Narcissistic Personality Disorder
A pervasive pattern of grandiosity (in fantasy or
behavior), need for admiration, and lack of
empathy, beginning by early adulthood and present
in a variety of contexts, as indicated by five (or
more) of the following:
1. Has a grandiose sense of self-importance
(e.g., exaggerates achievements and talents,
expects to be recognized as superior without
commensurate achievements)
2. Is preoccupied with fantasies of unlimited
success, power, brilliance, beauty, or ideal love
3. Believes that he or she is "special" and
unique and can only be understood by, or should
associate with, other special or high-status
people (or institutions)
4. Requires excessive admiration
5. Has a sense of entitlement, i.e., unreasonable
expectations of especially favorable treatment or
automatic compliance with his or her expectations
6. Is interpersonally exploitative, i.e., takes
advantage of others to achieve his or her own ends
7. Lacks empathy: is unwilling to recognize or
identify with the feelings and needs of others
8. Is often envious of others or believes that
others are envious of him or her
9. Shows arrogant, haughty behaviors or attitudes
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