At first I found this book immensely clarifying in its description of narcissism and its effects--as described in the various "cases." Ultimately, however, I did not find the chapters promising help to be especially helpful; there are more case studies in a briefer format and Golomb's own background interjected repeatedly. While descriptively helpful, there was, for me, a sense of frustration with the dramatic language and the obvious anger in the text. I expected more hopefulness, and its lack was distressing. Still, I think the book has much to teach and is well worth the time. It rings true to my own experience.