That it isn't the only available type of frame is pretty crucial, but most people never fully realize!
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There are also other problems.
Lack of core identity, without the tools to handle it, tends to land people in borderline/narcissism territory. It is emotionally destabilising.
"The tools to handle it" tend to superempower people and make them deeply, profoundly dangerous.
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Yeah, the decompensation aspect of narcissism, specifically. The struggle to maintain the self-defense mesh the disorder really is.
NPD sufferers are very sad, frightened people. A lot of that traces back to lacking mature ways of coping with an absence of a stable self-image.
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I am more of an advanced practitioner than a fully realized one, so I have some holes in my understanding and competence, but:
1) Full attendance to feelings as they come up, and meditation on emotions so as to do some heavier depth processing that regular life is too busy for.
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This is hard to pack into a tweet, but it entails learning to sit with some really uncomfortable baggage until it stops bothering you.
Overcoming the aversions that cause emotional blockages, e.g. in my case my long-held aversion to getting angry (after the school thing).
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Therapy is also a huge help here, provided it's with a good practitioner and framework.
Probably a lot more helpful than meditation, as this meditation is a messy process that can open some pretty disgusting internal wounds that you then have to clean and suture somehow...
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2) Mantra or other forms of concentration meditation.
This is the deadlift of meditation practices. Less about healing or liberating, more about building strength and potency in your attentional skills (that is necessary for the other work to progress well).
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This can be as simple as just saying a word out loud on repeat, or internally, or paying as exclusive attention to your breath as possible.
Most athletes, musicians etc. are already cultivating some version of this in their craft. It's part of how they get flow states etc.
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3) Paying attention to every sensory input in consciousness (including thoughts and stuff) at once.
Done in sitting meditation first, eventually can be done anywhere so long as you maintain it.
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