Tuesday, February 25, 2014

Richard 'The Iceman" Kuklinski

A reader writes:
Definitely worth watching all of the interviews/documentaries (and HBO has made a few over the years) with famed mafia hitman Richard Kuklinski, especially the one with the psychiatrist.

What is especially relevant to your blog would be the the end of the interview, where the psychiatrist does a pretty good job explaining in succinct terms the genetic and environmental causes of ASPD and how both factors work together, in a way that makes a lot of sense without having to bring a lot of biological jargon into it, and without having to resort to chicken/egg arguments.

Kuklinski's anxiety and contained anger while listening to him is palpable.

The very end is quite powerful.

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.
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