Malignant narcissism
For the Rush instrumental, see Malignant Narcissism (instrumental).
Malignant narcissism is a psychological syndrome comprising an extreme mix of narcissism, antisocial personality disorder, aggression, and sadism.[1] Often grandiose, and always ready to raise hostility levels, the malignant narcissist undermines organizations in which they are involved, and dehumanizes the people with whom they associate.[2]
Malignant narcissism is a hypothetical, experimental diagnostic category. Narcissistic personality disorder is found in the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR), while malignant narcissism is not. As a hypothetical syndrome, malignant narcissism could include aspects of narcissistic personality disorder as well as paranoia. The importance of malignant narcissism and of projection as a defense mechanism has been confirmed in paranoia, as well as "the patient's vulnerability to malignant narcissistic regression".[3]
Sounds like the Donald to me!