Public attention can well be derogatory. Infamy is as useful as fame, notoriety as good as being renowned. This is the primary source of Narcissistic supply. The important element is not truth but the perception of truth. When the Narcissist loses one or more of these sources he reacts.
Dysphoria is an element within a larger emotional reactive pattern.
This emotional barrage provokes a pattern of self-healing through avoidance and escapism. This pattern is fairly rigid and linear. It develops gradually. The Reactive Repertoire is a change in the substantial parameters in the Narcissist's life. Such change is accompanied by the inner feeling that normalcy is restored.