Dunno what the proper medical description of it is but I found this
Quote:
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Pathological narcissism and its extreme form, NPD, is characterized by extreme lack of empathy. The narcissist regards and treats other people as objects to be exploited. He uses them to obtain narcissistic supply. He believes that he is entitled to special treatment because he harbours these grandiose fantasies about himself. The narcissist is NOT self-aware. His cognition and emotions are distorted.
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So I suppose they could and would argue that he wasn't aware that what he was doing was wrong