This podcast segment is a monologue by a single speaker discussing narcissistic personality disorder. The speaker explains the disorder as a defense mechanism against a fragmented self-concept, characterized by a grandiose self-image built on idealized aspects of the self and others. The speaker describes the devaluation of others as a crucial component, highlighting the internal conflict between grandiosity and emptiness. The discussion then shifts to the therapeutic challenges, emphasizing the patient's need to maintain superiority over the therapist and the eventual uncovering of the underlying borderline personality structure.