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DNS, you're quite right, and I'm not too comfortable with the way that practitioners of that version of the psychodynamic approach operate -- they can explain anything and everything in terms of their theories, which doesn't make for good science. But as a general category for for folks like Cho and Lanza, it may have some utility.
It would probably be fair to say that not all mass murderers who fit the profile described in the literature go in for dressing up, but that all those who do dress up do fit the profile.
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