Narcissistic Personality Disorder with Antisocial Features
Like Narcissistic Personality Disorder (NPD) with Borderline Features, Narcissistic Personality Disorder with Antisocial Features reflects severe superego and ego pathology. According to Ronningstam, “a specific group of narcissistic patients with malignant narcissism [antisocial features] . . . or psychopathy . . . do evince more sustained antisocial trends and are diagnostically closely related to individuals with antisocial personality disorder.”1
In this variety of NPD, features especially evident include
These individuals may also exhibit one or more of the following:
- Pathological lying
- Manipulativeness
- Lack of guilt
Such persons may
- Extremely sadistic interpersonal behavior
- Paranoid features
- Passive parasitic behavior
- Chronic suicidal behavior
Most narcissists do not engage in antisocial behavior, with the exception of those persons who maintain their addiction through criminal activity. However, when enraged or trying to remain undefeated, the Antisocial Narcissist may resort to criminal acts. In fact, “the grandiose self-image is infiltrated by the idea of criminal acts, as either revenge or an ultimate experience of superiority and control.”2
- Act as authoritarian, ideological leaders
- Be found within the forensic psychiatric system
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Click on the note number to return to where you were above; click on the author's name to go to the bibliographic entry.1Ronningstam, 1999, p. 677
2Ronningstam, 1999, p. 677