672 Personality Disorders
common. It is, therefore, important to distin guish among these disorders based on differ-
ences in their characteristic features. However, if an individual has personality features
that meet criteria for one or more personalit y disorders in addition to narcissistic person-
ality disorder, all can be diagnosed. The most useful feature in discriminating narcissistic
personality disorder from histrionic, antisocial, and borderline personality disorders, in
which the interactive styles are coquettish, callous, and needy, respectively, is the grandi-
osity characteristic of narcissistic personalit y disorder. The relative stability of self-image
as well as the relative lack of self-destruc tiveness, impulsivity, an d abandonment concerns
also help distinguish narcissistic personality disorder from borderline personality disor-
der. Excessive pride in achievements, a relative  lack of emotional display, and disdain for
others’ sensitivities help distinguish narci ssistic personality disorder from histrionic
personality disorder. Although individuals wi th borderline, histrionic, and narcissistic
personality disorders may requir e much attention, those with narcissistic personality dis-
order specifically need that attention to be admiring. Individuals with antisocial and nar-
cissistic personality disorders share a tendency to be tough-minded, glib, superficial,
exploitative, and unempathic. However, narciss istic personality disorder does not neces-
sarily include characteristics of impulsivity, aggression, and deceit. In addition, individu-
als with antisocial personality disorder may not be as needy of the admiration and envy of
others, and persons with narcissistic personal ity disorder usually lack the history of con-
duct disorder in childhood or criminal behavior in adulthood. In both narcissistic person-
ality disorder and obsessive-compulsive personality disorder, the individual may profess