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What makes a person deelop narcissistic personality disorder?

We all have a healthy dose of narcissism, but how is a malignant, pathological one made? One that has no remorse, accountability, morals, love, or attachment to anyone. One that creates a false persona and wears a mask 24/7 that could fool even the most brilliant expert. One that cannot create a decent or stable life, self-sabotages, is reckless and impulsive, and always plays the victim? 

How do you make one of those?