An inter-hemispheric imbalance in the psychopath’s brain

Psychopathy is associated with two extremities. On the one hand, psychopathic individuals lack any concern for social norms and they are severely poor in maintaining healthy social relationships. In addition, the ability of individuals with psychopathy to feel certain emotions such as empathy, guilt or fear is seriously compromised. In contrast to these deficits, some behaviors and tendencies are exaggerated in psychopathy. For instance, psychopathic individuals display higher than normal impulsivity, stimulation-seeking, aggression and risk-taking. There are indications in the literature that pro-social behavior, as well as the feelings of empathy, guilt and fear are mediated predominantly by regions within the right hemisphere (RH), whereas impulsivity, stimulation-seeking, aggression and risk-taking are linked primarily with left hemisphere (LH) activity. From a neurobiological perspective, it seems that psychopathy may be associated with an altered and imbalanced inter-hemispheric dynamics; a relatively hyperfunctioning LH and/or a hypofunctioning RH. Furthermore, within the psychopathic population, the RH hypofunctioning is more characteristic of primary psychopathy with its affective and interpersonal deficits, while the LH hyperfunctioning is most typical of the secondary psychopathy which is marked by impulsivity and antisocial style.