This book examines what neuroscience can tell us about the psychopathic mind, and how that compares to what other disciplines – such as psychology and genetics – have been telling us. This is no simple task because there remains a great deal of disagreement about what psychopathy is and how it relates to other behavioral conditions, like sociopathy.
The book begins with front matter (a Preface and an Introduction) that sets the stage for a reader who may have only a vague and Hollywood-inspired notion of what psychopathy is and who may confuse it with any number of psychiatric conditions.
Chapter 1 builds intrigue and offers a narrative introduction to psychopathy by telling the story of the architects of the Columbine shooting, Dylan Klebold and Eric Harris. The Columbine shooting gives the reader an ability to compare and contrast, because the two shooters had quite different psychological profiles. The chapter also uses the case of Jared Loughner, a Tucson shooter who killed or wounded almost twenty people – most famously Congressional Representative Gabrielle Giffords.
Chapter 2 dives into the controversial questions of what a psychopath is, how effectively can psychopathy be measured, and how it compares to conditions that have the same or similar symptoms. The obvious point of comparison is Sociopathy, about which a controversy remains as to whether it’s a distinct condition. However, the more interesting comparison is to “Kunlangeta,” which is a term from an Inuit tribe. The Kunlangeta – psychopathy comparison gets to the fact that aberrant behavior isn’t new. It’s just how these actions are viewed and responded to that has changed.
Chapter 3 describes the strengths and limitations of brain imaging as a tool for understanding the psychopath. We find that neuro-imaging has revealed tendencies – notably a reduction of gray matter in parts of the frontal and temporal cortex. However, we also discover that there remains much to be learned.
Chapter 4 is entitled “A Problem Behind the Forehead” and it continues the discussion of the neurological connection to psychopathy – particularly by considering the case of Jim Fallon (the neuroscientist who stumbled onto the fact that he had the brain of a psychopath — not to be confused with the late night talk show host.) The consideration of Fallon’s case foreshadows a discussion that is detailed in Chapter 8 about psychopaths who function just fine in society and who don’t kill people with axes.
Chapter 5 examines competing explanations for psychopathy that are more likely to be complementary to neuroscience than competitors – notably genetics and childhood abuse. This chapter highlights the fact that criminal psychopathy has complex causes and there is as of yet no single silver bullet that links to psychopathic behavior.
The idea in chapter 5 leads nicely into the next chapter (ch. 6) which considers to what degree we have enough (or will ever have enough) information to be able to predict who is likely to engage in bad behavior. Is a real world “Minority Report” scenario likely in which someday we’ll be able to know who’s going to commit violent felonies before they do (at least for some cases.)
Chapter 7 explores the most notable symptoms of psychopathic behavior, including the inability to empathize and a lack of fear.
Chapter 8, as mentioned, explores the fact that not everyone who has psychopathic traits runs afoul of the law. In fact, many lead productive lives running companies or performing surgeries.
The next two chapters reflect upon questions that may be of great interest to readers. Chapter 9 asks whether one can become a psychopath late in life. In other words, once one has lived out an abuse-free childhood, grown a fully developed brain, and reached an age where the relevant genes have or haven’t flipped on is one safe? Or, is there some way – an injury or ailment, perhaps – that one might become the victim of adult-onset psychopathy? The penultimate chapter asks whether one’s child might be a psychopath in the making.
The last chapter discusses how criminal justice works if it turns out that at least some individuals commit crimes because they got a bad brain. While there may be controversies over the death penalty, most people feel at ease with harsh sentencing and with locking convicted criminals away for life. However, if some individuals had no choice but to do what they did by virtue of a brain defect, it’s much harder to be confident one has taken a fair and reasonable course of action.
There’s a brief epilogue which presents a common fixture in science books: the scholarly rant about how the field is underfunded.
The book has a number of color and black-and-white graphics including photos, diagrams, brain scans, and brain cross-section pictures. There’s a recommended reading section in addition to the bibliographic notes. I read the Kindle version of the book, and it had excellent hyperlinks for the notes as well as in the index.
I’d recommend this book for anyone who is interested in the question of the degree to which brains determine who engages in criminally aberrant behavior. The author uses stories of famous cases of psychopathy to present a book that is very readable and doesn’t get lost in scientific minutiae. It’s a quick and fascinating read.