What would break George Bush's heart? What could make him experience empathy?

Diagnosis of narcissistic personality disorder requires a thorough psychological evaluation, the gathering of personal history, and personal observations made by the diagnosing doctor. In accordance with the DSM-IV, a diagnosis of narcissistic personality disorder is considered when five or more of the following criteria are present:

has a grandiose sense of self-importance (e.g., exaggerates achievements and talents, expects to be recognized as superior without commensurate achievements)
is preoccupied with fantasies of unlimited success, power, brilliance, beauty, or ideal love
believes that he or she is "special" and unique and can only be understood by, or should associate with, other special or high-status people (or institutions)
requires excessive admiration
has a sense of entitlement, i.e. unreasonable expectations of especially favorable treatment or automatic compliance with his or her expectations
is interpersonally exploitative (i.e. takes advantage of others to achieve his or her own ends)
lacks empathy, i.e. is unwilling to recognize or identify with the feelings and needs of others
is often envious of others or believes that others are envious of him or her
shows arrogant, haughty behaviors or attitudes.

From the Diagnostic and Statistical Manual of Mental Disorders, 4th Edition. American Psychiatric Association, 1994.