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These communities have focused on malignant narcissism as a behavioral judgment and a specific form of abuse rather than a mental health diagnosis. Manipulators take things that other people say or do and twist them so much that their victims often end up confused and questioning their own reality. There is often some paranoia involved with malignant narcissism as well. Malignant Narcissism A person who constantly seeks attention, is self-involved, and craves praise may be considered narcissistic. Keep reading to learn more about malignant narcissism, including the signs and traits and how to deal with someone who may present characteristics of this personality disorder. Diamond D, Yeomans F, Keefe J. Transference-focused psychotherapy for pathological narcissism and narcissistic personality disorder (TFP-N). It's also possible that neurobiology may play a role. 3. They have an innate need to land on top, even if they are pretending to be altruistic or participating in an activity that is not all about them. Kernberg described malignant narcissism [9] as a syndrome characterized by a narcissistic personality disorder (NPD), antisocial features, paranoid traits, and egosyntonic aggression. 11 Outcomes You Can Expect, 13 Conspicuous Clues That A Woman Has Multiple Partners, 51 Funny Hinge Prompt Answers That Are Sure To Grab Their Attention. The primary difference between narcissism and malignant narcissism is that malignant narcissism includes comorbid features of other personality disorders and thus consists of a broader range of symptoms than pathological narcissism (NPD). American Psychological Association. Other research supports this finding. Elizabeth Scott, PhD is an author, workshop leader, educator, and award-winning blogger on stress management, positive psychology, relationships, and emotional wellbeing. 2017;9(2):64-71. [8] So far it has not been accepted in any of the medical manuals, such as the ICD-10 or the DSM-5. [3] A person with malignant narcissism exhibits paranoia in addition to the symptoms of a Narcissistic Personality Disorder. Know that their behavior is not the fault of those around them.