Malignant narcissists are grandiose and always ready to raise hostility levels, which undermines the families and organizations in which they are involved, and dehumanizes the people with whom they associate.
He characterized the condition as a solipsistic form of narcissism, in which the individual takes pride in their own inherent traits rather than their achievements, and thus does not require a connection to other people or to reality.
[4] Edith Weigert (1967) saw malignant narcissism as a "regressive escape from frustration by distortion and denial of reality", while Herbert Rosenfeld (1971) described it as "a disturbing form of narcissistic personality where grandiosity is built around aggression and the destructive aspects of the self become idealized.
"[5] Psychoanalyst George H. Pollock wrote in 1978: "The malignant narcissist is presented as pathologically grandiose, lacking in conscience and behavioral regulation with characteristic demonstrations of joyful cruelty and sadism".
[8] He described malignant narcissism[9] as a syndrome characterized by a narcissistic personality disorder (NPD), antisocial features, paranoid traits, and egosyntonic aggression.
Malignant narcissists, in contrast to psychopaths, are also said to be capable of developing "some identification with other powerful idealized figures as part of a cohesive 'gang'...which permits at least some loyalty and good object relations to be internalized...
While a person with NPD will deliberately damage other people in pursuit of their own selfish desires, they may regret and will in some circumstances show remorse for doing so.
Since sadism is often considered a feature of malignant narcissism, an individual with the syndrome may not only lack feelings of guilt or remorse for hurting others but may even derive pleasure from the gratuitous infliction of mental or physical pain on others.
Treatment is recommended in a therapeutic community, as well as a psychoeducational preventative program aimed at both mental health professionals and the general public.