Actually, not all narcissists are psychopaths AND not all psychopaths are narcissists. There tends to be confusion around the 'psychopathy' terminology because all though it describes a psychological profile, it's traditionally been more of a legal definition.Most professionals I know prefer to avoid the terminology altogether. However, there is definition of a sort for it within both the DSM and International Classification of Diseases (ICD), which have each: Narcissism is only a possible aspect of a psychopathic personality:Psychopathy: the more you know.