The Key to Treating Malignant Narcissism – FRANK YEOMANS

How do you treat malignant narcissism? Frank Yeomans says the key is empathy for the patient’s sadistic pleasure, however hard it might be to empathize with someone who gets pleasure out of hurting others. A clinical example features a young woman who cuts off her own fingers.

We talked with Frank Yeomans about Narcissistic Personality Disorder (NPD) and how it can affect us on a personal and societal level.

Malignant Narcissism | Is it Narcissism and Psychopathy together?

This video answers the questions: What is a malignant narcissist? How doe malignant narcissism manifest in work settings? Malignant narcissism is a construct is not well studied, but in general refers to an individual has a combination of characteristics related to narcissistic personality disorder, antisocial personality disorder, paranoia, and ecosyntonic sadism in aggression.


There are two types of psychopathy: Factor 1 (primary, interpersonal affective) and Factor 2 (lifestyle, antisocial) psychopathy. Factor 1 psychopathy has characteristics like grandiosity, pathological lying, manipulation, a superficial charm, callous, unemotional, low neuroticism and lack of guilt or remorse. Factor 2 psychopathy has a parasitic lifestyle, being prone to boredom, sensation seeking, impulsivity, irresponsibility, a failure to have long term goals, poor behavioral controls, and criminal versatility.


There are two types of narcissism: With grandiose narcissism we see characteristics like being extroverted, socially bold, self-confident, having a superficial charm, being resistant to criticism, and being callous and unemotional. Vulnerable narcissism is characterized by shame, anger, aggression, hypersensitivity, a tendency to be introverted, defensive, avoidant, anxious, depressed, socially awkward, and shy.……

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