Narcissistic traits in certain abused children.

Three groups of severely abused, emotionally disturbed children are described, one of which is made up of "private" children, who seem to share many of the characteristics of the adult narcissistic personality disorder. These children appear pleasant and tractable, seem better adjusted, and are rarely referred for treatment; they are remarkably able to assess their environment and made predictions. However, they remain aloof, fear dependency, and are unable to form meaningful relationships. The therapy of one such child is described in detail.