Emily Yoffe examines Narcissistic Personality Disorder here.
"They have a primitive, undeveloped sense of self." To compensate, they create a grandiose image to distract from an inner state that Payson says is one of "almost malignant anxiety and emptiness."As well,
Psychologist Allan N. Schore, an associate clinical professor at the David Geffen School of Medicine at UCLA says NPD can be summed up as, "Contempt of other people and their emotions." People with NPD are convinced there is nothing wrong with them; it's everyone around them who is impossible or crazy.