Back on February 9, 2016, I posted an article entitled “Did You Know? Are you a psychopath?” with http://www.msn.com/en-us/health/wellness/7-facts-about-psychopaths-you-didn’t-know-before as a source.
However, on Twitter June 27, 2020, I found a reference to another article about psychopathy which was more detailed than the one I found previously on MSN. I followed the source and made a copy of the whole 51-page article from https://medium.com/@vgwcct/a-duty-to-differentially-diagnose-the-validity-underpinning-the-diagnosis-of-the-president. “A Duty to Differentially Diagnose: The Validity Underpinning the Diagnosis of the President: The Substance Behind the Assertion the President has a Serious Psychiatric Condition”.
The article/thesis was written by Vincent Greenwood, Ph.D., Executive Director of the Washington Center for Cognitive Therapy, washingtoncenterforcognitivetherapy.com. It took me a few days to get through it because I wanted to understand his viewpoint of us not judging President Donald J. Trump who has a mental illness. Greenwood writes in layman terms so that anyone can understand what he is trying to say.
He began with two patients going through stress because it was 2020. “The election year was upon us and the stakes were existential-level profound…more like something precious and vital to their core was under siege…the soul of the country…”
Basically the 45th President “has a disorder with no cure”. “If you are the psychopath, you need to have a protective concern for all that cross your path, but unfortunately the president is incapable of developing that concern. It is easy to be judgmental when the diagnostic signs of an illness are traits like constant lying, callousness, and remorselessness.”
“Do we have agency over our impulses and behavior, or are they determined by forces beyond our control (the venerable free will vs. determinism debate)? What is our moral duty as a society if we had the power to predict that, some among us, are destined to inflict serious harm on our fellow citizens? How do we balance the civil liberties of a potential perpetrator with the safety of the community?”
Dr. Greenwood answers these questions and more. He gives a brief history starting with the development of psychiatry as a medical specialty back in 1844. Reliability and validity were established by the American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders (DSM-I) first edition 1952, 1968’s DSM-II, 1980’s DSM-III (the differences between editions were the number of diagnoses as they increased).
Next came the checklist for certain personality disorders: The Hare Psychopathy Checklist—Revised (PCL-R) which measures the degree of psychopathy (1980 and revised 1991). There are 20 items for which the examiner is asked to provide a rating of 0, 1, or 2 and the psychopath scores at least 25 or more on the above list of traits.
“We don’t appreciate how many psychopaths, these dangerous predators [who score 30] are among us because some of the key traits (superficial charm, an ability to con others, lying) are designed to keep the condition hidden from others.” Dr. Greenwood also discusses the difference between psychopathy and Antisocial Personality Disorder (APD) which is a formal diagnosis in DSM-V.
He used examples we could relate to like the “Pre-Cogs” in the movie Minority Report (2002) with Tom Cruise in which crime was reduced to zero in Washington, D.C. because people were arrested before they committed the crime. The memories of the Pre-Cogs were hacked just as any communication today can be and Tom Cruise’s character was sought for a murder he had not thought of beforehand.
This history of psychopathy was eye-opening and so interesting that I had to read it all. Dr. Greenwood proves his point!
Written by Rosa L. Griffin