In short: pathological

narcissism is a result of over-sensitivity, the repression

of overwhelming memories and experiences, and the
suppression of inordinately strong negative feelings
(e.g., hurt, envy, anger, or humiliation).
That the narcissist functionsStill, dysfunctions are reactions to abnormal
environments and situations (e.g., abuse, trauma,
smothering, etc.).
Paradoxically, his dysfunction allows the narcissist to
function. It compensates for lacks and deficiencies by
exaggerating tendencies and traits. It is like the tactile
sense of a blind person.In the absence of observers, the narcissist
shrivels to non-existence and feels dead. Hence the
narcissist's preying habits in his constant pursuit of
Narcissistic Supply. Pathological narcissism is an
addictive behaviour.Pathological narcissism involves an impaired,
dysfunctional, immature (True) Self coupled with a
compensatory fiction (the False Self). The sick
narcissist's sense of self-worth and self-esteem derive
entirely from audience feedback. The narcissist has no
self-esteem or self-worth of his own (no such ego
functions).