In our continuing saga of Margo and her diagnosis of narcissistic personality disorder with sadistic tendencies, we jump forward a few years and Margo is in her thirties and having her house renovated. She has employed an Asian painter to paint the inside of her house and he speaks little English. She phoned her sister Leah, who by this stage had restricted the number of encounters she had with her sister to effectively zero. However, whenever Margo had a gripe about their mother or in this instance, something “funny” to tell, she would ring her sister. She never noted that … Continue reading →

In the first two installments of Margo’s story we looked at Margo’s increasing sadistic tendencies as she aged from a young girl through to late teenagehood. Apart from displaying all the classic symptoms of narcissistic personality disorder, (see links below), Margo continued with her sadistic treatment of others who she felt she had power over. It is important to realize that, despite the front that narcissists show to the world, they are acutely insecure people and must rely on belittling others or, alternatively, associating themselves with people who they perceive as more important than themselves in order to make themselves … Continue reading →

In the first instalment of this series on narcissistic personality disorder with sadistic tendencies, Margo was 15. We looked at her behavioral problems which involved both her peers at school who she bullied, and her three-year old sister who she physically abused for pleasure. As time went on, the relationship between Margo and the world did not improve. By 16, she was laughing at girls who became pregnant and delighted in theirs and their family’s despair. Her now four-year-old sister because the target of her verbal taunts, since she had learned that continuing with physical punishment was counterproductive to Margo … Continue reading →

In our previous introduction to Sadistic Narcissism (see link below), we looked at the difference between narcissistic personality disorder )NPD), sexual sadism and narcissistic personality disorder with sadistic tendencies. Today we will look at Margo, who sufferers from NPD and has a sadistic side to her personality which was apparent by the time she was in her very early teens and possibly earlier. Margo was an only child for twelve years and as personality disorders do not become apparent in terms of a firm diagnosis until emotional maturity is reached in the early twenties, it is unclear what was happening … Continue reading →

So far in the many articles written on Narcissistic Personality Disorder (see links below), we have concentrated on the typical form of this particular disorder. But in rarer cases, some sufferers of this disorder have an added comorbidity: the addition of a sadistic streak in their personality. This form of sadism is quite different from the DSM-IV-TR category for Sexual Sadism. The latter involves gaining sexual pleasure from the suffering of others. Where there exists a sadistic tendency coupled with narcissism, the sufferer of this form of illness carries all the tendencies and diagnostic qualities of narcissistic personality disorder, but … Continue reading →