is actually a fairly significant component of narcissism, and while narcissists and psychopaths are both on the pathological end of the extroversion spectrum, they are not the same thing. The narcissist usually starts out in childhood when you have a mix of high expectations coupled with poor self-image. The child fabricates a facade that is bigger and more outgoing than they are, and starts projecting that to the outside world. This is a pretty typical pattern of childhood development, usually manifesting between the ages of eight and fifteen, and usually as someone matures the inner and outer selves merge. In the malignant narcissist, however, they don't - the inner person becomes even more insecure and the sense of maturation Nof identity never happens. People who are spoiled or otherwise privileged may develop this way as well because they are never denied something that they shouldn't have, but usually there is an abusive component involved with narcissism.
Narcissists become fixated upon their grandiose self. My own theory is that they also have a lower sensitivity to dopamine in their neurons, and if attention isn't on them (which stimulates dopamine absorption) then they become depressed, which leads into a cycle where the depression makes it even harder to get stimulation, so they make up excuses that put the onus of their not being stimulated on someone or something else. Cocaine can have this effect as well - cocaine is more easily absorbed by neurons, but in the process burns them out, so the more cocaine you take, the more self-absorbed you become and the more likely you are to become reckless solely to get that dopamine high.
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