Few psychology terms cause as much consternation as the term Psychopath. Despite the fact that the term “Psychopath” is commonly used to describe someone suffering from a mental illness, it is not an official diagnosis.
Some argue that “sociopaths are made and psychopaths are born,” but this statement may be overly broad. While genetic factors are thought to play a role in psychopathy (possibly due to underdevelopment of the parts of the brain that regulate emotion and impulsiveness), there are clearly other factors that contribute to the behavioral disorder.
According to a well-regarded study on psychopathy, psychopaths frequently have a history of an unstable family life and/or were raised in poorer neighborhoods prone to violence. Many have had substance-abusing parents who failed to provide parental guidance or attention.
This usually manifests itself in adulthood as unstable and failed relationships, as well as a fixated sense that they have been “robbed” of opportunities and advantages that everyone else has. Sociopathy is also linked to negative childhood experiences such as sexual abuse, physical violence, or parental instability.
Sociopaths have a conscience, albeit a feeble one, and will frequently justify doing something they know is wrong. Psychopaths, on the other hand, will believe that their actions are justified and will feel no remorse for any harm done.
This distinction may imply that nature has a greater influence on the development of a psychopath than a sociopath. This is supported in part by a 2014 review of studies that found that up to one-third of people diagnosed with sociopathy “give up” their antisocial behavior in later life and develop well-adjusted relationships.
According to Dr. Prakash Masand, a psychiatrist and the founder of the Centers of Psychiatric Excellence, the true definition of a psychopath in psychiatry is antisocial personality disorder (ASPD).
Common manifestations of psychopathy
Because the term “psychopath” is not a recognized diagnosis, experts refer to the symptoms described under ASPD. Some of the more common warning signs, according to Masand, are:
- Irresponsible social behavior
- Disregarding or violating others’ rights
- Inability to distinguish between right and wrong.
- Difficulty expressing remorse or empathy
- Tendency to lie frequently
- Manipulating and hurting others
- Recurring legal problems
- General disregard for safety and responsibility
According to Masand, someone who exhibits this behavior may also lack deep emotional connections, have a superficial charm, be very aggressive, and get very angry at times.
Furthermore, people with ASPD are unconcerned about hurting others, are impulsive and abusive, and lack remorse.
In the case of ASPD, abusive does not always imply violent
This condition affects more men than women.
To receive an ASPD diagnosis, you must be at least 18 years old. However, some people will exhibit signs of conduct disorder as early as age 11, which may be an early indicator of ASPD.
It’s a chronic condition that appears to get better with age.
Because of their behavior, people with ASPD have a higher mortality rate.
How is psychopathy identified?
ASPD is the condition that experts diagnose because psychopathy is not an official mental disorder. Before delving into the diagnostic criteria for ASPD, it’s important to note that diagnosing and treating ASPD presents some unique challenges.
ASPD, according to Masand, can be difficult to treat because the person in need does not believe there is a problem with their behavior. As a result, they are unlikely to seek treatment.
Having said that, the established guidelines for diagnosing ASPD state that the behavior usually begins around the age of 15 or in the adolescent years. Masand, on the other hand, claims that a true ASPD diagnosis is not made until the age of 18. “The worst of the behavior occurs in the late teen years through the twenties for most people,” he explains.
A full mental health evaluation will be performed by a mental health professional in order to obtain an accurate diagnosis. A mental health professional will evaluate a person’s thoughts, feelings, behavior patterns, and relationships during this process. They will identify symptoms and compare them to the DSM-5 ASPD symptoms.
The medical history will also be reviewed by the mental health professional. This comprehensive evaluation is essential because ASPD frequently co-occurs with other mental health and addictive disorders.