Sometimes the kind of crap done by people who are selfish wankers is just that - crap - not a cry for help.
Certainly in my personal experience people who haven't actually grown up as persons to become mature adults don't actually see the problems that they repeateadly get into with everybody else because of having the emotional complexity and impulse control of toddlers as their fault, but rather as the fault of others.
There's no cry for help in their actions because they don't think they need help.