The relationship between a severe variant of narcissistic personality disorder (namely malignant narcissism) and the motivation to murder is presented in the case of a British spree serial killer. The case illustrates the development of this form of psychopathology and its association with the underlying inner narrative generated in the murderer's mind. The relationship between the pathology of narcissism, psychopathic disorder, dissociation and the phenomena of serial murder is analyzed. The present case is considered with reference to Hickey's Trauma Control Model of serial murder (1991).
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