The most current iteration of the Diagnostic and Statistical Manual of Mental Disorders classifies narcissistic personality disorder as: “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.” A diagnosis would also require five or more of the following traits:
1. Has a grandiose sense of self-importance (e.g., “Nobody builds walls better than me”; “There’s nobody that respects women more than I do”; “There’s nobody who’s done so much for equality as I have”). 2. Is preoccupied with fantasies of unlimited success, power, brilliance, beauty or ideal love (“I alone can fix it”; “It’s very hard for them to attack me on looks, because I’m so good-looking”). 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 (“Part of the beauty of me is that I’m very rich”). 4. Requires excessive admiration (“They said it was the biggest standing ovation since Peyton Manning had won the Super Bowl”). 5. Has a sense of entitlement (“When you’re a star, they let you do it. You can do anything. Grab them by the pussy”). 6. Is interpersonally exploitative (see above). 7. Lacks empathy, is unwilling to recognize or identify with the feelings and needs of others (“He’s not a war hero . . . he was captured. I like people that weren’t captured”). 8. Is often envious of others or believes that others are envious of him or her (“I’m the president, and you’re not”). 9. Shows arrogant, haughty behaviors or attitudes (“I could stand in the middle of 5th Avenue and shoot somebody, and I wouldn’t lose any voters”).