Big pharma was never the target of the war on drugs. Therapy using MDMA is proven to be effective for a lot of mental health issues, focusing on PTSD. Narcissism seems to stem from a different kind of trauma persistent through childhood which seems like a good fit for MDMA therapy. Emphasis on therapy, this is not like prescribing amphetamines for ADHD when you are expected to take them forever to treat symptoms which seems like you would be against. The point of this is to make therapy more effective not use the drug forever to treat the symptoms.

While not a narcissist, MDMA helped me with some things even if I used with other intentions in mind and it bringed some other stuff that I had to deal later with.

Just an anecdote that seems interesting. I knew a girl that every time she took MDMA in a party setting freaked out because she started to notice, the first time in months, all the selfish shit she had been doing till that point. And I mean stealing from her current boyfriend, lying to her parents so they gave her more money to buy things she didn't need (while being themselves pretty tight on money) and more.

She was diagnosed with really intense ADHD and CPTSD and I suspect she may have autistic traits and maybe narcissism as well, masked by all the other things, but I'm not a doctor.