence of conscience, a psychological need for power, inconsistent and contradictory moral standards (moral perfectionism vs moral compromises and dishonesty), and specific criminal behavior (They can occasionally commit criminal acts if enraged or as a means of avoiding defeat but normally do not display recurrent antisocial behavior), and a sense of importance (grandiosity).
Many of these individuals have grandiose fantasies, for instance, of being very successful, powerful, brilliant, rich, etc., while holding a belief in their invulnerability, which adds to fear and the need to control others through malicious means. Interestingly, they generally acknowledged their need for others; this can be for different uses to achieve different ends…
They have a tendency towards exploitative behavior and may be unconsciously motivated to take advantage of others and emanate a feeling of superiority or entitlement, which serves to enhance self-image by gaining attention, admiration, and status. Exploitiveness, in the malignant narcissist, manifests for materialistic or sexual gain, whereas for the narcissist without malignancy, exploitation is often unconsciously motivated to enhance one’s self-image by attaining admiration or power.
Now that you know what malignant narcissism is, what about treatment?
What about treatment. 1) he/she must chose to go on their own for their own reasons. You can’t and won’t convince them. 2) Malignant narcissists may come to treatment under pressure from social services or correctional institutions. 3) They occasionally come to get help for coexisting mental disorders, substance abuse and dependence problems, depression, bipolar disorder, anxiety disorders and especially the presentation of suicidal behaviors.
Daniel J. Fox, Ph.D., is a licensed psychologist in Texas, international speaker, and a multi-award winning author. He has been specializing in the treatment and assessment of individuals with personality disorders for over 15 years in the state and federal prison system, universities, and in private practice. His specialty areas include personality disorders, ethics, burnout prevention, and emotional intelligence.
He has published several articles in these areas and is the author of:
Dr. Fox has given numerous workshops and seminars on ethics and personality disorders, personality disorders and crime, treatment solutions for treating clients along the antisocial, borderline, narcissistic, and histrionic personality spectrum, emotional intelligence, managing mental health within the prison system, and others.
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