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Some of the worst leadership decisions of our time can be traced to escalation of commitment. Many people lost their lives because American presidents pursued a futile war in Vietnam — and continued searching for weapons of mass destruction that weren’t in Iraq.

Escalation of commitment helps to explain why leaders are often so reluctant to loosen their grip on power. Losing a high-status position can make them feel as if they’re losing their place in the world. It leaves them with bruised egos and wounded pride.

we use our big brains not to make rational decisions, but rather to rationalize the decisions we’ve already made

Escalation is likely when people are directly responsible for and publicly attached to a decision, when it has been a long journey and the end is in sight, and when they have reasons to be confident that they can succeed.

President Biden’s current situation checks all those boxes

the people closest to a leader are precisely the ones who are most susceptible to confirmation bias. They’re too personally invested in his success and too likely to dismiss warning signs.

What Mr. Biden needs is not a support network but a challenge network — people who have the will to put the country’s interests ahead of his and the skill to coldly assess his chances.

A clinical diagnosis of narcissistic personality disorder can occur when those symptoms become fixed and persistent — they do not come and go. In addition, the disorder causes distress or interferes with relationships, work or other domains.

the higher the levels of narcissism, the more people became “desperate, deluded, paranoid, angry, abusive and isolated.”

This makes it harder for the narcissist to “charm and impress others,” she said, which then makes it difficult for that person to elicit admiration.

Agentic narcissism is what most people think of when they imagine a narcissist. Those who score highly in this dimension are focused on status, power and success.“They see themselves as superior to others, crave admiration and have an inflated sense of self-importance,” Dr. Orth said. “They are typically very confident, assertive and want to be in leadership positions.”

Neurotic narcissism is characterized by hypersensitivity. Those who score highly in this dimension “constantly need validation and are very sensitive to criticism and rejection,” Dr. Orth said. “They often experience significant shame, anxiety, emotional instability, insecurity and self-doubt.”

Those with antagonistic narcissism often view others as rivals. They tend to be competitive, hostile toward others and willing to put them down to feel superior, Dr. Orth said. They also lack empathy and are exploitative.

It is “the core of pathological narcissism,” Dr. Malkin said. “These are bullies.”

It’s unclear why narcissism would reduce over time, but Sara Konrath, the director of the Interdisciplinary Program for Empathy and Altruism Research at Indiana University, has found in her own research that empathy increases as we grow older.

“Unfortunately, managing a difficult relationship is the best someone intimately involved with most narcissists can hope for,” said Elinor Greenberg, the author of “Borderline, Narcissistic and Schizoid Adaptations: The Pursuit of Love, Admiration and Safety.”