This article seems to describe much of the thinking about psychopaths that I am 
familiar with.  I welcome comments and suggestions for further reading on this 
subject.  I can think of few other topics that are as important.  We not even 
be able to solve global warming, and certainly not nuclear proliferation, until 
we deal with this.  I believe that much of the warfare we are witnessing in the 
Middle East and elsewhere is a direct result of the presence of psychopaths at 
the highest levels of government and finance worldwide.  May God have mercy on 
us all.

Hajja Romi/Blue


PSYCHOPATHS AMONG US 

Dr. Robert Hare claims there are 300,000 
psychopaths in Canada, but that only a tiny fraction are violent 
offenders like Paul Bernardo and Clifford Olsen. Who are the rest? Take a look 
around 

By Robert Hercz

________________________________
 
"Psychopath! psychopath!" 
I'm alone in my living room and I'm yelling at my TV. "Forget rehabilitation -- 
that  guy is a psychopath." 
Ever since I visited Dr. Robert Hare in Vancouver, I can see 
them, the psychopaths. It's pretty easy, once you know how to look. I'm 
watching a documentary about an American prison trying to rehabilitate 
teen murderers. They're using an emotionally intense kind of group 
therapy, and I can see, as plain as day, that one of the inmates is a 
psychopath. He tries, but he can't muster a convincing breakdown, can't 
fake any feeling for his dead victims. He's learned the words, as Bob 
Hare would put it, but not the music. 
The incredible thing, the reason I'm yelling, is that no one in 
this documentary -- the therapists, the warden, the omniscient narrator 
-- seems to know the word "psychopath." It is never uttered, yet it 
changes everything. A psychopath can never be made to feel the horror of 
murder. Weeks of intense therapy, which are producing real 
breakthroughs in the other youths, will probably make a psychopath more 
likely to reoffend. Psychopaths are not like the rest of us, and 
everyone who studies them agrees they should not be treated as if they 
were. 
I think of Bob Hare, who's in New Orleans receiving yet another 
award, and wonder if he's watching the same show in his hotel room and 
feeling the same frustration. A lifetime spent looking into the heads of 
psychopaths has made the slight, slightly anxious emeritus professor of 
psychology at the University of British Columbia the world's best-known expert 
on the species. Hare hasn't merely changed our understanding of 
psychopaths. It would be more accurate to say he has created it. 
The condition itself has been recognized for centuries, wearing 
evocative labels such as "madness without delirium" and "moral insanity" until 
the late 1800s, when "psychopath" was coined by a German 
clinician. But the term (and its 1930s synonym, sociopath) had always 
been a sort of catch-all, widely and loosely applied to criminals who 
seemed violent and unstable. Even into the mid-1970s, almost 80 percent 
of convicted felons in the United States were being diagnosed as 
sociopaths. In 1980, Hare created a diagnostic tool called the 
Psychopathy Checklist, which, revised five years later, became known as 
the PCL-R. Popularly called "the Hare," the PCL-R measures psychopathy 
on a forty-point scale. Once it emerged, it was the first time in 
history that everyone who said "psychopath" was saying the same thing. 
For research in the field, it was like a starting gun. 
But for Hare, it has turned out to be a Pandora's box. Recently 
retired from teaching, his very last Ph.D. student about to leave the 
nest, Hare, sixty-eight, should be basking in professional accolades and 
enjoying his well-earned rest. But he isn't. 
The PCL-R has slipped the confines of academe, and is being used and misused in 
ways that Hare never intended. In some of the places 
where it could do some good -- such as the prison in the TV documentary I was 
yelling at -- the idea of psychopathy goes unacknowledged, usually 
because it's politically incorrect to declare someone to be beyond 
rehabilitation. At the opposite extreme, there are cases in which Hare's work 
has been overloaded with political baggage of another sort, such 
as in the United States, where a high PCL-R score is used to support 
death-penalty arguments, and in England, where a debate is underway 
about whether some individuals with personality disorders (such as 
psychopaths) should be detained even if they haven't committed a crime. 
So, after decades of labour in peaceful obscurity, Bob Hare has 
become a man with a suitcase, a passport, and a PowerPoint presentation, a 
reluctant celebrity at gatherings of judges, attorneys, prison 
administrators, psychologists, and police. His post-retirement mission 
is to be a good shepherd to his Psychopathy Checklist. 
"I'm protecting it from erosion, from distortion. It could 
easily be compromised," he says. "I'm a scientist; I should just be 
doing basic research, but I'm being called on all the time to intervene 
and mediate." 
And it's really just beginning. Psychopathy may prove to be as 
important a construct in this century as IQ was in the last (and just as 
susceptible to abuse), because, thanks to Hare, we now understand that 
the great majority of psychopaths are not violent criminals and never 
will be. Hundreds of thousands of psychopaths live and work and prey 
among us. Your boss, your boyfriend, your mother could be what Hare 
calls a "subclinical" psychopath, someone who leaves a path of 
destruction and pain without a single pang of conscience. Even more 
worrisome is the fact that, at this stage, no one -- not even Bob Hare 
-- is quite sure what to do about it. 
Bob hare has to meet me in the lobby of the UBC psychology 
building, since he's not listed in the directory. He's had threats, by 
e-mail and in person. An ex-con showed up one day, angry that a friend 
of his had been declared a dangerous offender thanks to Hare's 
checklist. Other characters have appeared in his lab doorway, looking in and 
saying nothing. 
We immediately find ourselves discussing the criminal du jour, 
the jet-setting French con man Christophe Rocancourt, notorious for 
passing himself off as a member of the Rockefeller family, who has just 
been arrested in Victoria. 
"I'd sure as hell like to have a close look at him," Hare muses. 
Like every scientist, Hare likes a good puzzle, and that was 
reason enough to make a career out of psychopaths. "These were 
particularly interesting human beings," he says. "Everything about them 
seemed to be paradoxical. They could do things that a lot of other 
people could not do" -- lie, steal, rape, murder -- "but they looked 
perfectly normal, and when you talked to them they seemed okay. It was a 
puzzle. I thought I'd try and unravel it." 
Hare arrived at UBC in 1963, intending to follow up his doctoral research on 
punishment. Certain prisoners, it was rumoured, didn't 
respond to punishment, and Hare went to the federal penitentiary in New 
Westminster, British Columbia, to find these extreme cases. (He found 
plenty. In his chilling 1993 book on psychopathy, Without Conscience: The 
Disturbing World of the Psychopaths Among Us, he quotes one specimen's 
memories: "[M]y mother, the most beautiful 
person in the world. She was strong, she worked hard to take care of 
four kids. A beautiful person. I started stealing her jewellery when I 
was in the fifth grade. You know, I never really knew the bitch -- we 
went our separate ways.") 
For his first paper, now a classic, Hare had his subjects watch a countdown 
timer. When it reached zero, they got a "harmless but 
painful" electric shock while an electrode taped to their fingers 
measured perspiration. Normal people would start sweating as the 
countdown proceeded, nervously anticipating the shock. Psychopaths 
didn't sweat. They didn't fear punishment -- which, presumably, also 
holds true outside the laboratory. In Without Conscience, he quotes a 
psychopathic rapist explaining why he finds it hard to empathize with 
his victims: "They are frightened, right? But, you see, I don't really 
understand it. I've been frightened myself, and it wasn't unpleasant." 
In another Hare study, groups of letters were flashed to 
volunteers. Some of them were nonsense, some formed real words. The 
subject's job was to press a button whenever he recognized a real word, 
while Hare recorded response time and brain activity. Non-psychopaths 
respond faster and display more brain activity when processing 
emotionally loaded words such as "rape" or "cancer" than when they see 
neutral words such as "tree." With psychopaths, Hare found no 
difference. To them, "rape" and "tree" have the same emotional impact -- none. 
Hare made another intriguing discovery by observing the hand 
gestures (called beats) people make while speaking. Research has shown 
that such gestures do more than add visual emphasis to our words (many 
people gesture while they're on the telephone, for example); it seems 
they actually help our brains find words. That's why the frequency of 
beats increases when someone is having trouble finding words, or is 
speaking a second language instead of his or her mother tongue. In a 
1991 paper, Hare and his colleagues reported that psychopaths, 
especially when talking about things they should find emotional, such as their 
families, produce a higher frequency of beats than normal people. It's as if 
emotional language is a second language -- a foreign 
language, in effect -- to the psychopath. 
Three decades of these studies, by Hare and others, has 
confirmed that psychopaths' brains work differently from ours, 
especially when processing emotion and language. Hare once illustrated 
this for Nicole Kidman, who had invited him to Hollywood to help her 
prepare for a role as a psychopath in Malice. How, she wondered, could 
she show the audience there was something fundamentally wrong with her 
character? 
"I said, 'Here's a scene that you can use,' " Hare says. " 
'You're walking down a street and there's an accident. A car has hit a 
child in the crosswalk. A crowd of people gather round. You walk up, the 
child's lying on the ground and there's blood running all over the 
place. You get a little blood on your shoes and you look down and say, 
"Oh shit." You look over at the child, kind of interested, but you're 
not repelled or horrified. You're just interested. Then you look at the 
mother, and you're really fascinated by the mother, who's emoting, 
crying out, doing all these different things. After a few minutes you 
turn away and go back to your house. You go into the bathroom and 
practice mimicking the facial expressions of the mother.' " He then 
pauses and says, "That's the psychopath: somebody who doesn't understand what's 
going on emotionally, but understands that something important 
has happened." 
Hare's research upset a lot of people. Until the psychopath came into focus, it 
was possible to believe that bad people were just good 
people with bad parents or childhood trauma and that, with care, you 
could talk them back into being good. Hare's research suggested that 
some people behaved badly even when there had been no early trauma. 
Moreover, since psychopaths' brains were in fundamental ways different 
from ours, talking them into being like us might not be easy. Indeed, to this 
day, no one has found a way to do so. 
"Some of the things he was saying about these individuals, it 
was unheard of," says Dr. Steven Stein, a psychologist and ceo of 
Multi-Health Systems in Toronto, the publisher of the Psychopathy 
Checklist. "Nobody believed him thirty years ago, but Bob hasn't 
wavered, and now everyone's where he is. Everyone's come full circle, 
except a small group who believe it's bad upbringing, family poverty, 
those kinds of factors, even though scientific evidence has shown that's not 
the case. There are wealthy psychopaths who've done horrendous 
things, and they were brought up in wonderful families." 
"There's still a lot of opposition -- some criminologists, 
sociologists, and psychologists don't like psychopathy at all," Hare 
says. "I can spend the entire day going through the literature -- it's 
overwhelming, and unless you're semi-brain-dead you're stunned by it -- 
but a lot of people come out of there and say, 'So what? Psychopathy is a 
mythological construct.' They have political and social agendas: 
'People are inherently good,' they say. 'Just give them a hug, a puppy 
dog, and a musical instrument and they're all going to be okay.' " 
If Hare sounds a little bitter, it's because a decade ago, 
Correctional Service of Canada asked him to design a treatment program 
for psychopaths, but just after he submitted the plan in 1992, there 
were personnel changes at the top of CSC. The new team had a different 
agenda, which Hare summarizes as, "We don't believe in the badness of 
people." His plan sank without a trace. 
By the late 1970s, after fifteen years in the business, Bob Hare knew what he 
was looking for when it came to psychopaths. They exhibit a cluster of 
distinctive personality traits, the most significant of 
which is an utter lack of conscience. They also have huge egos, short 
tempers, and an appetite for excitement -- a dangerous mix. In a typical prison 
population, about 20 percent of the inmates satisfy the Hare 
definition of a psychopath, but they are responsible for over half of 
all violent crime. 
The research community, Hare realized, lacked a standard 
definition. "I found that we were all talking a different language, we 
were on different diagnostic pages, and I decided that we had to have 
some common instrument," he says. "The PCL-R was really designed to make it 
easier to publish articles and to let journal editors and reviewers 
know what I meant by psychopathy." 
The Psychopathy Checklist consists of a set of forms and a 
manual that describes in detail how to score a subject in twenty 
categories that define psychopathy. Is he (or, more rarely, she) glib 
and superficially charming, callous and without empathy? Does he have a 
grandiose sense of self worth, shallow emotions, a lack of remorse or 
guilt? Is he impulsive, irresponsible, promiscuous? Did he have 
behavioural problems early in life? The information for each category 
must be carefully drawn from documents such as court transcripts, police 
reports, psychologists' reports, and victim-impact statements, and not 
solely from an interview, since psychopaths are superb liars 
("pathological lying" and "conning/manipulative" are PCL-R categories). A 
prisoner may claim to love his family, for example, while his records 
show no visits or phone calls. 
For each item, assessors -- psychologists or psychiatrists -- 
assign a score of zero (the item doesn't apply), one (the item applies 
in some respects), or two (the item applies in most respects). The 
maximum possible score is forty, and the boundary for clinical 
psychopathy hovers around thirty. Last year, the average score for all 
incarcerated male offenders in North America was 23.3. Hare guesses his 
own score would be about four or five. 
In 1980, Hare's initial checklist began circulating in the 
research community, and it quickly became the standard. At last count 
nearly 500 papers and 150 doctoral dissertations had been based on it. 
It's also found practical applications in police-squad rooms. 
Soon after he delivered a keynote speech at a conference for homicide 
detectives and prosecuting attorneys in Seattle three years ago, Hare 
got a letter thanking him for helping solve a series of homicides. The 
police had a suspect nailed for a couple of murders, but believed he was 
responsible for others. They were using the usual strategy to get a 
confession, telling him, 'Think how much better you'll feel, think of 
the families left behind,' and so on. After they'd heard Hare speak they 
realized they were dealing with a psychopath, someone who could feel 
neither guilt nor sorrow. They changed their interrogation tactic to, 
"So you murdered a couple of prostitutes. That's minor-league compared 
to Bundy or Gacy." The appeal to the psychopath's grandiosity worked. He didn't 
just confess to his other crimes, he bragged about them. 
The most startling finding to emerge from Hare's work is that 
the popular image of the psychopath as a remorseless, smiling killer -- 
Paul Bernardo, Clifford Olson, John Wayne Gacy -- while not wrong, is 
incomplete. Yes, almost all serial killers, and most of Canada's 
dangerous offenders, are psychopaths, but violent criminals are just a 
tiny fraction of the psychopaths around us. Hare estimates that 1 
percent of the population -- 300,000 people in Canada -- are 
psychopaths. 
He calls them "subclinical" psychopaths. They're the charming 
predators who, unable to form real emotional bonds, find and use 
vulnerable women for sex and money (and inevitably abandon them). 
They're the con men like Christophe Rocancourt, and they're the 
stockbrokers and promoters who caused Forbes magazine to call the 
Vancouver Stock Exchange (now part of the Canadian Venture Exchange) the scam 
capital of the world. (Hare has said that if he couldn't study 
psychopaths in prisons, the Vancouver Stock Exchange would have been his second 
choice.) A significant proportion of persistent wife beaters, 
and people who have unprotected sex despite carrying the AIDS virus, are 
psychopaths. Psychopaths can be found in legislatures, hospitals, and 
used-car lots. They're your neighbour, your boss, and your blind date. 
Because they have no conscience, they're natural predators. If you 
didn't have a conscience, you'd be one too. 
Psychopaths love chaos and hate rules, so they're comfortable in the 
fast-moving modern corporation. Dr. Paul Babiak, an 
industrial-organizational psychologist based near New York City, is in 
the process of writing a book with Bob Hare called When Psychopaths Go to Work: 
Cons, Bullies and the Puppetmaster. The subtitle refers to the three broad 
classes of psychopaths Babiak has encountered in the workplace. 
"The con man works one-on-one," says Babiak. "They'll go after a woman, marry 
her, take her money, then move on and marry someone else. 
The puppet master would manipulate somebody to get at someone else. This type 
is more powerful because they're hidden." Babiak says psychopaths 
have three motivations: thrill-seeking, the pathological desire to win, 
and the inclination to hurt people. "They'll jump on any opportunity 
that allows them to do those things," he says. "If something better 
comes along, they'll drop you and move on." 
How can you tell if your boss is a psychopath? It's not easy, 
says Babiak. "They have traits similar to ideal leaders. You would 
expect an ideal leader to be narcissistic, self-centred, dominant, very 
assertive, maybe to the point of being aggressive. Those things can 
easily be mistaken for the aggression and bullying that a psychopath 
would demonstrate. The ability to get people to follow you is a 
leadership trait, but being charismatic to the point of manipulating 
people is a psychopathic trait. They can sometimes be confused." 
Once inside a company, psychopaths can be hard to excise. Babiak tells of a 
salesperson and psychopath -- call him John -- who was 
performing badly but not suffering for it. John was managing his boss -- 
flattering him, taking him out for drinks, flying to his side when he 
was in trouble. In return, his boss covered for him by hiding John's 
poor performance. The arrangement lasted until John's boss was moved. 
When his replacement called John to task for his abysmal sales numbers, 
John was a step ahead. 
He'd already gone to the company president with a set of facts 
he used to argue that his new boss, and not he, should be fired. But he 
made a crucial mistake. "It was actually stolen data," Babiak says. "The only 
way [John] could have obtained it would be for him to have gone 
into a file into which no one was supposed to go. That seemed to be 
enough, and he was fired rather than the boss. Even so, in the end, he 
walked out with a company car, a bag of money, and a good reference." 
"A lot of white-collar criminals are psychopaths," says Bob 
Hare. "But they flourish because the characteristics that define the 
disorder are actually valued. When they get caught, what happens? A slap on the 
wrist, a six-month ban from trading, and don't give us the $100 
million back. I've always looked at white-collar crime as being as bad 
or worse than some of the physically violent crimes that are committed." 
The best way to protect the workplace is not to hire psychopaths in the first 
place. That means training interviewers so they're less 
likely to be manipulated and conned. It means checking resumés for lies 
and distortions, and it means following up references. 
Paul Babiak says he's "not comfortable" with one researcher's 
estimate that one in ten executives is a psychopath, but he has noticed 
that they are attracted to positions of power. When he describes 
employees such as John to other executives, they know exactly whom he's 
talking about. "I was talking to a group of human-resources executives 
yesterday," says Babiak, "and every one of them said, you know, I think 
I've got somebody like that." 
By now, you're probably thinking the same thing. The number of 
psychopaths in society is about the same as the number of 
schizophrenics, but unlike schizophrenics, psychopaths aren't loners. 
That means most of us have met or will meet one. Hare gets dozens of 
letters and e-mail messages every month from people who say they 
recognize someone they know while reading Without Conscience. 
They go on to describe a brother, a sister, a husband. " 'Please help my 
seventeen-year-old son. . . .' " Hare reads aloud from one such 
missive. "It's a heart-rending letter, but what can I do? I'm not a 
clinician. I have hundreds of these things, and some of them are thirty 
or forty pages long." 
Hare's book opened my eyes, too. Reading it, I realized that I 
might have known a psychopath, Jonathan, at the computer company where I worked 
in London, England, over twenty years ago. He was charming and 
confident, and from the moment he arrived he was on excellent terms with the 
executive inner circle. Jonathan had big plans and promised me that I was a big 
part of them. One night when I was alone in the office, Jonathan appeared, 
accompanied by what anyone should have recognized as two prostitutes. 
"These are two high-ranking staff from the Ministry of Defence," he said 
without missing a beat. "We're going over the details of a contract, 
which I'm afraid is classified top secret. You'll have to leave the 
building." His voice and eyes were absolutely persuasive and I complied. A few 
weeks later Jonathan was arrested. He had embezzled tens of 
thousands of pounds from the small firm, used the company as a mailing 
address for a marijuana importing business he was running on the side, 
and robbed the apartment of the company's owner, who was letting him 
stay there temporarily. 
Like everyone who has been suckered by a psychopath -- and Bob 
Hare includes himself and many of his graduate students (who have been 
trained to spot them) in that list -- I'm ashamed that I fell for 
Jonathan. But he was brilliant, charismatic, and audacious. He radiated 
money and power (though in fact he had neither), while his real self -- 
manipulative, lying, parasitic, and irresponsible -- was just far enough under 
his surface to be invisible. Or was it? Maybe I didn't know how 
to look, or maybe I didn't really want to. 
I saw his name in the news again recently. "A con man tricked 
top sports car makers Lotus into lending him a £70,000 model . . . then 
stole it and drove 6,000 miles across Europe, a court heard," the story 
began. 
Knowing Jonathan is probably a psychopath makes me feel better. It's an 
explanation. 
But away from the workplace, back in the world of the criminally violent 
psychopath, Hare's checklist has become broadly known, so 
broadly known, in fact, that it is now a constant source of concern for 
him. "People are misusing it, and they're misusing it in really strange 
ways," Hare says. "There are lots of clinicians who don't even have a 
manual. All they've seen is an article with the twenty items -- 
promiscuity, impulsiveness, and so forth -- listed." 
In court, assessments of the same person done by defence and 
prosecution "experts" have varied by as much as twenty points. Such 
drastic differences are almost certainly the result of bias or 
incompetence, since research on the PCL-R itself has shown it has high 
"inter-rater reliability" (consistent results when a subject is assessed by 
more than one qualified assessor). In one court case, it was used to label a 
thirteen-year-old a psychopath, even though the PCL-R test is 
only meant to be used to rate adults with criminal histories. The test 
should be administered only by mental-health professionals (like all 
such psychological instruments, it is only for sale to those with 
credentials), but a social worker once used the PCL-R in testimony in a 
death-penalty case -- not because she was qualified but because she 
thought it was "interesting." 
It shouldn't be used in death-penalty cases at all, Hare says, 
but U.S. Federal District Courts have ruled it admissible because it 
meets scientific standards. 
"Bob and others like myself are saying it doesn't meet the 
ethical standards," says Dr. Henry Richards, a psychopathy researcher at the 
University of Washington. "A psychological instrument and diagnosis should not 
be a determinant of whether someone gets the death sentence. That's more of an 
ethical and political decision." 
And into the ethical and political realm -- the realm of 
extrapolation, of speculation, of opinion -- Hare will not step. He's 
been asked to be a guest on Oprah (twice), 60 Minutes, and Larry King Live. 
Oprah wanted him alongside a psychopath and his victim. "I said, 'This is a 
circus,' " Hare says. "I couldn't do that." 60 Minutes also wanted to "make it 
sexy" by throwing real live psychopaths into the mix. Larry King Live phoned 
him at home while O. J. Simpson was rolling down the freeway in 
his white Bronco. Hare says no every time (while his publisher gently 
weeps). 
Even in his particular area, Hare is unfailingly circumspect. 
Asked if he thinks there will ever be a cure for psychopathy -- a drug, 
an operation -- Hare steps back and examines the question. "The 
psychopath will say 'A cure for what?' I don't feel comfortable calling 
it a disease. Much of their behaviour, even the neurobiological patterns we 
observe, could be because they're using different strategies to get 
around the world. These strategies don't have to involve faulty wiring, 
just different wiring." 
Are these people qualitatively different from us? "I would think yes," says 
Hare. "Do they form a discrete taxon or category? I would 
say probably -- the evidence is suggesting that. But does this mean 
that's because they have a broken motor? I don't know. It could be a 
natural variation." True saints, completely selfless individuals, are 
rare and unnatural too, he points out, but we don't talk about their 
being diseased. 
Psychopathy research is raising more questions than it can 
answer, and many of them are leading to moral and ethical quagmires. For 
example: the PCL-R has turned out to be the best single predictor of 
recidivism that has ever existed; an offender with a high PCL-R score is three 
or four times more likely to reoffend than someone with a low 
score. Should a high PCL-R score, then, be sufficient grounds for 
denying parole? Or perhaps a psychopathy test could be used to prevent 
crime by screening individuals or groups at high risk -- for example, 
when police get a frantic "My boyfriend says he'll kill me" call, or 
when a teacher reports a student threatening to commit violence. Should 
society institutionalize psychopaths, even if they haven't broken the 
law? 
The United Kingdom, partly in response to the 1993 abduction and murder of 
two-year-old James Bulger by two ten-year-olds, and partly in response to PCL-R 
data, is in the process of creating a new legal 
classification called Dangerous and Severe Personality Disorder (DSPD). 
As it stands, the government proposes to allow authorities to detain 
people declared DSPD, even if they have not committed a crime. (Sample 
text from one of the Web sites that have sprung up in response: "I was 
diagnosed with an untreatable personality disorder by a doctor who saw 
me for ten minutes, he later claimed I was a psychopath. . . . Please 
don't let them do this to me; don't let them do it to anybody. I'm not a danger 
to the public, nor are most mentally ill people.") 
Hare is a consultant on the DSPD project, and finds the 
potential for abuse of power horrifying. So do scientists such as Dr. 
Richard Tees, head of psychology at UBC, a colleague of Hare's since 
1965. "I am concerned about our political masters deciding that the 
PCL-R is the silver bullet that's going to fix everything," he says. 
"We'll let people out [of prison] on the basis of scores on this, and 
we'll put them in. And we'll take children who do badly on some version 
of this and segregate them or something. It wasn't designed to do any of these 
things. The problems that politicians are trying to solve are 
fundamentally more complicated than the one that Bob has solved." 
So many of these awkward questions would vanish if only there 
were a functioning treatment program for psychopathy. But there isn't. 
In fact, several studies have shown that existing treatment makes 
criminal psychopaths worse. In one, psychopaths who underwent 
social-skills and anger-management training before release had an 82 
percent reconviction rate. Psychopaths who didn't take the program had a 59 
percent reconviction rate. Conventional psychotherapy starts with 
the assumption that a patient wants to change, but psychopaths are 
usually perfectly happy as they are. They enrol in such programs to 
improve their chances of parole. "These guys learn the words but not the 
music," Hare says. "They can repeat all the psychiatric jargon -- 'I 
feel remorse,' they talk about the offence cycle -- but these are words, hollow 
words." 
Hare has co-developed a new treatment program specifically for 
violent psychopaths, using what he knows about the psychopathic 
personality. The idea is to encourage them to be better by appealing not to 
their (non-existent) altruism but to their (abundant) self-interest. 
"It's not designed to change personality, but to modify 
behaviour by, among other things, convincing them that there are ways 
they can get what they want without harming others," Hare explains. The 
program will try to make them understand that violence is bad, not for 
society, but for the psychopath himself. (Look where it got you: jail.) A 
similar program will soon be put in place for psychopathic offenders in the UK. 
"The irony is that Canada could have had this all set up and 
they could have been leaders in the world. But they dropped the ball 
completely," Hare says, referring to his decade-old treatment proposal, 
sitting on a shelf somewhere within Corrections Canada. 
Even if Hare's treatment program works, it will only address the violent 
minority of psychopaths. What about the majority, the 
subclinical psychopaths milling all around us? At the moment, the only 
thing Hare and his colleagues can offer is self-protection through 
self-education. Know your own weaknesses, they advise, because the 
psychopath will find and use them. Learn to recognize the psychopath, 
they tell us, before adding that even experts are regularly taken in. 
After thirty-five years of work, Bob Hare has brought us to the 
stage where we know what psychopathy is, how much damage psychopaths do, and 
even how to identify them. But we don't know how to treat them or 
protect the population from them. The real work is just beginning. 
Solving the puzzle of the psychopath is an invigorating prospect -- if 
you're a scientist. Perhaps the rest of us can be forgiven for our 
impatience to see the whole thing come to an end. 


© 2001 Robert Hercz. Used with permission. 


http://www.hare.org/links/saturday.html


[Non-text portions of this message have been removed]



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