Possible Clues:

• Personal preoccupation
• I manage badly penning circular letter, having no thought for others
• Typical Bond villain's malady
• Total self-absorption required, for example, to lead leaderless state
• Swelling of the head
• Extreme bovarism
• Thinking of oneself, say, north of Arabic area
• For one from a Gulf state, answer is not caring about others
• Wanting for example to replace head of state? An obsessive conceit
• Altruism's antithesis