Nearly everyone has some narcissistic traits. It's possible to be arrogant, selfish, conceited, or out of touch without being a narcissist. The practical test, so far as I know, is that with normal people, no matter how difficult, you can get some improvements, at least temporarily, by saying, essentially, "Please have a heart." This doesn't work with narcissists; in fact, it usually makes things worse...
It's impossible to overemphasize the importance of narcissists' lack of empathy. It colors everything about them. I have observed very closely some narcissists I've loved, and their inability to pay attention when someone else is talking is so striking that it has often seemed to me that they have neurological problems that affect their cognitive functioning...
A striking thing about narcissists that you'll notice if you know them for a long time is that their ideas of themselves and the world don't change with experience; the ones I've known have been stalled at a vision that came to them by the age of sixteen...
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