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The psychology of psychopathy: An inside look at the psychopathic brain
A 2017 University of Wisconsin-Madison study was the first of it's kind to show structural differences in the psychopathic brain.
- According to a 2017 study led by the University of Wisconsin-Madison, psychopaths have reduced connections in the areas of the brain that control fear, anxiety, empathy and sentimentality.
- Psychopathy is typically diagnosed using a 20-item checklist called the Hare Psychopathy Checklist.
- Psychopathic tendencies could be considered "warning signs" of psychopathy, but it's important to note that not everyone who shows psychopathic tendencies becomes a psychopath.
Psychopathy is defined as a condition (sometimes referred to as a personality disorder) characterized by the absence of empathy and the bluntness of other affective states. Psychopaths can be highly manipulative, often coming across as typical or even charming.
According to Psychology Today, callousness, detachment and a lack of empathy are key traits of a psychopath, but underneath the facade, they lack any semblance of a conscience.
Psychopathy is typically diagnosed using a 20-item checklist called the Hare Psychopathy Checklist.
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Psychopathy, like many other conditions, is a spectrum. Common traits of psychopaths can include things like superficial charm, grandiose sense of self-worth, pathological lying, manipulation, lack of remorse or guilt, lack of empathy, behavioral problems in early life, impulsivity, and shallow affect (reduced emotional responses) to name a few.
Psychopathy is typically diagnosed using a 20-item checklist called the Hare Psychopathy Checklist. This list features questions that gauge common traits such as a lack of empathy, pathological lying, and impulsivity (among many others).
Each question on this scale is then scored on a three-point scale: The item doesn't apply (0), the item applies to a certain extend (1), or the question fully applies (2). The bar for "clinical psychopathy" is 30 points on this test.
For reference, here are some of the scores of notable evaluations:
Ted Bundy - 39/40
Richard Ramirez - 31/40
Brian David Mitchell - 34/40
Differentiating psychopathy and sociopathy
The terms "psychopath" and "sociopath" are often used interchangeably but they aren't the same - and the difference is quite important. A sociopath is someone with antisocial tendencies that are specific to social or environmental factors. A psychopath is someone whose traits are more innate.
A psychopath will be more manipulative but can be seen by others to lead a charming, "normal" life - whereas sociopaths tend to be more erratic, rage-prone, and are unable to keep up the facade of normality.
Psychopathic tendencies versus psychopathy
A psychopath may be able to create a seemingly typical personality and life to fool others. Psychopathic tendencies don't always extend into psychopathy.
Photo by FGC on Shutterstock
What causes psychopathy?
Brain anatomy, genetics, and the person's environment may all contribute to the development of psychopathic traits. However, it's important to note that not all psychopathic traits and tendencies mean the person will grow into a psychopath.
What are psychopathic tendencies?
Psychopathic tendencies could be considered warning signs of psychopathy, but it's important to note that not everyone who shows psychopathic tendencies becomes a psychopath. Some, with the intervention of various therapies and strong, nurturing relationships, can assimilate to a relatively normal way of life.
The most well-known case of this would be the case of Beth Thomas. The subject of a 1990 documentary entitled "Child of Rage," Beth began to show psychopathic tendencies extremely early in life after suffering physical neglect and sexual abuse at the hands of her birth father before the age of one.
Later moved into an adoptive family where she could get the help she needs, the documentary (which you can view here, be warned, this footage may be disturbing to some) showed the disturbing thought process of a young 6-year-old girl struggling with an attachment disorder that led to psychopathic tendencies.
However, Beth, with the help of her adoptive family and professionals, became a relatively typical young woman who works as a nurse and has co-authored a book called "More Than a Thread of Hope" with her adoptive mother.
Psychopaths' brains show differences in structure and function
According to a 2017 study led by the University of Wisconsin-Madison, psychopaths have reduced connections in their brains between the ventromedial prefrontal cortex (vmPFC) and the amygdala.
This is noteworthy because of the functions of both parts in play - the vmPFC is responsible for sentimentality, empathy and guilt and the amygdala mediates fear and anxiety.
Not only did the research here show there were differences in how these parts of the psychopathic brain functioned, but this was the first study of it's kind to show physical (structural) differences in the brains of psychopaths.
How common is psychopathy?
While there may never be a specific answer to this, there have been several studies that can give us insight into how common psychopathy is. According to most research, psychopaths make up about 1 percent of the general population. Additional research claims up to 15 percent of the U.S prison population may meet the criteria for being psychopaths.
- Study sheds light on why some psychopaths are successful - Big Think ›
- A Neurobiologist on Understanding Psychopaths - Big Think ›
- Are You a Psychopath? Take the Test. - Big Think ›
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Health officials in China reported that a man was infected with bubonic plague, the infectious disease that caused the Black Death.
- The case was reported in the city of Bayannur, which has issued a level-three plague prevention warning.
- Modern antibiotics can effectively treat bubonic plague, which spreads mainly by fleas.
- Chinese health officials are also monitoring a newly discovered type of swine flu that has the potential to develop into a pandemic virus.
Bacteria under microscope
needpix.com<p>Today, bubonic plague can be treated effectively with antibiotics.</p><p style="margin-left: 20px;">"Unlike in the 14th century, we now have an understanding of how this disease is transmitted," Dr. Shanthi Kappagoda, an infectious disease physician at Stanford Health Care, told <a href="https://www.healthline.com/health-news/seriously-dont-worry-about-the-plague#Heres-how-the-plague-spreads" target="_blank">Healthline</a>. "We know how to prevent it — avoid handling sick or dead animals in areas where there is transmission. We are also able to treat patients who are infected with effective antibiotics, and can give antibiotics to people who may have been exposed to the bacteria [and] prevent them [from] getting sick."</p>
This plague patient is displaying a swollen, ruptured inguinal lymph node, or buboe.
Centers for Disease Control and Prevention<p>Still, hundreds of people develop bubonic plague every year. In the U.S., a handful of cases occur annually, particularly in New Mexico, Arizona and Colorado, <a href="https://www.cdc.gov/plague/faq/index.html" target="_blank">where habitats allow the bacteria to spread more easily among wild rodent populations</a>. But these cases are very rare, mainly because you need to be in close contact with rodents in order to get infected. And though plague can spread from human to human, this <a href="https://www.healthline.com/health-news/seriously-dont-worry-about-the-plague#Heres-how-the-plague-spreads" target="_blank">only occurs with pneumonic plague</a>, and transmission is also rare.</p>
A new swine flu in China<p>Last week, researchers in China also reported another public health concern: a new virus that has "all the essential hallmarks" of a pandemic virus.<br></p><p>In a paper published in the <a href="https://www.pnas.org/content/early/2020/06/23/1921186117" target="_blank">Proceedings of the National Academy of Sciences</a>, researchers say the virus was discovered in pigs in China, and it descended from the H1N1 virus, commonly called "swine flu." That virus was able to transmit from human to human, and it killed an estimated 151,700 to 575,400 people worldwide from 2009 to 2010, according to the Centers for Disease Control and Prevention.</p>There's no evidence showing that the new virus can spread from person to person. But the researchers did find that 10 percent of swine workers had been infected by the virus, called G4 reassortant EA H1N1. This level of infectivity raises concerns, because it "greatly enhances the opportunity for virus adaptation in humans and raises concerns for the possible generation of pandemic viruses," the researchers wrote.
SEAL training is the ultimate test of both mental and physical strength.
- The fact that U.S. Navy SEALs endure very rigorous training before entering the field is common knowledge, but just what happens at those facilities is less often discussed. In this video, former SEALs Brent Gleeson, David Goggins, and Eric Greitens (as well as authors Jesse Itzler and Jamie Wheal) talk about how the 18-month program is designed to build elite, disciplined operatives with immense mental toughness and resilience.
- Wheal dives into the cutting-edge technology and science that the navy uses to prepare these individuals. Itzler shares his experience meeting and briefly living with Goggins (who was also an Army Ranger) and the things he learned about pushing past perceived limits.
- Goggins dives into why you should leave your comfort zone, introduces the 40 percent rule, and explains why the biggest battle we all face is the one in our own minds. "Usually whatever's in front of you isn't as big as you make it out to be," says the SEAL turned motivational speaker. "We start to make these very small things enormous because we allow our minds to take control and go away from us. We have to regain control of our mind."
Is focusing solely on body mass index the best way for doctor to frame obesity?
- New guidelines published in the Canadian Medical Association Journal argue that obesity should be defined as a condition that involves high body mass index along with a corresponding physical or mental health condition.
- The guidelines note that classifying obesity by body mass index alone may lead to fat shaming or non-optimal treatments.
- The guidelines offer five steps for reframing the way doctors treat obesity.