You're asking the wrong questions/ missing the bigger picture. Plus personality disorders are not always negative[0].

The underlying condition is "culture." Companies higher people with similar values that'll fit right in and "go with the flow." Now, how do we make it so the culture of fledgling companies does not turn into a frat house?

Restricting the freedoms of these types to start business will not work.

[0]https://hbr.org/2017/03/the-type-of-narcissist-that-can-make...