Narcissism comes in many forms, including what’s often termed malignant narcissism.
Signs of pathological or “malignant” narcissism include a mix of severe pathological egocentrism, antisocial personality disorder, aggression, and sadism. It’s worth noting that malignant narcissism doesn’t have its own entry in the latest Diagnostic and Statistical Manual of Mental Disorders (DSM-V), which makes it a hypothetical and experimental diagnostic category.
If you want to see it in action, though, the Journal of Psychoanalytic Psychology described the 2000 movie American Psycho as a depiction of malignant narcissism. This isn’t to say that all narcissists are Patrick Bateman, of course — but there’s a reason the word “malignant” is in there.
A malignant narcissist is a person that has a mixture of mental problems and psychopathic leanings. Typically, psychopaths have very few emotions, and cannot feel sadness, remorse or guilt. They might know what they are doing is wrong, they just don’t care.
1. Over-exaggerated sense of entitlement
2. No conscience or remorse
3. Are cruel and sadistic
4. Sense of grandiosity
7. Fake crying
8. Uses and abuses people
Meanwhile, Carrie Barron, M.D. described malignant narcissists on Psychology Today as, “Intelligent, high functioning, soft-spoken, charming, tearful/seemingly emotional, gracious, well mannered, kind and have the ability to form relationships.”