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. 

Q&As (part 1)

I did these Q&As for book promotion and thought I'd share them here as well:


Were you always aware that you were different? 

Yes, though when I was young, I thought maybe it was just because I was smarter than everyone else. I saw things that other children did not see, was aware of the adult world in a way that even my smart siblings were not—awkward interactions from the end of an affair, why my grandpa treated my Dad differently from his other children (he was adopted), and so on. I knew other people did not see these things because I would reference them and get blank stares in return. I learned to keep things to myself, even to pretend I didn’t see them. Those were probably some of my first attempts to wear a mask of normalcy.

What are the common characteristics/behaviors shared by most sociopaths? Do they describe you, too?

Lack of remorse or concern for hurting or stealing; being deceitful, manipulative, impulsive, irritable, aggressive, and consistently irresponsible; failure to conform to social norms; and being unconcerned about people’s safety, including their own. You need to have at least three of these to be sociopath. I have them all, to varying degrees.

Why did you write CONFESSIONS OF A SOCIOPATH under a pen name?

I understood that being completely anonymous would hurt the authenticity of the book, yet I have no desire to be famous for being a sociopath. I also have relatives and friends who asked me to respect their privacy. But I still wanted people to know that I am a real person, and these things really did happen.

The book’s publication will likely out you as a sociopath. Why were you willing to take that risk?

I’m a risk-seeker and writing the book is probably one of the riskiest things I have done. I’m also a novelty seeker. I say “yes” to more things than I say no to. Writing the book gave me something interesting and exciting to divert my energies in a productive manner, rather than indulging any urges to stir up trouble in destructive ways.

The Unburdened Mind

This is one of the most balanced, accurate depictions of sociopathy/psychopathy I have seen written by a non sociopath, and the comments are hilarious. Highlights from the article:

Many potential psychopaths might not even realize they have the condition, nor has there traditionally been any easy way for others to recognize them.
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The psychopath does not merely repress feelings of anxiety and guilt or fail to experience them appropriately; instead, he or she lacks a fundamental understanding of what these things are.
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Arriving at a disaster scene, a psychopath would most likely gather to watch with the rest of the crowd. He might even lend assistance if he perceived no threat to his own safety. But he would feel none of the panic, shock, or horror of the other onlookers—his interest would fall more on the reactions of the victims and of the crowd.
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Despite this emotional deficiency, most psychopaths learn to mimic the appearance of normal emotion well enough to fit into ordinary society, not unlike the way that the hearing impaired or illiterate learn to use other cues to compensate for their disabilities. As Hare describes it, psychopaths “know the words but not the music.” One might imagine that such a false and superficial front would be easily penetrated, but such is rarely the case, probably because of the assumption we all tend to make that others think and feel essentially the same way as ourselves. Differences in culture, gender, personality, and social status all create empathy gaps that can seem almost unfathomable, but none of these is as fundamental a divide as the one that exists between an individual with a conscience and one without. The psychopath’s psychology is so profoundly alien to most people that we are unable to comprehend their motives, or recognize one when we see one. Naturally, the industrious psychopath will find this to his advantage.

Some psychologists go so far as to label the psychopath “a different kind of human” altogether. Psychopathy has an environmental component like nearly all aspects of personal psychology, but its source is rooted firmly in biology. This has caused some researchers to suspect that the condition isn’t a “disorder” at all, but an adaptive trait. In a civilization made up primarily of law-abiding citizenry, the theory goes, an evolutionary niche opens up for a minority who would exploit the trusting masses.

This hypothesis is supported by the apparent success many psychopaths find within society. The majority of these individuals are not violent criminals; indeed, those that turn to crime are generally considered “unsuccessful psychopaths” due to their failure to blend into society. Those who do succeed can do so spectacularly. For instance, while it may sound like a cynical joke, it’s a fact that psychopaths have a clear advantage in fields such as law, business, and politics. They have higher IQs on average than the general population. They take risks and aren’t fazed by failures. They know how to charm and manipulate. They’re ruthless. It could even be argued that the criteria used by corporations to find effective managers actually select specifically for psychopathic traits: characteristics such as charisma, self-centeredness, confidence, and dominance are highly correlated with the psychopathic personality, yet also highly sought after in potential leaders.
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A lack of empathy does not necessarily imply a desire to do harm—that comes from sadism and tendencies toward violence, traits which have only a small correlation with psychopathy. When all three come together in one individual, of course, the result is catastrophic. Ted Bundy and Paul Bernardo are extreme examples of such a combination.
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The reasons we look up to these conscience impaired people are unclear. Most likely it has something to do with the confidence they exude, the ease they seem to feel in any situation—a trait that comes easily in someone essentially incapable of fear or anxiety. Maybe we’re easily suckered in by their natural glibness and charm. Or maybe on some level we envy the freedom they have, with no burden of conscience or emotion.