Ask Dr. Van Pelt


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Today, we are going to delve deeper into the psyche of the narcissistic patient by examining malignant narcissism.

Malignant narcissism is a syndrome consisting of a cross breed of the narcissistic personality disorder, antisocial personality disorder and paranoia. The term malignant is added to the term narcissist to indicate that individuals with this disorder tend to worsen in their impulse controls and desires over time.

Specific traits include:

Grandiose sense of self-worth (like claiming to be the editor of a Review)

Pathological lying (geez.....don't see any of that........NOT!!!!!!)

Lack of remorse or guilt (like not admitting when you have made a mistake)

Shallow affect (like only getting 59 votes on a poll)

Callous/lack of empathy (like calling student soccer players tragically killed in an accident 'smelly little girls')

Failure to accept responsibility for own actions (like not apologizing to someone you LIBELED)

Promiscuous sexual behavior (if this ambulance is rockin, don't come a knockin)

Common to malignant narcissism is narcissistic. Narcissistic rage is a reaction to narcissistic injury (when the narcissist feels degraded by another person). When the narcissist's grandiose sense of self-worth is perceivably being attacked by another person, the narcissist's natural reaction is to rage and pull-down the self-worth of others in an attempt to make the narcissist feel superior to others (Like personal attacks on internet blogs).

It is an attempt by the narcissist to soothe their internal pain and hostility, while at the same time rebuilding their self worth. Narcissistic rage should not be confused with anger (although the two are similar), and is not necessarily caused by a situation that would typically provoke anger in an individual. Narcissistic rage can be explosive or passive aggressive.
Narcissistic rage also occurs when the narcissist perceives that he/she is being prevented from accomplishing their grandiose fantasies.

Dr. Lucy Van Velt