Sanctuary for the Abused
Sunday, September 01, 2019
Vulnerability and Other Prey of Pathologicals
Help protect yourself from victimization by psychopaths. (and narcissists)
by Marisa Mauro, Psy.D.
Certain personality traits may create better perpetrators and, unfortunately certain cues may create better victims. In a study by Wheeler, Book and Costello of Brock University, individuals who self reported more traits associated with psychopathy were more apt to correctly identify individuals with a history of victimization. In the study, male student participants examined video tapes of twelve individuals walking from behind and rated the ease at which each could be mugged. The men also completed the Self-Report Psychopathy Scale: Version III (Paulhus, Hemphill, & Hare, in press) which measures interpersonal and affective traits associated with psychopathy as well as intra-personal instability and antisocial traits.
Finally, they were asked to provide verbal rational for their ratings. Overall results confirmed a strong positive correlation between psychopathy scores and accuracy of victim identification. This means that individuals that score higher for psycopathy are better at selecting victims. Statistically significant results for psychopathy traits including interpersonal manipulation, callous affect and antisocial bevavior were found.
Acknowledging that fault always lies with the perpetrator, this research may empower individuals with a history of or concerns about victimization. As for myself, a prison psychologist often dealing with career criminals and individuals with psychopathic traits, I am convinced, in the course of observation alone, that certain personal characteristics are associated with tendency to be on the receiving end of bullying such as harassment and manipulation. I have found that the demonstration of confidence through body language, speech and affective expression, for example, provides some protection. This sense was confirmed by Wheeler, Book and Costello, who found that increased fluidity projected through one's walking gait was associated with less reporting of victimization. With respect to gait, the author's provide five cues of vulnerability originally reported by Grayson and Stein (1981). They state, "potential victims had longer or shorter strides, had nonlateral weight shifts, had gestured versus postural movements and tended to lift their feet higher while walking."
Besides one's walk, individuals can purposefully project dominance thereby potentially decreasing perceived vulnerability by increasing eye contact, decreasing the use of small body movements of the hands and feet, and increasing large body movements or changes in postural positioning. Personally, I have also found that conscious control of changes in affective expression, particularly through control of fear, surprise and embarrassment, as well as the rate, tone and fluency of speech decreases one's likelihood of victimization or bullying. It is recommended that individuals maintain the general projection of confidence via dominant body language even in situations where they feel safe. Potential perpetrators may perceive changes in body language signaling vulnerability and act on this perception.
Wheeler, S., Book, A., & Costello, K. (2009). Psychopathic traits and perceptions of victim vulnerability. Criminal Justice and Behavior, 36(6), 635-648.
Acknowledging that fault always lies with the perpetrator, this research may empower individuals with a history of or concerns about victimization. As for myself, a prison psychologist often dealing with career criminals and individuals with psychopathic traits, I am convinced, in the course of observation alone, that certain personal characteristics are associated with tendency to be on the receiving end of bullying such as harassment and manipulation. I have found that the demonstration of confidence through body language, speech and affective expression, for example, provides some protection. This sense was confirmed by Wheeler, Book and Costello, who found that increased fluidity projected through one's walking gait was associated with less reporting of victimization. With respect to gait, the author's provide five cues of vulnerability originally reported by Grayson and Stein (1981). They state, "potential victims had longer or shorter strides, had nonlateral weight shifts, had gestured versus postural movements and tended to lift their feet higher while walking."
Besides one's walk, individuals can purposefully project dominance thereby potentially decreasing perceived vulnerability by increasing eye contact, decreasing the use of small body movements of the hands and feet, and increasing large body movements or changes in postural positioning. Personally, I have also found that conscious control of changes in affective expression, particularly through control of fear, surprise and embarrassment, as well as the rate, tone and fluency of speech decreases one's likelihood of victimization or bullying. It is recommended that individuals maintain the general projection of confidence via dominant body language even in situations where they feel safe. Potential perpetrators may perceive changes in body language signaling vulnerability and act on this perception.
Wheeler, S., Book, A., & Costello, K. (2009). Psychopathic traits and perceptions of victim vulnerability. Criminal Justice and Behavior, 36(6), 635-648.
Labels: body language, narcissist, pathology, predator, prey, psychopath, psychopathy, traits, vulnerable
Friday, August 30, 2019
Inside the Mind of an Abuser
What you Need to Know
by Mary M. Alward
Abusers use warped logic to brainwash their victims. They use methods very similar to those of prison guards, who know that to control prisoners they have to have full co-operation. Subversive manipulation of the mind and destruction of the victim are perfect tools to enable abusers to succeed.
The Logic of Brainwashing
Abusers use warped logic to brainwash their victims. Subversive manipulation of the mind and destruction of the victim are the perfect tools to enable abusers to succeed.
The Process of Brainwashing
The abuser uses several methods of coercion to brainwash his victim. They are as follows:
Isolation
Abusers deprive their victims of social interaction with family members and friends. This is necessary to gain control over the victim.
Resistance
The abuser manipulates his victim to become mentally and physically dependent upon him, which reduces the ability of the victim to resist his abuse.
Threats
Abusers use threats to cultivate anxiety, despair and the ability to resist. Most often they threaten children, family members or friends with harm if the victim doesn’t comply with his demands.
Indulgences
Occasionally the abuser will comply with the wishes of the victim in order to provide motivation to comply with his every demand.
Omnipotence
The abuser suggests to the victim that it is futile to resist his demands.
Trivial Demands
Abusers strictly enforce trivial demands in order to create a habit of compliance in his victim.
Degradation
Abusers degrade their victims in order to damage their self esteem and make them think they are unable to face life on their own. Self esteem can be damaged beyond repair and the victim is often reduced to animal level concerns.
About the Abuser
The methods that abusers, both male and female, use to manipulate their victims are a natural part of their personalities. Abusers all share behaviors and thinking patterns. This labels them as dysfunctional, insecure and unable to have a relationship unless they are in complete control.Abuser’s Tactics
Abusers keep their victims in the dark about events that are taking place. They are most always in control of the finances, talk about the victim behind their back in order to cause them to become isolated and make plans that include the victim without consulting them. The abuser’s goal is to monopolize the victim’s time and physical environment and suppress their behavior. An abusive partner tells you what social events you can attend and who you can go with. He may insist you quit work and remain at home where he can keep an eye on you, or he may tell you that you can no longer participate in hobbies. Abusers often insist you move to a location away from family members, friends and other contacts that will give you support.
Abusers do their best to instill feelings of fear, powerlessness and dependency in their victim. Both verbal and emotional abuse heightens these feelings and they grow more pronounced as time passes.
The abuser’s system of logic is closed. She doesn’t allow her partner to voice opinions or criticize her in any way. She lets you know, without a doubt, that her word is law
There’s a wide range of tactics that the abuser uses to debilitate the victim. If you recognize any of these tactics, a red flag has been raised.
DominationLiving with a person who has unpredictable response is difficult, stressful, nerve wracking and it causes a great deal of anxiety that can lead to health problems. The victim lives with fear and security and has no sense of balance in their life. Abusers who drink excessively are alcoholics or drug abusers often have unpredictable responses to trivial events.
Abusers are extremely dominating to the point that they want to control everything that the victim does. If they don’t get their way, they act like spoiled children. On top of that, they use threats to get what they want. If you allow your abuser to dominate you, you will lose your self respect.
Verbal Assault
The abuser tends to verbally assault their victim by calling names, degrading, screaming, threatening, criticizing, berating and humiliating. They will center their victim out in front of family and friends by taking small personality flaws and embellishing them to the extreme. They make snide remarks and use sarcasm to erode the victim’s sense of self-worth and self confidence. Making the victim look bad in front of others is an attempt to isolate the victim and keep them at their mercy. Then, the abuse worsens.
Gaslighting
Gaslighting is a slang term from the 1950’s but is the perfect word to describe one tactic of the abuser. The dictionary definition of gaslighting is to drive someone crazy. This is used to keep the abuser’s victim under control. The abuser will swear that events never occurred and that certain things were never said. The victim knows better, but over time will begin to question their sanity. Be alert to gaslighting tactics that can beat you down and make you think you are going insane.
Blackmail
The abuser uses emotional blackmail to get what they want by pushing your buttons. He plays on his victim’s sense of compassion, fears, sense of guilt and values in order to get his own way. He may refuse to talk to his victim or threaten to end the relationship or withdraw financial support if the victim is dependent on him for basic living necessities. Emotional blackmail is the act of working on the victim’s emotions so the abuser can get what he wants.
Constant Chaos
An abuser will keep the household and his victim’s emotions in total chaos by starting arguments and constantly being in conflict with other family members.
Abusive Expectations
This happens when the abuser makes unreasonable demands on their victim. They may expect their partner to reject everything in their life to tend to the abuser’s needs. Included can be frequent sex, forcing the victim to perform sexual acts that are against their will, demanding all of the victim’s attention or demanding that the victim spend all free time with the abuser. No matter how hard the victim tries to please the abuser, she will always demand more. The victim, whether male or female, will be constantly criticized and berated because they are unable to fulfill the abuser’s demands.
Unpredictable Responses
This includes emotional outbursts and extreme mood swings on the part of the abuser. If you partner likes something you do today and hates it tomorrow, or reacts to the extreme at an identical behavior by the victim, this is an unpredictable response. This behavior damages the victim’s self esteem, self confidence and mental well-being because they are constantly on edge, wondering how their partner is going to respond to their every move.
Inside the Abuser’s Mind
Abusers have a tendency to feel they are unique individuals (narcissistic) and shouldn’t have to live under the same rules as everyone else. However, the opposite is true. Abusers share many of the same thinking patterns and behaviors and use the same tactics to keep their victims under their control.
Blaming
Abusers tend to shift responsibility for their actions to their victims and become angry because the person caused them to behave inappropriately. The abuser might say, “If you hadn’t talked back to me, I wouldn't have had to hit you.” Don’t fall for it. The abuser did the hitting and no matter what you did, you are not to blame. He is blaming you for his shortcomings and do not believe that you are the one to blame for even one second.
Making Excuses
Abusers seldom take responsibility for their actions, but try to justify their behavior by making excuses. They may blame the abuse on a difficult childhood or a hard day at the office. Their mind-set tells them that they are never to blame for any negative behavior.
Fantasies of Success
Abusers believe that they would be famous and rich if the victim and other people weren’t holding them back. Because he believes his failure in life is due to others, he feels he is justified in retaliating in any way he can, including physical and emotional abuse. He belittles, berates and puts others down, including the victim, to make himself feel more powerful.
Manipulation
Abusers combine manipulative tactics, such as upsetting people to watch their reaction, lying and provoking arguments and fights among family members and his peers. He charms his victims and other people who he wishes to manipulate by professing that he cares and is interested in their well-being, when all he is doing is opening the door for a deeper level of abuse.
Redefining
The abuser will often redefine situations to blame others for his troubles. Abusers will seldom admit that they are wrong, or for that matter, less than perfect. It’s always someone else’s fault when they act inappropriately.
Assuming
An abuser’s thought patterns lead them to believe that they know what others, including their victim, is feeling and thinking. They use this warped logic to blame these people for their behavior. For instance, an abuser might say, “I knew you’d be angry about that, so I went for a few drinks after work to enjoy myself. Why should I come home to listen to you nag?”
Dependence
Believe it or not, abusers are emotionally dependent on their victim. This causes an inner rage that encourages the abuser to lash out. Because he is so dependent, he takes control of his victim’s life. This is the way they deny their weaknesses and make themselves feel powerful.
Symptoms of Emotional Dependency
Symptoms of emotional dependency include, but are not limited to, excessive jealousy, jealous rages and possessive actions that are usually sexual in nature. Abusers spend an excessive amount of time monitoring the action and movements of their victims. Often, abusers have no support network and lack those supportive roles that others depend upon. Another sign of emotional dependency is the extreme affect the abuser suffers if his victim leaves. He will go to any lengths to get the victim to return.
Rigid Gender Attitudes
Abusers in a domestic atmosphere tend to have extremely rigid attitudes about the role that their spouse should play in a marriage or common law situation. Wives may expect their husbands to fulfill all of the family’s chores, such as repairs and hold up his role as a father. Husbands may expect their wives to hold down a full time job, keep the house spotless, the laundry caught up, meals made on time and also tend to the kids’ every need. All of these examples are things that should be shared in a normal relationship.
Lying
Most abusers are liars. They lie to manipulate their victim by controlling information. They also lie to keep their victim, and others, off balance psychologically. This enables the abuser to gain control of every situation.
Withdrawal
Abusers have a tendency to put up emotional walls and never give out personal information freely. He keeps his real feelings to himself and is not interested in what others think of him. Abusers like secrets and are righteous and close-minded. An abuser always feels she is right in every situation.
Drama
Abusers, either male or female, can’t seem to develop close, satisfying relationships, or even bad relationships that last. They replace closeness with drama in order to make their life more exciting. They love watching others argue and fight and often do things to keep those around them in a state of constant chaos and upheaval.
Minimizing Actions
Abusers always minimize their actions and refuse to accept their mistakes. An abuser might tell his spouse who has a black eye, “I didn’t hit you hard enough to give you a black eye.”
Ownership and Possession
Abusers are extremely possessive and believe that they should get everything they want. They also feel they can do whatever they wish with their possession and abusers see their partner or spouse as something they own. They feel they are justified in hurting their victim by taking their possessions, attacking them mentally and physically and controlling all aspects of their life.
Anger Management
Most abusers have had a violent and abusive childhood in a dysfunctional family setting. These children are very likely to grow up into spousal abusers. They are taught from the time they are babies that violence is a way to settle disputes and get their own way. It’s a way to settle differences of opinion and they see abuse as normal. As adults, they won’t be able to find alternate ways of showing or channeling their anger. People who do not have a method of outlet for anger on a daily basis allow it to build to a point where it explodes. When this happens, the people closest to them become their sounding board emotionally, mentally and physically.
Rules
Abusers feel they are superior to others and don’t have to follow the rules of society. This is also the attitude of hundreds of criminals in prisons world wide. Inmates often believe that while other inmates are guilty of their crimes that they aren’t. Abusers feel it is always their partners who need counseling and that they can take care of their life without help or support from others.
Fragmentation
The abuser, whether male or female, does their best to keep their abusive behavior separate from the rest of their life. For example: abusers will beat their spouse and kids on a regular basis, but seldom physically attack anyone outside of their home. They also separate their lives psychologically. They may attend church on Sunday morning and play the role of a loving spouse and parent and then go home and beat their spouse and kids on Sunday afternoon. Abusers see this as acceptable and normal behavior and feel it is justified. Yet if they hear a report that someone else has abused their loved ones, they are the first to condemn them.
Verbal Communication
Abusers are seldom capable of a relationship that includes real intimacy. It is believed that they feel vulnerable when they are open and truthful with others. Abusers feel that it is up to their partners to turn feelings of anger and frustration into gratification and to fulfill their every need. Partners of abusers are essentially expected to be mind readers and know in advance the needs of the abusive spouse. When this doesn’t happen, the abuser feels insecure, unloved and rejected and rejection is grounds for emotional, mental and physical abuse.
Glorification
Abusers, both men and women, think of themselves as independent, self-sufficient, superior and strong. If someone criticizes them or says something that causes them to feel insulted, the feeling will cause them to react violently toward their victim. This is the only outlet that they know to use to quell feelings of inadequacy.
Being Vague
Abusers think and speak vaguely to avoid their responsibilities. When asked why they are late or where they’ve been, answers will be vague. If their partners pursue the reason, the abuser becomes defensive and strikes out in order to remain in control of the situation.
Abusers: Things You Need to Know
- Both men and women abuse their partners, emotionally, mentally, physically and verbally.
- Female abusers tend to have a macho attitude toward womanhood. They look at female qualities as weaknesses and fear closeness and intimacy will make them vulnerable.
- A batterer’s level of hostility is extremely higher than that of non-batterers. Emotions easily turn to anger, which in turn is acted out in violent behavior. Abusers suppress anxiety, tension and stress until they eventually explode in a fit of violent behavior.
- Abusers suffer from low self esteem. They become dependent on their partners emotionally and feel threatened if they thing that they are going to be left on their own.
- Abusers often show emotions of excessive jealousy and are extremely possessive.
- Many abusers are alcoholics or use drugs frequently. If they discontinue alcohol and drug abuse, they tend to be violent through the process of withdrawal.
- Many people who are abusers have experienced or witnessed violence during their childhood. This leaves them with a feeling of worthlessness and low self esteem, which in turn traumatizes them and leaves life-long emotional scars.
Red Flag Signals
Many people of both genders interpret early warning signs of abuse as attentive, caring and romantic. Here is a list of early warning signs of future domestic abuse.
- Your partner insists you spend all of your free time with them in order to isolate you from family and friends.
- You always have to tell your partner where you are going, who you are going with, what your plans are and when you will be home.
- Your partner is extremely agitated or angry when they don’t get their own way.
- Your partner tells you what you can and can’t wear and insists on going shopping with you when you shop for clothes.
- You are accused time and time again of cheating, flirting or having an affair.
- Your partner refers to women in derogatory slang, or is secretive about previous relationships.
- The person was abused mentally, physically, emotionally or verbally as a child.
- Your partner grew up in an environment where one parent abused the other emotionally, He is a charmer or a smooth talker.
- He is abusive to his mother or sister and refers to them in derogatory slang.
- The person has expectations that are not realistic.
- The person has a tendency to be cruel to animals or pets.
- The person has hurt a child in some way. (emotional or physical)
- Your partner has abused spouses in a previous relationship. If so, it will happen to you too.
- The person displays a tendency to have extreme mood swings for little or no reason.
- Male abusers often feel women are inferior and were born to indulge their every whim.
- Female abusers feel men are inferior and expect their partner to give them their full attention at all times.
- Abusers like to intimidate and use threatening body language. They may throw things, punch walls or destroy their victim’s possessions.
- Abusers stop their victims from leaving the room during an argument or dispute.
- (THIS WAS WRITTEN IN THE MALE - YOUR ABUSER MAY WELL BE FEMALE)
Warning!
If you see any of these warning signs in your partner, be ever vigilant. For your own safety, it’s best to end the relationship immediately. It’s better to be alone than to be in a relationship where you are constantly abused in any way. Get help now!
SOURCE OF THIS VITAL INFORMATION - HERE
Labels: abuse, brainwashing, manipulation, mind control, narcissist, psychopath, red flags, sociopath, traits, verbal abuse
Wednesday, September 12, 2018
28 Signs of An Abuser
1. Unemployed or Underemployment.
Underemployment is not necessarily an objective phenomenon; it may be the subjective response to the man's failing to meet his own expectations. Educational and occupational attainment frequently is less than wife's, such status discrepancies are painful even should the husband bring home a higher salary.
2. Emotional Dependency.
Emotional dependency on the spouse is usually not recognized or understood, but is expressed through demands for constant reassurance and gratification. This may explain in part why spouse abuse often begins during wife's pregnancy.
3. High Investment in Marriage.
Wants to preserve marriage at any cost and will go to great lengths to do so. In the event of separation or divorce, tends to immediately replace lost spouse with a new partner.
4. Boundaries.
- Violates your personal space.
- Intimidates you by getting too close.
- Touches, pinches, grabs you against your will.
- Sweeps you off your feet.
- Love at first sight.
- "You're the only one for me."
- "I have to have you." "I think about you all day / all night"
- Desperately pressures you for a commitment so you're engaged, sleeping together in less than 6 months or living together in less than 12 months.
- Controls where you go, what you do, with whom and for how long.
- Controls money and money decisions, won't allow you to share expenses or refuses to work and won't share expenses.
- Protective to the point of controlling.
- Says he's angry when you're "late" because he "cares."
- Takes your car keys, won't let you go to church, work, or school. Won't let you drive.
8. Abusive Family of Origin.
Was physically, sexually or emotionally abused as a child or witnessed spouse abuse. He sees violence as normal behavior, a natural part of family life.
9. Low Self-Esteem.
- Guards his fragile sense of self by acting tough and macho.
- Pumps up his fragile sense of self with sex.
- Imagines you threaten his manhood.
- Damages your self-esteem, demeans your growth, demands your silence.
- Abuses alcohol/drugs, tries to get you drunk, berates you if you won't get high.
- He may deny his drug problem and refuse to get help. Don't think you can change him or that alcohol/drug abuse causes violent behavior. They are two separate problems.
- Unable to identify feelings and express them directly and appropriately.
- He may say he's "hurt" and sulk when he's really angry.
- He displaces anger at his boss or himself onto you.
- Blame Shifts; he's never responsible for what happens.
- Believes others are out to get him and he's the victim.
- Blames you for everything that goes wrong.
- Will say "You make me mad," "You make me happy," "I can't help getting angry" to manipulate you.
- Holds you responsible for his suicidal or self-abusive or sexual- acting-out behavior.
Quick temper, unable to handle frustration without getting angry, easily insulted. Will "rant and rave" about minor things like traffic tickets or request to do chores.
14. Dr Jekyll and Mr Hyde.
Seems like two different people with mood swings from nice to explosive. May change his behavior around the guys. May be very sociable around others and only abusive with you.
15. Unrealistic Expectations.
- Very dependent on you for all his physical and emotional needs ("You're all I need").
- Expects you to live up to his ideals of a perfect partner, mother, lover, friend.
- Expects a woman to stay at home, serve and obey him.
- Gets angry if you don't fulfill his wishes and anticipate his needs.
- Speaks for you.
- He thinks it's OK for men to keep women "in line" by force or intimidation.
18. Disrespect for Women in General.
- Ridicules and insults women, sees women as stupid and inferior to men
- Tells sexist jokes ("dumb blond", "PMS" jokes).
- Refers to women in derogatory or non-human terms ("babe", "chick", "fox", "bitch") or as specific parts of anatomy
- Sees women only as sex-objects, uses prostitutes or has affairs
- De-values women's accomplishments and work, acts like women are second-class citizens.
- He may ignore your feelings, continually criticize you and call you names like "fat, ugly, stupid"
- curse and yell at you
- belittle your accomplishments
- manipulate you with lies, contradictions, and crazy-making tactics
- humiliate you in private or public
- Uses sarcasm and says it's 'humor.'
- regularly threaten to leave or tell you to leave, keep you awake or
- wake you up to argue or verbally abuse you.
- An acquaintance rapist will try to separate you from others to a secluded spot.
- Batterers will try to keep you from working or attending school, move you to a rural area, restrict your use of the phone or car.
- He'll try to cut you off from men, women, family and children by saying "You're a whore," "You're a lesbian," "You're tied to your parent's apron strings," or "You're spoiling the kids."
- Rapists, child molesters and men who sexually abuse or rape their wives or other women often have an abundance of pornographic literature, internet bookmarks, magazines, or videos.
- They may want to involve you in their interest by photographing you or taking you to pornographic movies or shops.
- They may coerce you into doing things sexually you are uncomfortable with or wouldn't normally do and then say that you "liked it" or "asked for it."
- Refuses platonic relationship if dating
- uses "playful" force in sex
- uses sulking, sympathy or anger to manipulate you into having sex
- emotionally coerces or forces you to have sex or hurts you during sex
- demands sex when you're scared, ill, tired or
- starts to have sex when you're asleep, drunk, or unable to give consent.
- Teases, bullies, abuses or harshly punishes animals, children, elderly, disabled weaker people or other women.
- Is insensitive to others' pain.
- Tortures or kills pets to feel powerful or hurt you.
- Threatens to kidnap the children if you leave.
- Punishes or deprives the children when angry at you.
- Punishes the children for behavior they're incapable of (whipping a 2 year-old for wet diapers).
Any history of violence to "solve" problems. Justifies hitting or abusing women in the past, but "they made me do it." Friends, relatives or ex-partners say he's abusive (Batterers beat any woman they're with. You didn't cause it and you can't control it or cure it).
25. Fascination with Weapons.
Plays with guns, knives, or other lethal weapons, threatening to "get even" with you or others. Tells you he knows how to kill someone and/or how to hide bodies; or that he has 'friends' who will 'take care of you'.
26. Threats of Violence.
- Any threats of physical force to control you or make you do something should be taken seriously.
- He may threaten to hurt you or your family. Non-batterers do not say things like "I'll kill you" or "I'll break your neck" or "I'm out to get you now."
- Posts threats or defamatory material about you on the internet.
Punishes you by breaking loved objects, terrorizes you into submission (If he doesn't want you to be a student, he may destroy school books or break lamps). Non-batterers do not beat on tables, punch holes in walls, destroy furniture, throw objects at you to threaten you. The message is "You're next! You're just an object I can control and I can break you like our china."
28. Any Force During an Argument.
Hurts you in anger or in "play", pushing , shoving, pulling, grabbing you by the collar, holding you down, restraining you from leaving the room, slapping, punching, hitting, kicking, or burning.
This cycle of violence is followed by a "honeymoon" period, then an escalation of tension and more violence. The episodes of violence will get more frequent, more intense, and will not stop on their own.
ONE OR TWO of these traits is ENOUGH to consider him ABUSIVE! (FYI these traits apply to FEMALE abusers too)
SOURCE
Labels: abuser, control, emotional abuse, emotional rape, fights, psychological, rules, terrorism, traits, verbal abuse
Sunday, April 08, 2018
Traits of a Psychopath
''
From: The Mask of Sanity, by Hervey Cleckley, 5th edition
More often than not, the typical psychopath will seem particularly agreeable and make a distinctly positive impression when he is first encountered. Alert and friendly in his attitude, he is easy to talk with and seems to have a good many genuine interests. There is nothing at all odd or queer about him, and in every respect he tends to embody the concept of a well-adjusted, happy person. Nor does he, on the other hand, seem to be artificially exerting himself like one who is covering up or who wants to sell you a bill of goods. He would seldom be confused with the professional backslapper or someone who is trying to ingratiate himself for a concealed purpose. Signs of affectation or excessive affability are not characteristic. He looks like the real thing.
Very often indications of good sense and sound reasoning will emerge and one is likely to feel soon after meeting him that this normal and pleasant person is also one with high abilities. Psychometric tests also very frequently show him of superior intelligence. More than the average person, he is likely to seem free from social or emotional impediments, from the minor distortions, peculiarities, and awkwardnesses so common even among the successful. Such superficial characteristics are not universal in this group but they are very common.
Here the typical psychopath contrasts sharply with the schizoid personality or the patient with masked or latent schizophrenia. No matter how free from delusions and other overt signs of psychosis the schizoid person may be, he is likely to show specific peculiarities in his outer aspect. Usually there are signs of tension, withdrawal, and subtle oddities of manner and reaction. These may appear to be indications of unrevealed brilliance, perhaps even eccentricities of genius, but they are likely to complicate and cool easy social relations and to promote restraint. Although the psychopath's inner emotional deviations and deficiencies may be comparable with the inner status of the masked schizophrenic, he outwardly shows nothing brittle or strange. Everything about him is likely to suggest desirable and superior human qualities, a robust mental health.
The so-called psychopath is ordinarily free from signs or symptoms traditionally regarded as evidence of a psychosis. He does not hear voices. Genuine delusions cannot be demonstrated. There is no valid depression, consistent pathologic elevation of mood, or irresistible pressure of activity. Outer perceptual reality is accurately recognized; social values and generally accredited personal standards are accepted verbally. Excellent logical reasoning is maintained and, in theory, the patient can foresee the consequences of injudicious or antisocial acts, outline acceptable or admirable plans of life, and ably criticize in words his former mistakes. The results of direct psychiatric examination disclose nothing pathologic - nothing that would indicate incompetency or that would arouse suspicion that such a man could not lead a successful and happy life.
Not only is the psychopath rational and his thinking free of delusions, but he also appears to react with normal emotions. His ambitions are discussed with what appears to be healthy enthusiasm. His convictions impress even the skeptical observer as firm and binding. He seems to respond with adequate feelings to another's interest in him and, as he discusses his wife, his children, or his parents, he is likely to be judged a man of warm human responses, capable of full devotion and loyalty.
There are usually no symptoms to suggest a psychoneurosis in the clinical sense. In fact, the psychopath is nearly always free from minor reactions popularly regarded as "neurotic" or as constituting "nervousness." The chief criteria whereby such diagnoses as hysteria, obsessive-compulsive disorder, anxiety state, or "neurasthenia" might be made do not apply to him. It is highly typical for him not only to escape the abnormal anxiety and tension fundamentally characteristic of this whole diagnostic group but also to show a relative immunity from such anxiety and worry as might be judged normal or appropriate in disturbing situations. Regularly we find in him extraordinary poise rather than jitteriness or worry, a smooth sense of physical well-being instead of uneasy preoccupation with bodily functions. Even under concrete circumstances that would for the ordinary person cause embarrassment, confusion, acute insecurity, or visible agitation, his relative serenity is likely to be noteworthy.
It is true he may become vexed and restless when held in jails or psychiatric hospitals. This impatience seems related to his inability to realize the need or justification for his being restrained. What tension or uneasiness of this sort he may show seems provoked entirely by external circumstances, never by feelings of guilt, remorse, or intrapersonal insecurity. Within himself he appears almost as incapable of anxiety as of profound remorse.
Though the psychopath is likely to give an early impression of being a thoroughly reliable person, it will soon be found that on many occasions he shows no sense of responsibility whatsoever. No matter how binding the obligation, how urgent the circumstances, or how important the matter, this holds true. Furthermore, the question of whether or not he is to be confronted with his failure or his disloyalty and called to account for it appears to have little effect on his attitude.
If such failures occurred uniformly and immediately, others would soon learn not to rely upon psychopaths or to be surprised at their conduct. It is, however, characteristic for them during some periods to show up regularly at work, to meet their financial obligations, to ignore an opportunity to steal. They may apply their excellent abilities in business or in study for a week, for months, or even for a year or more and thereby gain potential security, win a scholarship, be acclaimed top salesman or elected president of a social club or perhaps of a school honor society. Not all checks given by psychopaths bounce; not all promises are uniformly ignored. They do not necessarily land in jail every day (or every month) or seek to cheat someone else during every transaction. If so, it would be much simpler to deal with them. This transiently (but often convincingly) demonstrated ability to succeed in business and in all objective affairs makes failures more disturbing to those about them.
Furthermore, it cannot be predicted how long effective and socially acceptable conduct will prevail or precisely when (or in what manner) dishonest, outlandish, or disastrously irresponsible acts or failures to act will occur. These seem to have little or no relation to objective stress, to cyclic periods, or to major alterations of mood or outlook. What is at stake for the patient, for his family, or for anybody else is not a regularly determining factor. At the crest of success in his work he may forge a small check, indulge in petty thievery, or simply not come to the office. After a period of gracious and apparently happy relations with his family he may pick a quarrel with his wife, cuff her up a bit, drive her from the house, and then throw a glass of iced tea in the face of his 3-year-old son. For the initiation of such outbursts he does not, it seems, need any great anger. Moderate vexation usually suffices.
The psychopath's unreliability and his disregard for obligations and for consequences are manifested in both trivial and serious matters, are masked by demonstrations of conforming behavior, and cannot be accounted for by ordinary motives or incentives. Although it can be confidently predicted that his failures and disloyalties will continue, it is impossible to time them and to take satisfactory precautions against their effect. Here, it might be said, is not even a consistency in inconsistency but an inconsistency in inconsistency.
The psychopath shows a remarkable disregard for truth and is to be trusted no more in his accounts of the past than in his promises for the future or his statement of present intentions. He gives the impression that he is incapable of ever attaining realistic comprehension of an attitude in other people which causes them to value truth and cherish truthfulness in themselves.
Typically he is at ease and unpretentious in making a serious promise or in (falsely) exculpating himself from accusations, whether grave or trivial. His simplest statement in such matters carries special powers of conviction. Overemphasis, obvious glibness, and other traditional signs of the clever liar do not usually show in his words or in his manner. Whether there is reasonable chance for him to get away with the fraud or whether certain and easily foreseen detection is at hand, he is apparently unperturbed and does the same impressive job. Candor and trustworthiness seem implicit in him at such times. During the most solemn perjuries he has no difficulty at all in looking anyone tranquilly in the eyes. Although he will lie about any matter, under any circumstances, and often for no good reason, he may, on the contrary, sometimes own up to his errors (usually when detection is certain) and appear to be facing the consequences with singular honesty, fortitude, and manliness.
It is indeed difficult to express how thoroughly straightforward some typical psychopaths can appear. They are disarming not only to those unfamiliar with such patients but often to people who know well from experience their convincing outer aspect of honesty. A saying current among psychiatric residents, secretaries, medical associates, and others familiar with what goes on in my office may illustrate this point. The saying is in substance that excellent evidence for the diagnosis of psychopathic personality can be found in my own response to newcomers who seek to borrow money or cash checks. It is rather generally believed that only psychopaths are successful and that in typical scams success is inevitable. Although I argue that some exaggeration has perhaps colored this story and overemphasized the infallibility of my reaction as a test, I must admit there is much truth in the matter. Even after so many years of special interest in the subject, I am forced to confess that fairly often observers have had the opportunity to make a snap diagnosis from my response to this sort of appeal and see it gain full confirmation in subsequent events. I might add that no such loan has ever been repaid and that all such checks have bounced.
After being caught in shameful and gross falsehoods, after repeatedly violating his most earnest pledges, he finds it easy, when another occasion arises, to speak of his word of honor, his honor as a gentleman, and he shows surprise and vexation when commitments on such a basis do not immediately settle the issue.
The conception of living up to his word seems, in fact, to be regarded as little more than a phrase sometimes useful to avoid unpleasantness or to gain other ends. How inadequate such ends may be to account for the psychopath's neglect of truth can be shown in a brief example:
Whether judged in the light of his conduct, of his attitude, or of material elicited in psychiatric examination, he shows almost no sense of shame. His career is always full of exploits, any one of which would wither even the more callous representatives of the ordinary man. Yet he does not, despite his able protestations, show the slightest evidence of major humiliation or regret. This is true of matters pertaining to his personal and selfish pride and to esthetic standards that he avows as well as to moral or humanitarian matters. If Santayana is correct in saying that "perhaps the true dignity of man is his ability to despise himself," the psychopath is without a means to acquire true dignity.
Not only is the psychopath undependable, but also in more active ways he cheats, deserts, annoys, brawls, fails, and lies without any apparent compunction. He will commit theft, forgery, adultery, fraud, and other deeds for astonishingly small stakes and under much greater risks of being discovered than will the ordinary scoundrel. He will, in fact, commit such deeds in the absence of any apparent goal at all.
Yet we do not find the regularity and specificity in his behavior that is apparent in what is often called compulsive stealing or other socially destructive actions carried out under extraordinary pressures which the subject, in varying degrees, struggles against. Such activities, and all disorder distinguished by some as impulse neurosis,14 as we have mentioned, probably have important features in common with the psychopath's disorder. In contrast, his antisocial and self-defeating deeds are not circumscribed (as, for example, in pyromania and kleptomania), and he shows little or no evidence of the conscious conflict or the subsequent regret that are not regularly absent in these other manifestations. Again the comparison Of a circumscribed dissociation typical of hysteria with the general ego disintegration of schizophrenia may be usefully cited.
Objective stimuli (value of the object, specific conscious need) are, as in compulsive (or impulsive) stealing, inadequate to account for the psychopath's acts. Evidence of any vividly felt urge symbolizing a disguised but specifically channelized, instinctive drive is not readily available in the psychopath's wide range of inappropriate and self-defeating behavior. Two incidents in typical cases are offered:
This exercise of execrable judgment is not particularly modified by experience, however chastening his experiences may be. Few more impressive examples of this could be offered from the records of humanity than the familiar one of the psychopath who, in full possession of his rational faculties, has gone through the almost indescribably distasteful confinement of many months with delusional and disturbed psychotic patients and, after fretting and counting the days until the time of his release, proceeds at once to get drunk and create disorder which he thoroughly understands will cause him to be returned without delay to the detested wards. It is my opinion that no punishment is likely to make the psychopath change his ways. Punishment is not, of course, regarded as an appropriate measure in medical treatment. It is, however, often considered and administered by legal authorities. And it must be remembered that at present the law deals with these patients more frequently than physicians deal with them.
Despite the extraordinarily poor judgment demonstrated in behavior, in the actual living of his life, the psychopath characteristically demonstrates unimpaired (sometimes excellent) judgment in appraising theoretical situations. In complex matters of judgment involving ethical, emotional, and other evaluational factors, in contrast with matters requiring only (or chiefly) intellectual reasoning ability, he also shows no evidence of a defect. So long as the test is verbal or otherwise abstract, so long as he is not a direct participant, he shows that he knows his way about. He can offer wise decisions not only for others in life situations but also for himself so long as he is asked what he would do (or should do, or is going to do). When the test of action comes to him we soon find ample evidence of his deficiency.
The psychopath is always distinguished by egocentricity. This is usually of a degree not seen in ordinary people and often is little short of astonishing. How obviously this quality will be expressed in vanity or self-esteem will vary with the shrewdness of the subject and with his other complexities. Deeper probing will always reveal a selfcenteredness that is apparently unmodifiable and all but complete. This can perhaps be best expressed by stating that it is an incapacity for object love and that this incapacity (in my experience with well-marked psychopaths) appears to be absolute.
Terms in use for what we experience as "emotion" contain much ambiguity, and their referential accuracy is limited. This contributes to confusion and paradox which are difficult to avoid in attempts to convey concepts about such a matter.
In a sense, it is absurd to maintain that the psychopath's incapacity for object love is absolute, that is, to say he is capable of affection for another ill literally no degree. He is plainly capable of casual fondness, of likes and dislikes, and of reactions that, one might say, cause others to matter to him. These affective reactions are, however, always strictly limited in degree. In durability they also vary greatly from what is normal in mankind. The term absolute is, I believe, appropriate if we apply it to any affective attitude strong and meaningful enough to be called love, that is, anything that prevails in sufficient degree and over sufficient periods to exert a major influence on behavior.
True enough, psychopaths are sometimes skillful in pretending a love for women or simulating parental devotion to their children. What part of this is not pure (and perhaps in an important sense unconscious) simulation has always impressed this observer as that other type of pseudolove sometimes seen in very self-centered people who are not psychopaths, which consists in concern for the other person only (or primarily) insofar as he enhances or seems to enhance the self. Even this latter imitation of adult affectivity has been seldom seen in the full-blown psychopath, although it is seen frequently in those called here partial psychopaths. In nonpsychopaths a familiar example is that of the parent who lavishes money and attention on a child chiefly to bask in the child's success and consciously or unconsciously to feel what an important person he is because of the child's triumphs. Although it is true that with ordinary people such motives are seldom, if ever, unmixed, and usually some object love and some self-love are integrated into such attitudes, in even the partial psychopath anything that could honestly be called object love approaches the imperceptible.
What positive feelings appear during the psychopath's interpersonal relations give a strong impression of being self-love. Some cynical psychologists and philosophers have, of course, challenged the existence of any love which is not on final analysis selfish, saying that the mother who gives up her own life for her child really does so because it would be more painful to her to see the child perish. Without attempting to take up the cudgels in this interesting dispute, it will suffice to say that whatever normal and highly developed and sincere object love may actually be, it is, whether judged behaviorally or intuitively, something that impresses the ordinary observer as definitely unlike anything found in the psychopath.
The psychopath seldom shows anything that, if the chief facts were known, would pass even in the eyes of lay observers as object love. His absolute indifference to the financial, social, emotional, physical, and other hardships which he brings upon those for whom he professes love confirms the appraisal during psychiatric studies of his true attitude. We must, let it never be forgotten, judge a man by his actions rather than by his words. This old saying is especially significant when it is the man's motivations and real feelings that we are to judge. This lack in the psychopath makes it all but impossible for an adequate emotional rapport to arise in his treatment and may be an important factor in the therapeutic failure that, in my experience, has been universal.
In addition to his incapacity for object love, the psychopath always shows general poverty of affect. Although it is true that be sometimes becomes excited and shouts as if in rage or seems to exult in enthusiasm and again weeps in what appear to be bitter tears or speaks eloquent and mournful words about his misfortunes or his follies, the conviction dawns on those who observe him carefully that here we deal with a readiness of expression rather than a strength of feeling.
Vexation, spite, quick and labile flashes of quasi-affection, peevish resentment, shallow moods of self-pity, puerile attitudes of vanity, and absurd and showy poses of indignation are all within his emotional scale and are freely sounded as the circumstances of life play upon him. But mature, wholehearted anger, true or consistent indignation, honest, solid grief, sustaining pride, deep joy, and genuine despair are reactions not likely to be found within this scale.
Craig60 said long ago that patients who suffer from hysteria do not react with awe, reverence, wonder, or pity. Often they do not, it might be said, appear capable of achieving in sincerity the major emotions, although their protestations of such emotions are prominent and their show of feeling is sometimes so vigorous that the observer is often misled to believe that they are in tragic grief or remorse. Although such a diminution of emotional range, especially along the deeper notes, may be seen in the patient with hysteria, in the psychopath it is very much more far-reaching, profound, and final. Even in the situations of squalor and misery into which he repeatedly works himself, when confined in jails and what he regards as lunatic asylums, after throwing away fortunes or catching and transferring gonorrhea to his bride - even under these circumstances he does not show anything that could be called woe or despair or serious sorrow. He becomes vexed and rebellious and frets in lively and constant impatience when confined, but he does not grieve as others grieve.
Psychopaths are often witty and sometimes give a superficial impression of that far different and very serious thing, humor. Humor, however, in what may be its full, true sense,* they never have.43 I have thought that I caught glimpses of it in psychopaths and, despite a typical history, was inclined to question the diagnosis. Further observation of these patients gave convincing evidence that the apparent humor, like the apparent insight, was really an artifact.
One might feel a superficial inclination to credit with humor the patient described under "The Psychopath as Scientist" who, after his lamentable marriage to the very unprepossessing streetwalker, laughed and admitted that the joke was on himself. At first glance such a reply might appear to be the valiant humor of a man who can smile in any adversity. And, indeed, it might be correctly judged as this if the speaker showed any evidence of feeling his adversity or accepting his responsibility. But in this instance the only convincing appraisal is that "he jests at scars who never felt a wound." When the normal man makes a gay or ironic quip on the subject of his own adversity, we may justifiably applaud it as humor. If the quip concerns an adversity which scarcely touches the maker, it is as empty of humor as the empty boldness of a daredevil who wagers his fortune in a dice game where no one is playing for keeps.
In such a discussion only personal opinions of what is real humor and what is not real humor can be expressed. Everyone's capacity to appreciate or appraise such a quality varies, no doubt, as widely as one's sense of what is beautiful.
The emotional poverty, the complete lack of strong or tragic feeling universally found in all the psychopaths personally observed, has caused me considerable bewilderment in connection with frequent references in the literature to the powerful instinctual drives and passions said to be manifested in such people.79,128,156 Although weak and even infantile drives displaying themselves theatrically in the absence of ordinary inhibitions may impress the layman as mighty forces, it is hardly to be concluded that wise and deeply experienced psychiatrists would be similarly deceived. Perhaps such descriptions apply to other types of personality than that discussed here. And since, as I have already stressed, the present aim is to present a type of personality disorder well known and believed to be a clinical entity rather than to argue about names, efforts will be limited to describing and trying to interpret the material at hand.
In considering the general shallowness of affect common to all members of this series in connection with their incapacity for object love, there is temptation to wonder about the possible interdependence of these facilities. Is it possible for tragic or transforming emotion to arise in any person without that peculiar and indescribable personal commitment to another? Or, if not to another human being, at least to some abstraction well outside the self?
In a special sense the psychopath lacks insight to a degree seldom, if ever, found in any but the most seriously disturbed psychotic patients. In a superficial sense, in that he can say he is in a psychiatric hospital because of his unacceptable and strange conduct, and by all other such criteria, his insight is intact. His insight is of course not affected at all with the type of impairment seen in the schizophrenic patient, who may not recognize the fact that others regard him as mentally ill but may insist that he is the Grand Lama and now in Tibet. Yet in a very important sense, in the sense of realistic evaluation, the psychopath lacks insight more consistently than some schizophrenic patients. He has absolutely no capacity to see himself as others see him. It is perhaps more accurate to say that he has no ability to know how others feel when they see him or to experience subjectively anything comparable about the situation. All of the values, all of the major affect concerning his status, are unappreciated by him.
This is almost astonishing in view of the psychopath's perfect orientation, his ability and willingness to reason or to go through the forms of reasoning, and his perfect freedom from delusions and other signs of an ordinary psychosis.
Usually, instead of facing facts that would ordinarily lead to insight, he projects, blaming his troubles on others with the flimsiest of pretext but with elaborate and subtle rationalization. Occasionally, however, he will perfunctorily admit himself to blame for everything and analyze his case from what seems to be almost a psychiatric viewpoint, but we can see that his conclusions have little actual significance for him. Some of these patients mentioned spoke fluently of the psychopathic personality, quoted the literature, and suggested this diagnosis for themselves. Soon this apparent insight was seen to be not merely imperfect but a consistent and thorough artifact. Perhaps it was less a voluntary deception than a simulation in which the simulator himself fails to realize his lack of emotional grasp or that he is simulating or what he is simulating. The patient seems to have little or no ability to feel the significance of his situation, to experience the real emotions of regret or shame or determination to improve, or to realize that this is lacking. His clever statements have been hardly more than verbal reflexes; even his facial expressions are without the underlying content they imply. This is not insight but an excellent mimicry of insight. No sincere intention can spring from his conclusions because no affective conviction is there to move him.
Such a deficiency of insight is harder to comprehend than the schizophrenic's deficiency, for it exists in the full presence of what are often assumed to be the qualities by which insight is gained. Yet the psychopath shows not only a deficiency but apparently a total absence of self-appraisal as a real and moving experience. Here is the spectacle of a person who uses all the words that would be used by someone who understands, and who could define all the words but who still is blind to the meaning. Such a clinical picture is more baffling to me than any of the symptoms of schizophrenia, on which attempts have been made to throw some light by psychopathologic theories.79,89,129,269 Here we have a patient who fulfills all the ordinary theoretical criteria of a "sound mind," and yet with this apparently sound mind is more incomprehensible than the psychotic patient.
What I regard as the psychopath's lack of insight shows up frequently and very impressively in his apparent assumption that the legal penalties for a crime he has committed do not, or should not, apply to him. This astonishing defect in realization often seems genuine, as the patient protests in surprise against the idea that prison might be anticipated for him, as for others under similar circumstances. He frequently reacts to such an idea as if to something unexpected and totally inappropriate.
Some observers believe that what the psychopath expresses about himself and his situation constitutes insight and merits such a term. I cannot agree with this opinion. The chief and most valid connotations of the word disappear in such an application. Profoundly psychotic patients whose gross lack of insight would be admitted by all sometimes express opinions which, if fully meant and appreciated, would indicate an insight that is plainly not there. A few brief examples may help:
Let us consider a man whose wife, after many years of struggle equal to that of others discussed in some detail here, had left him and was seriously considering divorce. It is difficult to imagine a situation in which the necessity of permanent separation could be more clear or imperative. Nor is it likely that any patient described here has given a marital partner more reason to feel this need or has more fully demonstrated that, no matter what he said, he would continue to behave, toward her and in general, just as he had since their marriage. A few excerpts from his letters to the wife are illuminating:
The psychopath cannot be depended upon to show the ordinary responsiveness to special consideration or kindness or trust. No matter how well he is treated, no matter how long-suffering his family, his friends, the police, hospital attendants, and others may be, he shows no consistent reaction of appreciation except superficial and transparent protestations. Such gestures are exhibited most frequently when he feels they will facilitate some personal aim. The ordinary axiom of human existence that one good turn deserves another, a principle sometimes honored by cannibals and uncommonly callous assassins, has only superficial validity for him although he can cite it with eloquent casuistry when trying to obtain parole, discharge from the hospital, or some other end.
As in attempting to delineate other aspects of the psychopath, we find ourselves again confronting paradox. Although he can be counted on not to be appreciably swayed in major issues by these basic rules, we often find him attentive in small courtesies and favors, perhaps even habitually generous or quasi-generous when the cost is not decisive. Occasionally his actions may suggest profound generosity in that large sums are involved or something presumably of real value is sacrificed. Usually, however, these appearances are deceiving.
The psychopath who squanders $1,000 on a lady of the night usually seems not to share very actively in the distressing worry and deprivation that his wife and children (or his parents) may experience quite substantially. The motives of a boy at boarding school who casually sells his new clothes to buy candy bars and Coca-Colas (for the whole dormitory) seem to lack an important dimension of magnanimity. This dimension could be presumed if after his extravagance the boy set to work assiduously in efforts to carry the burden he had created.
In relatively small matters psychopaths sometimes behave so as to appear very considerate, responsive, and obliging. Acquaintances who meet them on grounds where minor issues prevail may find it difficult to believe that they are not highly endowed with gratitude and eager to serve others. Such reactions and intentions, although sometimes ready or even spectacularly facile, do not ever accumulate sufficient force to play a determining part in really important issues. The psychopath who causes his parents hardship and humiliation by repeatedly forging checks and causes his wife anguish by sordid (and perhaps halfhearted) relations with the housemaid, may gain a considerable reputation in the community by occasionally volunteering to cut the grass for the frail old lady across the street, by bringing a bottle of sherry over now and then to bedridden Mr. Blank, or by leaving his work to take a neighbor's injured cat to the veterinarian.
Outward social graces come easy to most psychopaths, and many continue, throughout careers disastrous to themselves and for others, to conduct themselves in superficial relations, in handling the trivia of existence, so as to gain admiration and gratitude. In these surface aspects of functioning, the typical psychopath (unlike the classic hypocrite) often seems to act with undesigning spontaneity and to be prompted by motives of excellent quality though of marvelously attenuated substance.
Although some psychopaths do not drink at all and others drink rarely, considerable overindulgence in alcohol is very often prominent in the life story. Delirium tremens and other temporary psychoses directly due to alcohol were not commonly found in the hundreds of patients observed by me.
The view of some professional moralists to the effect that demon rum is the fundamental cause of disaster such as that of the psychopath appears to have little claim to validity. It has been pointed out already that an irreconcilable difference in primary aim appears to exist between the ordinary person who drinks too much and the psychopath. This may be restated briefly as follows: The ordinary drinker gets into trouble by drifting with enthusiasm into the opinion that if two or six or eight drinks have made him feel so good, another (or two more or perhaps five more) will make him feel just so much better. Such rationalizations may assist the normal drinker, especially if he has serious fundamental conflicts, in a progress toward becoming a neurotic drinker or toward an alcoholic breakdown.
I cannot say that it is impossible in certain persons for a state of mental disorder identical with that described here as psychopathic personality to be reached eventually in this way. Often, however, these neurotic drinkers, in sharp contrast with the psychopath, worry about their state when sober, are capable of making an earnest effort to get well under psychiatric treatment, and lack most of the deeper personality features of the psychopath. Even in the neurotic drinker it is more often an independent and preexisting personality maladjustment rather than the alcohol which is primarily causal. Many psychiatric observers make this vividly clear and no less convincing.
A major point about the psychopath and his relation to alcohol can be found in the shocking, fantastic, uninviting, or relatively inexplicable behavior which emerges when he drinks - sometimes when he drinks only a little. It is very likely that the effects of alcohol facilitate such acts and other manifestations of the disorder. This does not mean, however, that alcohol is fundamentally causal. Good criteria for differentiation between psychopaths and others who drink, moderately or excessively, can be found in what tendencies emerge after similar amounts have been consumed.
A peculiar sort of vulgarity, domineering rudeness, petty bickering or buffoonish quasi-maulings of wife, mistress, or children, and quick shifts between maudlin and vainglorious moods, although sometimes found in ordinary alcoholics with other serious patterns of disorder, are pathognomonic of the psychopath and in him alone reach full and precocious flower. Even in the first stages of a spree, perhaps after taking only two or three highballs, he may show signs of petty truculence or sullenness but seldom of real gaiety or conviviality. Evidence of any pleasurable reaction is characteristically minimal, as are indications that he is seeking relief from anxiety, despair, worry, responsibility, or tension.
Alcohol, as a sort of catalyst, sometimes contributes a good deal to the long and varied series of outlandish pranks and inanely coarse scenes with which nearly every drinking psychopath's story is starred. Free from alcohol, such a patient would scarcely sit under a house all night idly striking matches, or, concealing himself behind book stacks, urinate from the window of a public library on passersby in the street below. Nor would he, like the psychopathic son of a prominent family, suddenly, as a prank, decide to climb into a tree at a busy street corner, where he deliberately undressed, shouting wildly and puerilely to draw public attention. This man could not be persuaded to withdraw until the local fire department was called to remove him. The alcohol probably does not of itself create such behavior. Alcohol is not likely to bring out any impulse that is not already potential in a personality, nor is it likely to cast behavior into patterns for which there is not already significant subsurface predilection. The alcohol merely facilitates expression by narcotizing inhibitory processes.136 In cases of this sort very little narcotizing may be needed. The oil which lubricates the engine of an automobile neither furnishes the energy for its progress nor directs it.
Psychopaths often indulge in these strange performances after drinking relatively little. They know perfectly well what they have done before when drinking and, with these facts squarely before their altogether clear and rational awareness, decide to drink again. It is difficult indeed for me to see any substantial grounds for placing the responsibility for the drinking psychopath's deeds primarily on alcohol instead of on the disorder which, in ways no less serious even if less spectacular, he shows also when entirely sober.
Although his most theatrical exploits in public are usually carried on when drinking, the psychopath, even after he has been free from all alcohol for months, as for instance, when he is in a psychiatric hospital, retains all the essential personality features which have been mentioned. These show little or no tendency to diminish when he cannot drink. These words translated from Aeschylus, "Bronze is the mirror of the form; wine of the heart," express something pertinent about alcohol and man, whether the man be ill or well.
All the curious conduct reported in patients who drank and who were presented here occurred in the absence of delirium tremens, alcoholic hallucinosis, or any other of the well-known psychoses due directly to intoxication. Of course, such psychotic conditions may occur in psychopaths and in neurotic drinkers. It is important to keep such symptoms separate, since they are clearly due to another type of mental disorder.
Most of this asocial, unacceptable, and self-defeating behavior associated with the psychopath's drinking seems to occur without the benefit of extreme inebriation. If actual confusion from alcohol prevailed or states of genuine amnesia were induced before the grotesque shenanigans began, intoxication could more plausibly be suspected of playing a larger causal role. The psychopath often reacts in this typical way while in perfect orientation, with unclouded awareness and in anything but the deeply drugged state thought by some to be a prerequisite.
For whatever reason the psychopath may drink, it is true that, in contrast with others who use alcohol to excess, he hits upon conduct and creates situations so bizarre, so untimely, and so preposterous that their motivation appears inscrutable. Many of his exploits seem directly calculated to place him in a disgraceful or ignominious position. He often chooses pranks and seeks out situations that would have no appeal for the ordinary person, whether the ordinary person be drunk or sober. The observer sometimes wonders if a truly astonishing ingenuity, or an actively perverse inventiveness is directing him, so consistently does he bring off scenes not only uncongenial but even unimaginable to the average man.
Furthermore, these exploits seem to such little purpose, almost as hard to understand on the assumption that they are for amusement or play as on the grounds of utility. One patient with numerous other outstanding incidents in his career, while sitting at a formal dinner party given by friends in honor of his birthday, turned coolly and spat with deliberation on the cake as it was brought to his side for him to cut.
One patient who developed typical symptoms early in life showed, long before he had ever touched anything alcoholic, prankish tendencies worth noting here. When taken into a store by his parents to be fitted with new clothes, he often allowed intestinal gas to pass quietly but with vivid olfactory manifestations. Considerable embarrassment and vexation were experienced by the clerks and by his parents, but he was never ruffled and apparently took mild or moderate pleasure in the situation. He occasionally resorted to these tactics while riding with his parents and dignified company in a car when the windows were tightly closed because of cold weather. A few times he discomfited his family considerably by the same means in church. At first the parents accepted his apologies after reprimands and they were inclined to believe his innocent-faced explanation that an involuntary lapse of control had occurred. The timing of events and the predilection for close places and special surroundings, as well as the emergence of other behavior, convinced them in time that these acts were deliberate.
Another young psychopath who had never encountered liquor of any sort did many things that would not attract the ordinary mischievous teenager. Finding time a little heavy on his hands (and his parents out of the house for a few hours), he took tools from the cellar and, working with no little skill and dispatch, got the connections of the bathroom toilet apart, put into the outlet pipe a small electric motor, and then carefully reconnected the fixture. The subsequent flooding, mess, trouble, and expense did not seem to give him hilarious mirth or vindictive satisfaction. Certainly he showed no evidence of such feeling in a degree to warrant his risking the punishment he received.
The pranks or buffoonery of the sober adult psychopath naturally differ somewhat from those typical of adolescence or earlier. With a few drinks the similarity of the adult's behavior often increases.
Despite the deep behavioral pattern of throwing away or destroying the opportunities of life that underlies the psychopath's superficial self-content, ease, charm, and often brilliance, we do not find him prone to take a final determining step of this sort in literal suicide. Suicidal tendencies have been stressed by some observers as prevalent. This opinion, in all likelihood, must have come from the observation of patients fundamentally different from our group, but who, as we have mentioned, were traditionally classified under the same term. It was only after a good many years of experience with actual psychopaths that I encountered my first authentic instance of suicide in a patient who could be called typical.
Instead of a predilection for ending their own lives, psychopaths, on the contrary, show much more evidence of a specific and characteristic immunity from such an act. This immunity, it must be granted, is, like most other immunities, relative.
Although suicide, then, cannot be named an impossibility among this group, its unlikelihood still merits strong emphasis. Since most psychopaths do not remain hospitalized or under other protective supervision, the rarity of this act becomes more significant. Also worth noting is the fact that most real psychopaths, not once or a few times but habitually, work themselves into situations that might strongly prompt the normal man to end his own life. Since suicidal threats, like promises and well-formulated plans to adopt a new course, are so frequently offered by these patients, there is good reason to keep in mind the fact that they are nearly always empty. Many bogus attempts are made, sometimes with remarkable cleverness, premeditation, and histrionics.
The psychopath's sex life invariably shows peculiarities. The opinion has already been expressed that homosexuality and the other specific deviations, though of course occurring in psychopaths, are not sufficiently common to be regarded as characteristic. Evidence of consistent, well-formulated deviation was extremely rare in a large group of male psychopaths personally observed in a closed psychiatric institution. Among male and female subjects seen as outpatients and in general hospitals, such complications, though more frequent, do not seem to be a distinguishing feature. If we take another viewpoint and consider the group who come or are sent to the physician primarily for sexual deviation, we find again some patients with behavior patterns resembling in various degrees that of the real psychopath. These patients are probably not typical of the deviate group as a whole, whose members much more frequently show different fundamental patterns of adjustment and maladjustment.
Unmistakable psychopaths who do not show evidence of strong or consistent deviated impulses but who nevertheless occasionally carry out abnormal sexual acts have been seen much more often than those in whom the two fundamental patterns seem to overlap. This is not surprising in view of the psychopath's notable tendencies to hit upon unsatisfactory conduct in all fields and his apparent inability to take seriously what would to others be repugnant and regrettable. The real homosexual seeking an outlet for his own impulses often finds it possible to engage the psychopath in deviated activities, sometimes for petty rewards, sometimes for what might best be called just the hell of it.
It has been said that some people whose sexual activities are normal under ordinary circumstances may, in the absence of normal opportunities, resort to immature or abnormal practices as a substitutive measure. It is not hard to believe that a man of orthodox sexuality, if stranded and alone for years on an uninhabited island, might develop impulses toward masturbation. Some studies of prisoners give the impression that mutual masturbation and far more abnormal relations occur in persons who, when not confined, sought only heterosexual intercourse.184,296 Surely every psychiatrist has seen people whose sexual aims are usually directed toward the other sex but whose orientation is so confused, and whose evaluation of sexual experience is so trivial, that they sometimes also engage in homosexual and other types of abnormal relations.
In psychopaths and in many other people who cannot be correctly placed with the well-defined homosexual group, there are varying degrees of susceptibility or inclination to immature or deviated sex practices. In contrast with others, the psychopath requires impulses of scarcely more than whimlike intensity to bring about unacceptable behavior in the sexual field or in any other. Even the faintest or most fleeting notion or inclination to forge a check, to steal his uncle's watch, to see if he can seduce his best friend's wife, or to have a little fling at fellatio, is by no means unlikely to emerge as the deed. The sort of repugnance or other inhibiting force that would prevent any or all such impulses from being followed (or perhaps from even becoming conscious impulses) in another person is not a factor that can be counted on to play much part in the psychopath's decisions.
The activities of a typical patient of this sort whom I once studied are highly illustrative. This 27-year-old man, honor graduate of a college despite great irregularity in his studies, had for a number of years followed a career so similar to those of the other patients cited that there is no point in going into detail. He showed no indications of ordinary homosexuality in manner, dress, physique, or in personality features. He had been rather active in heterosexual relations since about fifteen, his partners being professionals, girls of respectable family, and married women.
All of these relations had apparently been to him more or less equivalent and entirely without personal significance. He admitted having once or twice, and more or less experimentally, submitted to the wishes of a homosexual and also to a couple of blundering ventures into deviated activity while drinking with others apparently more like himself. These did not seem to give him any particular satisfaction, and there is reason to believe that he distinctly preferred what he did with women. To the patient, any idea that he might be a homosexual seemed absurd.
In the absence of any persistent or powerful urge in this specific direction, the patient, apparently without much previous thought, hit upon the notion of picking up four Negro men who worked in the fields not far from his residence. In a locality where the Ku Klux Klan (and its well-known attitudes) at the time enjoyed a good deal of popularity, this intelligent and in some respects distinguished young man showed no compunction about taking from the field these unwashed laborers, whom he concealed in the back of a pickup truck, with him into a well-known place of amorous rendezvous. At the place he chose, "tourists' cabins" were discreetly set up in such a way that women brought by men to them for familiar purposes could enter without the possible embarrassment of being identified by the management. Despite these facilities suspicion arose, and the patient was surprised by the man in charge of the resort while in the process of carrying out fellatio on his four companions. He had chosen to take the oral role.
The psychopath shows a remarkable disregard for truth and is to be trusted no more in his accounts of the past than in his promises for the future or his statement of present intentions. He gives the impression that he is incapable of ever attaining realistic comprehension of an attitude in other people which causes them to value truth and cherish truthfulness in themselves.
Typically he is at ease and unpretentious in making a serious promise or in (falsely) exculpating himself from accusations, whether grave or trivial. His simplest statement in such matters carries special powers of conviction. Overemphasis, obvious glibness, and other traditional signs of the clever liar do not usually show in his words or in his manner. Whether there is reasonable chance for him to get away with the fraud or whether certain and easily foreseen detection is at hand, he is apparently unperturbed and does the same impressive job. Candor and trustworthiness seem implicit in him at such times. During the most solemn perjuries he has no difficulty at all in looking anyone tranquilly in the eyes. Although he will lie about any matter, under any circumstances, and often for no good reason, he may, on the contrary, sometimes own up to his errors (usually when detection is certain) and appear to be facing the consequences with singular honesty, fortitude, and manliness.
It is indeed difficult to express how thoroughly straightforward some typical psychopaths can appear. They are disarming not only to those unfamiliar with such patients but often to people who know well from experience their convincing outer aspect of honesty. A saying current among psychiatric residents, secretaries, medical associates, and others familiar with what goes on in my office may illustrate this point. The saying is in substance that excellent evidence for the diagnosis of psychopathic personality can be found in my own response to newcomers who seek to borrow money or cash checks. It is rather generally believed that only psychopaths are successful and that in typical scams success is inevitable. Although I argue that some exaggeration has perhaps colored this story and overemphasized the infallibility of my reaction as a test, I must admit there is much truth in the matter. Even after so many years of special interest in the subject, I am forced to confess that fairly often observers have had the opportunity to make a snap diagnosis from my response to this sort of appeal and see it gain full confirmation in subsequent events. I might add that no such loan has ever been repaid and that all such checks have bounced.
After being caught in shameful and gross falsehoods, after repeatedly violating his most earnest pledges, he finds it easy, when another occasion arises, to speak of his word of honor, his honor as a gentleman, and he shows surprise and vexation when commitments on such a basis do not immediately settle the issue.
The conception of living up to his word seems, in fact, to be regarded as little more than a phrase sometimes useful to avoid unpleasantness or to gain other ends. How inadequate such ends may be to account for the psychopath's neglect of truth can be shown in a brief example:
In a letter to his wife, at last seeking divorce and in another city, one patient set down dignified, fair appraisals of the situation and referred to sensible plans he had outlined for her security. He then added that specified insurance policies and annuities providing for the three children (including their tuition at college) had been mailed under separate cover and would, if she had not already received them, soon be in her hands. He had not taken even the first step to obtain insurance or to make any other provision, and, once he had made these statements in his letter, he apparently gave the matter no further thought.The psychopath apparently cannot accept substantial blame for the various misfortunes which befall him and which he brings down upon others, usually he denies emphatically all responsibility and directly accuses others as responsible, but often he will go through an idle ritual of saying that much of his trouble is his own fault. When the latter course is adopted, subsequent events indicate that it is empty of sincerity-a hollow and casual form as little felt as the literal implications of "your humble and obedient servant" are actually felt by a person who closes a letter with such a phrase. Although his behavior shows reactions of this sort to be perfunctory, this is seldom apparent in his manner. This is exceedingly deceptive and is very likely to promote confidence and deep trust. More detailed questioning about just what he blames himself for and why may show that a serious attitude is not only absent but altogether inconceivable to him. If this fails, his own actions will soon clarify the issue.
Whether judged in the light of his conduct, of his attitude, or of material elicited in psychiatric examination, he shows almost no sense of shame. His career is always full of exploits, any one of which would wither even the more callous representatives of the ordinary man. Yet he does not, despite his able protestations, show the slightest evidence of major humiliation or regret. This is true of matters pertaining to his personal and selfish pride and to esthetic standards that he avows as well as to moral or humanitarian matters. If Santayana is correct in saying that "perhaps the true dignity of man is his ability to despise himself," the psychopath is without a means to acquire true dignity.
Not only is the psychopath undependable, but also in more active ways he cheats, deserts, annoys, brawls, fails, and lies without any apparent compunction. He will commit theft, forgery, adultery, fraud, and other deeds for astonishingly small stakes and under much greater risks of being discovered than will the ordinary scoundrel. He will, in fact, commit such deeds in the absence of any apparent goal at all.
Yet we do not find the regularity and specificity in his behavior that is apparent in what is often called compulsive stealing or other socially destructive actions carried out under extraordinary pressures which the subject, in varying degrees, struggles against. Such activities, and all disorder distinguished by some as impulse neurosis,14 as we have mentioned, probably have important features in common with the psychopath's disorder. In contrast, his antisocial and self-defeating deeds are not circumscribed (as, for example, in pyromania and kleptomania), and he shows little or no evidence of the conscious conflict or the subsequent regret that are not regularly absent in these other manifestations. Again the comparison Of a circumscribed dissociation typical of hysteria with the general ego disintegration of schizophrenia may be usefully cited.
Objective stimuli (value of the object, specific conscious need) are, as in compulsive (or impulsive) stealing, inadequate to account for the psychopath's acts. Evidence of any vividly felt urge symbolizing a disguised but specifically channelized, instinctive drive is not readily available in the psychopath's wide range of inappropriate and self-defeating behavior. Two incidents in typical cases are offered:
1. An 18-year-old boy often stole objects for which he had some use, but stealing was not a dominant feature in his almost universally manifested maladjustment. Drifting one day into church, he chose to remain after services and speak personally with the clergyman. As might be expected, he made a profound impression and, spontaneously professing conversion, brought justifiable pride to his counselor. Although disappointed because this new religious attitude did not curtail the boy in his flagrant truancy, his desultory cheating in examinations, and his lying, the clergyman worked hopefully and assiduously with him. On one occasion, after hanging around juke joints and street corners until 3 A.M., he explained his tardiness to his parents in a vivid account of having been injured while wrestling at the school gymnasium. He had, he explained to them, spit up blood and so was taken in an ambulance to the hospital emergency room, where he was treated by the family physician. He gave realistic detail about difficulties in locating the physician, the spirit of emergency prevailing, and techniques of treatment. This story was elaborated despite his knowledge that the next day he was, in the company of his father, going to visit this very physician (for a previously made appointment) and that all he said would be proved untrue.Despite his excellent rational powers, the psychopath continues to show the most execrable judgment about attaining what one might presume to be his ends. He throws away excellent opportunities to make money, to achieve a rapprochement with his wife, to be dismissed from the hospital, or to gain other ends that he has sometimes spent considerable effort toward gaining. It might be said that he cares little about financial success and little about regaining his wife, but it is difficult indeed to say that he is not extremely fain to get out of the psychiatric hospital where he has been locked up for months with other patients whom he regards as "lunatics" and who are, indeed, not desirable associates for the average man or for him. Be it noted again that the psychopath appears as unwilling to remain in a psychiatric hospital and as impatient to regain his freedom as would be the normal man. I have not in these patients ever found reliable evidence that unconsciously they seek and enjoy as punishment such confinement.
Despite repeated and versatile acts inconsistent with the boy's profession of religion, the patient clergyman, naturally impressed with one who seemed so sincere and whose stated attitudes were so admirable, did not lose hope and at times even became quite optimistic. This optimism was particularly shaken after the discovery that his convert had, during communion, succeeded in stealing one of the small glass goblets used in the ceremony.
2. Stealing was a very minor feature of this lady's career, a few details of which were cited in Chapter 12, Anna. While on parole for the afternoon from a private psychiatric institution, she accepted the hospitality of an old friend who had planned tea and sandwiches for several rather demure women whose common interest centered on Sunday school activities. While accompanying her hostess on a preparatory visit to a large grocery store, the patient, as if by whim, slipped into her ample handbag a bottle of vitamin tablets, a package of cream cheese, and a tin of anchovy paste. On arriving at the house (prior to the gathering), she presented all but the vitamin tablets to her hostess as a contribution to the party. She was a woman of considerable wealth and had funds with her. She apparently realized that her theft might be detected and would almost surely be suspected. In carrying out the act she behaved with what can perhaps best be called moderate caution. Apparently she was not strongly influenced by fears of being caught. Nor, on the other hand, did she seem to be seeking purposively but unconsciously any specific thrill, masochistic or otherwise, that might arise in this event. Nothing about her reactions to this and scores of similar acts ever suggested an irresistible force compelling her on against her judgment and will.
This exercise of execrable judgment is not particularly modified by experience, however chastening his experiences may be. Few more impressive examples of this could be offered from the records of humanity than the familiar one of the psychopath who, in full possession of his rational faculties, has gone through the almost indescribably distasteful confinement of many months with delusional and disturbed psychotic patients and, after fretting and counting the days until the time of his release, proceeds at once to get drunk and create disorder which he thoroughly understands will cause him to be returned without delay to the detested wards. It is my opinion that no punishment is likely to make the psychopath change his ways. Punishment is not, of course, regarded as an appropriate measure in medical treatment. It is, however, often considered and administered by legal authorities. And it must be remembered that at present the law deals with these patients more frequently than physicians deal with them.
Despite the extraordinarily poor judgment demonstrated in behavior, in the actual living of his life, the psychopath characteristically demonstrates unimpaired (sometimes excellent) judgment in appraising theoretical situations. In complex matters of judgment involving ethical, emotional, and other evaluational factors, in contrast with matters requiring only (or chiefly) intellectual reasoning ability, he also shows no evidence of a defect. So long as the test is verbal or otherwise abstract, so long as he is not a direct participant, he shows that he knows his way about. He can offer wise decisions not only for others in life situations but also for himself so long as he is asked what he would do (or should do, or is going to do). When the test of action comes to him we soon find ample evidence of his deficiency.
The psychopath is always distinguished by egocentricity. This is usually of a degree not seen in ordinary people and often is little short of astonishing. How obviously this quality will be expressed in vanity or self-esteem will vary with the shrewdness of the subject and with his other complexities. Deeper probing will always reveal a selfcenteredness that is apparently unmodifiable and all but complete. This can perhaps be best expressed by stating that it is an incapacity for object love and that this incapacity (in my experience with well-marked psychopaths) appears to be absolute.
Terms in use for what we experience as "emotion" contain much ambiguity, and their referential accuracy is limited. This contributes to confusion and paradox which are difficult to avoid in attempts to convey concepts about such a matter.
In a sense, it is absurd to maintain that the psychopath's incapacity for object love is absolute, that is, to say he is capable of affection for another ill literally no degree. He is plainly capable of casual fondness, of likes and dislikes, and of reactions that, one might say, cause others to matter to him. These affective reactions are, however, always strictly limited in degree. In durability they also vary greatly from what is normal in mankind. The term absolute is, I believe, appropriate if we apply it to any affective attitude strong and meaningful enough to be called love, that is, anything that prevails in sufficient degree and over sufficient periods to exert a major influence on behavior.
True enough, psychopaths are sometimes skillful in pretending a love for women or simulating parental devotion to their children. What part of this is not pure (and perhaps in an important sense unconscious) simulation has always impressed this observer as that other type of pseudolove sometimes seen in very self-centered people who are not psychopaths, which consists in concern for the other person only (or primarily) insofar as he enhances or seems to enhance the self. Even this latter imitation of adult affectivity has been seldom seen in the full-blown psychopath, although it is seen frequently in those called here partial psychopaths. In nonpsychopaths a familiar example is that of the parent who lavishes money and attention on a child chiefly to bask in the child's success and consciously or unconsciously to feel what an important person he is because of the child's triumphs. Although it is true that with ordinary people such motives are seldom, if ever, unmixed, and usually some object love and some self-love are integrated into such attitudes, in even the partial psychopath anything that could honestly be called object love approaches the imperceptible.
What positive feelings appear during the psychopath's interpersonal relations give a strong impression of being self-love. Some cynical psychologists and philosophers have, of course, challenged the existence of any love which is not on final analysis selfish, saying that the mother who gives up her own life for her child really does so because it would be more painful to her to see the child perish. Without attempting to take up the cudgels in this interesting dispute, it will suffice to say that whatever normal and highly developed and sincere object love may actually be, it is, whether judged behaviorally or intuitively, something that impresses the ordinary observer as definitely unlike anything found in the psychopath.
The psychopath seldom shows anything that, if the chief facts were known, would pass even in the eyes of lay observers as object love. His absolute indifference to the financial, social, emotional, physical, and other hardships which he brings upon those for whom he professes love confirms the appraisal during psychiatric studies of his true attitude. We must, let it never be forgotten, judge a man by his actions rather than by his words. This old saying is especially significant when it is the man's motivations and real feelings that we are to judge. This lack in the psychopath makes it all but impossible for an adequate emotional rapport to arise in his treatment and may be an important factor in the therapeutic failure that, in my experience, has been universal.
In addition to his incapacity for object love, the psychopath always shows general poverty of affect. Although it is true that be sometimes becomes excited and shouts as if in rage or seems to exult in enthusiasm and again weeps in what appear to be bitter tears or speaks eloquent and mournful words about his misfortunes or his follies, the conviction dawns on those who observe him carefully that here we deal with a readiness of expression rather than a strength of feeling.
Vexation, spite, quick and labile flashes of quasi-affection, peevish resentment, shallow moods of self-pity, puerile attitudes of vanity, and absurd and showy poses of indignation are all within his emotional scale and are freely sounded as the circumstances of life play upon him. But mature, wholehearted anger, true or consistent indignation, honest, solid grief, sustaining pride, deep joy, and genuine despair are reactions not likely to be found within this scale.
Craig60 said long ago that patients who suffer from hysteria do not react with awe, reverence, wonder, or pity. Often they do not, it might be said, appear capable of achieving in sincerity the major emotions, although their protestations of such emotions are prominent and their show of feeling is sometimes so vigorous that the observer is often misled to believe that they are in tragic grief or remorse. Although such a diminution of emotional range, especially along the deeper notes, may be seen in the patient with hysteria, in the psychopath it is very much more far-reaching, profound, and final. Even in the situations of squalor and misery into which he repeatedly works himself, when confined in jails and what he regards as lunatic asylums, after throwing away fortunes or catching and transferring gonorrhea to his bride - even under these circumstances he does not show anything that could be called woe or despair or serious sorrow. He becomes vexed and rebellious and frets in lively and constant impatience when confined, but he does not grieve as others grieve.
Psychopaths are often witty and sometimes give a superficial impression of that far different and very serious thing, humor. Humor, however, in what may be its full, true sense,* they never have.43 I have thought that I caught glimpses of it in psychopaths and, despite a typical history, was inclined to question the diagnosis. Further observation of these patients gave convincing evidence that the apparent humor, like the apparent insight, was really an artifact.
One might feel a superficial inclination to credit with humor the patient described under "The Psychopath as Scientist" who, after his lamentable marriage to the very unprepossessing streetwalker, laughed and admitted that the joke was on himself. At first glance such a reply might appear to be the valiant humor of a man who can smile in any adversity. And, indeed, it might be correctly judged as this if the speaker showed any evidence of feeling his adversity or accepting his responsibility. But in this instance the only convincing appraisal is that "he jests at scars who never felt a wound." When the normal man makes a gay or ironic quip on the subject of his own adversity, we may justifiably applaud it as humor. If the quip concerns an adversity which scarcely touches the maker, it is as empty of humor as the empty boldness of a daredevil who wagers his fortune in a dice game where no one is playing for keeps.
In such a discussion only personal opinions of what is real humor and what is not real humor can be expressed. Everyone's capacity to appreciate or appraise such a quality varies, no doubt, as widely as one's sense of what is beautiful.
The emotional poverty, the complete lack of strong or tragic feeling universally found in all the psychopaths personally observed, has caused me considerable bewilderment in connection with frequent references in the literature to the powerful instinctual drives and passions said to be manifested in such people.79,128,156 Although weak and even infantile drives displaying themselves theatrically in the absence of ordinary inhibitions may impress the layman as mighty forces, it is hardly to be concluded that wise and deeply experienced psychiatrists would be similarly deceived. Perhaps such descriptions apply to other types of personality than that discussed here. And since, as I have already stressed, the present aim is to present a type of personality disorder well known and believed to be a clinical entity rather than to argue about names, efforts will be limited to describing and trying to interpret the material at hand.
In considering the general shallowness of affect common to all members of this series in connection with their incapacity for object love, there is temptation to wonder about the possible interdependence of these facilities. Is it possible for tragic or transforming emotion to arise in any person without that peculiar and indescribable personal commitment to another? Or, if not to another human being, at least to some abstraction well outside the self?
In a special sense the psychopath lacks insight to a degree seldom, if ever, found in any but the most seriously disturbed psychotic patients. In a superficial sense, in that he can say he is in a psychiatric hospital because of his unacceptable and strange conduct, and by all other such criteria, his insight is intact. His insight is of course not affected at all with the type of impairment seen in the schizophrenic patient, who may not recognize the fact that others regard him as mentally ill but may insist that he is the Grand Lama and now in Tibet. Yet in a very important sense, in the sense of realistic evaluation, the psychopath lacks insight more consistently than some schizophrenic patients. He has absolutely no capacity to see himself as others see him. It is perhaps more accurate to say that he has no ability to know how others feel when they see him or to experience subjectively anything comparable about the situation. All of the values, all of the major affect concerning his status, are unappreciated by him.
This is almost astonishing in view of the psychopath's perfect orientation, his ability and willingness to reason or to go through the forms of reasoning, and his perfect freedom from delusions and other signs of an ordinary psychosis.
Usually, instead of facing facts that would ordinarily lead to insight, he projects, blaming his troubles on others with the flimsiest of pretext but with elaborate and subtle rationalization. Occasionally, however, he will perfunctorily admit himself to blame for everything and analyze his case from what seems to be almost a psychiatric viewpoint, but we can see that his conclusions have little actual significance for him. Some of these patients mentioned spoke fluently of the psychopathic personality, quoted the literature, and suggested this diagnosis for themselves. Soon this apparent insight was seen to be not merely imperfect but a consistent and thorough artifact. Perhaps it was less a voluntary deception than a simulation in which the simulator himself fails to realize his lack of emotional grasp or that he is simulating or what he is simulating. The patient seems to have little or no ability to feel the significance of his situation, to experience the real emotions of regret or shame or determination to improve, or to realize that this is lacking. His clever statements have been hardly more than verbal reflexes; even his facial expressions are without the underlying content they imply. This is not insight but an excellent mimicry of insight. No sincere intention can spring from his conclusions because no affective conviction is there to move him.
Such a deficiency of insight is harder to comprehend than the schizophrenic's deficiency, for it exists in the full presence of what are often assumed to be the qualities by which insight is gained. Yet the psychopath shows not only a deficiency but apparently a total absence of self-appraisal as a real and moving experience. Here is the spectacle of a person who uses all the words that would be used by someone who understands, and who could define all the words but who still is blind to the meaning. Such a clinical picture is more baffling to me than any of the symptoms of schizophrenia, on which attempts have been made to throw some light by psychopathologic theories.79,89,129,269 Here we have a patient who fulfills all the ordinary theoretical criteria of a "sound mind," and yet with this apparently sound mind is more incomprehensible than the psychotic patient.
What I regard as the psychopath's lack of insight shows up frequently and very impressively in his apparent assumption that the legal penalties for a crime he has committed do not, or should not, apply to him. This astonishing defect in realization often seems genuine, as the patient protests in surprise against the idea that prison might be anticipated for him, as for others under similar circumstances. He frequently reacts to such an idea as if to something unexpected and totally inappropriate.
Some observers believe that what the psychopath expresses about himself and his situation constitutes insight and merits such a term. I cannot agree with this opinion. The chief and most valid connotations of the word disappear in such an application. Profoundly psychotic patients whose gross lack of insight would be admitted by all sometimes express opinions which, if fully meant and appreciated, would indicate an insight that is plainly not there. A few brief examples may help:
A young man with a very active manic psychosis was interviewed some years ago. He whistled, shouted, winked, expressed the belief that he controlled the movements of the sun by his glance, sang snatches of bawdy songs, announced himself as a "sort of Messiah," and laid claim to the sexual vigor of seven bulls. Leaping about in a hospital shirt he had torn almost to shreds, he found exposed wires at a place on the wall from which he had torn the electric fixtures.
Seizing and releasing them and seizing them again, he got good jolts of the city current, which he relished, apparently interpreting the sensation as a manifestation of his own vitality. When asked if he felt anything was wrong with him mentally, he shouted in glee, "Sure, Doc, I'm crazy as a coot! I'm nuts I tell you. Crazier than anybody you ever saw!"
Another patient on a closed ward, a man badly disabled for years by obvious schizophrenia, often shouted out to the passerby, "Simple case of dementia praecox, Doc, simple case of dementia praecox," pointing to himself several times. Despite the chance diagnostic accuracy of what he said, this patient, like the one just mentioned, had little grasp of his situation and almost no real appreciation of his disorder and its meaning. Another manic patient not only spoke words that correctly indicated a good deal about his situation but even hammered out with a metal object he had obtained these letters in deep gashes in the wood door: "Bug house nutty."
Indications of serious impairment of insight abound in the psychopath's reactions after his failures have been undeniably demonstrated or his antisocial acts detected. The persistent tendency to ask for recommendations from those they have every reason to know cannot furnish anything but a negative report fatal to their plans has been illustrated. Such decisions in highly intelligent people can hardly mean less than that something crucial is absent from the realization of their status.*****
The calm assurance with which they report a successful rehabilitation in the midst of egregious and immediate maladjustment often does not seem so much a real effort to deceive as an indication that the patient himself is greatly deceived. Despite his awareness of major facts, the pivotal significance of these facts seems not to be in his evaluations.
After a peculiarly overt and spectacular succession of failures, thefts, truancies, falsehoods, and expulsion from school, a young man had to be sent home to a distant state by his aunt and uncle with whom he had been staying. They had taken him in the hope that he might do better in another environment. His parents, after years of struggle, had found no solution.
All the details of his recent failure and disaster were factually known to him and had been discussed with his aunt and uncle. They made no effort to deceive him about why he had to be sent home. The physician to whom he wrote the letter which follows had also been frank with him. The letter was mailed a couple of days after he returned in what to another person could not have seemed less than total failure and disgrace.
Dear Doctor: Arrived home safe and sound. I really was astonished at the great change in this small, typical, mid-western town when I pulled into it on Sunday... I'm getting on fine here with Mother and Father. I feel like a different fellow. Dr.______ I don't know how I'll ever thank you for what you did for me down there. It was my chance to straighten out and I took it. I believe I can say I did a good job of it. I don't know whether I could have done it alone. But the main thing is it's done and I want you to know I appreciate your help. Well, I have to go now..........
He also mentioned in other correspondence that he was helping his brother, who had shown some delinquency, to see the light, explaining that if he himself had been able to do such a thorough job the brother might profit and direct himself by the example, might, indeed, pull himself together, and "be a real man too." While writing to this effect, he continued the typical behavior without modification.
Let us consider a man whose wife, after many years of struggle equal to that of others discussed in some detail here, had left him and was seriously considering divorce. It is difficult to imagine a situation in which the necessity of permanent separation could be more clear or imperative. Nor is it likely that any patient described here has given a marital partner more reason to feel this need or has more fully demonstrated that, no matter what he said, he would continue to behave, toward her and in general, just as he had since their marriage. A few excerpts from his letters to the wife are illuminating:
... You will never be happy either by yourself or with some other man.… we have too much in common... I have no reason to lie or to misrepresent things to you now, even though I did try to explain it to you before... There'll be another day, so I'm told and believe, and even though I don't expect to get proper judgment here on earth from you and yours I will up there and if I'm wrong I'm willing to suffer for eternity... I do love you. I've never loved anyone else since childhood... If I kill myself my blood will be on your hands ... it will be heavy on your heart and soul... All wrongs will be righted on judgment Day... You should have stuck by me-should never have left me… I've suffered now really more than I can stand... You think it will bring you happiness to be rid of me... I sincerely hope and pray that it does if you do such a thing. I wish I could feel likewise … and believe everyone is at fault but me.There is more in all this than simply false promises and fraudulent efforts to persuade the wife not to get a divorce. There is also indication of inability in his fundamental reactions to size up normally what he has done, what he is, and what he has been.
The psychopath cannot be depended upon to show the ordinary responsiveness to special consideration or kindness or trust. No matter how well he is treated, no matter how long-suffering his family, his friends, the police, hospital attendants, and others may be, he shows no consistent reaction of appreciation except superficial and transparent protestations. Such gestures are exhibited most frequently when he feels they will facilitate some personal aim. The ordinary axiom of human existence that one good turn deserves another, a principle sometimes honored by cannibals and uncommonly callous assassins, has only superficial validity for him although he can cite it with eloquent casuistry when trying to obtain parole, discharge from the hospital, or some other end.
As in attempting to delineate other aspects of the psychopath, we find ourselves again confronting paradox. Although he can be counted on not to be appreciably swayed in major issues by these basic rules, we often find him attentive in small courtesies and favors, perhaps even habitually generous or quasi-generous when the cost is not decisive. Occasionally his actions may suggest profound generosity in that large sums are involved or something presumably of real value is sacrificed. Usually, however, these appearances are deceiving.
The psychopath who squanders $1,000 on a lady of the night usually seems not to share very actively in the distressing worry and deprivation that his wife and children (or his parents) may experience quite substantially. The motives of a boy at boarding school who casually sells his new clothes to buy candy bars and Coca-Colas (for the whole dormitory) seem to lack an important dimension of magnanimity. This dimension could be presumed if after his extravagance the boy set to work assiduously in efforts to carry the burden he had created.
In relatively small matters psychopaths sometimes behave so as to appear very considerate, responsive, and obliging. Acquaintances who meet them on grounds where minor issues prevail may find it difficult to believe that they are not highly endowed with gratitude and eager to serve others. Such reactions and intentions, although sometimes ready or even spectacularly facile, do not ever accumulate sufficient force to play a determining part in really important issues. The psychopath who causes his parents hardship and humiliation by repeatedly forging checks and causes his wife anguish by sordid (and perhaps halfhearted) relations with the housemaid, may gain a considerable reputation in the community by occasionally volunteering to cut the grass for the frail old lady across the street, by bringing a bottle of sherry over now and then to bedridden Mr. Blank, or by leaving his work to take a neighbor's injured cat to the veterinarian.
Outward social graces come easy to most psychopaths, and many continue, throughout careers disastrous to themselves and for others, to conduct themselves in superficial relations, in handling the trivia of existence, so as to gain admiration and gratitude. In these surface aspects of functioning, the typical psychopath (unlike the classic hypocrite) often seems to act with undesigning spontaneity and to be prompted by motives of excellent quality though of marvelously attenuated substance.
Although some psychopaths do not drink at all and others drink rarely, considerable overindulgence in alcohol is very often prominent in the life story. Delirium tremens and other temporary psychoses directly due to alcohol were not commonly found in the hundreds of patients observed by me.
The view of some professional moralists to the effect that demon rum is the fundamental cause of disaster such as that of the psychopath appears to have little claim to validity. It has been pointed out already that an irreconcilable difference in primary aim appears to exist between the ordinary person who drinks too much and the psychopath. This may be restated briefly as follows: The ordinary drinker gets into trouble by drifting with enthusiasm into the opinion that if two or six or eight drinks have made him feel so good, another (or two more or perhaps five more) will make him feel just so much better. Such rationalizations may assist the normal drinker, especially if he has serious fundamental conflicts, in a progress toward becoming a neurotic drinker or toward an alcoholic breakdown.
I cannot say that it is impossible in certain persons for a state of mental disorder identical with that described here as psychopathic personality to be reached eventually in this way. Often, however, these neurotic drinkers, in sharp contrast with the psychopath, worry about their state when sober, are capable of making an earnest effort to get well under psychiatric treatment, and lack most of the deeper personality features of the psychopath. Even in the neurotic drinker it is more often an independent and preexisting personality maladjustment rather than the alcohol which is primarily causal. Many psychiatric observers make this vividly clear and no less convincing.
A major point about the psychopath and his relation to alcohol can be found in the shocking, fantastic, uninviting, or relatively inexplicable behavior which emerges when he drinks - sometimes when he drinks only a little. It is very likely that the effects of alcohol facilitate such acts and other manifestations of the disorder. This does not mean, however, that alcohol is fundamentally causal. Good criteria for differentiation between psychopaths and others who drink, moderately or excessively, can be found in what tendencies emerge after similar amounts have been consumed.
A peculiar sort of vulgarity, domineering rudeness, petty bickering or buffoonish quasi-maulings of wife, mistress, or children, and quick shifts between maudlin and vainglorious moods, although sometimes found in ordinary alcoholics with other serious patterns of disorder, are pathognomonic of the psychopath and in him alone reach full and precocious flower. Even in the first stages of a spree, perhaps after taking only two or three highballs, he may show signs of petty truculence or sullenness but seldom of real gaiety or conviviality. Evidence of any pleasurable reaction is characteristically minimal, as are indications that he is seeking relief from anxiety, despair, worry, responsibility, or tension.
Alcohol, as a sort of catalyst, sometimes contributes a good deal to the long and varied series of outlandish pranks and inanely coarse scenes with which nearly every drinking psychopath's story is starred. Free from alcohol, such a patient would scarcely sit under a house all night idly striking matches, or, concealing himself behind book stacks, urinate from the window of a public library on passersby in the street below. Nor would he, like the psychopathic son of a prominent family, suddenly, as a prank, decide to climb into a tree at a busy street corner, where he deliberately undressed, shouting wildly and puerilely to draw public attention. This man could not be persuaded to withdraw until the local fire department was called to remove him. The alcohol probably does not of itself create such behavior. Alcohol is not likely to bring out any impulse that is not already potential in a personality, nor is it likely to cast behavior into patterns for which there is not already significant subsurface predilection. The alcohol merely facilitates expression by narcotizing inhibitory processes.136 In cases of this sort very little narcotizing may be needed. The oil which lubricates the engine of an automobile neither furnishes the energy for its progress nor directs it.
Psychopaths often indulge in these strange performances after drinking relatively little. They know perfectly well what they have done before when drinking and, with these facts squarely before their altogether clear and rational awareness, decide to drink again. It is difficult indeed for me to see any substantial grounds for placing the responsibility for the drinking psychopath's deeds primarily on alcohol instead of on the disorder which, in ways no less serious even if less spectacular, he shows also when entirely sober.
Although his most theatrical exploits in public are usually carried on when drinking, the psychopath, even after he has been free from all alcohol for months, as for instance, when he is in a psychiatric hospital, retains all the essential personality features which have been mentioned. These show little or no tendency to diminish when he cannot drink. These words translated from Aeschylus, "Bronze is the mirror of the form; wine of the heart," express something pertinent about alcohol and man, whether the man be ill or well.
All the curious conduct reported in patients who drank and who were presented here occurred in the absence of delirium tremens, alcoholic hallucinosis, or any other of the well-known psychoses due directly to intoxication. Of course, such psychotic conditions may occur in psychopaths and in neurotic drinkers. It is important to keep such symptoms separate, since they are clearly due to another type of mental disorder.
Most of this asocial, unacceptable, and self-defeating behavior associated with the psychopath's drinking seems to occur without the benefit of extreme inebriation. If actual confusion from alcohol prevailed or states of genuine amnesia were induced before the grotesque shenanigans began, intoxication could more plausibly be suspected of playing a larger causal role. The psychopath often reacts in this typical way while in perfect orientation, with unclouded awareness and in anything but the deeply drugged state thought by some to be a prerequisite.
For whatever reason the psychopath may drink, it is true that, in contrast with others who use alcohol to excess, he hits upon conduct and creates situations so bizarre, so untimely, and so preposterous that their motivation appears inscrutable. Many of his exploits seem directly calculated to place him in a disgraceful or ignominious position. He often chooses pranks and seeks out situations that would have no appeal for the ordinary person, whether the ordinary person be drunk or sober. The observer sometimes wonders if a truly astonishing ingenuity, or an actively perverse inventiveness is directing him, so consistently does he bring off scenes not only uncongenial but even unimaginable to the average man.
Furthermore, these exploits seem to such little purpose, almost as hard to understand on the assumption that they are for amusement or play as on the grounds of utility. One patient with numerous other outstanding incidents in his career, while sitting at a formal dinner party given by friends in honor of his birthday, turned coolly and spat with deliberation on the cake as it was brought to his side for him to cut.
One patient who developed typical symptoms early in life showed, long before he had ever touched anything alcoholic, prankish tendencies worth noting here. When taken into a store by his parents to be fitted with new clothes, he often allowed intestinal gas to pass quietly but with vivid olfactory manifestations. Considerable embarrassment and vexation were experienced by the clerks and by his parents, but he was never ruffled and apparently took mild or moderate pleasure in the situation. He occasionally resorted to these tactics while riding with his parents and dignified company in a car when the windows were tightly closed because of cold weather. A few times he discomfited his family considerably by the same means in church. At first the parents accepted his apologies after reprimands and they were inclined to believe his innocent-faced explanation that an involuntary lapse of control had occurred. The timing of events and the predilection for close places and special surroundings, as well as the emergence of other behavior, convinced them in time that these acts were deliberate.
Another young psychopath who had never encountered liquor of any sort did many things that would not attract the ordinary mischievous teenager. Finding time a little heavy on his hands (and his parents out of the house for a few hours), he took tools from the cellar and, working with no little skill and dispatch, got the connections of the bathroom toilet apart, put into the outlet pipe a small electric motor, and then carefully reconnected the fixture. The subsequent flooding, mess, trouble, and expense did not seem to give him hilarious mirth or vindictive satisfaction. Certainly he showed no evidence of such feeling in a degree to warrant his risking the punishment he received.
The pranks or buffoonery of the sober adult psychopath naturally differ somewhat from those typical of adolescence or earlier. With a few drinks the similarity of the adult's behavior often increases.
Despite the deep behavioral pattern of throwing away or destroying the opportunities of life that underlies the psychopath's superficial self-content, ease, charm, and often brilliance, we do not find him prone to take a final determining step of this sort in literal suicide. Suicidal tendencies have been stressed by some observers as prevalent. This opinion, in all likelihood, must have come from the observation of patients fundamentally different from our group, but who, as we have mentioned, were traditionally classified under the same term. It was only after a good many years of experience with actual psychopaths that I encountered my first authentic instance of suicide in a patient who could be called typical.
Instead of a predilection for ending their own lives, psychopaths, on the contrary, show much more evidence of a specific and characteristic immunity from such an act. This immunity, it must be granted, is, like most other immunities, relative.
Although suicide, then, cannot be named an impossibility among this group, its unlikelihood still merits strong emphasis. Since most psychopaths do not remain hospitalized or under other protective supervision, the rarity of this act becomes more significant. Also worth noting is the fact that most real psychopaths, not once or a few times but habitually, work themselves into situations that might strongly prompt the normal man to end his own life. Since suicidal threats, like promises and well-formulated plans to adopt a new course, are so frequently offered by these patients, there is good reason to keep in mind the fact that they are nearly always empty. Many bogus attempts are made, sometimes with remarkable cleverness, premeditation, and histrionics.
The psychopath's sex life invariably shows peculiarities. The opinion has already been expressed that homosexuality and the other specific deviations, though of course occurring in psychopaths, are not sufficiently common to be regarded as characteristic. Evidence of consistent, well-formulated deviation was extremely rare in a large group of male psychopaths personally observed in a closed psychiatric institution. Among male and female subjects seen as outpatients and in general hospitals, such complications, though more frequent, do not seem to be a distinguishing feature. If we take another viewpoint and consider the group who come or are sent to the physician primarily for sexual deviation, we find again some patients with behavior patterns resembling in various degrees that of the real psychopath. These patients are probably not typical of the deviate group as a whole, whose members much more frequently show different fundamental patterns of adjustment and maladjustment.
Unmistakable psychopaths who do not show evidence of strong or consistent deviated impulses but who nevertheless occasionally carry out abnormal sexual acts have been seen much more often than those in whom the two fundamental patterns seem to overlap. This is not surprising in view of the psychopath's notable tendencies to hit upon unsatisfactory conduct in all fields and his apparent inability to take seriously what would to others be repugnant and regrettable. The real homosexual seeking an outlet for his own impulses often finds it possible to engage the psychopath in deviated activities, sometimes for petty rewards, sometimes for what might best be called just the hell of it.
It has been said that some people whose sexual activities are normal under ordinary circumstances may, in the absence of normal opportunities, resort to immature or abnormal practices as a substitutive measure. It is not hard to believe that a man of orthodox sexuality, if stranded and alone for years on an uninhabited island, might develop impulses toward masturbation. Some studies of prisoners give the impression that mutual masturbation and far more abnormal relations occur in persons who, when not confined, sought only heterosexual intercourse.184,296 Surely every psychiatrist has seen people whose sexual aims are usually directed toward the other sex but whose orientation is so confused, and whose evaluation of sexual experience is so trivial, that they sometimes also engage in homosexual and other types of abnormal relations.
In psychopaths and in many other people who cannot be correctly placed with the well-defined homosexual group, there are varying degrees of susceptibility or inclination to immature or deviated sex practices. In contrast with others, the psychopath requires impulses of scarcely more than whimlike intensity to bring about unacceptable behavior in the sexual field or in any other. Even the faintest or most fleeting notion or inclination to forge a check, to steal his uncle's watch, to see if he can seduce his best friend's wife, or to have a little fling at fellatio, is by no means unlikely to emerge as the deed. The sort of repugnance or other inhibiting force that would prevent any or all such impulses from being followed (or perhaps from even becoming conscious impulses) in another person is not a factor that can be counted on to play much part in the psychopath's decisions.
The activities of a typical patient of this sort whom I once studied are highly illustrative. This 27-year-old man, honor graduate of a college despite great irregularity in his studies, had for a number of years followed a career so similar to those of the other patients cited that there is no point in going into detail. He showed no indications of ordinary homosexuality in manner, dress, physique, or in personality features. He had been rather active in heterosexual relations since about fifteen, his partners being professionals, girls of respectable family, and married women.
All of these relations had apparently been to him more or less equivalent and entirely without personal significance. He admitted having once or twice, and more or less experimentally, submitted to the wishes of a homosexual and also to a couple of blundering ventures into deviated activity while drinking with others apparently more like himself. These did not seem to give him any particular satisfaction, and there is reason to believe that he distinctly preferred what he did with women. To the patient, any idea that he might be a homosexual seemed absurd.
In the absence of any persistent or powerful urge in this specific direction, the patient, apparently without much previous thought, hit upon the notion of picking up four Negro men who worked in the fields not far from his residence. In a locality where the Ku Klux Klan (and its well-known attitudes) at the time enjoyed a good deal of popularity, this intelligent and in some respects distinguished young man showed no compunction about taking from the field these unwashed laborers, whom he concealed in the back of a pickup truck, with him into a well-known place of amorous rendezvous. At the place he chose, "tourists' cabins" were discreetly set up in such a way that women brought by men to them for familiar purposes could enter without the possible embarrassment of being identified by the management. Despite these facilities suspicion arose, and the patient was surprised by the man in charge of the resort while in the process of carrying out fellatio on his four companions. He had chosen to take the oral role.
When seen not long after this event, the young man was courteous but a trifle impatient about how long he might have to be hospitalized. He showed some concern with what use psychiatric examination might be in helping him avoid the term of imprisonment that would, according to the law, befall him if he should be convicted of the charges made by the proprietor and which he did not deny. This possibility did not, however, greatly alarm him.
He had often evaded penalties for antisocial acts in the past, and he had a good deal of easy confidence. Although he expressed regret and said his prank was quite a mistake, he seemed totally devoid of deep embarrassment.
As might be expected, in view of their incapacity for object love, the sexual aims of psychopaths do not seem to include any important personality relations or any recognizable desire or ability to explore or possess or significantly ravish the partner in a shared experience. Their positive activities are consistently and parsimoniously limited to literal physical contact and relatively free of the enormous emotional concomitants and the complex potentialities that make adult love relations an experience so thrilling and indescribable. Consequently they seem to regard sexual activity very casually, sometimes apparently finding it less shocking and enthralling than a sensitive normal man would find even the glance of his beloved.
None of the psychopaths personally observed have impressed me as having particularly strong sex cravings even in this uncomplicated and poverty stricken sense. Indeed, they have nearly all seemed definitely less moved to obtain genital pleasure than the ordinary run of people. The impression one gets is that their amativeness is little more than a simple itch and that even the itch is seldom, if ever, particularly intense.
The male psychopath, despite his usual ability to complete the physical act successfully with a woman, never seems to find anything meaningful or personal in his relations or to enjoy significant pleasure beyond the localized and temporary sensations. The female, whether or not she has physiologic orgasm, behaves in such a way as to indicate similar evaluations of the experience. Even these sensations seem to wither precociously and leave the subject a somewhat desiccated response to local stimuli. Sensations so isolated are, no doubt, peculiarly vulnerable to routine and to its justly celebrated antidotes for excitement.
What is felt for prostitute, sweetheart, casual pickup, mistress, or wife is not anything that can bring out loyalty or influence activities into a remedial or constructive plan. Nor do sexual desires always seem to compete successfully against such trivial impulses as wanting to hang about street corners or idle in juke joints where the psychopath may, by tampering with slot machines or cheating at dice or cards, pick up a little change and demonstrate his cleverness to the other fellows. So little is apparently found in heterosexual experience that deviate impulses (even when weak) are sometimes accepted and acted upon largely because of reasons like the reason why all cats look gray at night.
For the person who has ever known even one mature and normal erotic fulfillment, it is impossible to imagine turning by choice to a biologically inappropriate partner or placing partial or deviated aims above what has been so obviously well designed for the purpose. What the human organism shows anatomically is scarcely more clear than the emotional evidence, at physiologic as well as at broader interpersonal levels of reactivity. Even from more remote and less tangible sociologic aspects, nature has left no room here for doubt. It is difficult, without postulating an extremely dulled or otherwise inhibited sensual response in heterosexual experience, to account for the psychopath who can drift into deviate pranks as approximations or acceptable novelties in the same field. It has been said that "the thalamus outdid itself in devising pleasures to go with the conjugating act itself."982 Without great support from ethics or convention, it seems these would suffice for normal choice in the intact personality.
The familiar record of sexual promiscuity found in both male and female psychopaths seems much more closely related to their almost total lack of self-imposed restraint than to any particularly strong passions or drives. Psychopaths sometimes seem by preference to seek sexual relations in sordid surroundings with persons of low intellectual or social status. Often, however, the convenience by which what is little more than a whim can be gratified may play a greater part in this than specific preference. Another and more serious kind of sordidness also seems to constitute real inducement.
Entanglements which go out of their way to mock ordinary human sensibility or what might be called basic decency are prevalent in their sexual careers.
Sexual exploits often seem chosen almost purposively to put the subject himself, as well as others, in positions of sharp indignity and distastefulness. The male psychopath who goes through legal matrimony with the whore he has picked up for the evening furnishes a clear example. And so does the well-born woman who submits to several men in rapid succession, none of whom takes the least trouble to conceal his contempt for her. I have seen psychopaths who seriously attempted to seduce sisters, mothers-in-law, and even their actual mothers. One boasted to his wife in glowing detail of his erotic feats with her mother and with his own. His excellent talents at lying lead me to doubt the truth of his claims. I have little doubt, however, that he would have hesitated to carry out all that he boasted of if the ladies had allowed him to proceed.
Beneath his outwardly gracious manner toward women and his general suavity and social charms, the male psychopath (or part psychopath) nearly always shows an underlying predilection for obscenity, an astonishingly ambivalent attitude in which the amorous and excretory functions seem to be confused. He sometimes gives the impression that an impulse to smear his partner symbolically, and even to wallow in sordidness himself, is more fundamental than a directly erotic aim, itself hardly more to him than a sort of concomitant and slightly glorified back scratching.
The psychopath shows a striking inability to follow any sort of life plan consistently, whether it be one regarded as good or evil. He does not maintain an effort toward any far goal at all. This is entirely applicable to the full psychopath. On the contrary, he seems to go out of his way to make a failure of life.
By some incomprehensible and untempting piece of folly or buffoonery, he eventually cuts short any activity in which he is succeeding, no matter whether it is crime or honest endeavor.
At the behest of trivial impulses he repeatedly addresses himself directly to folly. In the more seriously affected examples, it is impossible for wealthy, influential, and devoted relatives to place the psychopath in any position, however ingeniously it may be chosen, where he will not succeed eventually in failing with spectacular and bizarre splendor.
Considering a longitudinal section of his life, his behavior gives such an impression of gratuitous folly and nonsensical activity in such massive accumulation that it is hard to avoid the conclusion that here is the product of true madness - of madness in a sense quite as real as that conveyed to the imaginative layman by the terrible word lunatic.
With the further consideration that all this skein of apparent madness has been woven by a person of (technically) unimpaired and superior intellectual powers and universally regarded as sane, the surmise intrudes that we are confronted by a serious and unusual type of genuine abnormality.
Not merely a surmise but a strong conviction may arise that this apparent sanity is, in some important respects, a sanity in name only. When we consider his actual performance, evidence of mental competency is sorely lacking. We find instead a spectacle that suggests madness in excelsis, despite the absence of all those symptoms that enable us, in some degree, to account for irrational conduct in the psychotic.
To casually "make" or "lay" the best friend's wife and to involve a husband's uncle or one of his business associates in a particularly messy triangular or quadrilateral situation are typical acts. Such opportunities, when available, seem not to repel but specifically to attract the psychopath. Neither distinct appeal of the sex object nor any formulated serious malignity toward those cuckolded or otherwise outraged seems to be a major factor in such choices. There is more to suggest a mildly prankish impulse such as might lead the ordinary man to violate small pedantic technicalities or dead and preposterous bits of formality as a demonstration of their triviality. On the whole, his attitude might be suggested by such phrases as "Well, boys will be boys," or "Now wasn't that a foolish damn thing for me to do." These were not his literal words, but they are congruent with his behavior. By some legal step, his family, whose members were wealthy and influential, succeeded in having him avoid trial. Finding himself free, he left against medical advice within a few days.Labels: ability, abuse, charming, destructive, psychopath, ptsd, sociopath, traits
