ABSTRACT
The pathological narcissist is obsessed with and has a highly exaggerated sense of self, feel they are superior to others and has a delusional sense of entitlement. They are overly preoccupied with self and exhibit primitive defense mechanisms such as guilt, shame, envy, control, domination, splitting and projective identification. The malignant narcissist is distinguished from the others as one of the most severe forms of narcissism, permeated with an undue amount of aggression, sadism, and cruelty, yet in a perverse way able to maintain some level of superego functioning. Compared to other narcissistic personalities, the obsessive–compulsive has a more developed and well-integrated ego, a better tolerance for anxiety and impulse control, as well as a harshly strict but well-integrated superego. Unlike the narcissist driven by self-love, the depressive narcissist is driven by self-hatred turned inward and always self-blame. Depressive narcissists feel hopeless and make everyone around them feel miserable and depressed.
