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Definition. Narcissistic personality disorder is a mental disorder in which people have an inflated sense of their own importance, a deep need for admiration and a lack of empathy for others. But behind this mask of ultraconfidence lies a fragile self-esteem that's vulnerable to the slightest criticism.y Mayo Clinic Staff. Narcissistic personality disorder is a mental disorder in which people have an inflated sense of their own importance, a deep need for admiration and a lack of empathy for others.
The narcissistic personalityâ¦. 1  Has a grandiose sense of self-importance ( e.g., exaggerates achievements and talents, expects to be recognized as superior without commensurate achievements).  Is preoccupied with fantasies of unlimited success, power, brilliance, beauty or ideal love.