Showing posts sorted by relevance for query dsm. Sort by date Show all posts
Showing posts sorted by relevance for query dsm. Sort by date Show all posts

Monday, April 19, 2010

Diagnosis sociopath: overview

This week I want to talk about the origin of and continuing confusion over sociopathy as a psychiatric diagnosis. Unless otherwise indicated, the material/information is taken (edited for length) from "The Confusion Over Psychopathy (I): Historical Considerations," a paper by Bruce A. Arrigo and Stacey Shipley, printed in International Journal of Offender Therapy and Comparative Criminology, 45(3), 2001 325-344.
Notwithstanding its extensive heritage, psychopathy has been plagued by changing and uncertain diagnostic nomenclature. For example, a great deal of confusion currently exists regarding the relationship between Antisocial Personality Disorder (ASPD), as identified by the Diagnostic and Statistical Manual of Mental Disorders (4th ed.) (DSM–IV), and the modern construct of psychopathy as explained by Cleckley (1941) and further refined and empirically validated by Hare (1985, 1991). Although contemporary research supporting the diagnosis of psychopathy is at its strongest, mental health professionals remain perplexed when diagnosing, treating, or making recommendations to the court system about these individuals.

In general, we note that the psychopathic label (i.e., explanation) has changed from the morally neutral view of Pinel (1801/1962) to the more truculent and disparaging characterization described by Kraepelin (1915). In addition, the designation itself has evolved from the unpopular term insanity, to the controversial expression moral, to the present moniker psychopathic. The elusiveness of the psychopathic construct and its meaning is further confounded by the theoretical basis out of which social scientists approach and investigate this mental disorder. Indeed, some researchers invoke descriptors for psychopathy, implying that the individual experiences morality problems that are solely personality based, exclusively congenitally or biologically derived (Ellard, 1988; Schneider, 1958; Smith, 1978), or principally behaviorally grounded (American Psychiatric Association, 1994). Moreover, notwithstanding these interpretations, Hare’s (1996) empirical and qualitative findings consistently demonstrate that the psychopath has distinctive affective, interpersonal, and behavioral attributes.

Psychopathic individuals historically and at present are almost uniformly considered difficult, if not impossible, to treat. We submit that the diagnostic confusion surrounding psychopathy (i.e., the label and its meaning) and the adverse consequences persons in the mental health and criminal justice systems (potentially) experience in the wake of such a determination, warrant closer scrutiny. Although clearly not exhaustive, this overview will provide an important backdrop, making it possible to assess provisionally how psychopathy evolved into a mental disorder and a pejorative label.

In particular, we will consider the logic of linking psychopathy, as applied to forensic clients, with the behavioral diagnosis of ASPD. This notwithstanding, the progression of thought contained within each of the components or categories demonstrates the course of psychopathy’s development and demonstrates how each has ostensibly functioned along a continuum (e.g., social condemnation as morally neutral to morally reprehensible, the disorder’s description based on personality to behavioral traits, and the locus of treatment from asylums to prisons).

Thursday, March 27, 2014

An aspie's view of sociopathy

From an Aspie reader reader:

I found your blog by chance, a week or two ago, and can't help but feel intrigued. I have Asperger's syndrome (or as the next version of the DSM has it, "autism spectrum disorder") and the experiences you describe seem to have as many similarities to as differences from my own. 

We both find it necessary to mask ourselves for daily life because most people, most of the time, don't want to know what we're really like. They want an interface they know how to use, and an impression they can easily categorize. I don't switch masks with the fluidity of a sociopath, nor do I have as large a repertoire to choose from. I'd be willing to bet that I have to put more conscious effort into each one, so once a given mask passes I have greater incentive to stick with it and practice until perfect. (I don't know what you look like without yours, but at times when I can't maintain a mask I've been told that I either don't emote, or that the other (neurotypical) person doesn't know how to interpret my body language.)

Changing contexts, some facets of my personality behind that mask may fold away and others unfold such that people in either seem to form substantially different impressions of me, but I don't make a conscious decision to change what aspects I have on display, nor bother with deception. I simply omit what isn't relevant.

On the other hand, I'm pretty sure that I lack the typical sociopaths' need for stimulation and excitement, nor do any of your examples mention sociopaths with a typical autistics' sensory hypersensitivities. Sitting in a quiet room with dim lights, my experience is finally not *over*stimulating.

In that vein, there's one thing that I really don't understand. What do sociopaths get out of manipulating or otherwise having power over other people? What about it interests you? To my view, people are mostly boring and interacting with them is a nontrivial drain on my resources. (There are rare exceptions to that rule, and I've married one. He describes me as "asocial".) And so I have to ask: Why bother?

I look forward to your answer.

My response:

Thanks for this! I think that sociopaths get a lot of things from power. They get a sense of connection and intimacy with another person. They get a sense of purpose or sense that they are a being in the world that acts, not just gets acted upon. I think for a lot of sociopaths there was some sort of childhood trauma that made them feel like they weren't the masters of their own destiny. Not everyone is bothered by this, but I think for sociopaths it goes too strongly against their megalomania. But these are sort of just guesses. For me I have felt the need for power as a basic need, like the need for love or acceptance must be for most people, but I'm not sure why. Thoughts?

Friday, September 20, 2013

The psychopath problem

The psychology world seems to be taking a fresh look at sociopathy. Apparently once people dared question the infallibility of Hare's diagnostic criteria, the Psychopathy Check List Revised ("PCL-R"), it opened the door for other heresies against established views.

In his new book "Forensic Psychology: A Very Short Introduction," David Canter, a psychology professor at the University of Hudderfield, briefly describes the psychopath problem:

Until you have met someone whom you know has committed horrific violent crimes but can be charming and helpful, it is difficult to believe in the Hollywood stereotype of the psychopath. Without doubt, there are people who can seem pleasant and plausible in one situation but can quickly turn to viciousness. There are also people who just never connect with others and are constantly, from an early age, at war with those with whom they come into contact. If we need a label for these people, we can distinguish them as type 1 and type 2 psychopaths. The former have superficial charm, are pathological liars, being callous and manipulative. The clearest fictional example of this sort of psychopath is Tom Ripley, who has the central role in many of Patricia Highsmith’s amoral novels. The type 2 psychopaths are more obviously criminal, impulsive, and irresponsible with a history of juvenile delinquency and early behavioural problems.

Another label that may be assigned to people who are habitually involved in illegal, reckless, and remorseless activities that has a much broader net than ‘psychopathy’ is ‘antisocial personality disorder’. But we should not be seduced into thinking that these diagnoses are anything other than summary descriptions of the people in question. They do not help us to understand the causes of people behaving in these unacceptable ways. Some experts have even commented that they are actually moral judgements masquerading as medical explanations. So although the labels ‘personality disorder’ and ‘psychopath’ do summarize useful descriptions of some rather difficult, and often nasty, people, we need to look elsewhere for explanations of how they come to be like that.
The psychopath problem for society is "how do we keep psychopaths from acting in antisocial ways?" The psychopath problem for psychologists is "what are we really dealing with here?" Before psychologists can even begin understanding psychopaths, they must be able to identify them. Before psychologists can identify psychopaths, they must be able to understand them. It's a classic chicken/egg dilemma that leads critics like our favorite narcissist Sam Vaknin to quip that "psychopathy seems to be merely what the PCL-R measures!" and probably led the good folks putting together the DSM to eventually exclude psychopathy as a diagnosis in favor of the more criminal-sentencing friendly ASPD.

Still, these tests are being used, and brains of people flagged by these tests are being scanned and studied, helping scientists to learn more about . . . the brains of people who would be flagged by these tests. Some of the new discoveries or theories about psychopathy jive with my own personal experiences, and some of them strike me as being less than accurate -- an attempt to add an epicycle to support some of the weaker premises that provide the basis for the modern study of psychopathy. Maybe it is true that we are on the verge of a breakthrough, as some psychologists think -- a unifying theory of the causes and explanations for psychopathic behavior. If we are, I think it will have to be a product of fresh thinking, rather than continuing to focus on the same "20 items designed to rate symptoms which are common among psychopaths in forensic populations (such as prison inmates or child molesters)."

Saturday, December 22, 2012

Heroes and sociopaths

I have posted before about how being a sociopath can make you *feel* like you are a superhero. I think this feeling (narcissistic self-import) is relatively common among sociopaths. For instance, I stumbled upon this not-me description of it here:
Being a sociopath doesn't mean you have to be evil. We struggle to feel the difference between right and wrong, but we do know the difference since we have had it drilled into our heads since we were children, right? Fact is, us sociopaths have more choice in this world than the rest. That is because we can choose to be heroes or we can choose to be villains. No one else can do that, they have to be what they are, they are born a certain way, they will always be that way. Us sociopaths can change to our surroundings. We can do anything we choose to do.
Interestingly, some say this feeling goes both ways -- that superheroes can sometimes feel (or act) like sociopaths.
We look at heroes and do-gooders as a special sort of breed: people who possess extraordinary traits of altruism or self-less concern for the well-being of others, even at the expense of their own existence. On the other end, sociopaths also have an extraordinary set of traits, such as extreme selfishness, lack of impulse control, no respect for rules, and no conscience.

As crazy as it sounds, there may be a closer link than than most people would think between the extreme-altruistic personality and sociopathic personality. Would it shock you to know that two people, one with the traits of extreme-altruism (X-altruism) and the other the traits of a sociopath, could be related? Even siblings? And that their personality traits are very similar, with only a few features to distinguish them? Research by Watson, Clark, and Chmielewki from the University of Iowa, “Structures of Personality and Their Relevance to Psychopathology” [pdf], present a convincing argument in which they support the growing push for a trait dimensional scheme in the new DSM-V to replace the current categorical system.

[X- altruists are risk takers and rule breakers.] When they are faced with that moment, they just act. Compulsively. Barely considering any other course. The lack the impulse control to stop themselves from doing “the right thing” when it comes to the welfare of others, yet ironically, it almost always results in some form of negative consequence for themselves. They have no problem breaking the rules when it means helping an innocent, yet they highly value the importance of obeying rules in other contexts. That’s crazy, you say? Now you’re getting the idea.

[but sociopaths are unfeeling monsters, altruists are so great, bla bla bla]

Interestingly, these two type of individuals, the sociopath and the X-altruist, may appear similar in their displays of behavior, and at times, even confused for the other type. If an X-altruistic person is compelled to break rules without remorse in order to help a disadvantaged person, is may seem as if he is acting rebelliously, especially if the motives behind his behavior are not known. On the other hand, a sociopath may donate a large sum of money to a charity, a seemingly altruistic behavior, but his actions may have been motivated by his selfish need to appear better than or more generous than a colleague. The defining characteristic that separates the two personality types is their ability to empathize, either not at all or too much, which then drives the extreme behavior of each.
And my favorite comment from the article:
Interesting article, but not without bias, and in my opinion, unprofessionally written. Never before have I heard a health-care professional refer to a sociopath as "nasty". As a behavioral specialist, I would expect you to know better than anyone that sociopaths do not choose their hereditary personality disorders anymore than your beloved X-altruists do. Why call names?

And how do you define virtue and "good" intent? Is not the X-altruist's all-consuming desire to help others, at the expense breaking these rules you seem to value so much, just as selfish as the sociopath?
followed closely by this one:
Your intentions are obvious. Try as you like, we'll never associate heroes with sociopaths.

And the social order will thus survive, despite your kind's attempt to weaken and destroy it.
It's an interesting point, though. Are sociopaths considered "bad" just because they seem to do, on average, more "bad for society" type things? If so, can't we just punish the "bad behavior" without singling out everyone with the condition and eradicating them? For another interesting look at heroes and sociopaths in fiction/media, see this article on the "heroic sociopath," including such gems as this rationalization of Peter Pan: "He's only slightly less uncaring towards others as his nemesis Captain Hook and comes across better mostly because his sociopathy is a result of being a perpetual child, whereas Hook really has no excuse." Aspies or Auties, anyone? I'm not so much saying that the hate against sociopaths isn't at all warranted, more that there is no principled way to hate sociopaths and not hate other people/personalities/disorders that are widely accepted or even beloved in society.

Thursday, May 15, 2014

Female sociopath: fact or fiction?

Merve Emre writes for Digg ("The Female Sociopath") on the popularity of the female sociopath in fiction (TV/books, etc.), and the reality. Worth reading in its entirety, the first little bit:

If you don’t know who Rosamund Pike is, you will soon. In October, she will appear in David Fincher’s film adaptation of Gone Girl, one of the most popular and addictive novels of the past decade, as Amy Dunne — the beguiling and cerebral housewife who stages her own murder and frames her philandering husband. Amy’s creator, the novelist Gillian Flynn, has proudly described her character as a “functioning sociopath,” which she is quick to distinguish from “the iconic psycho bitch.” The iconic psycho bitch, Flynn explains, is crazy because “her lady parts have gone crazy.” Think of Glenn Close in Fatal Attraction, so consumed with desire for Michael Douglas that she boils his daughter’s pet rabbit to death; think of Sharon Stone and Jennifer Jason Leigh (and Kathy Bates and Rebecca De Mornay) chasing men through dim rooms with sharp objects. 

Unlike these women, the functional sociopath isn’t “dismissible” as a slave to her emotions. She is not outwardly violent. Patently remorseless, clear-eyed and calculating, she is chameleonic in the extreme, donning one feigned feeling after another (interest, concern, sympathy, simpering insecurity, confidence, arrogance, lust, even love) to get what she wants.

And why should she feel bad about it?

For M.E. Thomas, author of Confessions of A Sociopath, such affective maneuvers are tantamount to “fulfilling an exchange.” “You might call it seduction,” she suggests, but really “it’s called arbitrage and it happens on Wall Street (and a lot of other places) every day.” Whatever you choose to call it, its appeal is undeniable when linked to the professional and personal advancement of women. “In general, the women in my life seemed like they were never acting, always being acted upon,” Thomas laments. Sociopathy’s silver lining was that it gave her a way to combat that injustice, in the boardroom of the corporate law firm she worked for in Los Angeles, but also in the bedroom, where she marveled at how her emotional detachment let her commandeer her lovers’ hearts and minds. Somewhere along the way, pathology became recoded as practice — a set of rules for how to manage the self and others.

No wonder the female sociopath cuts such an admirable figure. Intensely romantic, professionally desirable, she is the stuff of fiction, fantasy, and aspirational reading. And while actual female sociopaths like Thomas are rare, and sociopathy isn’t even recognized by the Diagnostic and Statistical Manual of Mental Disorders (DSM), the female sociopath looms large in our cultural imagination. Amy Dunne may stand as the perfect example — a “Cool Girl” on the outside, ice cold within — but she is not alone. Of late, she has faced stiff competition from fictional females like Lisbeth Salander, the ferocious tech genius in The Girl With the Dragon Tattoo, or Laura, the shape-shifting alien who preys on unwitting men in Under the Skin. Network television has been even kinder to the female sociopath, placing her at the center of workplace dramas like Damages, Revenge, Bones, The Fall, Rizzoli and Isles, Person of Interest, Luther, and 24. Here, she has mesmerized audiences with how nimbly she scales the professional ladder, her competence and sex appeal whetted by her dark, aggressive, risk-taking behavior, and lack of empathy.

And so we lean in to the cultural logic of the female sociopath, for she is the apotheosis of the cool girl power that go-getter “feminists” have peddled to frustrated women over the last half-decade. The female sociopath doesn’t want to upend systems of gender inequality, that vast and irreducible constellation of institutions and beliefs that lead successful women like Gillian Flynn to decree that certain women, who feel or behave in certain ways, are “dismissible.” The female sociopath wants to dominate these systems from within, as the most streamlined product of a world in which well-intentioned people blithely invoke words like arbitrage, leverage, capital, and currency to appraise how successfully we inhabit our bodies, our selves. One could easily imagine the female sociopath devouring books with titles like Bo$$ Bitch, Nice Girls Don’t Get the Corner Office, The Confidence Gap, and Play Like a Man, Win Like a Woman to hone her craft — to learn how to have it all. From atop the corporate ladder, she can applaud her liberation from the whole messy business of feeling as a step forward for women, when it’s really a step back.

The result is a self-defeating spectacle of feminism that finds a kindred spirit in Rosamund Pike on the cover of W, erasing her own perfect face to reveal that what lies beneath might be nothing. Like Gone Girl’s Amy Dunne, who confesses that she “has never really felt like a person, but a product” — plastic, fungible, ready to be consumed by anyone, at any time — the female sociopath is a product of a broken promise made to women, by women. She is a product poised to disappear into the immense darkness from which she came. 

One of my favorite parts of studying music was learning that the representation of women in professional orchestras skyrocketed when they started doing blind auditions (i.e. the judges couldn't see who was performing). When I taught, I told my students to use their initials on their C.V.s and résumés, because it seems like every year there is another study that shows that everywhere in every field there is gender and racial bias. Sometimes I wish we could do the equivalent of blind auditions everywhere. Maybe we shouldn't out any sort of name on our résumés. Maybe we should make that illegal, like it is illegal to put your name on a standardized test. Because why should it matter?

When I first started writing this blog, it was like a blind audition. No one knew who I was, only what I wrote. I didn't realize at the time how great that felt, what a respite from my normal life that was. Without realizing even to what extent, I had been swimming against the current all of my life, until I was allowed to just be me. And then when I came out as being female there was a certain significant portion backlash that wasn't really explainable apart from being a reaction to my gender. (See also, popular science blogger Elise Andrew who got a cyclone of hate only after it was discovered that she was female.) There was probably as much backlash in my sociopath life for being female as there was in my normal life for being a sociopath. And now when I write or say things, it is seen through a different, distorted lens of my perceived femininity. I used to never get accused of the typical "oh man, you won't believe how crazy my ex-girlfriend was" type behavior -- "classic female traits" like self-harm/cutting, attention seeking, jealousy, vanity, histrionics, woman-scorned flavored vengeance, man-hating flavored vengeance, or anything else that is likely to get a woman slapped with the term "crazy". Now I get them all of the time. Which was sort of a surprise to me. Why did it bother people that I had been given the diagnosis "sociopath". Because it really seemed to. They took what I said and twisted it to fit something else, until I was "just borderline." as if the biased-female diagnosis was lesser than the sort-of male equivalent. Until I was "just crazy". Until I was something or someone that could be dismissed as a nobody nothing. Because that's how we marginalize people, I guess.

See also SNL – Red Flag | Katabatic Digital


Monday, May 14, 2012

Kid sociopath

Quite a few people emailed me this NY Times article that has hit the most emailed: Can you Call a 9-Year-Old a Sociopath?"  Here are selections (the article is quite long, but an engaging read):
  • “We’ve had so many people tell us so many different things,” Anne said. “Oh, it’s A.D.D. — oh, it’s not. It’s depression — or it’s not. You could open the DSM and point to a random thing, and chances are he has elements of it. He’s got characteristics of O.C.D. He’s got characteristics of sensory-integration disorder. Nobody knows what the predominant feature is, in terms of treating him. Which is the frustrating part.” . . . . Following a battery of evaluations, Anne and Miguel were presented with another possible diagnosis: their son Michael might be a psychopath.
  • Currently, there is no standard test for psychopathy in children, but a growing number of psychologists believe that psychopathy, like autism, is a distinct neurological condition — one that can be identified in children as young as 5.
  • “If they can get what they want without being cruel, that’s often easier,” Frick observes. “But at the end of the day, they’ll do whatever works best.”
  • “This isn’t like autism, where the child and parents will find support,” Edens observes. “Even if accurate, it’s a ruinous diagnosis. No one is sympathetic to the mother of a psychopath.”
  • “As the nuns used to say, ‘Get them young enough, and they can change,’ ” Dadds observes. “You have to hope that’s true. Otherwise, what are we stuck with? These monsters.”
  • “They’re not like A.D.H.D. kids who just act impulsively. And they’re not like conduct-disorder kids, who are like: ‘Screw you and your game! Whatever you tell me, I’m going to do the opposite.’ The C.U. kids are capable of following the rules very carefully. They just use them to their advantage.”
  • Their behavior — a mix of impulsivity, aggression, manipulativeness and defiance — often overlaps with other disorders. “A kid like Michael is different from minute to minute,” Waschbusch noted. “So do we say the impulsive stuff is A.D.H.D. and the rest is C.U.? Or do we say that he’s fluctuating up and down, and that’s bipolar disorder? If a kid isn’t paying attention, does that reflect oppositional behavior: you’re not paying attention because you don’t want to? Or are you depressed, and you’re not paying attention because you can’t get up the energy to do it?”
  • Most researchers who study callous-unemotional children, however, remain optimistic that the right treatment could not only change behavior but also teach a kind of intellectual morality, one that isn’t merely a smokescreen. . . . “I try to tell him: You’re here with a lot of other people, and they all have their own ideas of what they want to be doing. Whether you like it or not, you just have to get along.”
  • “I’ve always said that Michael will grow up to be either a Nobel Prize winner or a serial killer.”

Some of these selections are regarding a clinical study/camp for these youngsters.  That was probably the most entertaining part--seeing how they interact with each other.

  • The study had a ratio of one counselor for every two children. But the kids, Waschbusch said, quickly figured out that it was possible to subvert order with episodes of mass misbehavior. One child came up with code words to be yelled out at key moments: the signal for all the kids to run away simultaneously.

And this little vixen:

  • Charming but volatile, L. quickly found ways to play different boys off one another. “Some manipulation by girls is typical,” Waschbusch said as the kids trooped inside. “The amount she does it, and the precision with which she does it — that’s unprecedented.” She had, for example, smuggled a number of small toys into camp, Waschbusch told me, then doled them out as prizes to kids who misbehaved at her command. That strategy seemed particularly effective with Michael, who would often go to detention screaming her name.



Friday, October 9, 2015

Only 36% of Psychology Findings Replicable

One of my friends was just diagnosed with a psychological disorder that does not yet exist, her therapist says, but is very likely to be added as an autism spectrum disorder in the DSM-6. It made me smile a little to hear and I realized that I forgot to write anything about this back in August. This NY Times article, "Psychologists Welcome Analysis Casting Doubt on Their Work" reports:

The field of psychology sustained a damaging blow Thursday: A new analysis found that only 36 percent of findings from almost 100 studies in the top three psychology journals held up when the original experiments were rigorously redone.

After the report was published by the journal Science, commenters on Facebook wisecracked about how “social” and “science” did not belong in the same sentence.

Yet within the field, the reception was much different. Along with pockets of disgruntlement and outrage — no one likes the tired jokes, not to mention having doubt cast on their work — there was a sense of relief. One reason, many psychologists said, is that the authors of the new report were fellow researchers, not critics. It was an inside job.

“It’s like we’ve come clean,” said Alan Kraut, the executive director of the Association for Psychological Science, which publishes one of the journals analyzed in the new report. “This kind of correction is something that has to happen across science, and I’m proud that psychology is leading the charge on this.”

My friend was relating to me how her therapist walked her through her diagnosis, including regarding how he had eliminated personality disorder as a possible diagnosis. He explained to her that to diagnose any personality disorder, the person first has to fit into the parent category "personality disorder", and only then (at least officially, or at least apparently) can the mental health professional diagnose you with a specific form of personality disorder. I thought of how my current therapist diagnosed me with personality disorder not otherwise specified with features of ASPD because he said that the ASPD was more developing than fully developed, like a tween I guess. Which I sort of preferred, as it's a much nicer thing to tell people if I was ever required to do so by a police state or something.

I try to keep an open mind about psychology, but it's hard not to think that if you went to a dozen different mental health professionals, you might not get at least several different diagnoses out of the bunch. I'd actually be super curious if someone were to do this as a study -- what sort of agreement do mental health professionals have in their diagnoses in practice. I'm sure it's already been done?

Sunday, September 13, 2009

Wired to Sociopathy


I've been watching a real interesting show for the second time. The show is called The Wire and its cowriter is a former Baltimore detective who is using his old case files to contribute to the show. The interesting aspect of this show is the fact that it tells about the system from a inside perspective in the unseen war between the drug dealers and the police, then goes further to explore the source of the so-called drug war. Instead of having the evil sociopathic drug dealers vs the stand-up police force saving society, they show the sociopaths leading the charge on both sides with the general public and underlings caught in the crossfire. The first season begins with a homicide in the projects and a subsequent trial where the defendant wins because they had paid off the witnesses. The detective, McNulty, gets tired of losing cases so starts manipulating the system in order to go on a crusade against the criminal enterprise he keeps losing cases to. The interesting thing about it is the twist it takes on that the detective admits he doesn't care about stopping the drug dealers -- he just wants to show everyone how amazing he is. Throughout the show this detective shows more and more traits of a sociopath until the last season, where the show straight admits this is what they were building you to see. The detective fakes a serial killer on the loose in order to build funds for his unit by making identifying marks on murders he's called to solve. To further it he makes calls to the newspaper faking to be the serial killer. When the FBI profiler comes in a meeting and explains the killers traits (The DSM-IV'ss definition of a sociopath) the entire room glances at him.

Each season focuses on sociopaths in different parts of the system. The justice system, the waterfront, the schools, and finally the media. Different people from inside those institutions have commented they were the most realistic portrayals of the institutions they had ever seen on TV. It is actually Barack Obama's favorite TV show. However, Showtime actually refused to take up the show due to its pessimism. This show has a more accurate portrayal of sociopathy in reality in contrast to shows like Sopranos or Dexter.

I will leave you with a dialogue from the show:

Lester: Tell me someting Jimmy, how do you think it all ends?

McNulty: What do you mean?

Lester: A parade? A gold watch? A shining Jimmy-McNulty-day moment, when you bring in a case sooooo sweet everybody gets together and says, "Aw, shit! He was right all along. Should've listened to the man." The job will not save you, Jimmy. It won't make you whole, it won't fill your ass up.

McNulty: I dunno, a good case—

Lester: Ends. They all end. The handcuffs go click and it's over. The next morning, it's just you in your room with yourself.

McNulty: Until the next case.

Lester: Boooooy, you need something else outside of this here.

McNulty: Like what, dollhouse miniatures?

Lester: Hey, hey, hey, a life. A life, Jimmy. You know what that is? It's the shit that happens while you're waiting for moments that never come.

Tuesday, February 10, 2015

Empath hypocrisy?

This was an interesting recent comment on an old post:

as an almost permanent tourist in western society, i notice that this particular civilisation is clearly built by and for ppl referred to as sociopaths. Most of the DSM defined traits are essential in the practice of business, law etc as defined by the western cultural model.

Clearly the western media/propaganda machine is either responding to or encouraging widespread worship and admiration of ppl who can kill, fight and act without the accepted social and moral restraints.

in fact, the main difference that i can see between western 'empaths' and 'sociopaths' is that the latter are not inclined to the (mostly) hypocritical displays of 'caring' that the former use as evidence of their so-called humanity.

i know empaths who will readily cry when watching poverty porn, and will discuss starving children with other similarly emotive empaths....but have absolutely no problem chowing down on, say, chocolate produced on plantations that exploit slave children. The majority of westerners buy and wear clothing made by enslaved children in sweatshops, because the pleasure of a killer discount and convenience outweighs any bad feelings over tortured children.

i hear that sociopaths use compartmentalisation to deal with contradiction, but it seems that empaths use cognitive dissonance...and i think the latter may actually be more effective.

So-called empaths can cry about little kittens and cute doggies being hurt, and can weep as heart-rendingly for a fictional, cartoon being as they would for one in real life. Perhaps more so, because they are often without any discernible discomfort when consuming, say, meat that has been produced by basically torturing hundreds and thousands of animals as a matter of course. The inhumane conditions of factory farmed animals well documented, but the western business model is concerned purely with monetary profit and loss.

in fact, the most extreme empaths, called 'sensitives', would rather be shielded from the truth of their hypocrisy, rather than endure the material inconveniences involved in facing most moral dilemmas in this culture.

Being seen as 'nice' and seeing themselves as 'nice' seems to be more important to them than taking actions that actualise this 'niceness' they seem to feel is part of their nature.

i notice the glaring hypocrisy most when i think about the holocaust the nazis created and the western democracies' historical responses.
Americans, for instance, complained about the cruelty of the nazis, the heartless torture and genocide endured by jewish ppl (those who were gypsies, disabled, african and so forth incurred less sympathy for whatever reason). Yet in their own country AT THE SAME TIME they were still up to their elbows in the blood of the African descendants who had been forcibly brought over to that country hundreds of years earlier.
The torture, rape, bio-terror and abuse the status quo of american culture enacted against African and Native american ppl are well documented, and yet the cognitive dissonance employed to ignore this fact and cast euro-americans as the 'good guys' is amazingly still in place.
Western empaths say things like 'never forget', but only when it concerns those they have been programmed to care about.

Right through until the sixties (described as the swinging era of peace and love in this culture) black americans were being publicly lynched, and those events were captured in postcards that were sold door to door and still feature in the family albums of many white american families.
[this links to many of these images http://withoutsanctuary.org/main.html]

in these postcards, you see men, women AND children looking at the bloodied, castrated corpses hanging from the trees....and their expressions register the kind of gay pleasure, excitement and convivial community spirit you might expect at a neighbourhood carnival or block party.

i recently read a news article that could have described this macabre atmosphere perfectly, but it was in fact talking about 'islamists', the new fabricated boogey man of the morally bankrupt west.

From the Metro, February 5th:
""crowds cheer burning death on big screen.
Jubilant crowds of IS supporters have been celebrating as big screens reportedly showed the jordanian pilot being burned to death." The article laments the "sick celebration in the face of international outrage" and marvelled at " a smiling boy aged about six talking excitedly about the killing."

Now, i mentiion this in this forum, because it at least purports to be full of ppl who dont get all emotionally defensive, illogical etc, and who dont have strong attachments to identity etc.

i am interested in a response.

Thursday, February 20, 2020

The origins of criminality as a feature in sociopathy (part 2)


Cleckley’s sociopath was “bold”, boldness here being “a capacity to remain calm and focused in situations involving pressure or threat, an ability to recover quickly from stressful events, high self-assurance and social efficacy, and a tolerance for unfamiliarity and danger. Terms related to boldness include fearless dominance (Benning, Patrick, Blonigen, et al., 2005), daringness, audacity, indomitability, resiliency (Block & Block, 1980), and hardiness (Kobasa, 1979).” Id. Bold individuals are likely to show: “social dominance, low stress reactivity, and thrill–adventure seeking (Benning et al., 2003; Benning, Patrick, Blonigen, et al., 2005) . . . imperturbability, social poise, assertiveness and persuasiveness, bravery, and venturesomeness.” Id.

Boldness was evident in [Cleckley’s] case descriptions and diagnostic criteria in terms of poise and high social efficacy, absence of anxiety or neurotic symptoms, diminished emotional responsiveness, imperviousness to punishment (“failure to learn by experience”), and low suicidality. Other historic writers concerned with psychopathy in psychiatric patients as opposed to criminal samples (e.g., Kraepelin, Schneider) also identified bold externalizing types. Id.

Cleckley studied non-criminal sociopaths at a large inpatient facility. No other researcher has focused so extensively on non-criminal sociopaths.

Most researchers studied criminals, and consequently defined sociopathy as a dark strain of criminal deviance. Early researchers William Maxwell McCord and Joan McCord painted a picture in “The Psychopath: An Essay on the Criminal Mind” (1964) of a socially detached, predatory, aggressive, and remorseless individual plagued by angry-reactive forms of aggression and resultant criminality. Similarly Lee Robins, whose work underlies the DSM-V’s “Antisocial Personality Disorder” (ASPD), focused on a maladjustedness marked by persistent aggression, criminality, and destructiveness. Robins (1966, 1978).

Around that same time, Robert Hare developed his Psychopathy Checklist (now revised, PCL-R), based on the Canadian criminal population. The PCL-R is the most popular diagnostic tool for sociopathy. Hare based it on Cleckley’s sociopath, however, it is distinctly darker:

In contrast with Cleckley’s portrayal of psychopathic patients as personable and ostensibly well meaning but feckless and untrustworthy, this latter perspective conceptualizes psychopathic individuals as cold, abrasive, and aggressively exploitative in their interactions with others.

Patrick, et al. (2009).

Cleckley saw “boldness.” Hare substituted “meanness.” Why? Interestingly, Hare’s own early work also found boldness instead of meanness. Id. What changed?

Alice, a sociopath I met in Australia, theorizes that it wasn’t the sociopaths that changed, but Hare. Alice thinks Hare is biased. In fact, she goes so far as to tell me she believes he’s a subclinical narcissist. Her evidence for narcissism includes Hare’s statements that suggest he has a fragile ego and needs to be liked by others. For instance, you could read the following statement as a theory about how most people feel, or you could read between the lines and see someone who is overly concerned with how he is perceived by others:

“We are haunted to some degree by questions about our self-worth. As a consequence, we continually attempt to prove to ourselves and others that we are okay people, credible, trustworthy, and competent.”

He does seem to take the misdeeds of sociopaths personally, for example he warns:

“All the reading in the world cannot immunize you from the devastating effects of psychopaths. Everyone, including the experts, can be taken in, conned, and left bewildered by them.”

Hare speaks from personal experience. He is on record describing his first encounter with a sociopath “Ray” as a long con in which Ray influenced Hare to break prison rules. Hare said he did what Ray asked to build a “rapport”. Due in part to Hare’s influence, Ray received a plum job in the prison mechanic shop. When Hare’s tenure at the prison ended, Ray performed a tune-up on Hare’s car. The brakes failed while Hare was driving down a hill, family in tow. A local mechanic confirmed that the brakes had been rigged with a slow leak. 

Alice thinks this early experience and his continuing inability to build a rapport with prison sociopaths caused him to harden his heart against them. Alice thinks he sought payback by portraying them in the worst psychological light possible, destroying their possibility of parole.

Alice’s theory for Hare’s anti-sociopath bias is consistent with the facts as we know them.

To give you an idea of Hare’s lack of scientific objectivity, in his book Without Conscience: The Disturbing World of the Psychopaths Among Us he calls sociopaths the “monsters of real life” and warns:

“On a more personal level, it is very likely that at some time in your life you will come into painful contact with a psychopath. For your own physical, psychological, and financial well-being it is crucial that you know how to identify the psychopath, how to protect yourself, and how to minimize the harm done to you.”

Hare has manifested other narcissistic traits. In a widely publicized move, he threatened to enjoin the publication of an academic, peer-reviewed article that criticized his PCL-R. The article, by researchers Jennifer Skeem and David Cooke, argued that “the PCL–R weighs antisocial behavior as strongly as—if not more strongly than—traits of emotional detachment in assessing psychopathy.” Consequently, it “is overly saturated with criminality and impulsivity (Blackburn, 2005; Forouzan & Cooke, 2005)” and as such, it “imperfectly maps psychopathy” and “does not fully correspond to Cleckley’s (1941) conceptualization, on which it is purportedly based.” 

Wednesday, February 9, 2011

Coddle

I was sifting through my emails and found this from a seduction target who turned into a friend, and then a seduction target, and then a friend again, and then (in a late night impulse) a confidante. It's a reply from an email I sent while traveling, waiting for my shoes to be repaired in time to catch a flight -- an email in which I questioned whether I had the requisite skills to "coddle" this person upon arriving home, and what does does coddle even mean? From my friend:
coddle: to treat with extreme care or kindness

Couldn't even the superficial charm, manipulation and self serving behaviors of a self diagnosed sociopath permissibly appear to be coddling even if it is covertly hostile and dominating? More likely, what is interpeted by your victim as joy, love and compassion - even if feigned, feels close enough to the real deal to be worth it. Or at least, as one of your named victims, I don't care and would prefer the shallow coddling to no coddling at all.

This is not to say that I see you so without capacity for empathy or love; but that seems to be the theme of the DSM IV's diagnosis of the sociopath. So I'm running with it. I must enjoy being the abused.

90% chance you made the flight. 98% percent chance you were still sending an email or texting when flight attendant had to tell you to stop.

Friday, February 3, 2012

Overdiagnosing Asperger's

Two recent NY Times pieces discuss the overdiagnosis of Asperger's.

This op ed is written by someone who was mistakenly diagnosed with Asperger's as a teenager by his psychologist mother who (surprise!) specialized in Asperger's.  He eventually outgrew his social awkwardness, but wonders if he would have if he had been diagnosed younger, or would he have withdrawn even more in a sort of self-fulfilling prophecy:


I wonder: If I had been born five years later and given the diagnosis at the more impressionable age of 12, what would have happened? I might never have tried to write about social interaction, having been told that I was hard-wired to find social interaction baffling.

The authors of the next edition of the diagnostic manual, the D.S.M.-5, are considering a narrower definition of the autism spectrum. This may reverse the drastic increase in Asperger diagnoses that has taken place over the last 10 to 15 years. Many prominent psychologists have reacted to this news with dismay. They protest that children and teenagers on the mild side of the autism spectrum will be denied the services they need if they’re unable to meet the new, more exclusive criteria.

But my experience can’t be unique. Under the rules in place today, any nerd, any withdrawn, bookish kid, can have Asperger syndrome.

The definition should be narrowed. I don’t want a kid with mild autism to go untreated. But I don’t want a school psychologist to give a clumsy, lonely teenager a description of his mind that isn’t true.


Under the headline: "Asperger's History of Over Diagnosis,"we get a shout out as the only people who might not eventually be labeled as being a bit of an Aspie:


For better or worse, though, Asperger syndrome has become a part of our cultural landscape. Comments about a person’s having “a touch of Asperger’s” seem to be part of everyday conversations. Even an episode of “South Park” last year was devoted to Asperger syndrome. We can only hope that better physiological markers distinguishing between the autism-spectrum disorders and pure social disabilities can stem this tide of ever more pathologizing.

But, as Martha Denckla, a pediatric neurologist at Johns Hopkins University, has lamented, the only Americans in the future who will perhaps not be labeled as having a touch of Asperger syndrome will be politicians and lobbyists. Members of the political establishment may have other kinds of psychopathology; but, unlike the rest of us, they at least cannot be thought of as Aspies.


Of course we can all be glad that we will never be diagnosed as having Asperger's (which doesn't mean that I won't sometimes throw out that I am also a little bit Aspie to get sympathy and leeway). I guess we can also be happy that people seem so reluctant to diagnosis anyone who isn't a murderer a sociopath (and categorically exclude children).  In my mind, though, I don't see anything wrong with labeling people a little bit Aspie or a little bit sociopathic, unless it's an issue of prescribing medication or other radically different treatment.  But if there are no meds and there is no treatment, then what is wrong with slapping a label on someone as long as it helps others understand them (and helps them understand themselves) better?

Friday, March 9, 2012

Is sociopathy a real thing? (part 3)

From the reader:


On another subject, I totally agree with the conception of sociopathy being some sort of a nuance of character. There are smart people and dumb people, strong spirited and weak spirited, beautiful on the outside, ugly on the outside and so on. But it all happens on the inside and even if somebody is labeled as a sociopath or borderline or anything, you can only say that that's their way to deal with life. It's all about adapting to the environment with the brain and body that has been given to you. 

I also think that the primary attraction on your blog is not the fact that it's about "SOCIOPATHS", the whole ambiguous thing around it. It's because you manage to bring particularities that you notice within yourself together in a bundle and people relate to that. When you say, I noticed this very weird thing about myself and I think that this might be the cause, I am blind to actually notice it, but I perceived through other senses, That is great, I mean, it brings joy to see that someone somewhere is having the same sort of more uncommon struggle that you are having at that moment. And I notice people trying to not show their emotions around your comment section and be all cool and stuff because they want to belong there. They feel lonely and they want to belong. I don't know whether it's sociopathy that we're dealing with here, but it's certainly a thing that only a bunch of people relate to somehow. 

I know cause when I first started reading your blog I felt the same kind of lost and it helped me keep it all together. I knew those things about myself. I knew that I was noticing things and that I wasn't like everybody else and I wasn't crazy. If I actually took the time to explain, people would understand but after that I always felt too vulnerable and open and so I started keeping to myself. And it was the same kind of thing that you are bringing with your posts. That sense that somehow you don't belong around but you can shut up about it and be taken as normal and use whatever is making you different to your advantage to get things, Not some things that you always wanted or stuff because I get the sense that that kind of craving that other people have for "whatever" never occurred in us, but whatever floats your boat at a certain moment. That's just great. 

On a somewhat related note, dear reader, I have been reading an interesting New Yorker article about the television show Portlandia, where they discuss the phenomenon of the urban hipster and how people will go out of their way to play up small differences to distinguish themselves from others in what Freud termed the narcissism of small differences.  Sometimes I suspect the SociopathWorld community of this, myself included.  It's easy to lose perspective about how much we actually share in common with every other human on this planet in a race to make ourselves as distinct as possible from people and beliefs that we may not respect.  

But this isn't to say that there aren't real differences between people too.  I guess it's what makes the development of "standards" like the DSM-5 so controversial.  

Tuesday, May 26, 2009

Sexuality and sociopathy

Sociopathy is a personality disorder. We are unusually impressionable, very flexible with our sense of self, and with our defining characteristics. Because we don't have a rigid self-image or worldview, we don't observe social norms, we don't have a moral compass, and we have a fluid definition of right and wrong. We can also be shapeshifters, smooth-talking, and charming. We can become your ideal mate, in a way described here and here. We do not have an established default position on anything. This extends, at least in some degree, to our sexuality.

The original diagnostic and statistical manual (DSM), released in 1952, listed homosexuality as a sociopathic personality disturbance. The connection between the two was subsequently removed due to protests from the gay community that homosexuality was being equated with sociopathy. Many have commented since that sociopaths seem to have no particular sexual identity, that even the term bisexual is misleading as it implies some sort of a preference, albeit a shared one, and that "equal opportunity" is a more apt label. In fact, the sociopath seems to be the bonobo of the human world -- frequent, casual, utilitarian sex. As one person reasoned, "such an individual, in their quest for dominance and power would not feel the need to discriminate according to gender."

We see fictional examples of the sociopathic "bisexual" with the talented Mr. Ripley, Joker from Batman (depending on who writes him), and real life examples with Leopold and Loeb and others listed here. If I had to speculate about current celebrities, I would also include Angelina Jolie, Tom Cruise, and Lindsay Lohan, although narcissism could apply equally well for some of those.

I was thinking about all of this while reading an article on Sir Laurence Olivier's sexual predilections. Although married three times, he apparently also had many male interests, one of whom explained it as follows:
"He's like a blank page and he'll be whatever you want him to be. He'll wait for you to give him a cue, and then he'll try to be that sort of person."
Maybe larry wasn't a sociopath, maybe he was, but he shared with sociopaths the common characteristic of a weak sense of self, and he illustrates well how that might play out with one's sexual identity. In any case, the lesson learned here is not only does being a sociopath potentially make you a great thespian, it also gives new meaning to the old consolation, "there are plenty more fish in the sea."

Tuesday, August 23, 2011

Co-morbidity

I was reading Sam Vaknin's thoughts on possible co-morbidity of narcissism with different personality disorders, including sociopathy:
As opposed to patients with the Borderline Personality Disorder, the self-image of the narcissist is stable, he or she are less impulsive and less self-defeating or self-destructive and less concerned with abandonment issues (not as clinging).

Contrary to the histrionic patient, the narcissist is achievements-orientated and proud of his or her possessions and accomplishments. Narcissists also rarely display their emotions as histrionics do and they hold the sensitivities and needs of others in contempt.

According to the DSM-IV-TR, both narcissists and psychopaths are "tough-minded, glib, superficial, exploitative, and unempathic". But narcissists are less impulsive, less aggressive, and less deceitful. Psychopaths rarely seek narcissistic supply. As opposed to psychopaths, few narcissists are criminals.

Patients suffering from the range of obsessive-compulsive disorders are committed to perfection and believe that only they are capable of attaining it. But, as opposed to narcissists, they are self-critical and far more aware of their own deficiencies, flaws, and shortcomings.


Monday, November 16, 2015

Seeing the world as an extension of ourserlves

This was an interesting comment on an old post from someone who identifies as narcissistic, but actually became self-aware and got better:

Everything I've read about narcissism says leave them alone...I was physically abused as a child and had a series of crises (death of the parent who abused me, failed relationships etc)

Now I can remember how I slowly died and became an unfeeling shell.

For 20 years of my life I lived the life of a narcissist..compartmentalised life..using and abusing everyone and everything..A part of me knew it was wrong but it was a very small part of me..For the most part there was an unfeeling emptiness that I hid very well.

I got married and had 2 children..compartmentalising allowed me to have something that remotely resembled a marriage on the surface.
But nothing filled the hole till I decided to try spiritual practise...even that was narcissistic in its nature..I felt that I was better and knew more than anyone.

I had an experience..I guess you could call it a spiritual experience..After the experience I slowly started feeling again..It's taken 7 years so far..I ve learnt to take leaps of faith..and I've taken many..Every leap revealed something about myself to me..my marriage began to crumble..and I recently took another leap because I could not deal with it..Nothing helped...and something snapped in my head..The pain was gone..All of a sudden..I'm ok on my own...my wife is a person my children are their own beings...I don't know if this is just a phase..We put labels on things we don't understand thinking the labels are reality..forgetting that we've just collected a set of traits...grouped them together and put a label on the group. 


I thought that last paragraph was particularly interesting, especially, "my wife is a person my children are their own beings". My current therapist (and I apologize, I haven't had the time to verify or source this assertion) says that all of the cluster Bs suffer from a common ailment -- that they fail to see others as separate individuals, but rather perceive them to be an extension of themselves. Apparently we all start that way as infants, seeing mother and world as all being the same "us/I". Eventually as a toddler we expand our reach a little and realize that there can be a distance between us and mother, that we are our own autonomous self, and that psychological development allows us to see our true place in the world: that we are one of many people who also have separate identifies, inner worlds, volition, likes and dislikes, and finally that we all have separate realities and to challenge someone else's reality and assert ones own instead can be as violative to that person's personhood as rape. I've always thought that attitude was particular to narcissism, or at least not shared by sociopaths, who seem to very well understand that everyone is different, which is why we can both seem so tolerant and skilled at manipulation, because we see and target people's individual predilections. But my therapist believes that this is common (or perhaps even necessary) in an ASPD diagnosis. I do admit that in my most antisocial, I disregard the personhood of the people around me. But it's not because I have an inability to see them as anything other than just an extension of myself/universe. I wonder, is this a possible distinction between the classic sociopathic diagnosis versus the DSM's ASPD? Can any other sociopathic leaning individuals or people that know sociopaths speak to whether this trait is shared not just in ASPD but the broader sociopathy?
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