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As far as I can tell, both megalomania and narcissism are found in [delusions of] grandiosity. Perhaps megalomania has more focus on power, rather than just being well liked?

What is the primary difference between the two?

Are all megalomaniacs narcissists? Or all narcissists megalomaniacs? Or are they completely separate?

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The DSM (Diagnostic and Statistical Manual of Mental Disorders) doesn't distinguish between megalomania and narcissism. The most recent edition of the DSM (DSM-5) classifies both as a form of narcissistic personality disorder.

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Narcissism is an exaggerated sense of self love while megalomania is an exaggerated sense of self worth based on fantasies of power, attractiveness and other physical or psychological attributes and, therfore, all megalomaniacs are narcissists, but not all narcissists are megalomaniacs.

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Some of the information contained in this post requires additional references. Please edit to add citations to reliable sources that support the assertions made here. Unsourced material may be disputed or deleted.

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    $\begingroup$ Hi Jerome, welcome at CogSci and thank you for your answer. We do expect answers to include (scientific) references such that one's claims can be verified. Could you include some to back up your answer? Otherwise, your post would be more suitable as a comment. $\endgroup$ – Robin Kramer Jun 29 '17 at 5:29
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    $\begingroup$ Agreed: a quick reference to the source of this information would make this a worthy answer! $\endgroup$ – mfloren Jun 29 '17 at 17:21

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