Claudia Moscovici
23.07.2018

Why psychopathy is NOT a mental illness or a neurotic disorder

Absence of Delusions and Other Signs of Irrational Thinking

Despite being capable of actions that we’d associate with insanity—such as killing their family members in cold-blood, then going out to party afterwards—psychopaths are in fact clinically sane. But what does it actually mean to be “sane,” in light of such severely disturbed behavior? It simply means being in touch with reality and aware of the legal, social and moral rules that govern one’s society. Sanity doesn’t imply processing this information normally or behaving normally. Cleckley elaborates,

The 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 (339).

The psychopath constructs his mask of sanity by imitating the rest of us. He mimics our emotions. He pays lip service to our moral principles. He pretends to respect us and our goals in life. The only difference between him and normal human beings is that he doesn’t actually feel or believe any of this on a deeper level. His simulation of normalcy functions as a disguise that enables him to fool others and satisfy his deviant drives. However, because of the psychopath’s extraordinary charm and poise, those perverse needs aren’t likely to be obvious to others. For as long as a psychopath can hide his true nature, his real desires as well as the seedier aspects of his behavior, he appears to be the very picture of sanity: an upstanding citizen, a loyal friend, a loving husband and father. “Not only is the psychopath rational and his thinking free of delusions,” Cleckley pursues, “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” (339).

Absence of Nervousness or Psychoneurotic Manifestations

Psychopaths display an almost reptilian tranquility. Their paradoxical combination of calmness and thrill-seeking behavior may render them, at least initially, more intriguing than normal individuals. A psychopath can appear to be the rock of your life, promising a solid foundation for a lasting relationship. Cleckley observes, “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” (340). While their general aura of coolness and calmness can be reassuring, psychopaths tend to be too calm in the wrong circumstances. Upon closer observation, their mask of sanity includes fissures, or attitudes and elements of behavior that don’t conform to their normal external image.

For instance, they may laugh when (and even because) others cry. They may remain too serene in traumatic circumstances. Or they may appear theatrical and disingenuous in their displays of emotion, as Neil Entwistle did in court. In those moments when they behave inappropriately, psychopaths reveal their underlying abnormality. This shows through not only before they commit some crime but also afterwards, in their lack of genuine remorse, regret or sadness. Neurotics feel excessive anxiety. By way of contrast, psychopaths feel too little anxiety. When they experience regret or pain, it’s for getting caught or for being momentarily inconvenienced, not for having hurt others. When they get frustrated, it’s for not getting their way or out of boredom, not because they’re troubled by what they did wrong. As Cleckley puts it, “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… 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” (340). Empathy, fear of punishment, anxiety and remorse represent the main forces that prevent normal people from engaging in dangerous and harmful behavior. Psychopaths lack such restraints. No matter how good their disguise, dangerous and harmful behavior is all they enjoy and desire to pursue in life.

Dangerous Liaisons/Legături Periculoase, Editura Vremea, http://www.edituravremea.ro/leg–turi-periculoase–cum-s–recuno–ti-un-psihopat–i-s–scapi-din-mrejele-lui