Explore this ArticleIdentifying the Symptoms of APDDealing with an Individual with APDUnderstanding Antisocial Personality DisorderWatching for Early Warning SignsShow 1 more...Show less...Questions & AnswersRelated ArticlesReferences

1. Famous Serial Killers With Narcissistic Personality Disorder
2. Serial Killers With Narcissistic Personality Disorder

Nov 14, 2011. Psychopathy: a lack of interest in, or care for, the sanctity of human life. Sociopathy: a lack of interest in, or care for, the rules of a society. Malignant narcissism: pathological grandiosity, lacking in conscience and behavioral regulation, characterized by joyful cruelty and sadism. Nov 27, 2017 Forum Categories ↳ Asperger's Disorder ↳ Narcissistic Personality Disorder ↳ Sexual Assault ↳ Paranoid Personality Disorder ↳ Histrionic Personality. Furthermore, a positive correlation between Narcissistic Personality Disorder and incarceration for violent crimes has been found (Warren et al., 2002). Research conducted by Bernard and. A study done by Geberth and Turco (1997) examined the crime scene behaviors of serial murders. Results identified styles and.

Antisocial personality disorder is a mental illness characterized by a person in adulthood lacking in empathy and unable to show remorse. In everyday life and pop culture, the terms “psychopath” and “sociopath” are often used to refer to someone with APD, but these are not used in the clinical setting.^[1] Clinically, APD is the diagnosis of someone who is chronically manipulative, conning, reckless, and often dangerous. People with APD fall along a spectrum, exhibiting symptoms of varying severity (not all sufferers are serial killers or con artists like the movies depict), but anyone on the APD spectrum can be difficult to be around and sometimes dangerous. Learn how to recognize someone with antisocial personality disorder, so that you can better protect yourself and the person suffering from the disorder.

Malignant narcissism is a psychological syndrome comprising an extreme mix of narcissism, antisocial behavior, aggression, and sadism.^[1]Grandiose, and always ready to raise hostility levels, the malignant narcissist undermines families and organizations in which they are involved, and dehumanizes the people with whom they associate.^[2]

Malignant narcissism is a hypothetical, experimental diagnostic category. Narcissistic personality disorder is found in the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR), while malignant narcissism is not. As a hypothetical syndrome, malignant narcissism could include aspects of narcissistic personality disorder (NPD) alongside a mix of antisocial, paranoid and sadistic personality disorder traits. The importance of malignant narcissism and of projection as a defense mechanism has been confirmed in paranoia, as well as 'the patient's vulnerability to malignant narcissistic regression'.^[3]

History[edit]

The social psychologistErich Fromm first coined the term 'malignant narcissism' in 1964, describing it as a 'severe mental sickness' representing 'the quintessence of evil'. He characterized the condition as 'the most severe pathology and the root of the most vicious destructiveness and inhumanity'.^[4]Edith Weigert (1967) saw malignant narcissism as a 'regressive escape from frustration by distortion and denial of reality', while Herbert Rosenfeld (1971) described it as 'a disturbing form of narcissistic personality where grandiosity is built around aggression and the destructive aspects of the self become idealized'.^[5]

On 11 May 1968, the psychoanalyst Otto Kernberg presented his paper Factors in the Psychoanalytic Treatment of Narcissistic Personalities, from the work of the Psychotherapy Research Project of The Menninger Foundation, at the 55th Annual Meeting of the American Psychoanalytic Association in Boston.^[6] Kernberg's paper was first published in hard copy on 1 January 1970.^[6] In Kernberg's 1968 paper, first published in 1970 in the Journal of the American Psychoanalytic Association (JAPA), the word 'malignant' does not appear once, while 'pathological' or 'pathologically' appears 25 times.^[6]

Developing these ideas further, Kernberg pointed out that the antisocial personality was fundamentally narcissistic and without morality.^[6] Malignant narcissism includes a sadistic element creating, in essence, a sadistic psychopath. In his article, 'malignant narcissism' and psychopathy are employed interchangeably. Kernberg first proposed malignant narcissism as a psychiatric diagnosis in 1984, but so far it has not been accepted in any of the medical manuals, such as the ICD-10 or the DSM-5.

Kernberg described malignant narcissism^[7] as a syndrome characterized by a narcissistic personality disorder (NPD), antisocial features, paranoid traits, and egosyntonicaggression. Other symptoms may include an absence of conscience, a psychological need for power, and a sense of importance (grandiosity). Pollock wrote: 'The malignant narcissist is presented as pathologically grandiose, lacking in conscience and behavioral regulation with characteristic demonstrations of joyful cruelty and sadism'.^[8]

Famous Serial Killers With Narcissistic Personality Disorder

Kernberg believed that malignant narcissism should be considered part of a spectrum of pathological narcissism, which he saw as ranging from Hervey M. Cleckley's antisocial character (what is now referred to as psychopathy or antisocial personality) at the high end of severity, through malignant narcissism, and then to narcissistic personality disorder at the low end.^[9] The malignant narcissist thus represents a less extreme form of pathological narcissism than psychopathy. Malignant narcissism can be distinguished from psychopathy, according to Kernberg, because of the malignant narcissist's capacity to internalize 'both aggressive and idealized superego precursors, leading to the idealization of the aggressive, sadistic features of the pathological grandiose self of these patients'. According to Kernberg, the psychopath's paranoid stance against external influences makes him or her unwilling to internalize even the values of the 'aggressor', while malignant narcissists 'have the capacity to admire powerful people, and can depend on sadistic and powerful but reliable parental images'. Malignant narcissists, in contrast to psychopaths, are also said to be capable of developing 'some identification with other powerful idealized figures as part of a cohesive 'gang'...which permits at least some loyalty and good object relations to be internalized'. 'Some of them may present rationalized antisocial behavior – for example, as leaders of sadistic gangs or terrorist groups...with the capacity for loyalty to their own comrades'.^[10]

Psychopathy[edit]

Serial Killers With Narcissistic Personality Disorder

The terms malignant narcissist and psychopath are sometimes used interchangeably because there is little to clinically separate the two. Individuals with narcissistic personality disorder, malignant narcissism, and psychopathy all display similar traits which are outlined in the Hare Psychopathy Checklist. The test has 20 items scored on a three-point scale, with a rating of 0 if it does not apply at all, 1 if there is a partial match or mixed information, and 2 if there is a reasonably good match. With a maximum score of 40, the cut-off for the label of psychopathy is 30 in the United States and 25 in the United Kingdom. High scores are positively associated with measures of impulsivity and aggression, Machiavellianism, persistent criminal behavior, and negatively associated with measures of empathy and affiliation.

Malignant narcissism is highlighted as a key area in the study of mass murder, sexual, and serial murder.^[11][12]

Contrast with narcissism[edit]

The primary difference between narcissism and malignant narcissism is that malignant narcissism includes comorbid features of other personality disorders, and thus consists of a broader range of symptoms than pathological narcissism (NPD) alone. In malignant narcissism, NPD is accompanied by additional symptoms of antisocial, paranoid and sadistic personality disorders. While a person with NPD will deliberately damage other people in pursuit of their own selfish desires, they may regret and will in some circumstances show remorse for doing so. Because ASPD traits are present in malignant narcissism, the 'malignant narcissist' suffers from a more pervasive lack of empathy than someone with NPD alone and will lack feelings of guilt or remorse for the damage they cause. Since sadism is often considered a feature of malignant narcissism, an individual with the syndrome may not only lack feelings of guilt or remorse for hurting others, but may even derive pleasure from the gratuitous infliction of mental or physical pain on others. These traits were formerly codified in the DSM-III under sadistic personality disorder (SPD).

Therapy[edit]

Typically in the analysis of the malignant narcissist, 'the patient attempts to triumph over the analyst by destroying the analysis and himself or herself'^[13]—an extreme version of what Jacques Lacan described as 'that resistance of the amour-propre...which is often expressed thus: 'I can't bear the thought of being freed by anyone other than myself'.^[14]

See also[edit]

References[edit]

1. ^Campbell, Robert J. (2009). Campbells' Psychiatric Dictionary. Oxford, England: Oxford University Press. p. 574. ISBN978-0195341591.
2. ^Abdennur, Alexander (2000). Camouflaged Aggression: The Hidden Threat to Individuals and Organizations. Edmonton, Alberta, Canada: Brush Education. pp. 32, 87–9. ISBN978-1550591989.
3. ^Blum, Harold (2005). 'Paranoia'. In de Mojilla, Alain (ed.). International Dictionary of Psychoanalysis. Detroit, Michigan: Thomson-Gale. p. 1228. ISBN0-02-865925-2.
4. ^Fromm, Erich (1964). The Heart of Man: Its Genius for Good and Evil. Brooklyn, New York City: Lantern Books. ISBN978-1590561867.
5. ^Akhtar, Salman (2009). Comprehensive Dictionary of Psychoanalysis. Abingdon, England: Routledge. p. 163. ISBN978-1855754713.
6. ^ ^abcdKernberg, Otto (January 1, 1970). 'Factors in the Psychoanalytic Treatment of Narcissistic Personalities'. Journal of the American Psychoanalytic Association (JAPA). Thousand Oaks, California: SAGE Publications. 18 (1): 51–85. doi:10.1177/000306517001800103. PMID5451020.
7. ^Lenzenweger MF, Clarkin JF, Caligor E, Cain NM, Kernberg OF (2018). 'Malignant Narcissism in Relation to Clinical Change in Borderline Personality Disorder: An Exploratory Study'. Psychopathology. Basel, Switzerland: Karger Publishers. 51 (5): 318–325. doi:10.1159/000492228. PMID30184541.
8. ^Pollock, G.H. (1978). 'Process and affect'. International Journal of Psycho-Analysis. London, England: Taylor & Francis (59): 255–276.
9. ^Kernberg, O.F. (1998). Millon, T.; Simonsen, E.; Birket-Smith, M.; Davi, R.D. (eds.). 'The Psychotherapeutic Management of Psychopathic, Narcissistic, and Paranoid Transferences'. Psychopathy: Antisocial, criminal, and violent behavior. New York City: The Guilford Press.
10. ^Otto Kernberg (1997), in Elsa Ronningstam, Disorders of Narcissism p. 45
11. ^Gerberth, Vernon J.; Turco, Ronald (1997). 'Antisocial personality disorder, sexual sadism, malignant narcissism, and serial murder'. Journal of Forensic Sciences. Hoboken, New Jersey: Wiley (42): 49–60.
12. ^Turco, Ronald (Summer 2001). 'Child serial murder-psychodynamics: closely watched shadows'. Journal of The American Academy of Psychoanalysis. New York City: Guildford Press. 29 (2): 331–338. PMID11685995.
13. ^Ronningstam, Elsa (1997). Disorders of Narcissism: Diagnostic, Clinical, and Empirical Implications. Lanham, Maryland: Jason Aronson. p. 185. ISBN978-0765702593.
14. ^Lacan, Jacques (2004). Écrits: A Selection. Translated by Fink, Bruce. New York City: W. W. Norton & Company. p. 13. ISBN978-0393325287.

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