”Our preliminary results indicate significant psychopathological aspects and narcissistic dysregulation in most of our gender dysphoric patients. Among biological males different subtypes of self-(dys-) regulation and corresponding MMPI-profiles seem to emerge. Results of the narcissism inventory indicate that of the 4 main dimensions (the threatened self, the traditional narcissistic self, the ideal self, the hypochondriac self) scales covering aspects of the ,threatened self' show the most significant deviations while a number of patients do not have a negative body-self. The implications of these results should be considered when thinking about differential diagnoses and prognostic factors”
From: Self and Gender: Narcissistic Pathology and Personality Factors in Gender Dysphoric Patients. Preliminary Results of a Prospective Study.
<a class="break-all" href="http://web.archive.org/web/20020127060319/www.symposion.com/ijt/ijtc0103.htm" rel="nofollow" target="_blank">web.archive.org/web/20020127060319/www.symposion.com/ijt/ijtc0103.htm
This surprises me not a whit.