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The DSM does not provide a clear "threshold" or "critical mass" beyond which the subject should be considered mentally ill.
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Laymen often confuse and confute "personality" with "character" and "temperament".
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Personality disorders are like tips of icebergs.
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The narcissist lacks empathy. He is, therefore, unable to meaningfully relate to other people and to truly appreciate what it is to be human. Instead, he withdraws inside, into a universe populated by avatars - simple or complex representations of parents, peers, role models, authority figures, and other members of his social milieu.
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Narcissists invariably react with narcissistic rage to narcissistic injury.
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