Confidence quickly curdles into arrogance; smarts turn to smugness, charm turns to smarm.

There's plenty to read about keeping your sanity while raising children, but it's all common-sense stuff about task division and taking breaks and the relentlessly repeated magic of date night with your spouse. What's missing is some 'tude.

Since narcissism is fueled by a greater need to be admired than to be liked, psychologists might use that fact as a therapeutic lever - stressing to patients that being known as a narcissist will actually cause them to lose the respect and social status they crave.

The golden child may be the oldest one, unless it's the youngest. It may be the toughest one, unless it's the most sensitive. It's not even necessary that Mom and Dad have the same favorite - and typically they don't.

The vexing thing about human behavior is that when we say we know we should do something, we really and truly do know it. It's hard to be 50 lbs. overweight or smoke a pack a day or feel miserable every moment you spend at work and not understand in a deep and primal way that change is in order - and that in some cases it could even save your life.

Narcissism falls along the axis of what psychologists call personality disorders, one of a group that includes antisocial, dependent, histrionic, avoidant and borderline personalities. But by most measures, narcissism is one of the worst, if only because the narcissists themselves are so clueless.

Narcissism, like the other personality disorders, is a condition that's known as ego-syntonic. In other words, the paranoid person really does believe that people are after him, and the narcissist really does believe that he or she is better than or more entitled than other people, and truly doesn't see why that's not the case.