Narcissistic Abuse can be physical, mental, emotional, sexual, financial, and/or spiritual. Some types of emotional abuse are not easy to spot, including manipulation. It can include emotional blackmail, using threats and intimidation to exercise control.
Many ministries can often be blindly headed up by highly narcissistic leaders. They are in the churches, in denominational positions, in the mission field, and in mission/para-church organizations. In order to understand how bad this narcissism could be we need to first understand narcissism.