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2012 American Psychiatric Association. All Rights Reserved. See Terms & Conditions of Use for more information. DSM-IV and DSM-5 Criteria for the Personality Disorders trauma). Narcissistic Personality Disorder Narcissistic Personality Disorder DSM-IV Criteria DSM-5 Criteria - Revised June 2011 A. 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 ( , 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.
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