Malkin proposes that Narcissism is not all bad. He says we all have to be special at times. There is a 'rate your own narcissism' quiz. He says it isn't like the questionnaires you see in the women's magazines, but it did seem a little familiar to me. However, the women's magazines have very short horoscope-like glib answers, this book has in depth stories and symptoms describing key symptoms of those on the echoism-narcissism spectrum. He advocates that we sit in the middle, where we receive attention, praise or promotions gracefully when due. There is some advice on how to deal with people in your life who exhibit problem selfish behaviour.