Tag: Mental Health

Psychopathy is a much debated topic in psychology. A lot of people are wondering nowadays what the difference is between a psychopath, a narcissist, and a sociopath. Because these terms tend to overlap with each other in meaning, there are models created in forensic psychology to illustrate the varied manifestations of this condition, which is often diagnosed in psychiatry as antisocial personality disorder (ASPD). This essay will focus on the word “psychopath” as a concept and will try to explain how those with psychopathic behaviours can be detected. After reading this article, you should be able to:

• Understand what the existing subtypes of psychopathy are.
• Understand the difference between primary psychopathy and secondary psychopathy (sociopathy).
• Understand the current debate in forensic psychology about the topic.
• Spot the narcissistic side of psychopaths.

Because this is such a complex topic which is beyond the scope of one single post, I will in the future expand on these maladaptations which are permeating the status quo. For instance, the local newspaper has been increasingly reporting fairly recent fire incidents in Plymouth which are suspected arson incidents (Preston-Ellis, 2020). As a student of forensic psychology, I think this is truly a worrisome situation, as arson has been for a long time a hallmark of psychopathy; and to see that such symptoms are becoming an epidemic poses numerous serious questions about public health.

Gillespie and Mitchell (2018, p. 85) describe psychopaths as “outwardly normal, but nonetheless extremely callous and unable to express remorse or guilt, to the point where they seemed to be devoid of human emotion”. Moreover, they have contributed to the contentious debate of whether psychopaths are capable of feeling anxiety at all. The first subtypes of antisocial personality disorder that emerged were primary psychopathy and secondary psychopathy. Secondary psychopathy is less prototypical, and its manifestations can be confused with other personality disorders, such as narcissistic personality disorder (NPD) and borderline personality disorder (BPD). Primary psychopaths are unable to feel fear or anxiety (Gillespie and Mitchell, 2018), and their brains have serious neurodevelopmental deficits; whereas secondary psychopaths are perceived as being capable of having social anxiety traits and depression. There is much neuropsychological research about primary psychopathy emphasising the role of the brain in such lack of ability to experience the primary emotions that all animals with a limbic system can experience. For instance, Durães and Borralho (2017, p. S681) stated:

“Defects in the amygdala and the prefrontal cortex have been implicated in the pathological basis of psychopathy. The most affected areas are the ventromedial prefrontal cortex (VMPC) and the associated anterior cingulated cortex. Alterations in connectivity between the amygdala and the VMPC with other areas of the brain have been demonstrated and seem to be responsible for the non-empathetic, unemotional, and amoral features of psychopaths”

According to Duggan and Howard (2015), there are four types of psychopaths. This has been illustrated in a model containing all subtypal characteristics. Even though this model covers a wide range of traits, it is still a contentious topic, and the psychopathy debate requires clearer and more consistent transnosological definitions in order to elucidate the construct for the layperson. Not all mental health professionals think similarly, and whether psychopaths can be socially anxious and vulnerable continues to fuel the cycle of enquiry.

Zooming into the above information and adopting an interpersonal context for analysis, here are a few signs that could alert you of the possibility of knowing a psychopath in your life. Some of these traits might already be familiar to you, especially if you read online psychology magazines such as Psychology Today (n.d) which often cover these types of topics. Because ALL psychopaths are narcissistic, we will focus on this consistent trait across models to interpret their behaviours:  

• This person will mistake your kindness for weakness. He or she will think that you are kind because they tricked you into being nice. A false belief that leads them to react explosively once you say “no” to a whim. This is a narcissistic injury for the malignant person. 
• The malicious person will also deliberately prey on those they perceive to have greater advantage over, especially if they are also severely addicted to a substance. The addictive personality will manifest in the most dysfunctional, and antisocial way when intoxicated. 
• Secondary psychopaths have the capacity to feel anxiety and fear, unlike the primary psychopath  (see Ted Bundy for the iconic primary prototype). They are essentially what people call “sociopaths”, and they can experience states of narcissistic melancholia when they go through inconvenient circumstances, or when things do not go their way. They tend to have a weak superego, and are unable to understand how their anger management problems were formed, interpreting these types of behaviours as normal.

Relevant Questions & Answers

Do all psychopaths commit crimes?

No, the reality is that there are many psychopaths who choose careers where they can develop their moral side. These psychopaths do not become dysfunctional, especially if they were raised in a relatively healthy environment. It is dysfunctional psychopaths that often make it to the criminal justice system, and who specialise in criminal careers. Controlled psychopaths, however, can succeed and thrive.

Why do they treat people like that?

These extreme personalities depend on all types of self-justifications, and their grandiose narcissistic side is actively concerned with trying to deceive the other person because they cannot use reason to assess their irrational behaviour, and cannot pinpoint their own inconsistencies. Especially in the case of the grandiose secondary psychopath, as this person tends to consider themselves “good”, “educated”, and “evolved”; but because they cannot tap into the social constructionism of these terms, and because they think that everyone else is stupid, they are less willing to receive knowledge and information that challenges whatever they have determined themselves to believe, regardless of the evidence (e.g. doing class A drugs because this person is “immune”, when as a matter of fact they are not immune, and they simply have not done their research about substance tolerance). They are extremely sensitive to any situation which reveals their mental problems (because this person does not even know that their issues are obviously wrong), and they don’t like changing because they think they are superior, and fine as they are. 

What is a good person in their opinion?

For the malignant personality, a good person is anyone who does not offend, insult, or accidentally outsmart…  them. As long as you are soothing their narcissistic needs, you are lovely. You must always do the right thing, and the right thing to do for the malicious person is to please their demands. Not meeting such expectations can trigger the worst in them.

Do they change?

Rarely. As a matter of fact, that’s how you can recognise the malignant personality. They hate to have to change, and expect the world to adjust to them instead. They think they deserve all the entitlement they get, and are often willing to use coercion rather than hard work for many purposes. Truth is too painful for the narcissist, so they prefer to think everyone else is abnormal, even though that’s not how truth and democracy works mathematically, so they avoid changing and often severely damage those who try to help. 

How about their childhood… Should I care?

Whilst it is true that dark personalities are created in truly traumatic childhoods, some do even become worse than their parents. Secondary psychopaths are at times constantly re-living their childhoods, and can show signs of regressive behaviour, suggesting that there might be a relationship between specific childhood fixations and reaction formation being displaced towards those who are more vulnerable than them, just like their childhood felt. 

How can these individuals function socially?

It would require daily socialisation and intensive community support. In most cases, it is a personality disorder, not a mental disorder. This means that progress for the sociopath would entail first developing environmental and social skills. These individuals can be highly inconsistent (on one side they might claim to love Earth, but on the other side they might litter their own homes, not recycle,  and live in truly filthy and abnormal conditions). Furthermore, if a psychopath becomes dysfunctional and notorious, then this might be a result of their childhood experiences, their circumstances, or their mental health. As stated above, there are many psychopaths who lead normal, functional, and even moral lives. They are able to learn how normality works, and are intelligent enough to know that breaking the law is a subtle prediction for bad consequences. The dysfunctional psychopaths are a minority.

What’s the UK GOV doing to provide forensic rehabilitation for psychopaths?

When malignant personalities go as far as causing criminal harm, the court might order them to attend psychotherapy. Apart from that, not much is done to protect these people (and their victims) from making decisions that are harmful to themselves or others. Truth is that it is often when something goes terribly wrong that these personalities come to the attention of the authorities. Until then, there is rarely any concern, as the GOV tends to prioritise public safety over individual wellbeing and crisis prevention; as well as security over treatment. So this is a really unfortunate situation in the UK.

Disclaimer: Please note that there are many other conditions which may cause a person to behave in ways that are antisocial, such as psychosis. If you or someone you know is acting in an abnormal way, and have been diagnosed with a mental disorder; it is most likely that they are having a crisis, and need professional intervention. Call 999 if anyone is at risk of hurting themselves or others. 

References

Duggan, C. and Howard, R. (2015) ‘Personality Disorders: Assessment and Treatment’, in Chrighton, D.A. and Towl, G.J. (eds), Forensic Psychology, 2nd ed, West Sussex, British Psychological Society/ John Wiley & Sons, pp. 265-288.

Durães and Borralho (2017) ‘Can psychopathy be treated?’, European Psychiatry,  Elsevier,  pp. S681–S681 [Online]. Available at https://pmt-eu.hosted.exlibrisgroup.com/permalink/f/gvehrt/TN_sciversesciencedirect_elsevierS0924-9338(17)31194-X  (Accessed 18 May 2019).

Gillespie, S. M. and Mitchell, I.J. (2018) ‘Psychopathy’, in Davies, G.M. and Beech, A.R. (eds), Forensic Psychology: Crime, Justice, Law, Interventions, 3rd ed, West Sussex, British Psychological Society/ John Wiley & Sons, pp. 85-100. 

Preston-Ellis, R. (2020) ‘Plymouth rocked by two weeks of devastating fires- a timeline’, Plymouth Herald, 6 February [Online]. Available at  https://www.plymouthherald.co.uk/news/plymouth-news/plymouth-rocked-two-weeks-devastating-3814187 (Accessed 10 February 2020).

Psychology Today (n.d) [Online]. Available at https://www.psychologytoday.com/gb (Accessed 10 February 2020).