Barack Obama appears to be a narcissist. Scroll down for a detailed treatment. Click here to read the section: “First Year in Office”.

Granted, only a qualified mental health diagnostician can determine whether someone suffers from Narcissistic Personality Disorder (NPD) and this, following lengthy tests and personal interviews. Read the Disclaimer below. But, in the absence of access to Barack Obama, one has to rely on his overt performance and on testimonies by his closest, nearest and dearest.

Perhaps it is time to require each candidate to high office in the USA to submit to a rigorous physical and mental checkup with the results made public.

I. Upbringing and Childhood

Pathological narcissism is a reaction to prolonged abuse and trauma in early childhood or early adolescence. The source of the abuse or trauma is immaterial: the perpetrators could be dysfunctional or absent parents, teachers, other adults, or peers.

II. Behavior Patterns

The narcissist:

• Feels grandiose and self-important (e.g., exaggerates accomplishments, talents, skills, contacts, and personality traits to the point of lying, demands to be recognised as superior without commensurate achievements);

• Is obsessed with fantasies of unlimited success, fame, fearsome power or omnipotence, unequalled brilliance (the cerebral narcissist), bodily beauty or sexual performance (the somatic narcissist), or ideal, everlasting, all-conquering love or passion;

• Firmly convinced that he or she is unique and, being special, can only be understood by, should only be treated by, or associate with, other special or unique, or high-status people (or institutions);

• Requires excessive admiration, adulation, attention and affirmation – or, failing that, wishes to be feared and to be notorious (Narcissistic Supply);

• Feels entitled. Demands automatic and full compliance with his or her unreasonable expectations for special and favourable priority treatment;

• Is "interpersonally exploitative", i.e., uses others to achieve his or her own ends;

• Devoid of empathy. Is unable or unwilling to identify with, acknowledge, or accept the feelings, needs, preferences, priorities, and choices of others;

• Constantly envious of others and seeks to hurt or destroy the objects of his or her frustration. Suffers from persecutory (paranoid) delusions as he or she believes that they feel the same about him or her and are likely to act similarly;

• Behaves arrogantly and haughtily. Feels superior, omnipotent, omniscient, invincible, immune, "above the law", and omnipresent (magical thinking). Rages when frustrated, contradicted, or confronted by people he or she considers inferior to him or her and unworthy.

Narcissism is a defense mechanism whose role is to deflect hurt and trauma from the victim's "True Self" into a "False Self" which is omnipotent, invulnerable, and omniscient. This False Self is then used by the narcissist to garner narcissistic supply from his human environment. Narcissistic supply is any form of attention, both positive and negative and it is instrumental in the regulation of the narcissist's labile sense of self-worth.

Perhaps the most immediately evident trait of patients with Narcissistic Personality Disorder (NPD) is their vulnerability to criticism and disagreement. Subject to negative input, real or imagined, even to a mild rebuke, a constructive suggestion, or an offer to help, they feel injured, humiliated and empty and they react with disdain (devaluation), rage, and defiance.

From my book "Malignant Self-love: Narcissism Revisited":

"To avoid such intolerable pain, some patients with Narcissistic Personality Disorder (NPD) socially withdraw and feign false modesty and humility to mask their underlying grandiosity. Dysthymic and depressive disorders are common reactions to isolation and feelings of shame and inadequacy."

Owing to their lack of empathy, disregard for others, exploitativeness, sense of entitlement, and constant need for attention (narcissistic supply), narcissists are rarely able to maintain functional and healthy interpersonal relationships.

Many narcissists are over-achievers and ambitious. Some of them are even talented and skilled. But they are incapable of team work because they cannot tolerate setbacks. They are easily frustrated and demoralized and are unable to cope with disagreement and criticism. Though some narcissists have meteoric and inspiring careers, in the long-run, all of them find it difficult to maintain long-term professional achievements and the respect and appreciation of their peers. The narcissist's fantastic grandiosity, frequently coupled with a hypomanic mood, is typically incommensurate with his or her real accomplishments (the "grandiosity gap").

An important distinction is between cerebral and somatic narcissists. The cerebrals derive their Narcissistic Supply from their intelligence or academic achievements and the somatics derive their Narcissistic Supply from their physique, exercise, physical or sexual prowess and romantic or physical "conquests".

Another crucial division within the ranks of patients with Narcissistic Personality Disorder (NPD) is between the classic variety (those who meet five of the nine diagnostic criteria included in the DSM), and the compensatory kind (their narcissism compensates for deep-set feelings of inferiority and lack of self-worth).

Obama displays the following behaviors, which are among the hallmarks of pathological narcissism:

III. Body Language

Many complain of the incredible deceptive powers of the narcissist. They find themselves involved with narcissists (emotionally, in business, or otherwise) before they have a chance to discover their true character. Shocked by the later revelation, they mourn their inability to separate from the narcissist and their gullibility.

Narcissists are an elusive breed, hard to spot, harder to pinpoint, impossible to capture. Even an experienced mental health diagnostician with unmitigated access to the record and to the person examined would find it fiendishly difficult to determine with any degree of certainty whether someone suffers from a full-fledged Narcissistic Personality Disorder – or merely possesses narcissistic traits, a narcissistic style, a personality structure ("character"), or a narcissistic "overlay" superimposed on another mental health problem.

Moreover, it is important to distinguish between traits and behavior patterns that are independent of the patient's cultural-social context (i.e., which are inherent, or idiosyncratic) – and reactive patterns, or conformity to cultural and social morals and norms. Reactions to severe life crises or circumstances are also often characterized by transient pathological narcissism, for instance (Ronningstam and Gunderson, 1996). But such reactions do not a narcissist make.

When a person belongs to a society or culture that has often been described as narcissistic by scholars (such as Theodore Millon) and social thinkers (e.g., Christopher Lasch) – how much of his behavior can be attributed to his milieu and which of his traits are really his?

The Narcissistic Personality Disorder is rigorously defined in the DSM IV-TR with a set of strict criteria and differential diagnoses.

Narcissism is regarded by many scholars to be an adaptative strategy ("healthy narcissism"). It is considered pathological in the clinical sense only when it becomes a rigid personality structure replete with a series of primitive defence mechanisms (such as splitting, projection, projective identification, or intellectualization) – and when it leads to dysfunctions in one or more areas of the patient's life.

Pathological narcissism is the art of deception. The narcissist projects a False Self and manages all his social interactions through this concocted fictional construct.

When the narcissist reveals his true colors, it is usually far too late. His victims are unable to separate from him. They are frustrated by this acquired helplessness and angry at themselves for having they failed to see through the narcissist earlier on.

But the narcissist does emit subtle, almost subliminal, signals ("presenting symptoms") even in a first or casual encounter. Compare the following list to Barack Obama's body language during his public appearances.

These are:

This article appears in my book, "Malignant Self-love: Narcissism Revisited"

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"Haughty" body language – The narcissist adopts a physical posture which implies and exudes an air of superiority, seniority, hidden powers, mysteriousness, amused indifference, etc. Though the narcissist usually maintains sustained and piercing eye contact, he often refrains from physical proximity (he is "territorial").

The narcissist takes part in social interactions – even mere banter – condescendingly, from a position of supremacy and faux "magnanimity and largesse". But he rarely mingles socially and prefers to remain the "observer", or the "lone wolf".

Entitlement markers – The narcissist immediately asks for "special treatment" of some kind. Not to wait his turn, to have a longer or a shorter therapeutic session, to talk directly to authority figures (and not to their assistants or secretaries), to be granted special payment terms, to enjoy custom tailored arrangements - or to get served first.

The narcissist is the one who – vocally and demonstratively – demands the undivided attention of the head waiter in a restaurant, or monopolizes the hostess, or latches on to celebrities in a party. The narcissist reacts with rage and indignantly when denied his wishes and if treated equally with others whom he deems inferior.

Idealization or devaluation – The narcissist instantly idealizes or devalues his interlocutor. This depends on how the narcissist appraises the potential his converser has as a Narcissistic Supply Source. The narcissist flatters, adores, admires and applauds the "target" in an embarrassingly exaggerated and profuse manner – or sulks, abuses, and humiliates her.

Narcissists are polite only in the presence of a potential Supply Source. But they are unable to sustain even perfunctory civility and fast deteriorate to barbs and thinly-veiled hostility, to verbal or other violent displays of abuse, rage attacks, or cold detachment.

The "membership" posture – The narcissist always tries to "belong". Yet, at the very same time, he maintains his stance as an outsider. The narcissist seeks to be admired for his ability to integrate and ingratiate himself without investing the efforts commensurate with such an undertaking.

For instance: if the narcissist talks to a psychologist, the narcissist first states emphatically that he never studied psychology. He then proceeds to make seemingly effortless use of obscure professional terms, thus demonstrating that he mastered the discipline all the same, as an autodidact – which proves that he is exceptionally intelligent or introspective.

In general, the narcissist always prefers show-off to substance. One of the most effective methods of exposing a narcissist is by trying to delve deeper. The narcissist is shallow, a pond pretending to be an ocean. He likes to think of himself as a Renaissance man, a Jack of all trades. The narcissist never admits to ignorance in any field – yet, typically, he is ignorant of them all. It is surprisingly easy to penetrate the gloss and the veneer of the narcissist's self-proclaimed omniscience.

Bragging and false autobiography – The narcissist brags incessantly. His speech is peppered with "I", "my", "myself", and "mine". He describes himself as intelligent, or rich, or modest, or intuitive, or creative – but always excessively, implausibly, and extraordinarily so.

The narcissist's biography sounds unusually rich and complex. His achievements – incommensurate with his age, education, or renown. Yet, his actual condition is evidently and demonstrably incompatible with his claims. Very often, the narcissist lies or his fantasies are easily discernible. He always name-drops and appropriates other people's experiences and accomplishments.

Emotion-free language – The narcissist likes to talk about himself and only about himself. He is not interested in others or what they have to say, unless they constitute potential Sources of Supply and in order to obtain said supply. He acts bored, disdainful, even angry, if he feels that they are intruding on his precious time and, thus, abusing him.

In general, the narcissist is very impatient, easily bored, with strong attention deficits – unless and until he is the topic of discussion. One can publicly dissect all aspects of the intimate life of a narcissist without repercussions, providing the discourse is not "emotionally tinted".

If asked to relate directly to his emotions, the narcissist intellectualizes, rationalizes, speaks about himself in the third person and in a detached "scientific" tone or composes a narrative with a fictitious character in it, suspiciously autobiographical. Narcissists like to refer to themselves in mechanical terms, as efficient automata or machines.

Seriousness and sense of intrusion and coercion – The narcissist is dead serious about himself. He may possess a subtle, wry, and riotous sense of humor, scathing and cynical, but rarely is he self-deprecating. The narcissist regards himself as being on a constant mission, whose importance is cosmic and whose consequences are global. If a scientist – he is always in the throes of revolutionizing science. If a journalist – he is in the middle of the greatest story ever. If a novelist - he is on his way to a Booker or Nobel prize.

This self-misperception is not amenable to light-headedness or self-effacement. The narcissist is easily hurt and insulted (narcissistic injury). Even the most innocuous remarks or acts are interpreted by him as belittling, intruding, or coercive. His time is more valuable than others' – therefore, it cannot be wasted on unimportant matters such as mere banter or going out for a walk.

Any suggested help, advice, or concerned inquiry are immediately cast by the narcissist as intentional humiliation, implying that the narcissist is in need of help and counsel and, thus, imperfect and less than omnipotent. Any attempt to set an agenda is, to the narcissist, an intimidating act of enslavement. In this sense, the narcissist is both schizoid and paranoid and often entertains ideas of reference.

These – the lack of empathy, the aloofness, the disdain, the sense of entitlement, the constricted sense of humor, the unequal treatment and the paranoia – render the narcissist a social misfit. The narcissist is able to provoke in his milieu, in his casual acquaintances, even in his psychotherapist, the strongest, most avid and furious hatred and revulsion. To his shock, indignation and consternation, he invariably induces in others unbridled aggression.

He is perceived to be asocial at best and, often, antisocial. This, perhaps, is the strongest presenting symptom. One feels ill at ease in the presence of a narcissist for no apparent reason. No matter how charming, intelligent, thought provoking, outgoing, easy going and social the narcissist is – he fails to secure the sympathy of others, a sympathy he is never ready, willing, or able to reciprocate.

IV. Narcissistic and psychopathic Leaders 

The narcissistic or psychopathic leader is the culmination and reification of his period, culture, and civilization. He is likely to rise to prominence in narcissistic societies.