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Narcissists often act in ways that hurt others, and the question of whether they do this intentionally is complex. In the early stages of their lives or interpersonal relationships, many narcissists act unconsciously. Their behavior often stems from deep-rooted insecurities, a distorted sense of self, and an unconscious need to be in control or receive validation. They undergo a kind of metamorphosis: at first they may not be aware of the full consequences of their actions, but over time they realize that their actions are harmful to others.