Successful female sociopath

I thought this was a very interesting portrait of another successful sociopath from a recent comment that also seemed creepily similar to my own life story. She talks about her path to success, her bisexuality, her bout with cancer, recognizing one of her doctors as a fellow sociopath (whom she ruined), her instrumental view of relationships, among other entertaining tidbits:

I am an older sociopath with a terminal illness, I am female, a retired law professor, bi sexual - and predatory too - when I want something enough or I want to have some fun. 

I always knew I was different. I have clear memories from before I was able to walk, which I did at 9 months, so was alert and conscious very early. I was also a third child, with a non-maternal mother and a father who was often absent, but sociable. Both parents had high levels of hypocrisy. Like you I was trained to look beneath the surface at a young age. 

I was cleverer than those around me, and looked at issues from a perspective not often shared by others. This was a boost academically and professionally as it meant I was 10-20 steps ahead, as I had coolly considered all permutations, not just the socially acceptable or obvious ones. I was always able to get children around me to do things for me and I enjoyed manipulating them. I was incredulous when very young about how easy it was to get others to do what I wanted them to do. By the time I was around 10 years old I knew it was not a common way of being. I could also lie straight to adults without them detecting it. I learned to say "the right thing" as it was always too easy to work out what people wanted. I had a slew of aunts who loved hearing I wanted to be eg., a nurse so I could "help people." I had no intention of being a nurse and sick people always repulsed me, so by a very young age I was lying to curry social favours. I always knew I was lying. There was no self delusion about it. I enjoyed getting away with it.

It has been interesting going through a life threatening illness [cancer] as a sociopath. Doctors and other health professionals are nonplussed at my lack of tears or panic for example and my interest in details that are important to me, but not to 99.9% of patients. Apparently 99.9% of patients go through these stages of grieving. I didn't. It certainly saved a lot of time on pointless emotions. I also never had a "why me" moment. Why not me? I wasn't born with a get out of jail free card and statistically it was always on the cards. 

Many cancer staff felt relaxed as a result of my matter of fact presentation, lack of hysterics and self deprecating gallows humour. Part of my motivation was to get them to do more things for me, but also I enjoyed the thought that if they thought they liked me, they would be more upset when I died and would never forget someone they thought of as a stoic, funny and engaging patient. 

During the course of my treatment I was referred to a Radiation Oncologist who I recognised immediately as a fellow sociopath. He let one comment slip as he thought I was a not particularly bright patient. The one comment/slip gave me my opportunity. Interestingly he did not detect me at the time, but as I questioned him later about the medical advice he had imparted and queried the statistical and other reasons for his treatment recommendations, he may have slowly cottoned on. It was fun putting him through the wringer especially as he had not even bothered to pay lip service to informed consent... and I had a witness, who was a hospital employee. He left the hospital's employ soon after. I had him on toast and he did not like it being exposed in front of his colleagues. 

I was about to leave a long term [10 years] female partner when I was diagnosed with cancer. She is very service oriented, so it suits me to stay with her now as I know I don't have to bother with shopping, cooking, cleaning, bills etc. The woman I was considering leaving her for would not have been as attentive and did not have as large an annual income or the selfless mentality which would keep me more comfortable when ill. It was a cold blooded and practical assessment of how to ensure I was best advantaged.

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?