The narcissist - being nothing but an apparition - cares only about appearances. What matters to him are the facade of wealth and its attendant social status and narcissistic supply. Media attention only exacerbates the narcissist's addiction and makes it incumbent on him to go to ever-wilder extremes to secure uninterrupted supply from this source.

The narcissist lacks empathy - the ability to put himself in other people's shoes. He does not recognize boundaries - personal, corporate, or legal. Everything and everyone are to him mere instruments, extensions, objects unconditionally and uncomplainingly available in his pursuit of narcissistic gratification. This makes the narcissist perniciously exploitative. He uses, abuses, devalues, and discards even his nearest and dearest in the most chilling manner. The narcissist is a utility- driven alien form, a semi-artificial intelligence, obsessed with his overwhelming need to reduce his anxiety and regulate his labile sense of self-worth by obtaining his drug - attention.

The narcissist is convinced of his superiority - cerebral or physical. He is forever the Gulliver hamstrung by a horde of narrow-minded and envious Lilliputians. Yet, deep inside, he is aware of his addiction to others - their attention, admiration, applause, and affirmation. He despises himself for being thus dependent. He hates people the same way a drug addict hates his pusher. He wishes to "put them in their place", humiliate them, demonstrate to them how inadequate and imperfect they are in comparison to his regal self and how little he craves them.

The narcissist regards himself as one would an expensive present. He is a gift to his company, to his family, to his neighbours, to his colleagues, to his country. This firm conviction of his inflated importance makes him feel entitled to special treatment, special favors, special outcomes, concessions, subservience, immediate gratification, obsequiousness, and lenience. It also makes him feel immune to mortal laws and somehow divinely protected and insulated from the inevitable consequences of his deeds and misdeeds.

The West's is a narcissistic civilization. It upholds narcissistic values and penalizes alternative value-systems. From an early age, children are taught to avoid self-criticism, to deceive themselves regarding their capacities and achievements, to feel entitled, to exploit others.

Litigiousness is the flip side of this inane sense of entitlement. The disintegration of the very fabric of society is its outcome. It is a culture of self-delusion. People adopt grandiose fantasies, often incommensurate with their real, dreary, lives. Consumerism is built on this common and communal lie of "I can do anything I want and possess everything I desire if I only apply myself to it" and on the pathological envy it fosters.

There is one incriminating piece of evidence - the incidence of NPD among men and women. If NPD is not related to cultural and social contexts, if it has genetic roots, then it should occur equally among men and women. Yet, it doesn't. It is three times as common among men than among women. This seems to be because the Narcissistic Personality Disorder (as opposed, for instance, to the Borderline or the Histrionic Personality Disorders, which afflict women more than men) seems to conform to masculine social mores and to the prevailing ethos of capitalism.

Ambition, achievements, hierarchy, ruthlessness, drive - are both social values and narcissistic male traits. Social thinkers like Lasch speculated that modern American culture - a narcissistic, self-centred one - increases the rate of incidence of the Narcissistic Personality Disorder.

To this Kernberg answered, rightly:

"The most I would be willing to say is that society can make serious psychological abnormalities, which already exist in some percentage of the population, seem to be at least superficially appropriate."

Besieged and consumed by pernicious guilt feelings - some narcissists seek to be punished. The self-destructive narcissist plays the role of the "bad guy" (or "bad girl"). But even then it is within the traditional socially allocated roles. To ensure social opprobrium (read: attention, i.e., narcissistic supply), the narcissist cartoonishly exaggerates traditional, social roles. Men are likely to emphasise intellect, power, aggression, money, or social status. Women are likely to emphasise body, looks, charm, sexuality, feminine "traits", homemaking, children and childrearing - even as they seek their masochistic punishment.