Dennis, DSM-IV is a construct of the American Psychiatric Association. It's the fourth revision of their Diagnostic & Statistical Manual intended to standardise psychiatric diagnoses. It describes innumerable clinical states, each with its necessary list of symptoms & signs. The theory is: tick the appropriate boxes & you will be handed a universally recognised diagnosis to attach to your patient. It's marvellously useful for the kind of research nut who wants to sound scientific when trying to tell us that faecal tin correlates strongly with obsessive compulsive nasal preoccupations. It's as useful to a practising clinician, of course, as a very fine mesh net would be to your everyday whaler. Your question about narcissism & trauma strikes me as very valid one. The psychoanalysts suggest that narcissism can sometimes be a healing, a nourishing process. The individual who has been damaged, hurt, - physically or emotionally - redirects all his psychic resources inwards, giving a priority, as it were, to his own needs over those of the outside world. To some extent we all do this. The hurt cat withdraws to a corner to recuperate. The sick child curls up in bed. But those with the special gift of being able to pamper themselves, to baby themselves, hold an advantage over those who find themselves forever obliged to put the needs of others before their own. Even aside from this 'therapeutic' aspect, there is for most of us something fascinating & intriguing about great narcissists. Freud pointed out that children, animals, great beauties, great criminals, often great artists - all hold a special allure for the rest of us. Despite ourselves, we're drawn to their self-sufficiency, their indifference to us. We find ourselves in the position of pemanently rejected lovers forever trying to break into their magical citadels. They're frustrating, but compelling bastards. And I freely admit to being enthralled by them - perhaps even, sometimes, half belonging with them. Scottie B.