Listen

Description

"Do they have broken self worth....one half perceiving they are wonderful the other half thinking they are dreadful?"

They have no self worth.

Now, wait for this because it's a mind twister: 

The NPD has no "healthy narcissism".

The two halves you speak of are the two halves Sam talks about that form the NPD personality: true self and false self.

Or "authentic" self and "hyper idealised" self.

It's a constant desperate fleeing from one polarity to another.

The NPD is created by being torn and twisted between two polarities.

One in which I am a worthless piece of shit, running barefoot and naked to the promised land in which I am God like and all powerful.

The tragedy is of course both are false, both caused by a traumatic break from reality.