"Malignant narcissist" is a term used to describe individuals who exhibit extreme narcissistic traits and may engage in manipulative, exploitative, and harmful behaviors. It is not a clinical diagnosis recognized by the DSM-5 (Diagnostic and Statistical Manual of Mental Disorders).
Individuals with narcissistic personality traits may not necessarily experience auditory hallucinations (hearing voices) unless they also have a comorbid mental health condition that causes such symptoms, such as schizophrenia or certain other psychotic disorders. Auditory hallucinations are more commonly associated with conditions like schizophrenia, schizoaffective disorder, and sometimes bipolar disorder with psychotic features.
It's important to note that personality disorders and psychotic disorders are distinct categories in the field of mental health, and not all individuals with personality disorders experience psychotic symptoms like auditory hallucinations.
If you have concerns about someone's behavior or mental health, it's essential to seek professional advice from a qualified mental health professional who can conduct a comprehensive assessment and provide appropriate guidance and support.