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A close cousin to delusions of grandeur is Narcissistic Personality Disorder.

The mental health experts have not labeled NPD a disease, but rather a mental disorder whereby the person creates a "false Self," as a response to feelings of inadequecy during early childhood. This is the result of a child having had to create another identity in order to satisfy parental abuse. As time goes on, the person is unable to tell the difference between his false self and real self. In order to survive parental abuse, a child will mold themselves to reflect their parents wishes. The real self is lost, and the false self survives. The delusions of grandeur (Queen) are symptomatic of someone who has extreme feelings of worthlessness and has had to make up grandiose images in order to counteract these feelings.

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