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Psychopathic behavior and issues of treatment
Affiliation:1. Department of Neurology, University Hospital “12 de Octubre”, Madrid, Spain;2. Centro de Investigación Biomédica en Red sobre Enfermedades Neurodegenerativas, (CIBERNED), Madrid, Spain;3. Department of Medicine, Complutense University, Madrid, Spain;4. Department of Neurology, Yale School of Medicine, New Haven, CT, USA;5. Department of Chronic Disease Epidemiology, Yale School of Public Health, New Haven, CT, USA;6. Center for Neuroepidemiology and Clinical Neurological Research, Yale School of Medicine and Yale School of Public Health, New Haven, CT, USA;7. Faculty of Biosanitary Sciences, Francisco de Vitoria University, Pozuelo de Alarcón, Madrid, Spain;8. Research Laboratory of Electronics, Massachusetts Institute of Technology, Cambridge, MA, USA;9. HM CINAC, HM Hospitales, Móstoles, Madrid, Spain
Abstract:The psychopathic personality is traditionally looked on as an antisocial disorder, although both the core symptoms—centering around egocentrism—and philosophical argument for the psychopath's “practical rationality”, suggest behaviors so diagnosed are not all that discrepant with mainstream western societal values. The relation of despised psychopathy to prized Machiavellianism is explored and a treatment strategy is introduced that is in keeping with the Machiavellian-psychopath distinction. In the face of repeated failure of treatment programs, this plan incorporates western society's concrete, historical values rather than the idealized values on the basis of which the diagnosis is presently made.
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