Hi Mike-

I worked as a prison psychologist for ten years and I met (and diagnosed) a 
large number of psychopaths. Based on this experience I can tell you that 
psychopaths are no more dangerous to prison staff than are other inmates. As a 
graduate student I worked with Bob Hare at UBC studying psychopath's reactions 
to various stimuli. I was convinced back then that psychopaths were "wired 
differently". Their autonomic responses to stressful events were quite quite 
different from those of "normals".

As to treatment, I have seen nothing in the literature and nothing in my 
practice that suggests that psychopaths are treatable. However, that doesn't 
mean that one should impose the death penalty. If a mentally handicapped person 
committed a murder would you want to execute them? In most cases the McNaughton 
rule would preclude that.

Personally, I think that the imposition of a death penalty is morally 
repugnant. Given the large number of people who are falsely convicted each year 
it is a certainty that an innocent person will be executed. That is one of the 
reasons that most civilized countries have abolished the death penalty.

-Don.   

----- Original Message -----
From: "Mike Palij" <[email protected]>
To: "Teaching in the Psychological Sciences (TIPS)" <[email protected]>
Cc: "Michael Palij" <[email protected]>
Sent: Friday, April 18, 2014 10:17:29 AM
Subject: [tips] Are Psychopaths' Brains Different From Nonpsychopaths?











The website for Wired has an interesting interview with the researcher 
Kent Kiehl who has studied psychopaths for 20 years; the interview 
is here: 
http://www.wired.com/2014/04/psychopath-brains-kiehl/ 

The interview is partly a shill for Kiehl's new book "The Psychopath 
Whisperer" which is geared for the general public (i.e., it is a 
"money book", that is, a book a scientist writes not for a limited 
scientific or academic audience but to appeal to a broad audience 
and is expect to make a fair amount of money -- most popular 
science books are money books though not all of them make a 
lot of money). Anyway, Kiehl has his own mobile MRI scanner 
(there is a picture of him next to trailer that contains the scanner) 
so he's not doing too badly. 

When asked how psychopaths' brain differ from "normal" brains 
he says the following: 

|WIRED: What is known at this point about what’s different 
|about their brains? 
| 
|Kiehl: We’ve found that psychopaths have 5 to 10 percent 
| reduced gray matter density in and around the limbic regions 
| [a network deep in the brain that's important for emotional 
| processing]. We’ve also found — and a group in Germany 
| has published a similar finding — that the tissue that connects 
| the limbic system to the frontal lobes is disrupted. There have 
| also been lots of studies published showing reduced responsivity 
| in those circuits during emotional processing and moral decision 
|making. 

An interesting question that arises from this research is that a 
number of psychopaths also engage in serious crimes, such 
as serial killing and worse (anyone who has read about what 
Ted Bundy did before and after he killed his female victims 
will know what I'm talking about) and whether psychopaths 
should be held responsible for such crimes if they have a 
brain abnormality. This becomes a critical issue in murder 
trials and Kiehl was apparently the first to use fMRI evidence 
for the defense of a man who had raped and killed a 10 year old 
girl (this was during the sentencing phase because the defendant 
had pleaded guilty and he was already spending time in jail for 
other murders he had committed). The prosecutors wanted 
the death penalty while the defense wanted life in prison. 
Some details about this trial and the jury's decision can be read 
here: 
http://news.sciencemag.org/2009/11/fmri-evidence-used-murder-sentencing 

The question that arises here is if psychopathy is shown to 
be "associated" with specific brain abnormalities should this condition 
be treated as "insanity" (i.e., being unable to tell the difference 
between "right" and "wrong" and not being able to appreciate the 
consequences of one's actions)? But here is the more important 
point: even if such a brain abnormality does exist which judgment 
is more just: 

(1) life in prison: to keep the person out of open society and hope 
that prison controls will prevent the psychopath from killing someone 
within prison or outside of prison by proxy (Kiehl talks about how 
an imprisoned psychopath that he interviewed thought that he snitched 
on him and through his network got someone on the outside to try 
hurt or kill him). 

or 

(2) death penalty: if the brain abnormality is not modifiable by 
various treatments and the psychopath remains a danger to others 
even while in prison, isn't the best way to minimize future risk 
is by executing the person? 

A number of factors (scientific, moral, legal, etc.) enter into this 
consideration but from a scientific perspective I think that one 
consideration is the degree to which one really believes in neural 
plasticity and how modifiable brain structures are if they have 
been implicated in conditions like psychopathy. If a psychopath 
turns serial killer and engages in such activity for a long period 
of time (e.g., Ted Bundy), is there any chance that he can be 
changed from desiring to kill and do the terrible things he did to 
not wanting to engages in those behaviors again? The so-called 
Ludovico technique in the book and movie "A Clockwork 
Orange" is a fictional example of such a treatment but is any 
treatment really possible? If effective treatments for psychopathy 
can be developed, does it make more sense for putting them 
in prison for life for crimes like murder? If no effective treatments 
can be found, does it make more sense to execute them? 

Or should one be skeptical of neuroscientists peddling their 
research results and opinions in courts and just not seriously 
consider them? 

-Mike Palij 
New York University 
[email protected] 



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