What happens internally when the malignant narcissist or antisocial is diagnosed with incurable cancer?

When a malignant narcissist or antisocial individual is diagnosed with incurable cancer, they may experience a profound existential crisis that threatens their self-image and sense of control. This diagnosis can trigger intense feelings of vulnerability, fear, and rage, as they often struggle with accepting weakness or dependency. Their reaction may manifest in manipulative behaviors, seeking to maintain power over others even in the face of their own mortality. Ultimately, this situation may lead to increased emotional volatility and a focus on self-preservation rather than genuine introspection or connection with others.