I'm still very connected to my family to the world I grew up in. I understand what it means to be afraid that you can't pay a doctor's bill. Or to have to make the choice between buying a band uniform for a seventh-grader and making the insurance payment on time. That will never leave me. It was how I lived until I was well into my adult years.

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Since narcissism is fueled by a greater need to be admired than to be liked psychologists might use that fact as a therapeutic lever - stressing to patients that being known as a narcissist will actually cause them to lose the respect and social status they crave.