Having two daughters changed my perspective on a lot of things and I definitely have a newfound respect for women. And I think I finally became a good and real man when I had a daughter.
Psychology is as important as substance. If you treat people with respect they will go out of their way to accommodate you. If you treat them in a patronizing way they will go out of their way to make your life difficult.
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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.