Malignant Narcissism

Cary Stacy Smith, PhD, is a forensic psychologist at Green Bay Correctional Institution in Green Bay, WI, providing therapy to men among the 1,000 inmates there. Li-Ching Hung, PhD, is professor and dissertation chair at Northcentral University.

Preface
Chapter 1 Introduction: Narcissism's Past and Present
The History of Narcissism
Narcissism before Freud
Primary Narcissism
Secondary Narcissism
Other Psychoanalytic Views
Healthy Narcissism
Is Narcissism Good or Bad?
Productive Narcissism
Three Famous Productive Narcissists
Three Famous Malignant Narcissists
Chapter 2 Three Types of Narcissism
Covert, Hypervigilant, and Vulnerable Narcissism
Arrogance
Creating Bewilderment
Disregard for Others
Inattentive and Cold
Giving, but Not out of Kindness
Little Empathy or Understanding
Unfriendly Behavior and Ultrasensitivity
"No One Understands Me"
An Example of a Covert Narcissist
Overt, Oblivious, Grandiose, and Exhibitionist Narcissism
Guilt, Shame, and Ultrasensitivity
Winning and Losing
Cruelty
The "Real" Person
High-Functioning Narcissism
Malignant Narcissism
Chapter 3 Narcissistic Personality Disorder versus Malignant Narcissism
What Is a Personality?
What Is a Personality Disorder?
Clusters
Behaviors Needed for a Personality Disorder Diagnosis
Narcissistic Personality Disorder
How Widespread Is NPD?
Behavioral Genetics Model
Supplementary Features
Modernity and NPD
Comorbidity of NPD with Other Mental Health Problems
Malignant Narcissism
Antisocial Behavior
Narcissistic and Antisocial Traits within the Same Person
Ego-Syntonic Sadism
Paranoid Characteristics
Chapter 4 The Malignant Narcissist versus the Psychopath: Similarities and Differences
Terminology
Charismatic Personality
Narcissistic
Low Tolerance for Boredom
Prone to Lying and Being Good at It
Highly Skilled in Manipulation
Little Sorrow for Hurting People
Callous and Unemotional Traits with a Lack of Empathy
Predatory
Poor Self-Control
Promiscuous Sexual Behavior
Lack of Realistic Long-Term Goals
Irresponsible Behavior
Short-Term Relationships
Differences in Self-Esteem
Antisocial Behavior
Chapter 5 A Closer Look at Sadism
Paraphilia
Sadomasochism
Paraphilic Coercive Disorder
BDSM
Sexual Sadism Disorder
Is Rape a Form of Sadism?
Demographics
Diagnosing Sexual Sadism Disorder
Comorbidity and Prevalence
Everyday Sadism and the Dark Triad
Sadism Sans Sex
Antisocial Behavior
Different Types of Sadists
The Explosive Sadist
The Tyrannical Sadist
The Enforcing Sadist
The Spineless Sadist
Chapter 6 Theories and Research
Facts
Shame
Fragile Self-Esteem
Confirming Grandiosity, If Only for a Short While
Schemas
Benign Envy (Narcissistic Admiration) and Malicious Envy (Narcissistic Rivalry)
Serial Killers
Personality Deficiencies That Show Up Early
Chapter 7 Treatments and Medications for Malignant Narcissism
Pharmacological Treatments
Neuroleptics
Mood Stabilizers
Antianxiety
Are Pharmacological Treatments Effective?
Does Comorbidity Affect Pharmacological Treatments?
Psychotherapeutic Approaches to Treatment
Principles of Efficacious Treatment
Individual Psychotherapy
Metacognitive Interpersonal Therapy
Collaborative/Therapeutic Assessment
Couples Therapy
Transference-Focused Psychotherapy
Group Therapy
Chapter 8 Needs and Directions for Future Recognition and Research
Grandiosity or Vulnerability? How about Both?
Utilizing Social Media for Info
Malignant Narcissism Diagnosis
Empathy
Notes
Index