"When the defenses against reality collapse for a person with the dual diagnosis Narcissistic Personality Disorder and Anti-Social Personality Disorder, what can happen?"
The answer below, but a couple comments first.
The rejection by NY/DC was bad, but it was Obama's roast that was the blow that sent him over the edge to "prove them all wrong" by becoming president.
Winning the presidency kept reality at bay for awhile, but no more. He may still be kidding himself that he'll get his approval numbers back up. Of course, he is wrong.
And Obama has loomed large again as he confronts the reality that the ONLY way out of Iran is to recommit to "Obama's treaty" (that he shredded) and hand the Iranians 10X the money obama did. A humiliating loss of gigantic proportions.
Of course, there is no "bouncing back" for him. There is no way out because he is INCAPABLE of making the humiliating deal. Week-after-week, month-after-month, he will keep demanding "his people" get a "better deal." They can't and won't. He'll cling to the notion he is a strongman who is "holding out," but sooner or later the reality that he is perhaps the most evil, contemptuous loser in history will break through.
Things could get very, very, scary.
Apply whatever level of skepticism you apply to all AI, but here's the response. (Seems we've seen a lot of this already so, as many have observed, he's apparently been decompensating for a while.)
When defenses collapse in an individual with both Narcissistic Personality Disorder (NPD) and Antisocial Personality Disorder (ASPD)—a combination sometimes associated with malignant narcissism or psychopathy—they lose their ability to manage their self-image and manipulate others. This psychological decompensation typically triggers extreme, volatile, and dangerous outcomes.
1. Severe Psychotic or Delusional Episodes
When their grandiosity completely fails to protect them from reality, the ego may fracture. This can lead to brief reactive psychoses or deep paranoid delusions where they externalize all blame, viewing themselves as the ultimate victim of a "persecutory" world.
2. Malignant Aggression and Retaliation
Individuals with this dual diagnosis often react to wounded pride or exposure with intense rage. Without their usual behavioral filters and manipulative facades, this can escalate into severe physical violence, stalking, harassment, or calculated attempts to ruin the lives of those they hold responsible.
3. Complete Loss of Empathy and Behavioral Restraint
The ASPD traits (lack of remorse, disregard for others) are normally kept somewhat in check by the NPD need for admiration and social status. When defenses collapse, the need for approval disappears, leaving behind a highly impulsive, predatory individual who acts purely on instinct without any moral or social constraints
4. Extreme Self-Destructive Behaviors
If they can no longer maintain their grandiose narrative or control their environment, they may turn their aggression inward. This can manifest as severe substance abuse, high-risk reckless behavior (gambling, dangerous stunts), or acute suicidal crises driven by narcissistic mortification.
5. Ultimate Social Isolation
Because their primary coping mechanism is to exploit and manipulate others, the collapse of these defenses usually results in them burning every bridge. They may alienate family, friends, and colleagues, leading to total social abandonment and destitution.
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