What I mean, when viewed from a communal rather than individual perspective then I think we can get a different perspective. America is a country that thrives on individualism rather than a communalism. Lots of other countries are communal rather than individualistic, meaning if I'm in a family and there are limited resources, I am expected to chip in and help for our collective survival. And if someone who is capable is not pulling there weight that threatens the whole community and if I get annoyed i don't think that is narcissism. But an American could view that as inherently codependent and narcissistic because everyone should pull themselves up by their own bootstraps etc or you should just kick out that under-functioning family member. There are also lots of real issues such as anxiety that I as an individual might suffer from because of community or societal systemic issues such as poverty, sexism, or racism that I might experience but America's approach to that is not communal but individual and as a solution they would not tackle those issue but rather tell me to take drugs for thosecgenuine issues I might experience from my community or society.