Subject: Through the eyes of the psychopath


"The word 'psychopath' (literally, 'suffering soul') was coined in Germany in 
the eighteen-eighties. By the nineteen-twenties, 'constitutional psychopathic 
inferiority' had become the catchall phrase psychiatrists used for a general 
mixture of violent and antisocial characteristics found in irredeemable 
criminals, who appeared to lack a conscience."




http://www.mindhacks.com/blog/2008/11/through_the_eyes_of_.html




Through the eyes of the psychopath
via Mind Hacks by vaughan on 11/4/08


The New Yorker has an engaging article about psychopaths and what psychologists 
are starting to learn about the psychology and neuroscience of people who are 
thought to lack empathy.

Psychopathy doesn't necessarily imply violence. The most commonly used modern 
definition, based on the work of psychologist Robert Hare, suggests that 
psychopathy includes things like a lack of conscience, manipulative behaviour, 
impulsiveness and an anti-social lifestyle.

  The condition was first described clinically in 1801, by the French surgeon 
Philippe Pinel. He called it "mania without delirium." In the early nineteenth 
century, the American surgeon Benjamin Rush wrote about a type of "moral 
derangement" in which the sufferer was neither delusional nor psychotic but 
nevertheless engaged in profoundly antisocial behavior, including horrifying 
acts of violence. Rush noted that the condition appeared early in life. The 
term "moral insanity" became popular in the mid-nineteenth century, and was 
widely used in the U.S. and in England to describe incorrigible criminals. The 
word "psychopath" (literally, "suffering soul") was coined in Germany in the 
eighteen-eighties. By the nineteen-twenties, "constitutional psychopathic 
inferiority" had become the catchall phrase psychiatrists used for a general 
mixture of violent and antisocial characteristics found in irredeemable 
criminals, who appeared to lack a conscience.

  In the late nineteen-thirties, an American psychiatrist named Hervey Cleckley 
began collecting data on a certain kind of patient he encountered in the course 
of his work in a psychiatric hospital in Augusta, Georgia. These people were 
from varied social and family backgrounds. Some were poor, but others were sons 
of Augusta's most prosperous and respected families. Cleckley set about 
sharpening the vague construct of constitutional psychopathic inferiority, and 
distinguishing it from other forms of mental illness. He eventually isolated 
sixteen traits exhibited by patients he called "primary" psychopaths; these 
included being charming and intelligent, unreliable, dishonest, irresponsible, 
self-centered, emotionally shallow, and lacking in empathy and insight.

However, the article focuses on the work of psychologist Kent Kiehl who has 
completed a great deal of recent brain imaging research on criminal 
psychopaths, and argues that the core problem is a dysfunction of the 
paralimbic system.

This includes areas such as the orbital frontal cortex, anterior cingulate and 
amygdala, that are known to be involved in emotional reactions and often 
thought to be involved particularly in social interaction and empathy.

However, as the article recounts, getting inmates at maximum security prisons 
involved in cognitive science research has its own special challenges. Although 
this seem to have been somewhat mitigated by Kiehl's use of a portable fMRI 
machine.

To be honest, the article focuses a little too much on the personalities, 
particularly when the science is so interesting, but it does cover the bases 
well and does make for an engaging read.


Link to New Yorker article 'Suffering Souls'.



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