Monday, June 10, 2013

"Bridging the Gap Between Scientific Evidence and Public Policy"

To address some of the misconceptions I've been seeing recently about sociopaths, a peer-reviewed academic article on public policy implications of sociopaths. From the summary to: "Psychopathic Personality: Bridging the Gap Between Scientific Evidence and Public Policy" co-authored by Jennifer Skeem, among others:


Few psychological concepts evoke simultaneously as much fascination and misunderstanding as psychopathic personality, or psychopathy. Typically, individuals with psychopathy are misconceived as fundamentally different from the rest of humanity and as inalterably dangerous. Popular portrayals of “psychopaths” are diverse and conflicting, ranging from uncommonly impulsive and violent criminal offenders to corporate figures who callously and skillfully manuever their way to the highest rungs of the social ladder.


Despite this diversity of perspectives, a single well validated measure of psychopathy, the Psychopathy ChecklistRevised (PCL-R; Hare, 1991; 2003), has come to dominate clinical and legal practice over recent years. The items of the PCL-R cover two basic content domains—an interpersonalaffective domain that encompasses core traits such as callousness and manipulativeness and an antisocial domain that entails disinhibition and chronic antisocial behavior. In most Western countries, the PCL-R and its derivatives are routinely applied to inform legal decisions about criminal offenders that hinge upon issues of dangerousness and treatability. In fact, clinicians in many cases choose the PCL-R over other, purpose-built risk-assessment tools to inform their opinions about what sentence offenders should receive, whether they should be indefinitely incarcerated as a “dangerous offender” or “sexually violent predator,” or whether they should be transferred from juvenile to adult court.
***
Despite the predominance of the PCL-R measurement model in recent years, vigorous scientific debates have continued regarding what psychopathy is and what it is not. Should adaptive, positive-adjustment features (on one hand) and criminal and antisocial behaviors (on the other) be considered essential features of the construct? Are anxious and emotionally reactive people that are identified as psychopaths by the PCL-R and other measures truly psychopathic? More fundamentally, is psychopathy a unitary entity (i.e., a global syndrome with a discrete underlying cause), or is it rather a configuration of several distinguishable, but intersecting trait dimensions? 

Although these and other controversies remain unresolved, theory and research on the PCL-R and alternative measures have begun to clarify the scope and boundaries of the psychopathy construct. In the current comprehensive review, we provide an integrative descriptive framework—the triarchic model—to help the reader make sense of differing conceptualizations. The essence of this model is that alternative perspectives on psychopathy emphasize, to varying degrees, three distinct observable (phenotypic) characteristics: boldness (or fearless dominance), meanness, and disinhibition. The triarchic framework is helpful for clarifying and reconciling seemingly disparate historical conceptions, modern operationalizations, and contemporary research programs on psychopathy.

In many cases, the findings we review converge to challenge common assumptions that underpin modern applications of psychopathy measures and to call for cautions in their use. For example, contemporary measures of psychopathy, including the PCL-R, appear to evidence no special powers in predicting violence or other crime. Instead, they are about as predictive as purpose-built violence-risk-assessment tools, perhaps because they assess many of the same risk factors as those broader-band tools. Specifically, the PCL-R and other psychopathy measures derive most of their predictive utility from their “Factor 2” assessment of antisocial and disinhibitory tendencies; the “Factor 1” component of such measures, reflecting interpersonal and affective features more specific to psychopathy, play at best a small predictive role. Similarly, current measures of psychopathy do not appear to moderate the effects of treatment on violent and other criminal behavior. That is, an increasing number of studies suggest that psychopathic individuals are not uniquely “hopeless” cases who should be disqualified from treatment, but instead are general “high-risk” cases who need to be targeted for intensive treatment to maximize public safety.

Misunderstandings about the criminal propensities and treatability of individuals achieving high scores on measures like the PCL-R have been perpetuated by professionals who interpret such high scores in a stereotypic manner, without considering nuances or issues of heterogeneity. A key message of our review is that classical psychopathy, whether measured by the PCL-R or other measures, is not monolithic; instead, it represents a constellation of multiple traits that may include, in varying degrees, the phenotypic domains of boldness, meanness, and disinhibition. Measures such as the PCL-R that do not directly assess features of low anxiety, fearlessness, or boldness more broadly tend to identify heterogeneous subgroups of individuals as psychopathic. As a consequence, efforts to apply one-size-fits-all public policies to psychopathic individuals may be doomed to failure. In aggregrate, these conclusions may help to shed light on what psychopathy is, and what it is not, and to guide policy interventions directed toward improved public health and public safety.

Sunday, June 9, 2013

Pro-social sociopath (part 3)

Ok, a few more responses about the legitimate foundation of the stigma against sociopaths, and then we'll stop this series.
  • you said you salivate at the thought of ruining people (that's been stuck in my head for a while btw). 
Yes, I do. It's an involuntary reaction to a stimulus, like someone becoming sexually aroused. I once heard a (possibly specious?) statistic that men think about sex every seven seconds. And I bet some of those times are triggered by girls younger than 16 years old. Maybe they even wish that it was ok to sleep with girls that young but since it isn't, they don't. And in any case, they can't control the fact that they are attracted to them. It's just the way they're wired. Similarly, I am also wired to enjoy the aggression inherent in power games. And there are certain contexts in which these power games are particularly useful, like in times of war/diplomacy/debate, just like how there's nothing wrong with sex in the right contexts. It's good for society to have a few people around that don't shy away from conflict but actually enjoy it, particularly as long as you can convince us we're on your team. I understand that people are concerned that I actually "ruin" people in that the person is "ruined". I don't. I have always defined and used the term to refer to power games (ruined in this sense means the same thing as it would in the context of a game, "I've ruined her" = I've beat her in a game). I'm not results-oriented about the ruining. I don't actually want to hurt them. But I still make a game out of it. To use the previous example, a man might flirt with a young girl just to see where it could possibly lead without actually intending to sleep with her. Similarly, I will sometimes exercise small degrees of influence over people to see how quickly I can acquire even larger degrees of influence over them. I don't actually use that influence to intentionally or malicious harm them (unless that's what they're asking me to do).

  • and that you've never killed anyone but very likely could. how can you not think that would make people hate sociopaths?

Yes, I understand, it would be scary if I had actually ever said that I "very likely could" kill someone or if a significant percentage of sociopaths are killers (I don't know what percentage of sociopaths are killers, and I don't think anyone does, but it can't be that high because there simply aren't that many murders committed). I think what I said was roughly (and even this was taken out of context): "is it possible that I would kill someone? I don't think I would, but it's possible." This is true. In my mind pretty much anything is possible -- I'm naturally very open-minded about what is and is not possible and my educational background has also led me to believe that it is foolish to not believe that it's within the realm of possibility that killing (either as a perpetrator or victim) could be part of my life -- or having a child with down syndrome, or becoming an amputee, or any number of unusual and unlikely but very possible events. I actually think it's weird that people assume that they're much more likely to be the victim of killing than the perpetrator, particularly because if most killers have only killed once, the odds of killer/killed happening to you are not so different. I wish more people would acknowledge that they too could be killers, given the right circumstances, then maybe they would take appropriate precautions to avoid things that might trigger any latent violent tendencies, like I do and have done since the DC metro worker incident from the book. If you have never experienced anything approaching a murderous rage, good for you but I fear you are in the minority of the population and there's no guarantee that you won't ever ("she always seemed so mild-mannered..."). But despite sometimes feeling like or wishing that I could "stick it to" someone, I have no real history of non-consensual violence and I don't really have the skills for killing someone even if I wanted to. My guess is that there is a greater chance of being struck by lightning than being killed by a sociopath and I am certain that there is a much greater chance of being the victim of violence perpetuated by a non-sociopath than by a sociopath. Do you know what kills much more frequently than sociopathy? Love kills. Emotions kill. It happens so often that we have a separate version of homicide for it, voluntary manslaughter. If you really want to decrease your likelihood of being murdered, you'd never get married, disown your family, never have kids. But of course this is stupid to do when the chance of getting murdered by anyone is so low and much lower than dying doing any number of other activities we still willingly engage in (driving automobiles, working, biking, etc.)

  • You are as repulsed by the fat girl as anyone else, but you see an opportunity to use her and have no qualms against taking it.

No, let me be very clear -- I am not repulsed. The fat woman does not bother me. Not only am I not repulsed, I don't understand why your feeling of repulsion and your mind-blindness are so strong that you can't imagine anyone not feeling repulsed to the point that you keep insisting that I am. I am not you. And your continued projection of your own failings unto me (along with a laundry list of failings that you imagine me to have) are telling as to how and why there is such a negative (and still unfounded, as far as this recent exercise is concerned) stigma against sociopaths. Why would her appearance offend me at all? I'd love to see someone even attempt to come up with a rational reason why, and yet you all conveniently write off this particularly ugly and antisocial empath trait as being "trivial" or necessary to the survival of humanity by ensuring that there be social conformity. Conformity as to what? Fit of clothing? Is it also ok to make everyone conform to the same religion? Same political beliefs? No? And yet, you all think there's an incredibly compelling reason to shame a fat person out of completely innocuous behavior. This is nonsense. It's irrational and hurtful and it's so common that you can't even imagine what humanity might look like without it. I don't think this example is trivial, rather I think this example and your reactions to it clearly illustrate how convinced empaths seem to be that their fecal matter doesn't stink.

  • And when you've used her up, when her value is gone, there's no marriage contract, no division of property, just a social umbilical cord to cut which thrusts her back out into the world, cold, naked and alone.

This is a funny thing to say, especially when the actual marriage success rate is 50%. I guess empaths are all selfish and self-interested? I don't think I've met anyone who consistently acts outside their own self-interest, and I don't think we'd want them to, or at least rational self-interest is the basis of capitalistic economies.

  • The person who commits a crime in a moment of temporary madness, or a blackout, is considered to be less dangerous than the one who knowingly and willingly commits an identical crime. The former is not held responsible, and in less need of reform. The latter is responsible for his actions, and heavier penalties are necessary to discourage future crimes.

It's not clear that sociopaths are actually deterred by heavier penalties. In fact, there has been substantial evidence suggesting that sociopath do not respond in the same way to punishment (but they do respond to incentives). If the idea is to actually prevent sociopaths from doing criminal acts, a one-size fits all method is not at all optimal. And I don't believe that sociopaths are incapable of reform. Sociopaths may not respond well to the current methods of prisoner reform, but we are far from having exhausted every possible option in terms of attempted reform of criminal sociopaths.

  • Sociopaths do not feel guilt and will never atone, and thus commit social crimes in perpetuity without any legal or social recourse. The solution, then, is to identify people who are sociopaths and ostracize them, strip them of social privileges and cast them out.

Sociopaths don't need to feel guilt/atone to choose to behave in socially beneficial ways. And your solution seems difficult to execute. Historically, what typically happens when you disenfranchise a group of people and treat them as less than? Does it work out well? No, because after they are no longer invested in your society (nothing to lose), they will have every incentive to tear it down (French Revolution, and really every other revolution, terrorism, etc.) And if we're imprisoning people based on their status (and an inborn genetic propensity at that), then we're opening the door to any number of atrocities committed against types of people that we might, in all our infinite and flawless wisdom, consider a net loss to society -- disabled people, mentally sick, even poor children who, just like sociopaths, are statistically more likely to grow up and become criminals. And if we're going to eliminate things that seem to cause problems, let's also get rid of religion because it makes people bigots and terrorists, and children in general because killers have to come from somewhere, and money because people don't like that other people have more of it and sometimes they commit crimes or murder for it, corporations, and a slew of other really great ideas for social reform. A certain degree of conformity is beneficial to society, but absolute conformity is absolute death.

  • I mean, sociopaths, almost all of them, have antisocial behaviors. And you are asking why humans, who life together, who organize in a society, stigmatize those who have antisocial behaviors?

My point is that everyone has antisocial behaviors. The sociopath's antisocial behaviors may seem uniquely distasteful to you, and it may be difficult for you to acknowledge your own failings, but it's not at all clear that sociopaths as a class of people are a net loss to society. You may have an intuition that this is true, but your intuitions appear to be tainted by your visceral negative reactions to the very idea of sociopaths. So I'm not just going to take your word for it on sociopaths being pure evil, and I don't think any reasonable person should. If your beliefs are really based in fact, they should hold up to even a modest degree of scrutiny. Otherwise, “that which can be asserted without evidence, can be dismissed without evidence." I'm not saying that people can't hate sociopaths -- they can and they do and I'm sure nothing will change that, particularly for some of you. But sociopaths are here, we're queer, and if you want to make our lives worse in some way, at least acknowledge that you are really just blindly enforcing your own personal and subjective set of aesthetic preferences of what humanity should look like onto sociopaths in the same way that you bully fat girls in a tube top. And it's not even effective -- as much as society shames fat girls in tube tops, they keep doing it.

  • A clue - empaths, and people of this ilk, especially in a group, as you know, are a thousand times as intelligent as any sociopath.

One more outrageous claim to add to the pile of irrational outrage. But this has been incredibly enlightening to me. I am pretty sure I now know where the intense stigma and dislike for sociopaths comes from, but unfortunately it's not anything that any of you seem to be able to put into words. Correct me if I'm wrong.

Saturday, June 8, 2013

Pro-social sociopath? (part 2)

So here's what people had to say regarding the legitimate foundations for the negative stigma against sociopaths (hit me up again if you feel like I've missed yours):

  • The issue is that you willingly and knowingly manipulate people to meet your own selfish desires and needs, with little regard for the well-being of your targets. 

Ok yes, this is admittedly ugly behavior and I try to not do this extensively/non-consensually/harmfully anymore for various reasons, not least of which is that it is toxic to relationships and I've started to acknowledge that in dehumanizing others, I devalue my own self  However, I'm not sure the "knowing" manipulation of the sociopath (how conscious and intentional does it have to be?) is much worse than the unknowing selfish manipulation that is commonplace in all humanity. No one behaves selflessly all of the time. Every empath chooses to intentionally hurt or manipulate another at some point in their lives (and sometimes regularly). They suffer the consequences (eventually) and so do sociopaths (even though, admittedly, sociopaths probably won't be as broken up about rocky relationship troubles as an empath would).

  • You may make people feel better about themselves, and they may love to have your attention and interest, but you are deceiving them, planting the seeds of false hope that the average person would accept them for who they are. Social dictums are as good as law, and you encourage people to break them by accepting what should be unacceptable. You're not doing them any favors. Failure to adhere to social norms has very real consequences, and it is in every individual's best interests to conform in order to be happy and comfortable in life.

This is crazy. So the husband who tells his wife, "you're the most beautiful woman in the world" when really most people would consider her to have average looks is setting her up for a lifetime of false hope and accompanying failure?

  • But to lie at the person encouraging her handicap it is not pro-social; you are not doing that person a favor at all.

Hilarious, I'd love to see someone tell an overweight person that they have a handicap ("fatness") to their face. There is nothing inherently (and particularly not morally or even socially) wrong with carrying a little extra weight and wearing clothing that most would consider unflattering. Despite that being true, many normal people would make the girl's appearance their own business somehow, whereas the sociopath would think (rightly) that it is no concern of his. So the sociopath is not being a fraud or perpetuating a scam by pretending to not care when really he is bothered by the girl's weight -- he sincerely does not care. And is it devious to be nice to someone because you know they'll be nice in return? No, at least according to the Sesame Street-esque lessons on good manners I remember from my childhood.

  • The fact that the pure selfishness of the sociopath might have sometimes accidentally benefits for others, don’t make them any kinder, because their intentions are not kind.

Pro-social does not necessarily mean kind and vice versa. Is it kind to share child sex slaves with your friends? Maybe. Is it pro-social? Probably not. Is it kind to open a sandwich shop across the street from an existing restaurant? Probably not. Is it pro-social? Yes, society benefits from the competition and increased variety of eating options.

  • Sociopaths behave as the worse type of xenophobes. They do a selection according on how exploitable somebody can be for them, and in this selection there are parameters like class, income, origins, etc.

No, this makes sociopaths the ultimate meritocrats, where people are judged on actual value (to the sociopath, of course, but of course there is no objective value for anything in this world, least of all for people).

  • Where things become ethically problematic in my mind is if that positive interaction opens a door to exploitation of the tube top girl.

What would exploitation look like in this scenario? If there is something to exploit in propping up the girl's self-esteem, it's because normal people have chosen (irrationally) to tear it down in the first place. It's like saying that someone who gives a member of a disenfranchised class of persons a job is exploiting them by benefiting from their work when that disenfranchised person could probably have gotten a better job somewhere else (or even a better career) if they were not disenfranchised. The problem here is not the sociopath being normal to the fat girl, but everyone else treating her as less than her true value. (This is similar to the way that value stock traders "exploit" the systematic underpricing of certain stocks by buying low and selling high, which is also pro-social because it helps the market reflect the true value of stocks.)

  • Empathy is the essential ingredient needed for the healthy emotional growth of a child.

Maybe, but this is far from certain and not at all proved. I think there's a big difference from a wire monkey and an actual human being who just happens to not feel empathy.

That's all I saw for reasons how or why the stigma/stereotype for sociopaths is founded. If you missed this opportunity or I missed yours, just email. Otherwise, it seems like the there are not as many legitimate reasons to hate sociopaths as previously thought?

Friday, June 7, 2013

Pro-social sociopath?

I've said a lot of times that sociopaths are not necessarily malicious, and frequently act in pro-social ways (even perhaps predominantly, when you factor in the millions of things they do each day like stopping at stop signs or covering their mouth when they sneeze). Just because they don't feel guilt or don't see the world in terms of black/white, right/wrong, doesn't mean that they wouldn't choose to do good things or even necessarily derive any pleasure from being "mean". A reader writes:

A friend of mine recently asked me why a sociopath would go out of his/her way to either avoid creating or work to resolve issues with close friends and family, in which the sociopath has offended them. To answer this I came up with an interesting analogy I thought you might enjoy hearing and possibly commenting on.

For a moment imagine your life as an apartment, and the friends, family, and significant others you have chosen to allow in your life are your pets. Now every so often, regardless of how diligent you are, one of your pets is going to make a mess on the carpet. Whether you or the pet are at fault for the mess is irrelevant, because when it comes down to it your apartment now smells a little worse. So you have two choices, ignore the mess, and continue on with your life (which is the preferred result), or clean it up. So why do we clean it up? Because very few people like their place smelling of shit, and if enough pets make a mess it's going to get pretty unbearable. However, that doesn't mean we enjoy cleaning it up, it's just a necessary (yet unfortunate) action that must be done to maintain a clean healthy apartment. Of course you can always get rid of the pet when it makes a mess... but then what will you have to play with?

It's very (most?) often in the sociopath's best interest to act in pro-social, or at least friendly ways. I used this recent analogy to someone. Let's say that someone is fat but doesn't act like it -- fat girl in a tube top  confidence. Other people might feel awkward about this girl. She is clearly violating the social norms that demand that she feel some measure of shame about her body and/or clothing choices. Maybe they feel embarrassed for her, particularly if they feel like she just doesn't realize how bad she looks (same reason people feel embarrassed when someone else has something stuck in their teeth? I always get a little annoyed when people insist that I get something out of my teeth, particularly when they behave as if it is an act of supreme selflessness. I'm fine with something being in my teeth, if it bothers you, at least be honest that you are selfish enough to insist that I change my behavior/appearance to suit you better). Another popular reaction is for people to get angry with the fat girl and try to overtly shame her. I find both of these reactions to be completely puzzling. If she is not embarrassed for herself, why be embarrassed for her? There is no objective "truth" about what is or is not beautiful (and aesthetic preferences regarding corpulence vary widely when compared across time and culture). And why harass her? Is it because she has offended their delicate sensibilities? Is that why they have quickly deputized themselves members of the social norm enforcement police? Because even if they find her look to be unappealing, others might not share their same opinion.

How would a sociopath react to the fat girl in a tube top. I think people think that sociopaths would be the meanest of the mean. But what benefit is there to a sociopath in being mean, even exceptionally so? There would be much greater value to the sociopath in being friendly and propping up the girl's self-esteem. Now she feels like they have commonality. The sociopath has made a friend, and if the girl wants to keep getting the validation from the sociopath, she will be a loyal and dedicated friend. Of course this approach involves some degree of manipulation because the sociopath is more consciously choosing to present himself as a friendly ally, and not for some more lofty goal of crusading on behalf of the weight-challenged. But does that make his action any less pro-social? Or any less a welcome response from the fat girl? Rather, it is itself a form of implicit validation -- despite you being fat, I still think you're worthwhile enough to have as a friend. In other words, a sociopath sees your value clearly, without common prejudices or xenophobic knee jerk rejection, and still chooses to associate himself with you. If you were someone who is frequently marginalized from society, who would you prefer to interact with?

I'm not saying that sociopaths can never be "mean" (can sociopaths ever be unreasonable? maybe they just all seem reasonable to me because we share the same worldview?). They can do bad things and they should be held responsible for their actions in the exact same way that everyone else is held responsible for their actions (me included, of course). But to make generalizations about sociopaths always acting in anti-social ways and never benefiting society is willful ignorance of the facts. The unique traits of a sociopath are going to make them both "nicer" and "meaner" than normal people. To ignore the former in favor of focusing on the latter is disingenuous -- it distorts the truth in a manipulative way that seems clearly calculated to perpetuate negative and largely unfounded stereotypes.* 


*If you think these stereotypes are founded, please share specifically what you believe that foundation consists of so I can address them. Or if you don't want to speak in generalities, tell me what I do (currently, preferably) that seems so singularly wrong such that I have earned the negative stereotype and deserve to be punished. I have no problem engaging in an open and honest dialogue about all aspects or implications of sociopathy, including "bad" ones, with a focus on provable facts rather than baseless slander. I like learning truth, even if it means I've been wrong, and will keep an open-mind.

Thursday, June 6, 2013

Morality only as it applies to in-group actions

I discuss in the book the legal distinction between acts that are malum in se (something is wrong for its own sake) and only malum prohibitum (something is wrong because there is a law prohibiting it). An interesting question for malum in se is what makes something wrong for its own sake? Interesting research with small children sheds light on the mental origins of the distinction. From the Wall Street Journal's "Zazes, Flurps and the Moral World of Kids":

Back in the 1980s, Judith Smetana and colleagues discovered that very young kids could discriminate between genuinely moral principles and mere social conventions. First, the researchers asked about everyday rules—a rule that you can't be mean to other children, for instance, or that you have to hang up your clothes. The children said that, of course, breaking the rules was wrong. But then the researchers asked another question: What would you think if teachers and parents changed the rules to say that being mean and dropping clothes were OK?

Children as young as 2 said that, in that case, it would be OK to drop your clothes, but not to be mean. No matter what the authorities decreed, hurting others, even just hurting their feelings, was always wrong. It's a strikingly robust result—true for children from Brazil to Korea. Poignantly, even abused children thought that hurting other people was intrinsically wrong.

This might leave you feeling more cheerful about human nature. But in the new study, Dr. Rhodes asked similar moral questions about the Zazes and Flurps. The 4-year-olds said it would always be wrong for Zazes to hurt the feelings of others in their group. But if teachers decided that Zazes could hurt Flurps' feelings, then it would be OK to do so. Intrinsic moral obligations only extended to members of their own group.

The 4-year-olds demonstrate the deep roots of an ethical tension that has divided philosophers for centuries. We feel that our moral principles should be universal, but we simultaneously feel that there is something special about our obligations to our own group, whether it's a family, clan or country.

So even though there are moral origins to the distinction between malum in se and malum prohibitum acts, those moral principles underlying the distinction are not universal -- and not really that "moral" either, to the extent that they justify otherwise wrongful actions against people who happen to be different enough to somehow justify mistreatment.
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