The Psychopath, Sociopath, and Antisocial
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Roots of the Disorder
Are the psychopath, sociopath, and someone with Antisocial Personality Disorder one and the same? The DSM says "yes". Scholars such as Robert Hare and Theodore Millon beg to differ. The psychopath has antisocial traits for sure but they are coupled with and enhanced by callousness, ruthlessness, extreme lack of empathy, deficient impulse control, deceitfulness, and sadism.
Like other personality disorders, psychopathy becomes evident in early adolescence and is considered to be chronic. But unlike most other personality disorders, it is frequently ameliorated with age and tends to disappear altogether in by the fourth or fifth decade of life. This is because criminal behavior and substance abuse are both determinants of the disorders and behaviors more typical of young adults.
Psychopathy may be hereditary. The psychopath's immediate family usually suffer from a variety of personality disorders.
Cultural and Social Considerations
Antisocial Personality Disorder is a controversial mental health diagnosis. The psychopath refuses to conform to social norms and obey the law. He often inflicts pain and damage on his victims. But does that make this pattern of conduct a mental illness? The psychopath has no conscience or empathy. But is this necessarily pathological? Culture-bound diagnoses are often abused as tools of social control. They allow the establishment, ruling elites, and groups with vested interests to label and restrain dissidents and troublemakers. Such diagnoses are frequently employed by totalitarian states to harness or even eliminate eccentrics, criminals, and deviants.
Moreover, certain social contexts or activities and even some technologies foster and engender antisocial behaviors. Consider the common practice of abstraction: abstract, intangible money, represented as computer bits, seems to encourage criminal financial malfeasance. The culprits act as though the money were not “real”. Similarly, aggressive behavior is far easier and more common online, where people are reduced to mere avatars and handles, than it is offline.
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Characteristics and Traits
Like narcissists, psychopaths lack empathy and regard other people as mere instruments of gratification and utility or as objects to be manipulated. Psychopaths and narcissists have no problem to grasp ideas and to formulate choices, needs, preferences, courses of action, and priorities. But they are shocked when other people do the very same.
Most people accept that others have rights and obligations. The psychopath rejects this quid pro quo. As far as he is concerned, only might is right. People have no rights and he, the psychopath, has no obligations that derive from the "social contract". The psychopath holds himself to be above conventional morality and the law. The psychopath cannot delay gratification. He wants everything and wants it now. His whims, urges, catering to his needs, and the satisfaction of his drives take precedence over the needs, preferences, and emotions of even his nearest and dearest.
Consequently, psychopaths feel no remorse when they hurt or defraud others. They don't possess even the most rudimentary conscience. They rationalize their (often criminal) behavior and intellectualize it. Psychopaths fall prey to their own primitive defense mechanisms (such as narcissism, splitting, and projection). The psychopath firmly believes that the world is a hostile, merciless place, prone to the survival of the fittest and that people are either "all good" or "all evil". The psychopath projects his own vulnerabilities, weaknesses, and shortcomings unto others and forces them to behave the way he expects them to (this defense mechanism is known as "projective identification"). Like narcissists, psychopaths are abusively exploitative and incapable of true love or intimacy.
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Narcissistic psychopath are particularly ill-suited to participate in the give and take of civilized society. Many of them are misfits or criminals. White collar psychopaths are likely to be deceitful and engage in rampant identity theft, the use of aliases, constant lying, fraud, and con-artistry for gain or pleasure.
Psychopaths are irresponsible and unreliable. They do not honor contracts, undertakings, and obligations. They are unstable and unpredictable and rarely hold a job for long, repay their debts, or maintain long-term intimate relationships.
Psychopaths are vindictive and hold grudges. They never regret or forget a thing. They are driven, and dangerous.
I wrote this in the Open Site Encyclopedia:
"Always in conflict with authority and frequently on the run, psychopaths possess a limited time horizon and seldom make medium or long term plans. They are impulsive and reckless, aggressive, violent, irritable, and, sometimes, the captives of magical thinking, believing themselves to be immune to the consequences of their own actions.
Thus, psychopaths often end up in jail, having repeatedly flouted social norms and codified laws. Partly to avoid this fate and evade the law and partly to extract material benefits from unsuspecting victims, psychopaths habitually lie, steal others' identities, deceive, use aliases, and con for "personal profit or pleasure" as the Diagnostic and Statistical Manual puts it."
The Anxious Psychopath
Psychopaths are said to be fearless and sang-froid. Their pain tolerance is very high. Still, contrary to popular perceptions and psychiatric orthodoxy, some psychopaths are actually anxious and fearful. Their psychopathy is a defense against an underlying and all-pervasive anxiety, either hereditary, or brought on by early childhood abuse.
Psychopaths
nurture and cultivate an image of themselves as free-spirited, daring,
non-conformist geniuses who are grievously misunderstood and mistreated by
Lilliputian society and its mindless cohorts.
This grandiose and romantic self-narrative legitimizes three classes of
antisocial behaviors:
Defiance
In your face, devil may care, f*ck it all, f*ck you all, I need no one, obey no
one, make my own rules, take no shit from anyone, happy go lucky, there's no
tomorrow, carpe diem kind of guy (or, more rarely, gal).
Passive-aggression (Negativism)
I am going to undermine and sabotage your hopes, expectations, and demands
because you are mistreating and disrespecting me. I am going to act stupid
(pseudo-stupidity), procrastinate, evade, forget, neglect, and be ornery. This
is your punishment for failing to realize my innate superiority and do it
justice.
Reactance
“You won't tell me what to do or how to behave or what to choose or decide. You
will not restrict my freedom to say what I please and act as I see fit. I will
do exactly the opposite of what you tell me to do (contrarianism). By trying to
control me, my space, my time, my thought processes, my opinions, choices,
speech, or actions - you make me hate you and be furious at you. So, you have
only yourself to blame if I abuse and traumatize you” (alloplastic defenses).
Total reactance
characterizes Psychopaths, Borderlines, trauma victims (PTSD and CPTSD), and
people with mood disorders and impulse control issues. They escalate every
conflict, however minor or imaginary, to the level of nuclear, apocalyptic,
all-annihilating warfare and make disproportionate use of every weapon in their
arsenal simultaneously. Defiance, posturing, hostility, aggression,
recklessness, and abuse are part and parcel of these recurrent pitched battles
with one and sundry: all bridges are burnt and relationships are shattered
hurtfully and irrevocably.
In contrast, the reactions of healthy people are differential, in kind, and
proportional, weighing the consequences and correcting course every step of the
confrontation.
Psychopaths and
narcissists rationalize their extreme misconduct in order to reduce dissonance;
ameliorate anxiety; bury incipient, dimly felt stirrings of guilt; and
legitimize such misbehaviours in the future. Healthy people also rationalize
but usually only in order to account for an irrational or ill-conceived
decision or choice.
Narcopaths create artificial moral hierarchies or exclude certain activities
from the ethical or social calculus. For instance: "Kissing is not as
serious as having sex; killing Jews is OK because they are evil; I cheated on
my husband but I didn't climax, so it's not as sinful." This is cognitive
dissonance resolved via reframing.
Reframing involves a group of defense mechanisms, the most notable of which is
rationalization. People with cluster B personality disorders use these defense
mechanisms to justify even the most extreme misbehavior or to render it more
acceptable and "just". Examples: "I stole the money but I lost
it; I fucked my husband's best friend but I did not enjoy it; I had to do it,
my wife left me no choice; a blowjob is not as sinful as fucking; I cheated
with him only once, I will never see him again, what's the big deal; I was
drunk, I didn't know what I was doing".
As opposed to healthy people, rationalization in narcopaths is coupled with alloplastic defneses (blaming others for one's egregious violations) and an external locus of control: It just happened; I was made to do it; the circumstances were unique; I was not myself (on auto-pilot). What narcopaths call "guilt" is not what people experience typically. It is more basic - atavistic and animalistic - and less social. Their "guilt" has to do with the FEAR of getting caught, harming themselves and losing "loved" ones (read: sources of narcissistic supply and services).
Covert Psychopath
Self-Concept And Emotional Regulation
Like the classic psychopath, the covert variant possesses a sense of delusional grandiosity, an undue sense of uniqueness, feelings of entitlement, and alloplastic defenses disguised as prosocial, moral, spiritual, or communal.
The covert psychopath is high-functioning and the personality is organized, not disorganized or chaotic.
The covert psychopath is a psychopathic personality who has been exposed to highly mortifying (shaming) and humiliating recurrent defeats. The collapse consists of persistent failure to attain goals.
The covert psychopath possesses an internal locus of control. But his/her seeming self-sufficiency and resilience mask collapse, anxiety, insecurity, an internalized bad object (harsh, sadistic, punitive superego or inner critic), avoidance, and dependency.
The covert psychopath regulates his moods and affects internally via daydreaming, the acquisition of goals, and the planning of accomplishments in order to conform to an ego ideal. But s/he frequently suffers from mood lability, being mostly depressive.
Covert psychopathy is characterized by impulsivity and the rationalization of reactance, defiance, externalized aggression, and contumaciounsess.
Like its overt kin, the covert psychopath has a low threshold and tolerance of boredom. S/he does not seek thrills or provoke drama in order to allay it, though.
There is no suicidal ideation in covert psychopathy. All violence is other-directed. But the syndrome is characterized by hypochondriasis and addictive behaviors.
Unlike in Borderline Personality Disorder and in pathological narcissism, covert psychopathy involves no dissociative self-states, no selective attention, confabulation, repression or denial. There is a primary psychopathic protector façade or self-state in reaction to stressors, tension, threat real or perceived, and anxiety.
Interpersonal Relationships
The interpersonal interactions of the covert psychopath are characterized by paranoid ideation and persecutory delusions.
The covert psychopath goes through numerous but shallow pseudo-relationships, redolent of a dismissive-avoidant attachment style, with no real bonding, commitment, or investment (within peremptory and perfunctory albeit at times stable ersatz liaisons).
The covert psychopath’s cold (reflexive and cognitive) empathy is replete with minimal emotional empathy and access to positive as well as negative emotions (owing to the F2 element).
Even so, the covert psychopath is incapable of genuinely participating in group or team activities. Sh/e is always a disruptive presence.
Not unlike the covert narcissist, the covert psychopath is passive-aggressive, sullen, surly, self-denying, cunning, vengeful, and steeped in envious, premeditated malevolence.
Like all other cluster B personalities, the covert psychopath engages in intermittent reinforcement. He holds others in contempt and disdain, though this deeply felt scorn is often masked by pseudo-humility (false modesty).
A psychodynamic feature unique to the covert psychopath is comprised of schizoid or avoidant phases which alternate with bursts of histrionic attention seeking, but without sustained impression management or need for narcissistic supply.
The covert psychopath’s recklessness is rare and aimed at controlling, hurting, or affecting others, not at self-gratification. There are no novelty, thrill, and risk seeking behaviors only purposeful attempts to modify other people’s behaviors.
When s/he triangulates, the covert psychopath is sadistic-punitive or goal-focused.
Unlike the narcissist and the borderline, the covert psychopath is typified by stable object and introject permanences (constancy).
Social Adaptation
The covert psychopaths is socially awkward and inept.
His/her labor is desultory. S/he is a slacker (pseudo- sublimation), devoid of an overall ambition or vision of life goals or plan and with a constricted emphasis on narrow, short-term, limited aims.
The covert psychopath is not preoccupied with appearances. He often fails, is a loser, but not self-defeating or self-destructive. The recurrent foundering is an outcome of indolence, entitlement, preference for shortcuts, inability to commit, invest, or delay gratification, impulsivity, defiance, contumaciousness, counterdependency, and recklessness.
Ethics, Standards, and Ideals
The covert psychopath is idiosyncratically and unevenly moral, exhibits a caricatured modesty (pseudo-humility), and is engaged in activism and apparent enthusiasm for sociopolitical affairs as a form of virtue signaling despite his/her inordinate ethnic and moral relativism.
The covert psychopath pretends contempt for money and power in real life and feigns spirituality and “guru” status. These are Machiavellian stratagems. In reality, the covert narcissist is irreverent or even hostile toward authority and, more generally, others.
Love and Sexuality
Typically, the covert psychopath’s marriage and other relationships are characterized by instability, cold and greedy seductiveness coupled with aggressive entitlement to sex. Extramarital and extradyadic affairs and promiscuity as well as an uninhibited, often kinky, sexual life are common.
Cognitive Style
The covert psychopath’s thinking is dichotomous and involves primitive splitting: external objects and circumstances are either helpful or they are obstacles; others are either devoted friends or implacable foes (“Either with me or against me”).
The covert psychopath sometimes appears to be impressively knowledgeable, especially on esoteric or arcane topics. S/he harbors a love of language and is often strikingly articulate.
The covert psychopath’s perception of reality is egocentric, egotistic, exploitative, and predatory (“what’s in it for me”). S/he has a fondness for shortcuts to acquisitions (of knowledge, possessions, relationships, status, access, etc.).
Despite all the above, the covert psychopath is indecisive and rarely truly opinionated. This is commonly mistaken for openness.
Is He a Psychopath? Four Red Flags
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1. Psychopaths are “too good to be true”. They besiege their interlocutors with a relentless charm offensive, flaunting their accomplishments, skills, talents, brilliance, acuity, and good fortune.
2. Information asymmetry: The psychopath may flood you with unwanted and unwarranted information – and disinformation - about himself while conspicuously being incurious about you. Alternatively, he keeps mum about his life while intrusively “milking” you for the most intimate details of yours.
3. Belaboured normalcy and effortless deviance: Actions that are reflexive, or effortless with normal, healthy people require an inordinate amount of premeditation, concentration, planning, and laborious investment by the psychopath. Acts that normal folk would find abhorrent come naturally and effortlessly to the psychopath.
4. Alloplastic Defenses: The psychopath blames others, the authorities, institutions, or the world at large for his failures, defeats, and mishaps. It is never his fault. He has an external locus of control: his life is ruled from the outside, the collected sad outcomes of injustice, discrimination, and conspiracy.
Children and adolescents with
conduct disorder are budding psychopaths. They repeatedly and deliberately (and
joyfully) violate the rights of others and breach age-appropriate social norms
and rules. Some of them gleefully hurt and torture people or, more frequently,
animals. Others damage property. Yet others habitually deceive, lie, and steal.
These behaviors inevitably render them socially, occupationally, and
academically dysfunctional. They are poor performers at home, in school, and in
the community. As such adolescents grow up, and beyond the age of 18, the
diagnosis automatically changes from Conduct Disorder to the Antisocial
Personality Disorder.
Children with Conduct Disorder are in denial. They tend to minimize their
problems and blame others for their misbehavior and failures. This shifting of
guilt justifies, as far as they are concerned, their invariably and pervasively
aggressive, bullying, intimidating, and menacing gestures and tantrums.
Adolescents with Conduct Disorder are often embroiled in fights, both verbal
and physical. They frequently use weapons, purchased or improvised (e.g.,
broken glass) and they are cruel. Many underage muggers, extortionists,
purse-snatchers, rapists, robbers, shoplifters, burglars, arsonists, vandals,
and animal torturers are diagnosed with Conduct Disorder.
Conduct Disorder comes in many
shapes and forms. Some adolescents are "cerebral" rather than
physical. These are likely to act as con-artists, lie their way out of awkward
situations, swindle everyone, their parents and teachers included, and forge
documents to erase debts or obtain material benefits.
Conduct-disordered children and adolescent find it difficult to abide by any
rules and to honor agreements. They regard societal norms as onerous
impositions. They stay late at night, run from home, are truant from school, or
absent from work without good cause. Some adolescents with Conduct Disorder
have been also diagnosed with Oppositional Defiant Disorder and at least one
personality disorder.
Read Notes from the
therapy of a Psychopathic Patient
Read Narcissist vs. Psychopath
Psychopaths in Films
In the film "The
Irishman" (and in history), Jimmy Hoffa, the powerful boss of the
Teamsters Union, disrespected, rebuffed, and challenged on multiple issues and
occasions, some of the most lethal figures in the mob.
He must have known it would cost him his life. Why did he make this suicidal
choice?
Well, to start with, better dead than a nobody. Just out of a humiliating stint
in prison, with his erstwhile world in shambles, his misbehavior buttressed his
compensatory grandiose omnipotence (I am untouchable and they are in my debt).
A matter of honor and self- respect, as he would have put it.
Such defiance is one of the hallmarks of psychopathy and it subsumes the thrill
inherent in life-threatening, adrenaline junkie risk-taking. The drama of it
all.
But what about activists who risk their freedom and sometimes lives in
authoritarian regimes? Whistleblowers like Assange and Snowden? They are
rebellious. But are they in effect sublimated defiant psychopaths who despise
rules, institutions, and the authorities? I believe so: they are examples of
how even narcissism and anti-social tendencies can be harnessed to good use.
**
The Rashomon
Effect is named after a Kurosawa 1950
film in which multiple witnesses to a rape provide diametrically opposed
descriptions as to the sequence of events.
The Rashomon effect is the reason we get obsessed with and fixated on traumas,
we ruminate ceaselessly and have intrusive thoughts, revisiting the pain and
hurt time and again, with no end in sight, picking at scabs and wounds. In a
desperate attempt to make sense of the traumatizing person or behavior or
period, to gain emotional relief and liberating insight, the victim keeps
revisiting the scene, deconstructing, reframing, and reconstructing it,
rendering it in the process a kaleidoscope of mutually exclusive and
conflicting narratives.
Abusers rarely provide closure and are deceitful, seeking to further the harm
they had already caused by sowing uncertainty with counterfactual statements
and lies. They gaslight and manipulate and drive the injured party deeper into
the "what if or if only" rabbit hole of self-doubt, guilt, and shame,
thereby regaining control over her and ascertaining outcomes beneficial to
themselves.
**
The spectacular Russian film,
"Coma", poses a fascinating dilemma. A mad medical scientist induces
a vegetative state in subjects, thereby transporting them into a shared
self-generated fantasy universe where they are happy (when they are not being
chased by black entities engendered by the intrusion of technologies on their
habitat).
As the Evil Genius points out: if you experience contentment, does
it matter if it is real? And what is
reality anyhow? If our minds accept a delusion, hallucination, fantasy, or
illusion as authentic and objective - does it not make it so (especially if it
is shared by many)? Is it better to be a miserable, lonely, downtrodden failure
in reality than a successful creative architect in a dreamworld? If we can
avoid life's abundant losses and despondence, don't we have a moral obligation
to do so by any and all means possible?
Moreover: do we possess the right to impose happiness on people unbeknownst to
them or against their will? Is firewalling them from reality by disabling their
brains one step too far? Do we need their consent to remove them from harm's
way and afford them the succor and joy that they deserve? If the only outlet to
one's creativity is out of this world, should one not opt out of one kind of
existence and transition to another?
And in which sense is a life confined to the mind and its internal objects less
real than being embedded in a physical environment? Is the good doctor good -
or is he a deranged and malevolent villain?
The film leaves these questions unanswered, as it should. As we migrate deeper
into cyberspace - the postmodern equivalent of medieval Heaven - these
conundrums will become ubiquitous and the lines of demarcation between virtual
and actual more fuzzy. Witness the fact that several TV personalities now
occupy elected high offices, having played the very same roles on the small
screen. History as reality TV is already here.
**
Joker is not a psychopath or a narcissist. He suffers from major depression coupled with a
psychotic disorder (aka paranoia-schizophrenia). His psychosis is grandiose and
violent in nature, a pretty common comorbidity.
Few mentally ill patients go on murder sprees, but it is not unheard of. Hence
the ubiquity and overpopulation of mental health wings in prisons the world
over.
How do we know his diagnoses?
1. He is on a regime of multiple medications. Personality disorders are not
mental illnesses and are not treated psychopharmacologically. The standard
treatment for both mood and psychotic disorders involves potent drugs.
2. Joker is confined to the psychiatric ward of a prison. In the USA, no
narcissist or psychopath can claim diminished capacity under the NRGI defense
(Not Guilty by Reason of Insanity) which is the only way to get yourself
hospitalized rather than incarcerated.
3. Joker has inappropriate affect, one of the signs of schizophrenia: he
expresses hyperbolic emotions which are utterly wrong given the circumstances.
His laughter, though, is owing to a neurological disorder (pseudobulbar affect
or PBA, often the sad lifelong outcome of brain trauma in childhood of of
Bipolar Disorder)
4. Joker suffers from grandiose and violent delusions, including erotomania;
referential ideation; disorganized thinking, behavior, and speech; rigid or
diminished emotional expression (face like a mask); hallucinations; psychomotor
agitation bordering on catatonia; and an impaired reality test (as evidenced in
his conversations with his psychiatrist). These are all major signs of
schizophrenia or at the very least of schizoaffective and schizotypal
personality structures.
5. Like most narcissists and psychopaths, Joker is tormented by persecutory
delusions (paranoid ideation). But, unlike in these two personality disorders,
he is highly suicidal.
**
Jude Law as the Young Pope
in this clip at least is not
a narcissist, but a psychopath. An
avalanche of misinformation online by self-styled "experts" muddied
the waters and the differential diagnoses between these two disorders.
Though both types are possessed only of cold empathy, the psychopath is
goal-oriented: money, sex, power, social positioning, celebrity. He is
relentless, scheming, calculated, ruthless, and callous in his pursuit of his
agenda. In contrast, the narcissist wants only one thing: narcissistic supply
to buttress the grandiose fantasies that underlie his false self. Psychopaths
do not fantasize - they act.
The narcissist is pro-social: he works with others because people are the only
sources of narcissistic supply. The psychopath is anti-social: his world is a
Darwinian, dog eat dog, zero sum game (he wins, everyone else loses)
Psychopaths do not hesitate to break the law: many of them are career
criminals. Narcissists work within social institutions and subvert them,
leverage existing laws in their favor, and create networks of affiliated
patronage.
Psychopaths like to inflict gratuitous pain and discomfort. They revel in other
people's pain and embarrassment, even find these hilarious. Not so narcissists
who cause harm off-handedly and only if they have to.
As opposed to most narcissists, psychopaths are either unable or unwilling to
control their impulses or to delay gratification. They use their rage to
control people and manipulate them into submission.
Psychopaths are far less able to form interpersonal relationships, even the
twisted and tragic relationships that are the staple of the narcissist. They
are mostly lone wolves.
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