Ask Dr. Van Pelt


Today, we are going to continue our discussion on malignant narcissism. As you may remember, malignant narcissism is a significant mental illness characterized by antisocial features (i.e. failed relationships), paranoia (i.e. thinking people are conspiring against you), absence of conscious (i.e. publishing false statements about people), and an unreasonable sense of importance (i.e. claiming to be a politician when you have never run for political office).
A pervasive pattern of grandiosity (in fantasy or behavior), need for admiration, and lack of empathy, beginning by early adulthood and present in a variety of contexts, as indicated by five (or more) of the following:

1) has a grandiose sense of self-importance

2) is preoccupied with fantasies of unlimited success, power, brilliance, beauty, or ideal love

3) believes that he or she is "special" and unique

4) requires excessive admiration
5)has a sense of entitlement
6)is inter personally exploitative
7) lacks empathy

8) is often envious of others or believes others are envious of him or her
9)shows arrogant, haughty behaviors or attitudes
It is unusual for people to seek therapy for NPD. Subconscious fears of exposure or inadequacy are often met with defensive disdain of therapeutic processes