20 Shocking Truths About Narcissism: A Twisty Tour through Diagnosis and Treatment
11. The Grandiosity-Vulnerability Paradox: The Core Contradiction

A startling truth about NPD is its fundamental paradox: the overt grandiosity and sense of superiority are merely a desperate defense mechanism. Beneath the bravado lies an extremely fragile sense of self-esteem and profound vulnerability. This isn't genuine confidence; it's a meticulously crafted facade designed to protect against deep-seated insecurities and fears of inadequacy. This inherent contradiction explains the extreme reactions to criticism and the constant need for external validation – the perceived superiority is a psychological fortress against an inner void.