Conviction and narcissism aren't defined by reactions to disagreement. Narcissism involves a broader range of traits, including a need for admiration and lack of empathy, not just anger when challenged. Narcissists are more passive-agressive than enraged. Also the DSM sucks.

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disagree

I mean you did specify "clinical"

https://www.ncbi.nlm.nih.gov/books/NBK556001/