I have this view. We all have our egos. But the extent of egotism varies from person to person. Along with egotism comes sensitivity. There are also people who are not too egoistic, but too sensitive. Sensitive people, who will move with others quite nicely otherwise will suddenly become foul if they are criticized or made fun of.
Egoistic people can easily hurt others. Sensitive people can easily get hurt for a little reason. When egotism and excess sensitivity are present in the same person, he/ she will find very few close friends and relatives who can move with them comfortably. Because of their egotism, they will also not heed to any good counseling by well wishers.
"I am okay; you are not okay" will be their attitude. Such people will get alienated and discarded, unless they do a serious soul search.