Monday, February 24, 2014

The adaptable brain

If you believe that there is at least some genetic component to sociopathy, is it possible to find a workaround? This recent Oliver Sacks article from the New York Times discusses the incredible adaptability of the brain:
While some areas of the brain are hard-wired from birth or early childhood, other areas — especially in the cerebral cortex, which is central to higher cognitive powers like language and thought, as well as sensory and motor functions — can be, to a remarkable extent, rewired as we grow older. In fact, the brain has an astonishing ability to rebound from damage — even from something as devastating as the loss of sight or hearing. As a physician who treats patients with neurological conditions, I see this happen all the time.

For example, one patient of mine who had been deafened by scarlet fever at the age of 9, was so adept at lip-reading that it was easy to forget she was deaf. Once, without thinking, I turned away from her as I was speaking. “I can no longer hear you,” she said sharply.

“You mean you can no longer see me,” I said.

“You may call it seeing,” she answered, “but I experience it as hearing.”

Lip-reading, seeing mouth movements, was immediately transformed for this patient into “hearing” the sounds of speech in her mind. Her brain was converting one mode of sensation into another.

In a similar way, blind people often find ways of “seeing.” Some areas of the brain, if not stimulated, will atrophy and die. (“Use it or lose it,” neurologists often say.) But the visual areas of the brain, even in someone born blind, do not entirely disappear; instead, they are redeployed for other senses. We have all heard of blind people with unusually acute hearing, but other senses may be heightened, too.
***
The writer Ved Mehta, also blind since early childhood, navigates in large part by using “facial vision” — the ability to sense objects by the way they reflect sounds, or subtly shift the air currents that reach his face. Ben Underwood, a remarkable boy who lost his sight at 3 and died at 16 in 2009, developed an effective, dolphin-like strategy of emitting regular clicks with his mouth and reading the resulting echoes from nearby objects. He was so skilled at this that he could ride a bike and play sports and even video games.

People like Ben Underwood and Ved Mehta, who had some early visual experience but then lost their sight, seem to instantly convert the information they receive from touch or sound into a visual image — “seeing” the dots, for instance, as they read Braille with a finger. Researchers using functional brain imagery have confirmed that in such situations the blind person activates not only the parts of the cortex devoted to touch, but parts of the visual cortex as well.

One does not have to be blind or deaf to tap into the brain’s mysterious and extraordinary power to learn, adapt and grow. I have seen hundreds of patients with various deficits — strokes, Parkinson’s and even dementia — learn to do things in new ways, whether consciously or unconsciously, to work around those deficits.

That the brain is capable of such radical adaptation raises deep questions. To what extent are we shaped by, and to what degree do we shape, our own brains? And can the brain’s ability to change be harnessed to give us greater cognitive powers? The experiences of many people suggest that it can.
Can my brain adapt too?

Sunday, February 23, 2014

Sociopath quote: self-control

“Most powerful is he who has himself in his own power.”

--Seneca



UPDATE: I've been thinking why I have bothered to learn self-control. I think the obvious is that I am able to accomplish much more in my life if I don't give into every impulse but instead spend just a moment contemplating the potential ramifications. Another less obvious reason is that if I don't have control over myself, other people will be able to exploit those vulnerabilities in me by intentionally triggering me. I know all about this because I intentionally trigger people's rages myself, to provoke what most people consider "disgusting behavior".

(I love how the "victim" is smiling in this video.)

Saturday, February 22, 2014

Sociopath police: True Detective

In hacker culture, there are different color "hats" of people. White hat means you basically just ensure that systems are unhackable. Black hat hackers are the opposite, they're out there looking for vulnerabilities and exploiting them. Grey hackers are somewhere in between. Maybe they're breaking laws, but usually it's not malicious, or it's at least for a "good reason," whatever that may be to them.

I started watching True Detective, an HBO television series, and while I wouldn't say that any of the characters seem obviously sociopathic, by the time the mystery gets solved we'll probably realize that somebody is. For our protagonists we have a couple of cops. With giving too much away, the straight man, Marty Hart played by Woody Harrelson, makes questionable moral decisions. At one point his partner asks him what it is like to live a life sans guilt. His partner is not much better. Rust Cohle, played by Matthew McConaughey, is a master of compartmentalizing and situational ethics. Sometimes it seems like he is a deeply moral person (he spends a long scene explaining how unethical it is to bring children into this world, yanking them out of nonexistence), but he is also perfectly willing to kill people should the right situation present itself. He is nihilistic, but congratulates his partner after doing something completely unlawful: "Good to see you commit to something". It's not that he doesn't believe in right and wrong, he just had a different view than almost anyone else you would meet (but could it be just a sociopathic code? And actually, Marty's version of right and wrong is only superficially Judeo-Christian. When it comes down to it, they both have a very flexible sense of morality). Cohle is also insanely cool under pressure, is famed throughout the are for reading people, and is an extremely persuasive guy when he wants to be.

Is one of these characters a sociopath? Both? If they are, they are not black hat. Marty comes off as white hat, gradually seems more gray, and some think he's actually black. Cohle comes off as grey, sometimes creeps darker towards black, and every once in a while says something extremely white. But maybe that is more reflective of what he has chosen to do with his life to give himself some sense of purpose. When Marty asks him what's the point of getting out of bed in the morning if he believes life is meaningless, Cohle answers "I tell myself I bear witness, but the real answer is that it’s obviously my programming. And I lack the constitution for suicide." Sound like something you might say, sociopaths? But this is coming from a man whose definition of honorable behavior would be for human kind to "deny our programming; stop reproducing, walk hand in hand into extinction. One last midnight, brothers and sisters opting out of a raw deal." So I don't know.

Or maybe they're just cops. I heard a rumor once that police get their personality tested for sociopathic traits -- you have to have at least some but not too many. That doesn't surprise me, with police officers being in the top 10 jobs for sociopaths. And even if you weren't a cop, I bet dealing with some of that stuff and the frustrations of not actually being able to do much good in the world would eventually leave you pretty morally jaded.

Whatever these two characters are, the themes, plot devices, and overall flavor of the show are sociopathic and both sociopath and empath readers are likely to relate with one or both main characters, oddly enough. (At least at times.)

My favorite line after raiding the cocaine in the police evidence room, "They really should have a better system for this."


Friday, February 21, 2014

The truth, the whole truth, and maybe some other stuff

An IM conversation with a friend about the nature of the blog.
Friend: [after many questions about the blog] Does it disturb you that I am reading your blog now? And commenting in real time? If so, I will stop.

M.E.: No it’s fine, if you’re interested, I’m interested.

Friend: All this stuff is very self-aggrandizing, but it seems consistent with your analysis of sociopaths, which I think you should address somewhere because I bet it is a major critique of clinicians.

M.E.: What do you mean?

Friend: The generalizations, the pronouncements about tendencies, reasons, etc., they are dubious, and so clinicians must be like, ugh, I dont think so. But the point is that sociopaths are nuts.

M.E.: Yeah, I can see that. I write so self-assuredly, answering people’s questions as if I have all of the answers and the clinicians must be thinking that I’m deluded or just plain wrong. But you’re right, that’s part of the portrayal, I think. Everything is just my point of view. This is how I see things, and if my opinions are deluded, they are deluded in an interesting way, I hope.

Friend: Right.

M.E.: I'm not trying to go for balanced info, I'm just talking out of my ass basically.

Friend: Yeah, I think that is the best rebuttal. You never really sell yourself as a scientist or whatever. Honestly this makes me question psychological diagnoses in general.

M.E.: Why? By the way, I am too, they seem sketchy. But then they are better than thinking we are all the same.

Friend: I don’t know, they seem like a random collection of symptoms.

M.E.: Right, it's not clear to me what being a sociopath really means, e.g. whether it's just a personality type, or caused by low fear response or shallow emotions or whatever, what the boundaries are, the outer limits, the root causes. That's why it would be impossible for me to give a whole and accurate account of what a sociopath is. I can just write about what it feels like to me.

Friend: Yeah.

Thursday, February 20, 2014

Responses to a hypothetical

Ok, we had a good split of responses from the hypothetical. There were 60 total. Approximately 29 people identified as sociopathic. Of those 29, six were diagnosed. Only 16 total people total were diagnosed with anything, including sociopathy. If you're curious to see all the responses, here's a link (there are 9000 total words).

My response to the hypothetical was that if extreme pain was an issue, we should pair up empaths with each other. If it is true that they feel each others' pain and find it painful themselves to inflict pain, then when an empath smashes another empath's fingers smashed with a hammer, that should be a twofer in terms of amount of pain juice. So my main thought was, given that we are in this situation, we should handle the task in the most efficient way possible.

I gave the hypothetical to me extreme empath friend. She suggested that she just wouldn't play. She would spend that time trying to find a way out or just die because she didn't think it was likely that we would be released after the fluid was collected anyway. Interestingly, she has always bucked what most people (including me) would just accept as their lot. For instance, as a child she refused to go to Kindergarten until her father started bribing her with coffee.

Her neurotypical significant other said that he would lock himself up in a room and just hope to avoid anybody, maybe even take a nap because that's how he deals with stress.

Using those three responses and what I predicted would be a fourth, I came up with four categories of responses: (1) cooperative (main goal is figuring a way to get it done, not necessarily to hurt people), (2) opposition (active resistance, (3) avoidance (passive resistance or noncompliance), and (4) sadism (primarily concerned with hurting people). I coded the responses accordingly (see document linked above).


Perhaps people who read this blog won't be surprised, but the large majority of sociopaths chose cooperating. As one person put it, once they heard the rules of the game they became "task-oriented." Why is this? I'm not entirely sure, but when presented with a game like this, sociopaths (high-functioning?) seem less likely to challenge the underlying assumption and more likely to find a way to game the system from the inside. As long as I'm pretty sure the game isn't rigged I'm most likely to play by the rules (and do it better than anyone else by being creative) than to completely subvert them. For instance, in my younger days I would scam people all of the time but didn't tend to outright steal from them.

Cooperative sociopaths were either coldly rationale about getting the job done or were trying to game the inherent weaknesses of the set-up. Interestingly while sociopaths seemed intent on trying to game the system, they were also concerned with the noncompliance of others and how they might try to enforce compliance. They treated the exercise as if it was a game of Diplomacy, tending to advocate for a more regimented and organized approach with due care to isolate the victims and rabblerousers lest their fear, panic, or rebellion spread. (Prompted by a fear of mob mentality? Desire to keep control of the group?)  While the cooperative sociopaths were concerned with emotions and psychological states to the extent they predicted individual behavior, the sociopaths were not concerned with minimizing psychological or emotional scarring, only physical (and they were oddly concerned about that).

In comparison, non-sociopaths who selected cooperation were often concerned about minimizing pain overall, and even emotional pain. Some were worried about minimizing their own pain or maximizing their own chances of survival. Some were primarily concerned with keeping some measure of at least an illusion of control over the situation, or at least being creative with the solutions to the problem.

Interestingly, most of the non-sociopaths answered both questions (how would you feel and what would you do), whereas far fewer sociopaths bothered to answer how they would feel. Even if the sociopath did address how he would feel, it was often in terms of non-emotional reactions, e.g. being impressed, sighing at the bad luck, or just being angry or frustrated.

More interesting still, when asked to imagine the reactions of their "opposites." sociopaths were most likely to focus on their emotions as opposed to what they would do. In contrast, non-sociopaths focused on what the opposites would do, not what they would feel. This suggests that sociopaths tend to see non-sociopaths in terms of their emotional reactions and non-sociopaths see sociopaths in terms of their actions.

Sociopaths also tended to see empath reactions more in terms of group dynamics (e.g., the sociopath would try to predict how they would act as a group), whereas non-sociopaths imagined sociopaths as operating as more of a lone wolf. Again, this is probably true to life -- statistically this situation would have only 1 or 2 sociopaths and the main thrust of the group dynamic would be from non-sociopaths.

I was pleased to see that empaths (at least the ones who visit this site) didn't assume that sociopaths would be uniformly sadistic. Rather, most of them correctly predicted that sociopaths would be rational and efficient (only two sociopaths were coded as sadistic, the other two sadistic responders were BPD and narcissism).

My favorite response about what your opposite might do was from an aspie: "I honestly have little idea."

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