This workshop will clarify exactly what narcissism is, what it means clinically, and how this pattern is central to understanding domestic abuse and gender-based violence in all forms. Current models of family and gender-based violence do not account for narcissism and its associated patterns, which is a significant omission. Narcissism is often portrayed and misunderstood as superficial vanity and attention seeking, as well as mere egocentricity and selfishness. While these are elements of narcissism, the key pillars of narcissism – lack of empathy, entitlement, grandiosity, arrogance, impulsivity, poor frustration tolerance often manifested as rage, emotional dysregulation, incapacity for taking responsibility, and a propensity to emotional manipulation, exploitation, control and coercion – are associated with a greater likelihood of physically and psychologically abusing partners and other people close to them. These patterns are often intergenerational, culturally reinforced, and a byproduct of existing frameworks of gender privilege, patriarchy, social and economic stratification, and authoritarianism. Many clinicians are not adequately trained in personality patterns such as narcissism, which can often leave a “hole” in our understanding of these patterns of violence and abuse. A clearer understanding of narcissism may actually shift the conversation on gender-based violence and emotional and physical abuse into new perspectives which can inform prevention and policy.