It's notable that over the last couple decades, we've moved to where we refer to diabetics as people with diabetes, schizophrenics as people exhibiting symptoms

It's notable that over the last couple decades, we've moved to where we refer to diabetics as people with diabetes, schizophrenics as people exhibiting symptoms of a variety of mental disorders, disabled as people with disabilities, the obese as people coping with obesity - but narcissists, sociopaths, and psychopaths are still othered, and yet still within the domain of detatched clinical assessment. These are moral assessments of character, and ones that aren't wrong to make. But it's disingenuous to say that we have a medical definition of what is essentially an evil tendency that we can treat (and presumably, eradicate) as a disease. The more literary theme among the obvious narcissists and psycho's I've met was they lacked self acceptance, and were pathologically actuated by the approval of others, particularly imagined others. They filtered their experiences to only ones that reflected a deep seated idea of a perfect and adorable self, and they had adapted to ferociously attack anything that threatened this perfect and vulnerable self image. That's not a disease, it's poor parenting exacerbated by a culture that enables it. People can learn and change, and they do it every day. The popular pseudo scientific discourse around narcissists and sociopaths is politically dangerous and in many cases, I suspect motivated by a purifying urge that is a much deeper evil.