it is the individual’s grandiosity, self-centedness, and lack of humility that are the most difficult obstacles to overcome in addiction… early pioneers in the treatment of alcoholism such as H. Tiebout were writing in the 1950s about the necessity of ego factors and ‘surrender of the inflated ego’ in alcoholics’ recovery.
Flores argues that grandiosity—identified by AA and pre-Kohutian clinicians alike—is the central narcissistic obstacle to addiction recovery, making its deflation a clinical and spiritual imperative.
, Group Psychotherapy with Addicted Populations An, 1997thesis