Truth serum?

I had dinner with some doctor friends of mine who were relating stories about how people react under anesthesia. My favorite story was about a 14 year old kid started hallucinating and feeling like he was being kidnapped by his doctors. When the doctors told him, "No, we like you, we're your friends."

The kid screamed back, "You like me?! You want to rape me?!"

After like 10 minutes of trying to calm him down, they decided to give up on the procedure for the day. The patient had stopped screaming enough for the doctors to explain that they were about to get his parents, and that seem to relax him. While the doctor was in the waiting room explaining to the parents about the child's adverse reaction to the drugs he heard a nurse yelling, "He's running!"

The child had apparently faked compliance to trick his captors into thinking he would cooperate with them. Really, he was just biding his time to escape. Unfortunately, as he sprinted away from the clinic, he seemed to be headed directly for a busy street and was still in his impaired condition. The doctor kicked off his clogs and started running after him in his socks. When the kid saw the doctor behind him, he freaked out again, running even faster. Finally the doctor caught up with him and tackled him to the ground before he ran out into the busy intersection.

But the stories that I thought were most interesting from a philosophical point of view were the stories about patient reactions to the drug Versed/Midazolam. Apparently it is a psychoactive drug with some funny side-effects. From Wikipedia:

In susceptible individuals, midazolam has been known to cause a paradoxical reaction, a well-documented complication with benzodiazapines. When this occurs, the individual may experience anxiety, involuntary movements, aggressive or violent behavior, uncontrollable crying or verbalization, and other similar effects. This seems to be related to the altered state of consciousness or disinhibition produced by the drug.

From the doctors' stories, it seems that the most common manifestation of this in female patients is to cry. For the male patients, a very common manifestation of the verbalization is to turn into complete perverts. One of the female doctors was telling me that it was really eye-opening to her to have this uptight conservative businessmen come in for their procedures and then say raunchy-as-hell things once the Versed gets flowing.

I asked them perhaps the age old question, which is the real them? is the Versed version the more authentic version of the patient? (In vino veritas?) Or does the Versed alter their natural thought patterns? The doctors seemed to think it was definitely the former. As an example, one doctor told me about one of her patients that seemed so inappropriate on Versed that she looked him up online afterwards and found out that he was a relatively prominent public figure who had a history of sexual indiscretions and cover-ups. The thing about Versed is that it also causes temporary amnesia, so the patient doesn't typically remember how they behaved on the drug.

I, of course, thought that an enterprising unethical doctor should start taking video of these patients and using the tapes for blackmail. What better way to ruin someone's life than to shame them in the court of public opinion, right? And they deserve it too, I bet. Best case (?) scenario, the patient/target is not aware that he has these particular flaws and we're doing him/her a favor by letting him/her know about them in no uncertain terms. Worst case scenario, the patient/target already knows about his/her character flaw and has been working overtime to mask it from the general public. Fakers. We should not have to tolerate this level of deception and/or hypocrisy from our fellow humans. These people deserve to be outted. If they are innocent, harmless, or if there is nothing really wrong with what they're doing then I'm sure they'll be fine. If bad things happen to them, then they obviously must have gotten what they deserved. 

10 Ways to be Charming

I love the title to this article, "10 Genuine Ways Anyone Can Be Exceptionally Charming," as if there were completely nefarious ways to be charming. That's one thing that I think is interesting reading the tales of victims of sociopaths. When you factor out other risk factors like drug abuse, alcoholism, bad family upbringing, etc., etc., my anecdotally based opinion is that sociopathy doesn't really seem to contribute that much more to ones propensity to "abuse" others (not misuse, but actually abuse). Maybe I am wrong, and I would love to see some actual data on this, but my impression is that the most common complaint against sociopaths is that they pretended to be so wonderful, which is why it was such a letdown to be let go. The truth is that sociopaths can be extremely friendly, considerate neighbors, passionate lovers, great listeners, funny, easy-going, intense, quirky/brilliant at times, and compelling. Despite being labeled "antisocial," sociopaths are often some of the most charming people you meet, and for the same reasons that anyone else is charming.

Here are excerpts from the top 10 list that I found most compelling(ly sociopathic):

• When you feel someone "gets" you, respecting your opinion, your point of view, your experience--whatever you're communicating--Charming people willingly admit their mistakes. They don't mind serving as a cautionary tale. They don't mind being a source of laughter, for others and for themselves.then you naturally feel more important. The other person doesn't have to agree with you; they just have to show they respect you. How? They maintain eye contact. They smile when you smile. They frown when you frown. They nod your head when you nod. In simple, nonverbal ways, they mimic your behavior--not slavishly, but because they're focused on what you're saying. That feedback loop helps two people bond--and the ability to bond is the essence of charm.
• Charming people don't try to win any unstated competitions with people they meet. In fact, they actively try to lose. They're complimentary. They're impressed. They're even willing to admit a weakness or a failure.
• Charming people don't actively (or unknowingly) look to disagree; they look for points of agreement. Then, if it's appropriate, they gently share a different point of view--and in that way, help create an outstanding conversation. [See also my worst media appearances.]
• Some people have a knack for getting you to talk openly yourself. They ask open-ended questions. They sincerely want to know what you think, and that makes you open up to a surprising degree. You feel like the most interesting man (or woman) in the world. And you like them for making you feel that way. As soon as you learn something about someone, ask why they do it. Or how. Or what they like about it, or what they've learned from it. Charming people ask sincere questions that make it easy to answer in a thoughtful, introspective way. They make you think, in a good way, about yourself, and in the process make you feel charming too. [I was once told that when I do this with people who are not used to being treated this way, it can be especially disarming.]
• They always pass the waiter test. Some people put on a great show in certain situations, but they don't try nearly as hard when they think a person is beneath them. I like to call it the waiter test: If you really want to know how an individual treats people, take him to lunch. How he interacts with the waiter is a much better indication of his interpersonal skills than how he interacts with you. Charming people treat everyone the same way: as deserving of respect and kindness.
• Charming people remember names and even small details, often to a surprising degree. The fact they remember instantly makes us feel a little prouder and a little better about ourselves. And that makes us feel better about them.
• They always say less. Charming people already know what they know. They want to know what you know. And that makes you feel important. Because you are.

You are important! Just because someone turned out to be a sociopath doesn't mean that they think they're better than you or didn't genuinely care for you in their own way. Before I was self-aware, yes, I did think I was better than most people. But that was because I only saw other people's flaws and not my own (sound familiar?). After being taken down a peg or two in my life, I realized that everyone's just different but an equally important part of the human race. I guess that makes me a humanist?

But are they sincere about it? See, I don't think they could ever be sincere in the exact same way that an empath is because for the empath a lot of what they think of as sincerity involves empathy. But does that mean the sociopath can't ever be sincere, because he isn't doing or saying the things for the same reason that you might?