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People with Narcissistic Personality Disorder (NPD) are preoccupied with their self-image and self-importance. They may engage in pumping up their own accomplishments or putting down others to feed their egos.

The American Psychiatric Association describes the behavioral patterns that identify NPD as follows:

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

Narcissistic Personality Disorder Web Sites

Wikipedia: Narcissistic Personality Disorder

American Journal of Psychiatry articles on PDs other than Borderline and Antisocial