While some alcoholics are narcissists, most aren't. In his book "Alcoholic Anonymous" Bill Wilson describes the alcoholic as "self-centered in the extreme, self-willed and grandiose." They think the world revolves around them. But that doesn't mean they suffer from narcissistic personality disorder. If they get sober, work the 12 Steps and therapy, eventually they become much less selfish. It takes time and a lot of work, but they do change. True narcissists never change.