Published in 2000 by the American Psychiatric Association, the DSM-IV Text Revision (DSM-IV-TR) is the latest version of the DSM. In order to meet DSM-IV-TR criteria for Narcissistic Personality Disorder, an individual has to display a pervasive sense of grandiosity, excessive need for attention, and lack of empathy across a broad array of situations. Five of the following nine criteria need to be met:
- Grandiose sense of self-importance.
- Preoccupation with fantasies of unlimited success.
- Belief that he or she is special and only can be understood by other special, high status individuals or groups.
- Need for excessive admiration.
- Sense of entitlement—assumption that others should accommodate to the person’s needs and desires.
- Interpersonally exploitative.
- Lacking in empathy.
- Often envious of others or believes others are envious of him or her.
- Arrogant, haughty attitudes or behaviors.