The Diagnostic and Statistical Manual of Mental Disorders (DSM IV-TR) is the diagnostic manual used by mental health professionals. A diagnosis of narcissism requires five out of nine characteristics. Note these traits must endure overtime and must not be reactions to a particular situation or environmental stressor: Grandiose sense of self-importance. Preoccupation with fantasies of unlimited success, power, beauty, or ideal love. Sense of specialness, belief he can only be understood by or should associate only with other special or high-status individuals or institutions. Need for excessive admiration. Heightened sense of entitlement, leading to unreasonable expectations that others should treat...