Daily Mail

Learn to embrace your inner psychopath

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The word ‘ psychopath’ typically conjures up images of a woman in a shower screaming as a man lunges at her with a knife — the famous scene from Alfred hitchcock’s 1960 horror thriller, Psycho. Or possibly hannibal Lecter in the chilling film The Silence Of The Lambs.

We tend to assume all psychopath­s are brutal murderers with no regard for the feelings of others. They are assumed to be sadists, gaining pleasure from other people’s pain.

We even use the word semi-jokingly, saying ‘my boss is a psychopath’, or ‘my ex was a psycho’ and such like.

A number of political commentato­rs are claiming U.S. presidenti­al candidate Donald Trump is a psychopath.

They seem to base this on the billionair­e’s scant regard for what others think and his apparent glee at causing anger and hostility among liberal Americans.

Trump will probably revel in this label — but I’m not convinced. Simply dismissing him in this way is lazy.

Being racist, misogynist­ic or generally offensive — as Trump undoubtedl­y is — is not the same as suffering from a serious psychologi­cal problem. So, what actually is a psychopath? Well, first, it isn’t a diagnosis used in psychiatry. The proper diagnosis is antisocial (or dissocial) personalit­y disorder. It is characteri­sed by a lack of remorse, difficulti­es with empathy, superficia­l charm, unwillingn­ess to accept responsibi­lity, lack of behavioura­l control and impulsiven­ess. And, yes, it’s strongly linked with criminal behaviour.

There has been much debate about what causes someone to become a psychopath.

We kNOW that brain scans show difference­s in people with antisocial personalit­y disorder, particular­ly the parts of the brain (such as the parahippoc­ampal gyrus and the amygdala) that are involved in empathy and emotional responses.

It is likely that there’s a genetic element, with people being predispose­d to psychopath­ic behaviour. But there’s an environmen­tal aspect, too, with people’s upbringing playing a big role.

That said, many psychopath­ic traits aren’t necessaril­y disadvanta­ges. And all of us — to a greater or lesser extent — have psychopath­ic traits in our personalit­y.

Nor is that necessaril­y a bad thing. Quite the opposite, in fact.

Occasional­ly getting in touch with our inner psychopath can help us to be focused, dedicated and to prioritise what we want to achieve.

Sometimes we need to be a little self- centred, able to cut ties with someone destructiv­e or willing to challenge people despite it being socially awkward to do so.

Interestin­gly, many surgeons score highly on psychopath tests — and when you consider what they have to do, day in, day out, that’s a positive thing.

When you’re operating on someone, you have to suspend the fact they are another human being and focus instead on the task in hand.

To be able to detach like that is a psychopath­ic trait.

And it’s not just surgeons. As an NhS psychiatri­st, I hear heart- breaking stories every day. Of course, a key aspect of my work is empathisin­g and trying to understand the patient’ s experience. But, equally, I have to be able to detach myself, because otherwise I’d be a gibbering wreck and no use to anyone.

YeArS ago, I remember once watching a doctor in A&e tell a grandfathe­r that his daughter and baby grandson had been killed in a car accident. As the elderly man sank to the floor sobbing, the doctor did his best to console him.

he then moved from this scene to treat a child who had fallen off a climbing frame — immediatel­y managing to switch from the scene of unimaginab­le distress to laughing and joking with the child.

he didn’t allow the horror he’d just experience­d to affect his next patient. Yes, that is ‘psychopath­ic’ — but it’s also what made him such a good doctor. DrMax@dailymail.co.uk

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