[malwarebytess]

It's intractable. There is no solution except teaching people how to identify and protect themselves from narcissists, or institutionalization.

People with narcissistic traits can work towards undoing the damage done to them; but, once you're at the level of a personality disorder it becomes more about coping with the inevitable and continuous fallout. Genetics, trauma, and childhood abuse all come together to create a shell of a human being who, motivated by self-preservation, exists only to consume, exhaust, and expel other human beings.

There are no evidenced treatments, and there is no saving them. They are not capable of changing -- if they were, they wouldn't be (by definition) narcissists. The best thing we can do is teach people to identify and protect themselves from these lost souls.

[pshc]

This seems a little absolutist. These traits exist on a spectrum. Are personalities and minds really that predictable and non-malleable?

[blacksignal]

There's no incentive for them to change. If they can use people and then discard them for new supply, maintaining their power over people with manipulation and games -- then why change? Change would involve becoming vulnerable, giving up their means of power, and confronting their harmful actions.

[apostacy]

I agree that the language about personality disorders is absolutist and pessimistic, which I think obscures discussion about treatment.