But borderline individuals usually have poorer impulse control. They are more self-destructive. They function less well. And borderline individuals often appear to be quite emotionally needy while the whole signet of the narcissistic population appears to be self-sufficient. You also want to think about antisocial personality disorder.
Antisocial individuals are more impulsive and more persistently disregarding of cultural norms.
Narcissistic people either don t recognize that they are violating social norms or they feel that they are deserving to be above society s rules. Individual and group psychotherapies are the treatments of choice. Usually psychodynamic in orientation. Cohat sees narcissism as a developmental defect that results from inadequate parenting. So for Cohat the therapists job is to encourage people to reveal their untamed grandiose self, to really reveal all their grandiose fantasies and to allow an idealized view of the therapist because someone needs to have those views of self and the therapist for a long time, and then gradually weather the disappointments that come inevitably when Kernberg, on the hand, sees this grandiose self-view and narcissistic idealization as defenses to protect against the narcissists underlying rage and envy and sense of inferiority.