In order to have a true diagnosis of Narcissistic Personality Disorder (NPD) a person must have 5 of the 9 traits of the disorder. This video talks about the 9 traits that need to be seen in order to determine a true narcissistic character of a client.
The motive behind harming others is what distinguishes a narcissist from a psychopath. Narc's main objective is to protect their image that they want others to see as them. Psychopaths simply enjoy harming people, get a "rush" out of it, and have no remorse over what they do.
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