Graduating to every other week therapy

I've never been to summer camp. The closest I got to the experience was sixth grade camp, when as an 11 year old I went up to the mountains (snow! cold!) with all of my classmates for a week. I still have so many vivid memories of it. Everything I know about recognizing constellations I learned there, camp songs, a love/hate relationship to the hot dog, making snow survival shelters (we surely would have died if actually required to live in ours) and what seemed to be the startling amount of trust and freedom I enjoyed in leaving my family and any real responsible adult supervision and running amok in the mountains with a 15 to 1 ratio of camp counselors (barely more than children themselves) to children, and with knives and other sharp tools. Even though it was just a week, I came back from camp a changed person. Not to say that the person I was before was bad or even that I needed to change in that particular way in order to mature. Nor to say that the person I changed into was any less me than the person before. It's hard to describe the sensation, but whatever it was I was ok with it because for whatever reason I still recognized the person I became.

I recently graduated from every week therapy to every other week therapy. The change was precipitated by me reaching and maintaining a certain level of awareness and understanding about myself, other people, and the world. I feel the difference, but I also don't feel that different. I recognize who I am. I just feel more proficient, like if I had always been only a music sight reader and then finally learned how to play by ear, or vice versa. And naturally I understand the world in a more fuller and richer way, simply because now I engage with it in more ways than I did previously. Everyone has a blindspot. That was always my special talent to know growing up. Now I know better my own.

The most interesting development has been my more nuanced view of self. How is it that I am the same person I was as a too-aggressive child, a manipulative teenager, a scheming young adult, a risk-taking 30 something, and now someone who has graduated to every other week therapy. But even odder to realize is that during the periods that I was "truest" to "myself", those were when I was most engaged and satisfied by life, no matter my financial situation or family situation or anything else that may have been weighing me down in the world at large. It turned out it wasn't the fact that I was born/made a sociopath that caused most of my problems. It was actually my ill-informed adaptations to the world that I had picked up along the way that made my heart shrink and blacken. Some of you will understand what I mean and I apologize for not being able to explain better, but it was the societal emphasis and rewards based almost solely on appearances, end results, and bottom lines that created all of the wrong incentives -- versus a focus on the process over the outcome and learning through making mistakes = ok and understanding that society will (and must) adapt to you sometimes, it can't always be you adapting to it, and how to know when is when and what is what. Self-awareness about my sociopathic tendencies didn't make me better, it made me worse as I came to internalize how unpalatable that was in society. That's when my behavior became so aggressive, passive, hollow, desperate, and impotent. That's when I started wearing masks basically all of the time. Sayonara to my sense of self. I may have hurt others a little less but it was accomplished by hurting myself much more. Because I could always fit square pegs into round holes, even if it got a little ugly and I got dirty doing it. And it felt like that was the solution -- that was what was being asked of me as part of my faustian deal to make things go down easier for me, to avoid having to deal with any negativity or fall out based on anyone's disapproval.

But now I wonder, what to say to everyone? How do I respond to people who email me? How can I communicate this adequately to others so that they won't make the same mistake -- won't wait until there are decades of barnacles of garbage encrusting them, until they finally cease being recognizable to themselves, before they realize that who they are is not a problem that needs fixing. I want my little relatives to know this, you all, anyone who also will wonder about the meaning of the lyrics to Landslide or wonder what does it feel like to keep living (and most paradoxically keep changing) after you feel like you've finally discovered who you really are. To know how to resonate with this life, both so maddeningly static and so dynamic. And to learn what one must never, never sacrifice, even just to get by, even if it seems like that is what is being required of you to do. 

Needing things to go a particular way

A reader asks me about this selection written by another reader that I featured in a recent post: "I have learned that with happiness, comes sadness... and to not block either emotion. Emotions are like yin and yang and you cannot have one without the other."

I had heard that one before, and I'd absolutely disagree with the yin and yang portion. I've had the, opinion, that feelings are without meaning and importance, but the positive ones feel good so I focus in on them, and the negative ones don't feel good so I think my way out of them as much as possible. If we are to maximize pleasure and minimize pain, that system seems to be the most efficient. Or maybe that's what I do because of the general lack of good stuff in my life for right now and the following few months due to the responsibilities and obligations that come with having future goals, as well as the anxiety of the ambiguity my future holds.
What's your approach to feelings currently, every-other-week therapy person? (Asks a rather depressed reader, I guess.)

And by the way, the way you tagged the Bill Burr video surprised me. You can probably easily see that he is not at all an actual sociopath, far from it actually. 
Anthony Jeselnik is probably the only sociopath comedian I know of, if he is one. He's at least as 'sociopathic' as I am, and openly calls himself one at occasions. You'd probably enjoy him if you haven't heard yet. (Spotify/Netflix)

My response:

Ha, for whatever reason I am bad at detecting sarcasm. I didn't really know who Anthony Jeselnik was before you mentioned him, except I was vaguely aware he dated Amy Schumer. I could see sociopath, and he's the type that also probably likes to see the sociopath in others as well.

As to the second part, I don't think you really can think your way out of negative emotions. I think you can avoid them, but they kind of stay there? Like no rational person would think that you can just ignore having to file your taxes and that by you ignoring it, the obligation to file your taxes would disappear too. I don't know why exactly this magical thinking is easy to believe with regard to emotions. Maybe it's possible to never notice an emotion, like those women who don't feel fear (http://www.popsci.com/science/article/2013-02/researchers-scare-pants-previously-fearful-patients), but even with those people, it appears that their body registers the emotion, and some place in their brain does, just not their conscious selves.

Have you ever remembered a situation associated with a negative emotion and felt the emotion again? If not, maybe you're much better at eliminating negative emotions than I am, but my guess is also no if you're depressed. If yes, this suggests again to me that ignoring the negative emotion does not actually eliminate it, but rather just forces it deeper into the subconscious, but still very active and possibly affecting everything you do.

For me, my every other week therapy approach has been to change the beliefs underlying a lot of my emotions. My most common belief along those lines was "I need things to be a particular way to [feel good]" Feel good could have meant a lot of more specific things over my lifetime -- feel happy, or feel satisfied, or get good sleep, or whatever. And then if you're this way and if things don't go that particular way, you not only don't feel good, you feel like you don't control your life and maybe even that no matter what you do you won't ever be able to ensure that you'll live a life of feeling good more often than not. And you're right in a way, because no one can guarantee or ensure that things will go a particular way. But if you learn to feel good without things going a particular way, that's a trick worth learning.

Thoughts on seduction

I think I seduced someone on the plane recently. Usually I don't talk to anyone on planes, but this person was in distress initially, due to some nausea. I initially chatted them up to get their mind off the flight and the reality of their circumstances, but this person seemed genuinely interested in things about me that I think of as mundane, like where I'm from or my profession. And maybe it's an old habit, but I thought, here is someone that could be seduced. And what else am I doing on this plane? (Work, but it can wait, because plane seduction target).

The whole thing gave me a little deja vu because I seduced (my special definition of the word, see all other former posts on seduction) someone else in a similar manner and I'm still very good friends with that person (after a very spotty romance). It's happened in less identical but still similar ways maybe a half dozen other times. I'm charmed that the person is so charmed by me. The feeling intoxicates me, so I keep charming them.

Sometimes it gets a little intense for the person, I can see it in their eyes. Like when a child is begging to be tickled, but at a certain point it can get a little overwhelming -- almost painful. They know that the sensations they are feeling are spiraling out of control, but it's the sort of heady, vertiginous experience of thrill rides. That is, it's a sensation that most people seek out, not avoid.

And I'm quite good at it. That's what surprised me about this episode, because it's actually been a while since I've even thought about it. (It's like riding a bike?) But the whole time during the plane seduction, now with my more self-aware (every other week therapy) self I was wondering -- what is the point to any of this? At this place in my life I can make a pretty good guess that this person will either (1) get chewed up in the forces of my sociopathic traits, the strictures of my religion, and my generally not being (almost not at all) what they think I am, among other things, or (2) they will find enough to appreciate about actual me (despite me not being what they thought) and keep me as a sort of exotic friend pet, to amuse and flatter them from time to time when they know that I'll sense they need it and/or I'll otherwise be a regular supplier of small thrills.

And as I see this all with a little more clarity than the last go around, I wonder -- which will this person be? Be strong enough to appreciate some things about me without getting torn apart by others? And should I have some sense of paternalism to rescue this one? I think it would have to be paternalism. I don't think this particular person would stay away otherwise, because when I got off the plane and we separated, they looked like the nausea had come back, sick at something. The thought of being separated? Separated from this person that seemed so easily to read one's very soul? (I could tell this particular person was suffering from the vertigo that young adults often feel as they become older and their world seems to be shrinking by the second with limitless life possibilities zeroing in on the one they chose, hundreds of friendships narrowing down to just a few acquaintances, etc. It's an odd sensation for the sufferer, but one that I've seen often enough to easily recognize.).

These thoughts of the promise of renewal or destruction (a coin flip's chance of each) used to only be delicious to me. Now there's an odd sense of poignancy. The pleasant dissonance of an altered 7th chord. I can tell this time I feel more attached to my own role as "part of humanity". I'm actually more curious to see how I keep behaving than to see how the other person does.

Whole vs. wholesome

It's interesting to me that the word whole can mean such different things than wholesome. Wholeness is being exactly all of whatever one is. Wholesome has come to mean good, ethical, moral, etc. I think it's fair to say that society has a general preference, which is that it would rather people be wholesome than whole.

I was reading again a series of articles about Parker Palmer, articles that I know I had read before not more than 6 months or a year ago, but now that I've graduated to every other week therapy, I know exactly what he is talking about.

First, about the conflict between what society wants and what is best for the individual (to be one's true self, whole and complete and in the form that is the most true expression of one's "soul", whatever that means exactly):

For “it” is the objective, ontological reality of selfhood that keeps us from reducing ourselves, or each other, to biological mechanisms, psychological projections, sociological constructs, or raw material to be manufactured into whatever society needs — diminishments of our humanity that constantly threaten the quality of our lives.

(See above link for more on how we know that each person has a unique identity/soul.)

Why do we abandon our inborn identity in favor of a construct, made by society, and our parents, and friend, and ourselves and any other person who has ever had expectations of us to be or do a particular thing?

As teenagers and young adults, we learned that self-knowledge counts for little on the road to workplace success. What counts is the “objective” knowledge that empowers us to manipulate the world. Ethics, taught in this context, becomes one more arm’s-length study of great thinkers and their thoughts, one more exercise in data collection that fails to inform our hearts.

I value ethical standards, of course. But in a culture like ours — which devalues or dismisses the reality and power of the inner life — ethics too often becomes an external code of conduct, an objective set of rules we are told to follow, a moral exoskeleton we put on hoping to prop ourselves up. The problem with exoskeletons is simple: we can slip them off as easily as we can don them.

[…]

When we understand integrity for what it is, we stop obsessing over codes of conduct and embark on the more demanding journey toward being whole. 

Palmer tells of his own experience with this:

I lined up the loftiest ideals I could find and set out to achieve them. The results were rarely admirable, often laughable, and sometimes grotesque… I had simply found a “noble” way to live a life that was not my own, a life spent imitating heroes instead of listening to my heart.

[…]

My youthful understanding of “Let your life speak” led me to conjure up the highest values I could imagine and then try to conform my life to them whether they were mine or not. If that sounds like what we are supposed to do with values, it is because that is what we are too often taught. There is a simplistic brand of moralism among us that wants to reduce the ethical life to making a list, checking it twice — against the index in some best-selling book of virtues, perhaps — and then trying very hard to be not naughty but nice.

There may be moments in life when we are so unformed that we need to use values like an exoskeleton to keep us from collapsing. But something is very wrong if such moments recur often in adulthood. Trying to live someone else’s life, or to live by an abstract norm, will invariably fail — and may even do great damage.

What is the damage in this?

Afraid that our inner light will be extinguished or our inner darkness exposed, we hide our true identities from each other. In the process, we become separated from our own souls. We end up living divided lives, so far removed from the truth we hold within that we cannot know the “integrity that comes from being what you are.”
***
Here is the ultimate irony of the divided life: live behind a wall long enough, and the true self you tried to hide from the world disappears from your own view! The wall itself and the world outside it become all that you know. Eventually, you even forget that the wall is there — and that hidden behind it is someone called “you.”

How an external standard of behavior, no matter how "ethical" or "good" is not a longterm, stable solution (substitute "vocation" for any other externally imposed restriction on behavior or self-expression):

If the self seeks not pathology but wholeness, as I believe it does, then the willful pursuit of vocation is an act of violence toward ourselves — violence in the name of a vision that, however lofty, is forced on the self from without rather than grown from within. True self, when violated, will always resist us, sometimes at great cost, holding our lives in check until we honor its truth. Vocation does not come from willfulness. It comes from listening. I must listen to my life and try to understand what it is truly about — quite apart from what I would like it to be about — or my life will never represent anything real in the world, no matter how earnest my intentions.

What is the solution?

Before you tell your life what you intend to do with it, listen for what it intends to do with you. Before you tell your life what truths and values you have decided to live up to, let your life tell you what truths you embody, what values you represent.

Do this even at the cost of ruffling feathers, of not conforming to what society demands, of being persecuted and hated for who you are, yes -- and speaking form experience, there really is no other viable choice.  

Sociopathic savior

When I was growing up I had such insight into the psyches of others (and when I was younger, not enough of a filter from saying creepy things to people's faces), that people would tell me that I should be a psychologist. Often I feel like people either seek me out because they are interested in having me see through them or someone else they're trying to understand, or at the very least it contributes a lot to what my friends seem to get out of our relationships. That's why I thought this email from a reader was an interesting take on the reasons why a sociopath might choose to help people:

First of all, I just wanted to thank you so much for Confessions... I personally have several male sociopath friends (we just attract each other!), but no fellow female sociopaths have ever come my way. As such, I was naturally curious how other women display their sociopathy, and how the display of my own characteristics "measured up" to other females. I'm happy to say that much of your book felt like stream of consciousness coming from my own mind. There were even a couple of adages or quotes I found within your book that I've been saying for years, haha. It was a pleasure to read.

All gushing, flattery, and gratitude aside, I wanted to take a chunk of my own life and throw it to the wolves, as it were ;) I'm not asking for clarity on whether or not I'm a sociopath (I know I am, and I don't need "reassurance" for such things), but I suppose I would like to initiate a bit of discussion among your readers as to how sociopathy can play out.

Growing up, I had all of the classic symptoms of a sociopath. I used my parents' divorce to manipulate, guilt-trip, and ultimately profit from both parents, I would get in fights at school, covering up quickly by claiming the other child wanted me to hit them because they wanted to see what I was learning in martial arts, I learned how to fake guilt in that "I guess I took it too far," with crocodile tears to boot. I would lie about the most mundane of things, like whether or not I had brushed my teeth a particular morning, and sometimes I would lie just to create emotional outbursts "for the fun of it" (ie: I was homeschooled by my stepmom, who I despised entirely, so occasionally I would come to my dad in tears, confessing I had "failed" a really important test, that I felt like I wasn't taught any of the material covered. In reality, I always got very high marks, but I gained a sort of satisfaction in watching my dad blow up at my stepmom for "ruining my education.")

All of this took a turn when I was sixteen, when my dad, in one of his outbursts, killed my stepmom, baby sister, and himself. (I was also shot, but survived.) I was "sentenced" to court mandated therapy, which was entirely necessary as I was having flashbacks, nightmares, etc. But my therapist noticed something: aside from my dad--who, at very least, had sociopathic tendencies, though his primary dx was bipolar... he was incredibly intelligent, however, and through his own wits and ways of "bending the law," he went from being a high school dropout, son of a hooker to a multimillionaire by his early twenties. I still admire and respect him, probably more than any other person--aside from my loss of this influential role in my life, I did not grieve. I was not concerned for my losses, except the man I saw as most contributing to my education and growth (he spent hours every week teaching me about social manipulation, business strategy, etc)--someone I had seen as "useful." My therapist chalked this up to a delay in grief caused by shock, but five and a half years later, I have never been so much as concerned to think of the others. 

Though I was not grieving, being in therapy taught me how I "should be" grieving. My therapist used a lot more suggestive questions than she probably should have, likely to try to draw me "out of my shell" or to help me put a name to emotions I was "experiencing," but didn't "understand." So I created a persona based on this "grieving me." My performance won me a full-ride scholarship to college, many families opened their homes to me, and I noticed something odd--people came up to me, seemingly out of the blue, to talk to me about their problems, thinking "if anyone could relate," it would be me.

Having been in therapy, and having keenly observed my therapist, I simply played counselor to these people. And they would look at me and tell me how much I inspired them and gave them hope... Several told me, eventually, that had it not been for me, they would've killed themselves. The power and influence I had over these people was astonishing--and I loved it. 

So I used my education to get my BA in psychology, and in the near future, I will be pursuing a MA in Grief and Trauma Therapy. I currently volunteer once a week at a grief center for teens (I specifically work with teens who have lost someone to suicide, which earns me double points for 1. working with "the toughest cases," and 2. for being "strong enough to open up to relate in such a personal way to these teens"). I also work at a residential treatment center for adolescent girls who have been through trauma and abuse. Everyone I tell my persona's story to gushes at me in admiration, and more often than not, opens themselves up ever so completely to me. They trust me, in many cases, more than anyone else they've ever met. Trusting someone is laying down your defenses completely and being bareboned honest, fearless of the consequences. People trust me so much as to let me in where no other may go. I saved their lives, and in essense, now control their lives. The power of that is incredibly intoxicating.

So, yes: these days, I help people. And I am damn good at it. But I'm tired of hearing so many people (mostly empaths and wanna-be-sociopaths) tell me that no "real" sociopath would want to help people the way I do. Even some sociopaths are skeptical. But the display of sociopathic behavior is rooted in what we want. We want power. For me, I've found the most success in gaining power through letting people trust me on what they believe to be their own terms. Yes, I could ruin them, and that is a delicious fantasy (and one, admittedly, I play out now and again with lovers)... but if I did so with clients, my reputation could be ruined more than it would be worth. By being "responsible" with my power, I gain more of it. 

I'm curious what you and yours would remark on my endeavors. I don't help people because I feel "compassion" or any nonsense like that. I don't feel any sort of "trauma bond" either. Simply, I'm good at something, and people admire, praise, and depend on me (to the point of stopping themselves from suicide) for that. Any other "savior sociopaths" out there? (After all, being a Savior entails being someone's God...)

Harm OCD?

I have always had an obsessive streak. My favorite movie is Vertigo, which is all about obsession. My current therapist attributes this to me having features of obsessive compulsive personality disorder (not OCD). It's interesting because I've always thought of my obsessiveness as being a sociopathic trait -- possibly a symptom of hyper focus or other attentional issues -- but he sees it as being somewhat inconsistent with that diagnosis (at least of an ASPD diagnosis). 

Somewhat along those lines, here's the self-report of a youngster who has been diagnosed with Harm OCD (which I had never heard about before) but questions whether there are actually elements of psychopathy about it:

Hi, I'm 13 and I've been reading your blog a lot lately, I think you are the right person to ask.

I know that I can't ask you for too much without paying you, but I hope you at least tell me whether I'm actually psychopathic or I have Harm OCD, I've asked a psychiatrist and he told me that I have Harm OCD

It's a long story but I think that it'll help you to improve your opinion I should tell you everythinhg.

Sorry if there are many mistakes but I'm spanish.

(Is the ability to learn a second language by yourself a psychopathic trait?)

Two months ago I was playing videogames with my friend and he was searching "Scary Videos". He stumbled upon a really scary one, but at the moment I was just scared and nothing else. 

The real problem started when I went to bed, so I had a horrible intrusive thought (Do you need me to tell exactly the thoughts for a better diagnosis?) about my young brother, who sleeps in the same room as me. I started sweating, shaking and crying and wanting to hit my head against the wall until the thoughts left. So the next few days I was worried and searching compulsively about it on the internet, just taking sanity tests.

Also during those days I was overly nice to my family, is that psychopathic?

But in like three days I just woke up and the thoughts didn't seem to be there.

I kept worrying a bit about exactly why I had had those thoughts but I just tried to ignore it.

It was a week later when I was having lunch and I thought 'Have I had these thoughts lately?No'. And then some other intrusive thoughts came in. 

So it was then when I just started impulsively surfing the Internet reading every article and taking every test about psychopathy that I found. I was just so confused because it kinda didn't really fit me but I just kept thinking about it all day long. 

Then it was all more or less the same.

But I found your blog and it was like heaven, I read them and they were pure relief.

But some of my biggest doubts is that sometimes I get graphic intrusive thoughts and sometimes they're just like " I hate this person" when I just don't.

And also taking everything from my past and analisyng them as psychopathic signs

For example: I loved a girl for some years and I didn't ever dare to talk to her, and I just started thinking 'Maybe that's psychopathic' or 'Maybe I didn't love her', while before the thoughts I spent most time  thinking that I should've talked to her and was completely sure that I loved her.

Also lately I've gotten angry very quickly and I just wanted to be alone crying without them noticing, and I started classes today and it has affected me really badly, I'm at school and I just wanna surf the web trying to find out whether I have OCD or actually something horrible.

I have also been having suicide thoughts, but they're not as the intrusive thoughts, they're coherent ideas and actually the only reason keeping me from killing myself is that I don't want my brother grow up in that situation; but then I thought Ïs it better to kill myself so that I make sure I don't hurt anyone but affect his childhood, or stay alive hoping I have OCD and not something worse.

Also I've been wishing to go to a therapist but I don't really know what to tell my parents. Like, it's all been so sudden; before the summer started I just cried monthly because I didn't talk to the girl I love, but when the thoughts came I want to cry every three minutes. 

Most nights I dream about going to therapy and I beg that if there's some god it must either kill me or take the thoughts out of my mind. I haven't had any mental illness in my life, or at least I don't know about having any (maybe I've had some slight depression when I found out that I wouldn't be able to ever talk to my first love (because I changed of school).

Also I've stopped doing some things, I loved watching movies but lately I just can't, I watched two movies other day but no more.

I also have noticed that lately I've been crying a lot because of the death of Robín Williams or Philip Seymour Hoffman or sad news on TV. While I didn't do that often.

Now I'm gonna tell you what I think is the signs that might define me as psychopathic: 

When I was a kid and I got caught doing something bad I would feel guilt, but I would lie so I didn't could get away with it. I also have a high IQ and bedwetted until I was 9.

Can you explain this all?, ask me whatever you want, Will this affect me at school? Am I psychopathic? Is this dangerous? Will I do something bad? How can I tell my parents that I need a therapist? (I've never told anyone about this because I thought it was something worse?) Thanks a lot and if you can help me a bit thanks, thanks and thanks.

What/when change is possible

My therapist often deals with bosses, spouses, church leaders, probation officers, etc. who inquire as to whether and how fast behavioral change is possible with someone who suffers from mental problems. He tells them that change is almost always possible, it's just not often possible in that moment. For example, someone who struggles with rage issues may be able to learn to control their temper through years of training and self knowledge and growth, but they may be completely incapable of controlling their temper in any given moment. He says that this restricted ability to control behavior, where mental hardwiring meets a deficit of willpower or skill level, is really hard for people to understand who don't suffer from similar deficiencies in those areas. First, it feels like the person is cheating, coasting through life on excuses while the rest of us have to try so hard. Second, it's difficult to understand how someone couldn't just be able to make a choice in that moment to do something differently, e.g. "just relax".

A lot of people have experienced this frustration with me over the years,. Recently, though, I've had extensive experience with it myself from someone else who has a very entrenched personality disorder, but also has started suffering from major depression symptoms. For various reasons, I am to a large extent responsible for this person and must interact with him various times a week. And every week there is some new flavor of dysfunction going on in his life, despite a comprehensive cocktail of medication and weekly therapy. This week, it's an inability to get out of bed for anything but work. He is already suffering pretty serious health consequences from a lack of exercise, for which he is taking another set of medications. All of his doctors, mental and physical health, tell him to keep trying to exercise. He knows that it will improve not just his physical health, but his depression as well. He knows that he enjoys getting out and walking in nature. But it is just very difficult for him to do it, so difficult that he doesn't quite go to the trouble of trying. I have a very tough time relating to this, and after years of dealing with nearly limitless levels and varieties of dysfunction, my frustration levels can get pretty high.

The crazy thing is that I would have never had this experience at my most sociopathic self. There would be a snowflake's chance in hell that I would have continued to deal with someone like this for longer than a few weeks, maybe a few months in exceptional circumstances. So I've never actually had to confront this type of frustration at someone's inadequacies. The one great thing that has come out of it is that I now have much more cognitive empathy and understanding for what people have to deal with on the other side of the mental health problem equation -- the people without the seemingly intractable problem, but still have to deal with it on a regular basis.

But I think of a parallel -- my grandmother, who suffered a stroke and had to undergo a sequence of physical therapies. She did get better over time -- better bladder control, speech, decreased paralysis, etc. There were also some things that she didn't get appreciably better at -- lack of inhibition, sense of decorum or propriety, respect for the privacy of others, demonstrating an adult level of patience, and certain types of emotional regulation. She had in many ways the mind of a child to her death, but I bet that even in those things she could have seen further improvement -- too bad she didn't live 50 more years to reach that point in her trajectory.

And I know that as much as I have improved over the past few years -- almost no manipulation, more in touch with my emotions, stronger sense of self and identity -- there are still things I probably won't ever be able to do -- affective empathy, strong emotional theory of mind, understanding subtle emotional cues, conforming more closely to social norms and expectations, etc. Or maybe I will, it will just take some future brain surgery and/or 50 years of training. We'll see.