Narcissistic Injury occurs when narcissists react negatively to perceived or real criticism or judgment, boundaries placed on them, and/or attempts to hold them accountable for harmful behavior. The bubbling up, or surfacing, of injury to the narcissist’s ego manifests itself as feelings of rage and vindictive hatred for the instigator of the narcissistic injury. Narcissistic injuries are disassociated feelings of self-hatred and self-loathing that are projected onto the offending person, by either an angry tirade, cruel and vindictive verbal abuse, physical violence, or the silent treatment.