We review the effects of density dependent near dipole-dipole, or loca
l field, interactions on lasing without inversion. In particular, we c
onsider the nonlinear behaviour of the macroscopic electric susceptibi
lity of a dense, coherently prepared, three-level LAMBDA system. For c
ertain values of the atomic density, we observe enhancement of the abs
orptionless index of refraction and inversionless gain by more than tw
o orders of magnitude. We also predict a piezophotonic switching effec
t whereby a small change in density induces the system to flip from a
strong absorber into a local field enhanced inversionless amplifier.