Malignant Narcissism

In this episode, Dr. Ettensohn clarifies the concept of Malignant Narcissism, drawing on the model developed by theorist Otto Kernberg. Common misconceptions are dispelled. Object Relations Theory is used to discuss the origins of both NPD and Malignant Narcissism, highlighting developmental differences between each disorder.

Two meanings of malignant narcissism are discussed:

1. Malignant narcissism is a combination of narcissistic personality, antisocial traits, ego-syntonic sadism, and paranoid thinking that represents its own personality constellation distinct from Narcissistic Personality Disorder.

2. Malignant narcissism represents a phase or episode of narcissistic pathology in which repressed or split-off identifications with sadistic objects rise to the surface and become enacted in relationships. This is often due to loosening of grandiose defenses in psychotherapy.

Link to Episode discussing Borderline Personality Organization referenced in the video: Is It Vulnerable Narcissism or BPD?


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References:
Ettensohn, M.D. (2011). The relational roots of narcissism: Exploring relationships between attachment style, acceptance by parents and peers, and measures of grandiose and vulnerable narcissism. (Doctoral dissertation).

Goldner-Vukov, M., & Moore, L. J. (2010). Malignant narcissism: From fairy tales to harsh reality. Psychiatria Danubina, 22(3), 392-405.

Kernberg, O. F. (1970). Factors in the psychoanalytic treatment of narcissistic personalities. Journal of the American Psychoanalytic Association, 18, 51-85.

Kernberg O.F. (1984). Severe Personality Disorders. New Haven, CT: Yale University Press.

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