“His problem is that he has grown up with vulnerability in terms of his self-worth, self-esteem and a clear sense of himself,” a past president of the American Psychoanalytic Association, told me. “Somebody with these kinds of vulnerabilities, affirmation, being the center of things, is never enough. Because you can’t solve these old wounds, these old, narcissistic wounds—you cannot solve them with affirmation, with being at the center of things. You can’t because they persist, so that you need more attention, you need more affirmation, you need to be more at the center of things, all the time, more often. And when realities start to interfere with getting that kind of affirmation, you just want more.”