There is a gross misunderstanding of personality disorders on here and in the general public. And a particular confusion between Narcissism and Sociopathology. The DSM-IV itself has been recently revised to reflect a change in how personality disorder and psychopathology is viewed.

Here are three important things to keep in mind:

1. A personality disorder is just the psychological term for "asshole".

2. Think of guilt as a line from A to B. A being too much guilt, and B being to little. Neurotics would be on the left near point A, and Psychopaths would be farthest to the right near B. With Narcissistic Personality Disorder somewhere much closer to B than A.

3. All anti social types of personality disorders are defined by a pathological inability to feel guilt or empathy. In the case of the psychopath it is not merely pathological, it is neurological. They are literally wired differently than the rest of us with inferior function in the hemispheres controlling conscientiousness.

Now, narcissism is basically a slavish adherence to appearances, self centeredness, grandiosity, lack of empathy, and other traits. Most if not all personality disorders have aspects of narcissism in them, some are more hopeless than others. All psychopaths have narcissistic traits, but some more than others. But narcissists aren't psychopaths.

Some of the people listed are addicts like Lohan, emotionally dead children of of a mother who is a Narcissist and "emotional vampire" like the Kardashians, or actual Narcissists like Kim Kardashian, her mother, or Tom Cruise. Charlie Sheen suffers/suffered from hypo mania, a situational form of bi-polar disorder. Some people listed are just people that bother us.

Narcissists are easiest found in Hollywood or Politics or anywhere fame is given without merit. Hence the only study on narcissism revealing that Reality Show contestants, especially females, are off the charts. Psychopaths are found in Wall Street, behind the scenes of politics and religion unfortunately.

A study was recently done that showed that there was a higher percentage of psychopathic personalities in CEO's than prison inmates. That is the alarming irony. In this celebrity obsessed culture we focus on narcissists, damaged addicts and sometimes just mild jerks. When the inmates are truly running the asylum of capitalism. Hence the financial crisis.

So. A more genuine list is :

Saddam Hussein

OJ Simpson

Dick Cheney

Rupert Murdoch

Angelo Mozillo (financial crisis)

Dick Fuld (financial Crisis)

Fred Phelps (Westboro Baptist Church aka "God Hates Fags" Etc)

Senator Mitch McConnell

Ayn Rand (writer)

L. Ron Hubbard (writer)

Rush Limbaugh

I'd say, for the money. You can't do any better than Grover Norquist or Rupert Murdoch for examples of how much damage a sociopath can do behind the scenes.

Narcissists :

Paris Hilton

Kim Kardashian

Tom Cruise

Ingrid Newkirk (P.E.T.A.)

Omarosa

Courtney Love

Axl Rose

Bill O Reilly (Malignant Narcissist)

Rush Limbaugh