The sick and the dying (part 2)

My response:

Interesting question. I am the world's worst sick person. When I was a teenager, I had a hard-to-diagnose health problem that made me very sick for some time. During that time I lost every single friend I had.

When I am sick, all I can think of is me. Usually I have the energy to keep up appearances, keep the mask on, etc. When I am sick, I simply do not. I typically don't even notice my ill behavior myself. For instance, when I was sick as a teenager, I thought I was handling things remarkably well. I was honestly surprised when all of my friends abandoned me. Since then, nearly every time I am sick, I get into an unprovoked argument with someone. The sickness makes me less patient, more easily annoyed, which I mistakenly attribute to that person being particularly troublesome. Does this ever happen to you? Where you feel nauseous and equate it to being nervous, but really you have the flu? Or you are short tempered and equate it to other people being difficult, when really you have a migraine? This is what happens to me when I am sick.

I think my emotions are so low level that I have gotten used to reading changes in my body as signs of how I may "feel" about something. If my stomach is upset, I figure that I am probably nervous so my adrenaline is up. If I have a fuzzy brain or a headache, I assume that I am tired or overwhelmed. Because I have gotten used to doing this, when I am sick because of a virus and not just sick and tired of something or somebody, I mistakenly believe at first that I am responding to things going on around me. But they are just emotional hallucinations -- my body is tricking my brain into thinking that certain negative things exist, but they don't -- it's all just my brain misinterpreting data.

So I could see how your father might blame you or others for the discomfort he feels. Even if that isn't true, he certainly has much less energy to put on a happy face. What you are getting from him right now is the uninsulated, un-papered over version of him. And you're right that he is probably annoyed that life (and you in some weird way) has betrayed him, failed him by allowing him to become the shadow of the man that he was. But that must be pretty normal for old people with a touch of narcissism, I would imagine.

The sick and the dying (part 1)

A reader asks:

I would be very interested in knowing how a sociopath deals with illness and old age. I am an RN and have cared for many a sociopath in my day (without knowing it). As I mentioned in previous emails my father is sociopathic. He is now in his 80's and a very miserable person to be around. He hates the fact that he is growing feeble, like we all will/do but his behavior is not the norm.

There seems to be no way to interact with him that does not turn out be a disaster. If I show my empathy and caring, he finds something to put a wedge between us. For example, the last time, I tried to talk to him about his physical health he threw in my face my teenage years and how I was not there for him during a difficult time. He let me know that he gave up on me at that time and that he had no use for me. If I ignore his ailments, he gets angry because no one understands or cares. It obvious that he feels quite less than everyone else and he makes little effort now to communicate with others with the exception of his wife who has devoted her life to him. I have not seen my father in almost 4 years.

I am wondering what is the best way to deal with an ailing sociopath. When sociopaths are faced with life-threatening illness and require hospitalization, do they look for empathy from others? Do the games stop even then or do they continue to manipulate people with a feeling of enjoyment? How does a sociopath think, feel and behave in times of such extreme vulnerability such as a terminal or life threatening illness along with the perils of aging?

Hitting a wall

I thought this was an interesting recent comment on an older post that deserved to be read:


I've reached the point where I'd like to get some help for my impulsive traits. I'm' saying "impulsive" rather than "psychopathic" because I'd like to focus on what I see as the problem.

You could say that I'm a high-functioning psychopath. I'm Machiavellian, narcissistic and psychopathic. 

I've apparently got enough impulse control (and intelligence) to get me what I need. But I sense that there's a gap. I'm missing something.

In the past, I wouldn't have done this because I was too proud. I wasn't able to admit that I was behaving "badly" or had a problem. And I was young enough that I was substantially getting what I wanted. 

Now that I'm middle aged, that isn't happening. Perhaps because I'm not getting what I want, I can see I've behaved anti-socially, and it has cost me. E.g. I'm heading into old age, and no matter how optimistic I'd like to be, it is clear that it is going to get harder and harder to have sex with women in their twenties. And eventually I will die, no matter how much I fight it.

Have any commenters, motivated by the same sense of "oh shit I'm screwed" sought help? How'd it go? 

Like many life situations, I can sort of tell how old someone is by their attitude about things -- even younger and older sociopaths. I think that a lot of sociopaths eventually hit a wall of ceasing to be functional in whatever life they've set up for themselves. Some react by just riding it out until it's gory conclusion, to be taken out in a blaze of glory without ever having to have compromised whatever it is that they didn't want to compromise about themselves or their lifestyle. Others adapt. I hit mine really early, I think, my very early twenties. I think that makes my experiences a little different than most -- more like Magic Johnson's HIV and less like orphans' in Africa -- i.e., my symptoms have never had much of a chance to flare up and allow me to flame out. I am not an obvious sociopath to strangers, the way that maybe my grandfather was with his scarred face and philandering and scamming ways. You probably wouldn't even notice something was wrong with me, unless you are one of the ~2% of the population that does. But it is interesting to think what would have happened if I hadn't encountered such early opposition and had to change. Would I be hitting my wall right about now?

Aging

Occasionally I worry for my sanity. In my younger years, I could do all sorts of stuff and walk away unscathed. Now I feel like my mind is getting old just like my body is getting old. Sociopaths have a flexible sense of self, but does it get less flexible with age? Like my skin or my muscles? If my sense of self becomes more brittle with age, what will happen when I am 80? Will my mind eventually break, just like my brittle bones? If I am sane, will I still be able to put on my "mask of sanity"? Will people find out who I am? Or will my ability to do devious things just be compromised to the point where I no longer am able to do them, or when I do them I'm found out and simply labeled a garden variety asshole? I am starting to wonder whether there could be a mental version of viagra for sociopaths. If my mind goes, where am I?