They transform different elements of their personality and of their life into the cornerstones of their disorder. Narcissists cannot afford to seriously alienate those who reflect to them their False Self. The very proper and on-going functioning of their Ego depends on the goodwill and the collaboration of their human environment. But even then it is within the traditional socially allocated roles. Yet, these again are traditional social roles.
Men are likely to emphasise intellect, power, aggression, money, or social status.
Another difference is in the way they react to treatment. Women are more likely to resort to therapy because they are more likely to admit to their psychological problems. Women are also more likely to ask for help than men. Children happen to be more available to the female narcissist due to the still prevailing prejudiced structure of our society and to the fact that women are the ones to give birth. It is easier for a woman to think of her children as her extensions because they once indeed were her physical extensions and because her on-going interaction with them is both more intensive and more extensive.