You can confront compensatory grandiosity with relative ease and safety. The vulnerable narcissist merely seeks reassurance. So, the more you reassure them, the better they inwardly begin to feel about themselves. But you can’t deal with or confront the truly egomaniacal narcissist with the same ease or in the same way.
Genuineness is a rare commodity these days. But of all wondrous things I’ve experienced in my years doing therapy, nothing compares to engaging with a person soul-to-soul.