Narcissism is a shame based disorder. The shame of being ordinary, being flawed. They have a false, distorted and fragile version of themselves, others and the world in general. They also lack humility. In order to maintain that sense of themselves reality must be rejected at all costs.
When reality cannot be ignored or denied they experience what's referred to as narcissistic mortification. This video outlines the mortification, some of the things that can cause it and the maladaptive defence mechanisms they employ to protect their ego.
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