The definition of Narcissistic Personality Disorder (NPD) are grandiosity, a lack of empathy for other people and a need for admiration. People with this condition are frequently described as arrogant, self-centered, manipulative and demanding. At the core of a Narcissist is a combination of entitlement and low self-esteem. Narcissism is the belief that the world revolves around us, it creates an endless need to be accepted and cared for by others. As it progresses it can cause us to feel that we are not lovable nor valuable and that we don't really belong. Narcissistic personality disorder is found more commonly in men. The cause is unknown but likely involves a combination of genetic and environmental factors. The disorder needs to be diagnosed by a professional. Treatment involves talk therapy. Many Narcissists do not know the way they feel is abnormal because they have nothing to compare it to. It could be very late in someones life before they realize a majority of people don't feel the way they do. It takes so long to realize this because the Narcissist believes they are unique or special in some way, which allows them to think that not many people can understand them. They feel that others inferior to them are too intellectually limited to even comprehend their greatness. Another defining characteristic is being exploitative, utilizing others for their own gain or advantage.
The incompatibility of these beliefs with the way the world really is, cause the Narcissist to look for a way to escape. While the list of distractions used is long, if they lock onto alcohol as there (medicine), and abuse it for years and years, eventually the alcohol becomes a problem (an allergy), in addition to the NPD. So we have become powerless over alcohol and our lives (our thinking) has become unmanageable. Because of the dis-empowering beliefs systems created in the Narcissists mind.
NPD was first diagnosed in 1985 as an incurable mental illness, this was modified in 1990. Experts determined that NPD was progressive and if identified early enough could be treated with extensive talk therapy, if the NPD was not treated early enough, it would progress to Malignant Narcissism, for which there is no cure.
So many people would be helped, if the (experts) would start clarifying this. The only reason I see for this not happening is the unwillingness of the (experts) to start an honest dialogue about Narcissism. Everyone lives with some common forms of Narcissism (Everyday Narcissism), and this is normal in our society. Whats not normal, nor understood is the effect an abusive upbringing or trauma can have on EN (everyday narcissism). And how easy an individual can move from the normal forms of Everyday Narcissism to the destructive personality disorder known as Narcissistic Personality Disorder.