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MAXIMUS PANDAMONIUS
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Malignant narcissism
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This article is about a theoretical construct in psychology. For the recognized personality disorder commonly referred to as pathological narcissism, see Narcissistic personality disorder. For the song by Rush, see Malignant Narcissism (song).
Malignant narcissism is a theoretical personality disorder construct conceptually distinguished from typical narcissistic personality disorder (NPD) by the presence of antisocial behavior, egosyntonic sadism, and a paranoid orientation,[1][2] while still retaining some capacity for guilt and loyalty.[2]

Malignant narcissism is not recognized as a diagnostic category in any major classification system for mental disorders, namely[3] DSM-5-TR,[4] or ICD-11, the latter of which diagnoses personality disorders dimensionally rather than categorically.[5] Rather, it is conceptualized as a subcategory of NPD.[6][7] Although it is not recognized as its own distinct disorder, the Alternative DSM-5 Model for Personality Disorders - presented in section III of both DSM-5 and DSM-5-TR - explicitly mentions "malignant narcissism" as an example of a case when additional antagonistic traits characteristic of antisocial personality disorder[8] may be specified for NPD.[9][10]
 
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