Nina, the ballerina in the Black Swan, believes that people who attempt or threaten to interfere with her distorted thinking are dangerous to herself and her goals. She is as merciless with them as she is with herself.
She doesn’t perceive the emotional consequences to others her behavior causes. If she gets a glimmer of pain she causes in others she will justify it to herself by saying she had no choice. And indeed, to her eating-disordered mind, she didn’t have a choice.