Narcissistic Personality Disorder is a psychiatric diagnosis for an individual who presents a pattern of grandiosity, exhibits a sense of entitlement, excessively seeks admiration, and lacks empathy. The narcissistic injury to the self occurs at an early age and stimulates the construction of a "defensive self" or "false self" that demands attention. Historical examples include American Civil War and Indian Wars U.S. Army Gen. William Tecumseh Sherman. Columnist Alex Pareene has noted the absurdity of the internet hardman.