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Do you feel narcissistic people are born with the predisposition to be that way…….

Or are they narcissistic as a result of their upbringing and circumstances. Or both. Or neither.
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Gibbon · 70-79, M
I believe our genetics and upbringing, including all adolescent peers, control who we are until our brain fully develops. Which is said not to occur until the mid 20s or early 30s.
That gives a lot of time for character development and flips. As well as time to be externally manipulated.

Narcissistic behavior could well be a predisposition that is brought out by the developing environment.
This could well be true for predictions to many mental disorders. Just because the disposition is there doesn't mean it has to develop.
Same thing with medical issues.
A whole family may be predispositioned to kidney failure but no assurance all of them will. We are what we eat could well play into that.

All that said there sre people in this world being toyed with and manipulated to be something they are naturally not.

I am predispositioned and developed to be really really REALLY pi$$ed off at the self mentality being socially pressured and persuaded into possible mental illness that would not have developed without intentional assistance.