Chances are you know several psychopaths. You sit or sat next to them in your classes. You work or will work with them in your practice.In The Sociopath Next Door: The Ruthless Versus the Rest of Us, Harvard professor Martha Stout says that "one in twenty-five of us has no conscience and can do absolutely anything at all without feeling guilty.Contrary to popular misconception, though a large percentage of murders and rapes are committed by sociopaths, most sociopaths don't commit such crimes. Most are ostensibly law abiding--because of the legal and social sanctions. A high percentage of them are very smart (often charming too). And a majority of them are strongly attracted to power and so seek professions and authority positions with influence over others--without a desire for the actual responsibility, of course.When stepping on others benefits them a small amount and costs them nothing, they don't hesitate. Worse, when they can get away with it without repercussion, they make others jump or suffer simply for the sensation of power. (Why not? The harm they cause others doesn't trouble them.)4% of the population. 1 in 25. More in law than other fields. Pretty shocking, eh? Makes you wonder about those around you doesn't it? As well it should, because that 4% is responsible for a disproportionate share of the needless, intentionally inflicted or callously tolerated, pain and suffering in the world.The disorder arises in part because of genetics and in part as a result of nurture. The most popular theory is that it arises from an early attachment disorder. It's an odd and sad fact that orphaned babies in hospitals die if not handled. Insufficient physical contact and affectionate/responsive care of a baby's needs inhibits development of certain human qualities--apparently conscience is one of them.By the way, I would like to stray further from the law and interject here that I think the modern western practice of housing a baby in a separate room and ignoring its cries (a practice only common in a recent fraction of human existence, and still not common practice in most of the world--where sleeping with the baby is still the norm), though endorsed by some modern doctors peddling new parenting concepts such as "teaching the baby to self-soothe" (read: facillitating parent rationalization) is very harmful. Not only does it cause the baby very real and unnecessary anxiety (throughout evolution abandoned babies were at risk to predators, etc.) and create a lack of trust in their parents, it stunts their development. Just because lots of other people you know are now isolating their children doesn't mean it's best or even right. Similarly, the very recent practice of sending babies and toddlers to day care is, though prevalent and in the cases of working mothers often necessary, usually a poor substitute for traditional mother/home care, and may be detrimental.---------------------Note: Sociopathy and psychopathy are synomyms. Modernly, the APA terms it a personality disorder: the Antisocial Personality Disorder.
Many attorneys suffer from NPD (Narcissistic Personality Disorder).Narcissism, in human psychology is the pattern of thinking and behaving which involves infatuation and obsession with one's self to the exclusion of others. It may be seen manifest in the chronic pursuit of personal gratification and public attention, in social dominance and personal ambition, braggadocio, insensitivity to others (lack of empathy) and/or excessive dependence on others to meet his/her responsibilities in daily living and thinking.The narcissist has an unhealthily high self-esteem. For the narcissist, self-worth is the belief that he/she is superior to his/her fellow humans; it is not enough to be "okay" or "pretty good," the narcissist can only feel worthwhile by experiencing him/herself as the "best". From childhood through adulthood, this narcissistic belief may be reinforced by others to the extent that the narcissist is actually competent, intelligent and/or attractive, or is manipulative enough to get others to make him/her seem competent, intelligent or attractive.The narcissist most often comes to the attention of the mental health profession when, beset by some personal failure or having otherwise become aware of his/her lack of superiority, he/she falls into an acute depressive or anxiety state, or even becomes temporarily psychotic. Unfortunately, the emergence of such states has often been misinterpreted by mental health professionals as a sign that the narcissist fundamentally suffers from low self esteem. As a result, psychotherapy often ends up simply restoring the narcissism rather than helping the patient accept his/her true equality and mortality.Conversely, narcissists who are repeatedly confronted with their own human limitations - often due to a lack of skills, intelligence, looks or social support necessary to maintain external reinforcement of their ultimate superiority - may become frustrated, angry and even dangerously aggressive. At this point, the narcissistic may evolve into a sociopath.The term narcissism was first used in relation to human psychology by Sigmund Freud after the figure of Narcissus in Greek mythology (right). Narcissus was a handsome Greek youth who rejected the desperate advances of the nymph Echo. As a punishment, he was doomed to fall in love with his own reflection in a pool of water. Unable to consummate his love, Narcissus pined away and changed into the flower that bears his name, the narcissus.A narcissistic personality disorder as defined by the DSM (see DSM cautionary statement) is characterized by an all-pervasive pattern of grandiosity (in fantasy or behavior), need for admiration or adulation and lack of empathy, usually beginning by early adulthood and present in various contexts. Five (or more) of the following criteria are considered necessary for the clinical diagnosis to be met:- Feels grandiose and self-important (e.g., exaggerates accomplishments, talents, skills, contacts, and personality traits to the point of lying, demands to be recognized as superior without commensurate achievements); - Is obsessed with fantasies of unlimited success, fame, fearsome power or omnipotence, unequalled brilliance (the cerebral narcissist), bodily beauty or sexual performance (the somatic narcissist), or ideal, everlasting, all-conquering love or passion; - Firmly convinced that they are unique and, being special, can only be understood by, should only be treated by, or associate with, other special or unique, or high-status people (or institutions); - Requires excessive admiration, adulation, attention and affirmation — or, failing that, wishes to be feared and to be notorious (narcissistic supply); - Feels entitled. Demands automatic and full compliance with their unreasonable expectations for special and favorable priority treatment. - Is "interpersonally exploitative", i.e., uses others to achieve their own ends; - Devoid of empathy. Is unable or unwilling to identify with, acknowledge, or accept the feelings, needs, preferences, priorities, and choices of others; - Constantly envious of others and seeks to hurt or destroy the objects of their frustration.- Suffers from persecutory (paranoid) delusions stemming from a belief that others are envious of them and are likely to act similarly; - Behaves arrogantly and haughtily. Feels superior, omnipotent, omniscient, invincible, immune, "above the law", and omnipresent (magical thinking). Rages when frustrated, contradicted, or confronted by people they consider inferior to themselves and unworthy.
Many attorneys suffer from NPD (Narcissistic Personality Disorder).Narcissism, in human psychology is the pattern of thinking and behaving which involves infatuation and obsession with one's self to the exclusion of others. It may be seen manifest in the chronic pursuit of personal gratification and public attention, in social dominance and personal ambition, braggadocio, insensitivity to others (lack of empathy) and/or excessive dependence on others to meet his/her responsibilities in daily living and thinking.The narcissist has an unhealthily high self-esteem. For the narcissist, self-worth is the belief that he/she is superior to his/her fellow humans; it is not enough to be "okay" or "pretty good," the narcissist can only feel worthwhile by experiencing him/herself as the "best". From childhood through adulthood, this narcissistic belief may be reinforced by others to the extent that the narcissist is actually competent, intelligent and/or attractive, or is manipulative enough to get others to make him/her seem competent, intelligent or attractive.The narcissist most often comes to the attention of the mental health profession when, beset by some personal failure or having otherwise become aware of his/her lack of superiority, he/she falls into an acute depressive or anxiety state, or even becomes temporarily psychotic. Unfortunately, the emergence of such states has often been misinterpreted by mental health professionals as a sign that the narcissist fundamentally suffers from low self esteem. As a result, psychotherapy often ends up simply restoring the narcissism rather than helping the patient accept his/her true equality and mortality.Conversely, narcissists who are repeatedly confronted with their own human limitations - often due to a lack of skills, intelligence, looks or social support necessary to maintain external reinforcement of their ultimate superiority - may become frustrated, angry and even dangerously aggressive. At this point, the narcissistic may evolve into a sociopath.The term narcissism was first used in relation to human psychology by Sigmund Freud after the figure of Narcissus in Greek mythology (right). Narcissus was a handsome Greek youth who rejected the desperate advances of the nymph Echo. As a punishment, he was doomed to fall in love with his own reflection in a pool of water. Unable to consummate his love, Narcissus pined away and changed into the flower that bears his name, the narcissus.
"Contemporary practitioners, both clinical and organizational, are faced with the pervasive presence of narcissistic disorders in those who consult us. It is a disquieting encounter, because-even as we recognize that our work to understand and assist persons and organizations with narcissistic pathology has increased the reach and efficacy of our interventions, and the lessons of this work in turn have transformatively affected psychoanalytic theories-there are particular qualities to work with narcissism that are painful to work with analytically, perhaps in significant part because they militate against a defensive introduction of non-analytic methods into analytic work. It is in the nature of narcissistically organized persons, and perhaps also, I will argue, narcissistic organizations, to deny the reality of the other (i.e., the analyst), to wrench the analyst into playing a hated but necessary part in the patient's internal drama, to try to disable or destroy the analyst in the service of a soothing return to a narcissistic self-sufficiency, and to project into the analyst, with resentful hatred, a whole internal world of persecutory and toxic part-objects, as the first step toward eventual understanding, health, and wholeness."