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Psychiatric Times. Vol. 19 No. 1
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The Hidden Suffering of the Psychopath

By Willem H.J. Martens, M.D., Ph.D. | December 31, 2001
Dr. Martens is director of the W. Kahn Institute of Theoretical Psychiatry and Neuroscience and advisor of the Forensic Psychiatry Hospital in Assen, The Netherlands.

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Psychopathy is characterized by diagnostic features such as superficial charm, high intelligence, poor judgment and failure to learn from experience, pathological egocentricity and incapacity for love, lack of remorse or shame, impulsivity, grandiose sense of self-worth, pathological lying, manipulative behavior, poor self-control, promiscuous sexual behavior, juvenile delinquency, and criminal versatility among others (Cleckley, 1982; Hare et al., 1990). As a consequence of these criteria the psychopath has the image of a cold, heartless, inhuman being. But do all psychopaths show a complete lack of normal emotional capacities and empathy? Like healthy people, many psychopaths love their parents, spouse, children and pets in their own way, but have difficulty loving and trusting the rest of the world. Furthermore, psychopaths do suffer emotionally as a consequence of separation, divorce, death of a beloved person or dissatisfaction with their own deviant behavior (Martens, 1997).

Sources of Sadness

Psychopaths can suffer emotional pain for a variety of reasons. Like anyone else, psychopaths have a deep wish to be loved and cared for. This desire remains frequently unfulfilled, however, as it is obviously not easy for another person to get close to someone with such repellent personality characteristics. Psychopaths are at least periodically aware of the effects of their behavior on others and can be genuinely saddened by their inability to control it. The lives of most psychopaths are devoid of a stable social network or warm, close bonds.

The life histories of psychopaths are often characterized by a chaotic family life, lack of parental attention and guidance, parental substance abuse and antisocial behavior, poor relationships, divorce, and adverse neighborhoods (Martens, 2000). They may feel that they are prisoners of their own etiological determination and believe that they had, in comparison with normal people, fewer opportunities or advantages in life.

Despite their outward arrogance, inside psychopaths feel inferior to others and know they are stigmatized by their own behavior. Although some psychopaths are superficially adapted to their environment and are even popular, they feel they must carefully hide their true nature because it will not be accepted by others. This leaves psychopaths with a difficult choice: adapt and participate in an empty, unreal life, or do not adapt and live a lonely life isolated from the social community. They see the love and friendship others share and feel dejected knowing they will never take part in it.

Psychopaths are known for needing excessive stimulation, but most foolhardy adventures only end in disillusionment due to conflicts with others and unrealistic expectations. Furthermore, many psychopaths are disheartened by their inability to control their sensation-seeking and are repeatedly confronted with their weaknesses. Although they may attempt to change, low fear response and associated inability to learn from experiences lead to repeated negative, frustrating and depressing confrontations, including trouble with the justice system.

As psychopaths age they are not able to continue their energy-consuming lifestyle and become burned-out and depressed, while they look back on their restless life full of interpersonal discontentment. Their health deteriorates as the effects of their recklessness accumulate.

Emotional Pain and Violence

Social isolation, loneliness and associated emotional pain in psychopaths may precede violent criminal acts (Martens, 2000, 1999, 1997; Palermo and Martens, in press). They believe that the whole world is against them, eventually becoming convinced that they deserve special privileges or rights to satisfy their desires. As psychopathic serial killers Jeffrey Dahmer and Dennis Nilson expressed, violent psychopaths ultimately reach a point of no return, where they feel they have cut through the last thin connection with the normal world. Subsequently their sadness and suffering increase, and their crimes become more and more bizarre (Palermo and Martens, in press).

Dahmer and Nilsen have stated that they killed simply for company (Palermo and Martens, in press). Both men had no friends and their only social contacts were occasional encounters in homosexual bars. Nilsen watched television and talked for hours with the dead bodies of his victims; Dahmer consumed parts of his victims' bodies in order to become one with them: he believed that in this way his victims lived further in his body.

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by sonia robinson | October 14, 2010 1:00 PM EDT

I loved the illusion the guy first portrayed himself to be - but couldn't sustain. HE is the one I miss now the relationship is over. I couldn't change him - but he changed me in a fundamental way. Now I trust no-one and never will again.  I've spent hours studying 'the condition' - the covert aggressive psychopath being the criteria which fits him like a glove.  I thought I could read people.  But he fooled me. And if he did - so can others.    He knows he's different.  I knew he was different. I shouldn't have been so curious as to wish to find out what this 'magnetic' difference was.  There are many ways a psychopath can suck you into his web of deceit. You learn too late. He suffered trying to bend me to his will - and couldn't.  I suffered - resisting - and later - in recognising how many of his 'techniques' had worked, how much of his own way had been achieved, and my life diminished,  before I realised his 'game'.  A psychopath DOES have emotions.  The regret they feel, the crocodile tears shed,  is at having not succeeded in their intent to control  - and then losing their victim.   But as far as they're concerned - they can always charm and win some one else. To them - it's as simple as that.

by Sukhwinder Dhaliwal | December 14, 2010 5:28 PM EST

This is indeed an informing article. I have experienced a psychopath in my life for over 6 years. He is objectively a true portrait of a psychopath. we are not related or involved in any relationship or business and never were. I only met him once or twice and since then he got involved in my school and continued after graduation. His intentions and actions completely fit the portfolio of a psychopath which baffled my mind for long time as I was perceiving his actions to be that of a normal person. I kept on questioning why in the world this man would stalk me and create obstacles in my life. All the feedback I got when enquired from the people who know him described him as a stalker and a deceptive man.  But it was in reference to either a relationship or  business ethics. I was involved in none and so wondered why this man was after me and my life.  Much reading and articles like these helped me identify his intentions, his actions as that of a psychopath. Now after these year this man's continued secretive stalking and grip on our lives has become life threatening.  The worst thing is that this man also tempers with magic to control his victims's life. What can people do when you come across a psychopath who uses very secretive methods like these to control his victims's lives? 

by Noura Chiantelle | December 16, 2010 8:52 AM EST

me also i passed through a psychopatic relationship , i felt trust and secure toward him from the first time , and i was willing for further relationship , and he showed up , with the same charm and attractiveness , and so soon i loved him and i trusted him , always feeling that i want to continue i am alone ,and need a husband , but Suddenly he showed me the other face , he cannot trust me nor anyone , he dose not feel that i am endlessly in love with him , he is beating me , taking my money , leaving me alone in streets , i was afraid then i tell myself ishould continue , no his anger is jealousy , it is love ,but again and again till he finally left me but still hangs on me from time to time because i live in an apprtmet of his name , he sends me money regularly to pay expenses of the appartment , the appartment and only the appartment no matter who i am .i am living lying on myself , waiting for him to love me But no use always benefits , always the appartment affairs and the physical concrete things he care about , i cannot live the appartment and i cannot live without the monthly money for the apprtment , and Iam afraid of him but i cannot show him that nor tell anyone of my family or friends because they may be like him , id ont know what to do i want to escape but where ?

sometimes i supply him not to leave me , but i cannot stand his non feeling

i cannot understand

 

by what unlisted | December 23, 2010 3:42 PM EST

It is this simple. Psychopaths do not have moods they have emotions only. Sociopaths have moods and emotions, but the break in mood and emotion is what makes them sociopaths, moodless emotionless at times. Psychopaths are moodless, not emotionless. Very simple. Not criminals, just different feeling.  

by what unlisted | December 23, 2010 3:45 PM EST

psychopaths do go emotionless as well. personally I am moodless, and have never had a mood. 

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