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Narcissistic Personality Disorder ("NPD") is in the Diagnostic and Statistical Manual of Mental Disorders--5 ("DSM-V") where it is defined and diagnosed. It is defined as a pervasive pattern of grandiosity (in fantasy or behavior) and self-importance, need for admiration, and lack of empathy, beginning in early adulthood and present in a variety of contexts as indicated by 5 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 she is "special", perfect 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., unreaonsable expectations of especially favorable treatment or automatic compliance with her expectations). (6) Is interpersonally exploitative (i.e., takes advantage of others to achieve her own ends). (7) Lacks empathy: unwilling to recognize or identify with the feelings of others and needs of others. (8) Is often envious of others or believes that other are envious of her. (9) Shows arrogant, haughty behaviors or attitudes.

They tend to have a superiority complex. Yet, their self-esteem is very fragile. They want constant attention. They expect to be catered to, and when that doesn't happen, they become furious. They expect to be given whatever they want, regardless of the needs or wants of others. They devalue others, and begrudge others successes or possessions, feeling that they better deserve those privileges, achievements, admiration. When they are rejected or humiliated they feel denigrated, degraded, and empty. They will react with disdain, rage, or defiant counterattack. This may cause the narcissist social withdrawal or an appearance of humility that masks their underlying narcissism. Sustained feelings of shame or humiliation and attendant self-criticism can be associated with social withdrawal, depressed mood, persistent depressive disorder, or major depressive disorder. Narcissistic personality disorders are associated with anorexia, substance abuse disorders (especially related to cocaine), Histrionic, borderline, antisocial and paranoid personality disorders.

The individual with narcissistic personality disorder and obsessive-compulsive personality disorder commit to perfectionism and believes that others cannot do things as well. When traits are inflexibility, maladaptive, persisting, and cause significant functional impairment or subjective distress do they constitute narcissistic personality disorder.

Narcissism is essentially untreatable because those with the disorder believe they don't have the disorder. They are highly resistant to change, refuse efforts at self-improvement and refuse treatment of any kind. Experts state that Narcissists ("NPD") are highly uncooperative and emotionally abusive, and to avoid them like the "plague" that they are. They have fragile egos and cannot tolerate being questioned. That's why they have to be put up on the witness stand in Family Court, because they will become completely unglued, and in some cases will show their rage. They can't play the victim when cornered. They are phonies and lie to make themselves look better. The misuse power and can be highly disempowering to others. Narcissists are highly vindictive and commence smear campaigns against those who disagree with them or refuse to tolerate manipulation by them.

Narcissists prefer control and love things that make them feel superior and in charge. They love money and control. Narcissists hate being ignored, questioned, seen as common, being criticized, being disobeyed, disregarded, have no respect for other people's boundaries, being left out, coming in second, being told they can't do or have something, having to follow the same rules as everyone else, not being the boss, not being allowed special privileges, being asked to be more considerate, not getting their way, being disliked, not being well-served, not getting the attention they want, and being told they are wrong or at fault in any way. Narcissists CANNOT be helped. It is best to avoid them as much as possible. Narcissists can tend to be dangerous and violent.

Narcissists fear losing power, influence, and favor. Narcissists will use pity and start crying (Crocodile Tears) to manipulate. If you feel sorry for them, they have a lot of power over you. That's why judges and lawyers bend over backwards for these types of people in Family Courts. In court cases, a person that turns on the tears on command in order to manipulate the court can be shut down by objecting to the Crocodile Tears that are prejudicing, manipulating, obstructing, or even tampering with the case. Lawyers will move to dismiss cases because of this type of manipulation.

Narcissists do know right from wrong and are excellent liars. They will lie when they insist they never said or did anything unkind or inconsiderate. They will lie to impress. They will lie to turn the tables in their favor, especially when they're enraged at someone who stands up to them. That's why it's good to get them on the witness stand and catch them in lies. They will reveal their true character and become enraged, exposing their violence and dangerousness. Narcissists are good at "gaslighting", insisting that negative events did not occur, leaving others to question their own memory and sanity. Women narcissists use social/family channels to wield the most power over others, playing the role of the self-sacrificing martyr for the children. Narcissists will usually end up with other dysfunctional people because healthy people will turn away from them and avoid them. Narcissists usually wind up with co-dependent people (co-narcissists?) and other vulnerable people who will be punished or discarded if they fail to remain compliant with the narcissist's wishes.

Narcissists are terrible parents. They are mean because they don't have empathy. They cannot or will not empathize with their children. Some narcissists ignore their kids and neglect or are disinterested in them. Children in these circumstances are often targets of abuse--both mentally and physically. Other narcissists smother their children and won't let them grow up or breathe. Narcissists usually don't like children because it takes away from their own self-serving needs. They blame children for non-existent things. They blame them for liking the other parent. Some only like small children, because they are easily manipulated. Some children are considered the "golden child" while others are the "scapegoat" when involved with a narcissistic parent. During divorce and/or custody battles, narcissists manipulate children like pawns because they lack empathy. Adult children of narcissists overwhelmingly and unfailingly report that they wish someone had done something about the mistreatment they suffered at home under the narcissist.

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