empathy

Narcissistic Personality Disorder (NPD)

Narcissistic Personality Disorder (NPD) is a mental health condition characterized by (as the name implies) narcissism, including a pervasive pattern of grandiosity, a lack of empathy for others, and a need for admiration. People with NPD often have an inflated sense of self-importance and believe they are special or unique in some way. They may be preoccupied with fantasies of power, success, beauty, or ideal love. However, behind their grandiose faΓ§ade, they often have fragile self-esteem and are highly sensitive to criticism or rejection.

NPD is part of the Cluster B family of personality disorders. People with NPD tend to exhibit odd, sometimes bizarre behaviors — including word salad, emotional abuse, and other tactics of emotional predators — that are offputting to others and tend to have serious effects on the individual’s life.

Narcissistic Personality Disorder (NPD)

NPD diagnosis

The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) outlines the following diagnostic criteria for NPD:

  1. A pervasive pattern of grandiosity, characterized by a sense of self-importance and an exaggerated sense of achievements and talents.
  2. Preoccupation with fantasies of unlimited power, success, brilliance, beauty, or ideal love.
  3. Belief that they are special and unique and can only be understood by other high-status people or institutions.
  4. Need for excessive admiration.
  5. Sense of entitlement, expecting to be treated in a special way or given priority.
  6. Exploitation of others for personal gain; using the tactics of emotional predators; narcissistic abuse.
  7. Lack of empathy, an inability to recognize or care about the feelings and needs of others.
  8. Envy of others or a belief that others are envious of them.
  9. Arrogant, haughty behaviors or attitudes.

The symptoms of NPD may vary in intensity and presentation, but they are typically stable and longstanding. The condition may start in early adulthood and may be diagnosed only after adolescence, as it is difficult to differentiate between normal developmental narcissism and pathological narcissism in childhood.

A helpful mnemonic to help conceptualize and remember the traits of people with narcissistic personality disorder is “SPECIAL ME”3:

LetterTrait
SSense of self-importance
PPreoccupation with power, beauty, success
EEntitled
CCan only be around special people
IInterpersonally exploitative
AArrogant
LLack empathy
MMust be admired
EEnvious of others

NPD: Lack of empathy

People with NPD may have difficulty in maintaining close relationships because of their lack of empathy and preoccupation with themselves. They may feel entitled to special treatment and have unrealistic expectations of others. They may exploit others for personal gain and may become angry or hostile when their expectations are not met. Additionally, they may struggle with criticism or rejection and may react with narcissistic rage or humiliation.

NPD is often co-occurring with other mental health conditions, such as depression, anxiety, and substance abuse. It may also be comorbid with other personality disorders, particularly Borderline Personality Disorder, as individuals with BPD may exhibit traits of NPD, such as a need for attention and admiration.

Treatment for NPD often involves psychotherapy, particularly psychoanalytic or psychodynamic therapies, which aim to explore the underlying psychological factors contributing to the disorder. Cognitive-behavioral therapy may also be effective in addressing maladaptive beliefs and behaviors associated with NPD. However, individuals with NPD may be resistant to therapy, as they may not recognize the need for treatment or may be unwilling to acknowledge their role in the dysfunction.

Types of Narcissistic Personality Disorder

  1. Grandiose Narcissism: This form is characterized by arrogance, dominance, and a need for admiration. Individuals may appear self-confident and assertive but are often preoccupied with fantasies of success and power. This is the classic version of the narcissist that most people think of when they think of NPD.
  2. Vulnerable Narcissism: Unlike the grandiose type, vulnerable narcissists are sensitive and insecure, often feeling unrecognized and inadequate. They may harbor intense envy and resentment towards others and are prone to feeling victimized.
  3. Malignant Narcissism: Malignant narcissists combine aspects of NPD with antisocial behavior, aggression, and sometimes even sadism. This type can be dangerous, as they lack empathy and remorse and may exploit or manipulate others without concern.
  4. Covert Narcissism: This type manifests as hidden or masked narcissism, where individuals may not outwardly display arrogance but still harbor grandiose fantasies and exhibit a lack of empathy. They often feel misunderstood and neglected, leading to passive-aggressive behavior.
  5. Communal Narcissism: Communal narcissists see themselves as especially caring or altruistic, often emphasizing their contributions to others. However, these acts are driven by a desire for recognition and praise rather than genuine empathy or compassion.

Examples of Public Figures Behaving Narcissistically

Numerous public figures throughout history and in contemporary culture have exhibited behaviors commonly associated with narcissismβ€”such as grandiosity, a need for admiration, lack of empathy, and a sense of entitlement. Below is a list of just some of the notable examples, along with brief descriptions of their narcissistic behaviors.

Historical Figures

  • Adolf Hitler: Demonstrated extreme grandiosity, cultivated a personality cult, rejected criticism, and showed a complete disregard for the suffering of others. His belief in his own infallibility and ruthless pursuit of power are classic narcissistic traits.
  • Napoleon Bonaparte: Known for his grandiose self-image, insatiable thirst for power, and willingness to sacrifice countless lives for personal glory.
  • Joseph Stalin: Exhibited a massive cult of personality, paranoia, and disregard for human suffering, all while glorifying his own image as the nation’s savior.
  • Alexander the Great: Obsessed with personal glory and his supposed divine lineage, eliminating anyone who opposed him.
  • Mao Zedong: Built a personality cult, rejected criticism, and sacrificed millions for his vision, showing little empathy or remorse.
  • King Henry VIII: Ruthless pursuit of power and personal desires, including the execution of wives and rejection of religious authority for personal gain.
  • Caligula: Roman emperor remembered for self-deification, sadism, and demanding worship.
  • Jim Jones: Cult leader who manipulated and controlled followers, culminating in the Jonestown mass suicide, reflecting extreme narcissistic exploitation.

Modern and Contemporary Figures

  • Donald Trump: Frequently cited as a textbook example of narcissistic behavior, including self-promotion, thin-skinned reactions to criticism, need for admiration, and prioritizing personal image over collective goals.
  • Kanye West (Ye): Known for public outbursts, controversial statements, and self-aggrandizing acts (e.g., comparing himself to Jesus, seeking the spotlight at award shows), as well as a chronic need for validation and attention.
  • Kim Kardashian: Promotes her wealth and lifestyle, seeks constant attention, and is often involved in controversies that keep her in the public eye.
  • Madonna: Openly acknowledges her craving for attention and limelight, and has been described as exploitative and demanding in her professional relationships.
  • Oprah Winfrey: Cited for excessive self-importance and grandiosity, with actions and branding that often center her own persona.
  • Taylor Swift: Manages her public image with meticulous control, frequently uses her art to highlight her own experiences, and seeks admiration from fans, blending vulnerability with grandiosity.
  • Jenny McCarthy: Publicly claimed to have scientific proof ignored by authorities, reflecting a sense of special knowledge and self-importance.
  • Suzanne Somers: Promoted her own health products as miracle cures, despite lacking medical credentials, demonstrating self-aggrandizement and entitlement.
  • Joan Crawford: Hollywood actress reportedly obsessed with public image, perfectionism, and control, with abusive behavior toward her children as documented in β€œMommie Dearest”.

Common Narcissistic Behaviors Observed

  • Public meltdowns and controversy-seeking actions (e.g., Twitter rants, on-stage interruptions)
  • Image obsession and status-driven lifestyle choices (luxury displays, curated social media)
  • Exploitative or transactional relationships (using others for personal gain or status)
  • Dismissal of criticism and hypersensitivity to perceived slights

These examples illustrate how narcissistic traits can manifest in public life, often amplified by fame and power. While not all of these individuals have a clinical diagnosis of Narcissistic Personality Disorder, their public behaviors align with many of the disorder’s hallmark traits.

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A cult leader who is definitely a narcissist, sitting in a chair glowering

We’ve been obsessed in our household with documentaries about the Nxivm cult — and next with Scientology. The heads of both of those organizations are quite clearly pathological and often malignant narcissists, with grandiose and delusional ideas and an addiction to other people’s attention. Separately, I’ve studied narcissism quite a bit and feel, at least anecdotally, that all the cult leaders I’ve read about or known of have been led by these types of people, who are notoriously lacking in empathy, self-centered, entitled, and have an insatiable lust for power and control. It started me to wonder: are all cult leaders narcissists?

While certainly not all — or even any — cult leaders are clinically diagnosed narcissists, many pretty obviously exhibit narcissistic traits. Narcissism, particularly in its more extreme forms (including narcissistic personality disorder or NPD), is characterized by a grandiose sense of self-importance, a need for excessive admiration, and a lack of empathy for others. These traits can be paradoxically and counterintuitively conducive to the development of a cult-like following.

Cult leaders often exhibit the following narcissistic characteristics:

  1. Grandiosity: They may have an inflated sense of their own importance, believing themselves to be special or uniquely gifted, which can attract followers seeking answers, guidance, or a sense of certainty.
  2. Need for Admiration: Cult leaders often seek excessive admiration and validation from their followers, which reinforces their self-perceived superiority and authority and reifies their over-idealized self-image.
  3. Manipulation and Exploitation: They may manipulate or exploit followers, viewing them as tools to achieve their own goals, rather than as individuals with their own rights and needs. Employing love bombing and other psychological influence techniques, they can abuse, steamroll over and/or capture decades or entire lifetimes of people under their sway.
  4. Lack of Empathy: Cult leaders may show a lack of empathy, being indifferent to the needs and feelings of their followers, or callously exploiting their vulnerabilities. They are primarily concerned with gratifying their own needs and desires, and rarely recognize the needs of others as valid or worthy of attention.
  5. Charisma: Like the exceedingly self-confident narcissist, many cult leaders are charismatic, which aids in attracting and maintaining a devoted following. They turn on the charm when they feel it might get them something they want, but just as easily withhold it when they wish to devalue you for some other strategic purpose.
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cluster b evil narcissist

When the most common psychological defense mechanismdenial — hardens into an outer shell so impenetrable as to be worn like armor, you have yourself a clinical narcissist. They may not — and probably will never — be diagnosed as members of a group of personality disorders known in psychology as Cluster B; but unmistakably, you cannot seem to find empathy in them no matter how high or low you look.

They think of themselves as special; chosen; beyond the fray — rules do not generally apply to them, but oh do they ever to you. They tend to see the world in black and white terms, a Manichaean struggle of hierarchy vs. fairness, with strict social status to abide by and perpetuate — a world of dominance and submission, with themselves at the top.

The higher on the Cluster B scale you go (with psychopathy at the top), the less empathy these individuals possess. Without empathy, there is no basis for forming a conscience. One could say the classic defining hallmark of this group of personality disorders is that the people exhibiting them have little to no conscience. The general consensus from research to date indicates that somewhere between 4-8% of the general population has very weak or no conscience at all — a scary figure when you think of it in terms of being about 1 in 15 of the people you will meet in your lifetime.

evil narcissist, by Midjourney

Cluster B includes:

  • Narcissism — This is the root trait of all the Cluster B personality disorders. We all exhibit narcissism to some degree, and it’s a large part of childhood and teen development to learn how to balance it with sociality. As with all life skills, some develop it more or less well — and if the narcissistic phase is never fully outgrown, adults can be emotionally immature in surprising and at times dangerous ways thanks to a kind of profound psychological arrested development. When the self-absorption is so severe as to profoundly disturb aspects of their lives, that is when clinicians might say a person has a narcissistic personality disorder, or NPD. There are several types of narcissism, including covert narcissism and malignant narcissism. Park of the dark triad in psychology, narcissism is often found in conjunction with two other malevolent personality traits: psychopathy, and Machiavellianism.
  • Borderline — Perhaps best known culturally from the movie Girl, Interrupted (1999), borderline personality disorder of BPD is characterized by intense mood swings, impulse behavior, fear of abandonment, unstable self-image, dissociation, and self-harm. One way to think of BPD is as a sort of failure to form an integrated personality.
  • Histrionic — The least well-known of Cluster B, histrionic personality is extremely dramatic and over the top, well out of proportion to the magnitude of events or circumstances. They have an overwhelming desire to be noticed, and will behave extremely or inappropriately to get attention.
  • Sociopath — Sociopathy takes narcissism and adds more sadism into the mix. A narcissist could hurt you and not really care either way, while a sociopath will derive from pleasure from it and often go out of his or her way to cause harm for the purpose of reaping that enjoyment. Though not as unfettered as psychopaths, sociopaths can be prone to violence and criminality at the worst, and are commonly cruel and mean-spirited at best.
  • Psychopath — The psychopath is the scariest of the Cluster B bunch. Unbelievably horrific folks like Ted Bundy and Hannibal Lecter were almost certainly psychopathic — committing horrific and murderous crimes that have shocked generations in their brutality and stomach-churling details.

Common traits and behaviors:

  • Projection — blaming others for your own misdeeds. Projection involves attributing one’s own undesirable thoughts, feelings, or motives to another person. It serves as a defense mechanism to avoid confronting or accepting these aspects in oneself.
  • Scapegoating — blaming the wrong party for a transgression; scapegoating is the practice of unfairly blaming an individual or group for a problem or fault. It often serves to divert attention away from the real issue or to absolve the blamer of responsibility.
  • Gaslighting — a form of psychological manipulation where the perpetrator tries to make the victim doubt their own perceptions, memories, or sanity. The aim is to gain control or induce confusion.
  • Stonewalling — refusing to speak or dilvulge information. Stonewalling involves refusing to communicate or cooperate, often in a relationship setting. It serves as a way to avoid conflict or evade responsibility, but it can be damaging to relational dynamics — and is prevalent in Cluster B.
  • Grandiosity; extremely high self-regard, often out of proportion to actual achievements. Grandiosity is an inflated sense of one’s own importance, skills, or achievements. Often seen in narcissistic personalities, it can manifest as excessive confidence, arrogance, or a belief in one’s own exceptionalism.
  • Love bombing — a technique in which the narcissist first showers you with affection and grand displays of positive attention early on in your relationship, in order to secure a quick bond that blinds you to their darker traits and behaviors that begin to spill out more prominently later on down the road.
  • Splitting — the tendency to view people or situations as entirely good or entirely bad, with no middle ground. Common in borderline personality disorder, it can lead to unstable relationships and emotional volatility.
  • Black and white thinking — this cognitive distortion involves viewing situations in extreme, either/or terms. It lacks nuance, often categorizing things as good or bad, right or wrong, with no middle ground. This can limit one’s ability to see alternative perspectives.
  • Lying — the act of deliberately presenting false information as true. While it can serve various purposes, such as self-preservation or manipulation, it erodes trust and can have significant relational consequences.
  • Malignant envy — this virulent form of envy is destructive and stems from a desire not just to attain what another has, but also to deprive them of it. It can lead to harmful actions aimed at undermining the envied individual.
  • Denial — a psychological defense mechanism where one refuses to accept reality or facts, often to protect oneself from painful emotions or situations. It can be both conscious and unconscious. Common in all of us, it is often especially pronounced in Cluster B.
  • Narcissistic rage — triggered by perceived threats to self-esteem or self-worth, narcissistic rage is an intense, disproportionate anger often aimed at destroying the source of the threat. It can be overt or covert, involving passive-aggressive behavior.
  • Cruelty — causing physical or emotional harm to others, often deriving pleasure from their suffering. It’s an extreme form of antisocial behavior that can manifest in various ways, from verbal abuse to physical violence.
  • Bullying — a repeated, intentional act of aggression, often exploiting a power imbalance to intimidate or harm others. It can be physical, verbal, or relational, and occurs in various settings like schools, workplaces, and online.
  • Sadism — the act of deriving pleasure from inflicting pain, humiliation, or suffering on others. It can be psychological or physical and is considered a concerning trait when it leads to harmful actions.
  • Word salad — a jumble of words and phrases that lack coherent meaning. Often seen in severe mental disorders, it can also be used manipulatively to evade questions or confuse listeners.
word salad

Intersects with:

Types of Narcissism

Narcissism is a complex psychological construct that manifests in various forms, each with its own set of characteristics and implications. It actually refers to a range of conditions that fall under the umbrella of Narcissistic Personality Disorder (NPD) — which itself falls under the umbrella of Cluster B.

Grandiose Narcissism

Grandiose narcissism is the most commonly recognized form — it’s the stereotype of what most people refer to when they think of a narcissist. Individuals with this type exhibit an inflated sense of self-importance, a lack of empathy, and a need for excessive admiration. They often believe they are special and unique, deserving of special treatment. Their self-perception is rarely grounded in reality, leading them to overestimate their abilities and underestimate the contributions of others. This form of narcissism is usually quite visible and can be disruptive in both personal and professional settings.

Vulnerable Narcissism

In contrast to the grandiose type, vulnerable narcissists are sensitive and introverted. They still have a heightened sense of self-importance but are plagued by insecurity and a fear of rejection. Their narcissism serves as a defense mechanism to protect a fragile self-esteem. Unlike grandiose narcissists, they are not outwardly arrogant but may harbor secret fantasies of greatness that they fear will never be realized.

Malignant Narcissism

This is a severe form that combines traits of narcissism, antisocial personality disorder, aggression, and sadism. Malignant narcissists are not just self-centered; they are also willing to manipulate or harm others to achieve their goals and often do so repeatedly. They lack remorse and are often deceitful, making them particularly dangerous in relationships and organizational settings.

Social psychologist Erich Fromm, who fled the Nazis in the 1930s, describes the Nazi “quintessence of evil” as an canonical case of malignant narcissism. They are among the most concerning members of Cluster B.

Covert Narcissism

Also known as “closet” or hidden narcissism, this type is less obvious than the grandiose form. Covert narcissists often present as shy, reserved, or self-deprecating. However, they share the same sense of entitlement and lack of empathy as other types. Their narcissism is expressed in more subtle ways, such as passive-aggressiveness or quiet disdain for others.

Communal Narcissism

This type is characterized by a grandiose sense of one’s own altruism. Communal narcissists believe they are the epitome of generosity and kindness. They seek admiration not for their looks or achievements but for their perceived selflessness. However, this is often a faΓ§ade to garner praise and adoration.

Collective Narcissism

This is not an individual trait but a shared belief within a group that they are exceptional or superior. It can manifest in various settings, from nationalistic fervor to corporate culture. Collective narcissism can be dangerous as it often leads to in-group favoritism and out-group discrimination.

collective narcissism, by Midjourney

Somatic Narcissism

Somatic narcissists are obsessed with their physical appearance or bodily achievements. They may spend excessive time and resources on grooming, exercising, or undergoing cosmetic procedures. Their self-worth is tied to their physicality, and they often seek sexual conquests to validate themselves.

Cerebral Narcissism

Cerebral narcissists derive their sense of superiority from their intellect rather than their appearance. They consider themselves smarter than everyone else and seek to demonstrate this at every opportunity. They are often dismissive of others’ opinions and intolerant of intellectual disagreement.

Spiritual Narcissism

This form manifests in the realm of spirituality or religion. Spiritual narcissists believe they have a direct line to a higher power and may consider themselves enlightened or morally superior. They use their spiritual beliefs to justify their actions, even when those actions harm others. Abusive priests and handsy preachers with large hard drives fall into this group.

Eco-Narcissism

A relatively new concept, eco-narcissists are individuals who flaunt their environmentally friendly lifestyle for the sake of appearing superior. Their primary concern is not the environment but the social capital gained from appearing conscientious.

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From Calvinism to the Cold War, a study in why supremacism as a life mission truly gets it wrong.

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Narcissists think of themselves as special; chosen; beyond the fray β€” rules do not generally apply to them, but oh do they ever to you.

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Empathy is the capacity, ability, and willingness to understand or share the feelings of someone else. It is to harmonize with that person (or animal, or even fictional character…) and synchronize with their mood — to walk a mile in their shoes.

The word empathy comes from a Greek word meaning “suffering,” which describes the ethos of the term in its encapsulation of feeling what another being feels.

Compassion is a behavior made possible by empathy, and is revered throughout culture and the world’s religions. It is considered one of the hallmarks of advanced emotional development, representing selflessness, altruism, and Good Samaritanism. It is to make less distinct, the separation between self and other.

Blessed are the meek

Empaths are some of society’s greatest healers, caregivers, teachers, artists, performers, and leaders. They find unique and often enduring ways to add value in places often left behind by the brutalism of American hypercapitalism.

People with empathy help uplift humanity, and inspire us to do our utmost to care for each other as best we can. Nobody can do everything, but everybody can do something, said a wise man some decades past.

Conversely, individuals who are lacking in empathy can commit some of the most heinous crimes and greatest atrocities in history. People without empathy lack a conscience, which makes them more willing than most to go too far, take things to extremes, and play impulse high-stakes gambling without a net. Hannah Arendt, Erich Fromm, and others chronicled the psychology of the Nazis during its regime and World War II, as well as in its aftermath — they classified the behavior as pathological, from malignant narcissism to even deeper evils within the Cluster B family of personality disorders.

Empathy in biology

Human beings aren’t the only species with the capacity for empathy. In fact many if not most mammalian species exhibit empathic nurturing behavior, from rodents to primates and cetaceans. Cognitively, the brain system for empathy includes spindle cells, the amygdala, hypothalamus, basal ganglia, insula, orbitofrontal cortex, and brain stem.

Prosocial behaviors thus appear to be an advanced adaptation, to be willing to risk potential sacrifice for other people, including strangers. Perhaps the dividend in profits from the returns of this kind of routine yet extraordinary behavior are the true wealth of the nation.

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