Pathological narcissism, is not akin to typical narcissism—someone with a hedonistic or self-centered sense of self —but rather someone with a very weak sense of self. Obama’s narcissism is pathological.

Narcissists seek power. That is the whole purpose of their existence. Power for them is the elixir of life. Those who know about NPD can’t help but notice it in Obama’s posture, the tone of his voice, his demeanor and particularly his grandiose claims and unscripted adlibs.

Narcissim has degrees. When it is extreme it shows in the posture and the way the narcissist walks and talks. Obama's posture, exudes haughtiness. He is all puffery. Compare his posture to those of Hitler, Stalin and Saddam.

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

- Subtly misrepresents facts and expediently and opportunistically shifts positions, views, opinions, and "ideals" (e.g., about campaign finance, re-districting). These flip-flops do not cause him overt distress and are ego-syntonic (he feels justified in acting this way). Alternatively, refuses to commit to a standpoint and, in the process, evidences a lack of empathy.

- Ignores data that conflict with his fantasy world, or with his inflated and grandiose self-image. This has to do with magical thinking. Obama already sees himself as president because he is firmly convinced that his dreams, thoughts, and wishes affect reality. Additionally, he denies the gap between his fantasies and his modest or limited real-life achievements (for instance, in 12 years of academic career, he didn't publish a single scholarly paper or book).

- Feels that he is above the law.

- Talks about himself in the 3rd person singluar or uses the regal "we" and craves to be the exclusive center of attention, even adulation

- Has a messianic-cosmic vision of himself and his life and his "mission".

- Sets ever more complex rules in a convoluted world of grandiose fantasies with its own language (jargon)

- Displays false modesty and unctuous "folksiness" but is unable to sustain these behaviors (the persona, or mask) for long. It slips and the true Obama is revealed: haughty, aloof, distant, and disdainful of simple folk and their lives.

- Sublimates aggression and holds grudges.

- Behaves as an eternal adolescent (e.g., his choice of language, youthful image he projects, demands indulgence and feels entitled to special treatment, even though his objective accomplishments do not justify it).