MALIGNANT NARCISSISM IS A PSYCHOLOGICAL SYNDROME COMPRISING AN EXTREME MIX OF NARCISSISM, ANTISOCIAL PERSONALITY DISORDER, AGGRESSION, AND SADISM. THE TERMS MALIGNANT NARCISSIST AND PSYCHOPATH ARE SOMETIMES USED INTERCHANGEABLY BECAUSE THERE IS LITTLE TO CLINICALLY SEPARATE THE TWO. MALIGNANT NARCISSISM IS HIGHLIGHTED AS A KEY AREA IN THE STUDY OF MASS MURDER, SEXUAL, AND SERIAL MURDER.