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Sociopathy

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Edited by Martin Cadwell, Wednesday 1 October 2025 at 16:05

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silhouette of a female face in profile  four highly stylised people facing each other. One is red.  Mental Health

[ 4 minute read ]

As we move towards The World Mental Health Day on the 10th October this year, I thought I might offer snippets on what shape mental ill health may take.

Sociopathy

'Sociopathy is a form of ASPD, characterized by a lack of empathy, disregard for others and persistent breaking of rules' - https://health.clevelandclinic.org/sociopath-personality-disorder

APSD is Anti-Social Personality Disorder. The most obvious symptom is 'having a consistent disregard for the rules and rights of others' (Cleveland Health Clinic). These people are not evil or mad or dangerous by default. I have a neighbour who has APSD. He rides his motorbike sensibly in built-up areas. Being young, he exhibits behaviour consistent with being young (such as he lacks experience in some things; he is trying new things; he is trying to find out where he fits in),  so being able to recognise that he has a mental illness is beyond almost everyone who is not a mental health clinician. My GP refers people who profess to having mental illness to a mental health team. She is not confident that she can diagnose someone as evil because they get in trouble with the law a lot. 

The Cleveland Health Clinic website goes on to say '“Sociopath” is an outdated, harmful term once used to describe someone who’s been diagnosed with antisocial personality disorder (ASPD).'

They go on: '...nearly all signs of this condition involve significant, consistent and persistent disregard for other people.'

  • Strong disregard for social norms, laws or rules at home, at work, in school and other public places
  • Violating the rights of others
  • Minimizing others’ feelings and how they affect other people
  • Chronic manipulation, gaslighting, denial and deceit
  • Difficulty forming healthy relationships
  • Callousness and lack of remorse
  • Acting impulsively without concern for consequences
  • Attempting to gain power and control through aggression
  • A tendency toward petty crime, physical violence or fighting
  • Substance misuse

Like I said, a teenager who falls in with the wrong crowd.

Realistically though, the key thing to be aware of is, their behaviour must be 'significant, consistent and persistent'. Thankfully, even though I question reality, I do it from a position of trying to get a better understanding of reality. I also have a difficulty in forming healthy relationships. PTSD will make sure that the sufferer trusts no-one not to hurt them or to suddenly physically fall apart in instances of combat. 

A distinction can be made between PTSD as a result of domestic violence by a spouse, partner, sibling or parent, wherein the sufferer draws away from what may well be future beneficial relationships for them; and someone who due to having consistent disregard for others, acts impulsively, and is callous and remorseless, may have ASPD (Anti Social Personality Disorder). I think that someone with PTSD is the victim of someone who attempts to gain control and power through aggression, and is not the instigator of it. Indeed, there are many people who attempt to gain control with passive-aggression, as in 'I am right; You should think like me or you are wrong.' My brother would publicly ridicule my naivety to make a comparison to his three years more experience. Essentially, he got the support of a group to shore up his claims of superiority.

Let's face it; if you only have conversations within your own social group of people who only believe in the one and same thing, it is pretty easy to think everyone else is wrong. Thankfully, I only ever say what I think and never back it up with what someone else thinks. I don't overwhelm with numbers. 

When my neighbour with ASPD punched me in the face because I told him he nearly knocked me over on his moped, he didn't care. He acted impulsively and lashed out without thinking of the consequences. He was attempting to gain control using aggression. Another neighbour came along and told me that nobody likes me. I had only been living in my road for six weeks. What she was trying to do was gaslight me with passive-aggression, by trying to persuade me that because the majority have a singular opinion, then my perception of reality must be wrong. She showed a symptom of Anti-Social Personality Disorder. But, she doesn't consistently do this, or even persistently.

So, if I hear that someone has Anti-Social Personality Disorder I am first going to try to imagine what this person's goal is, and how do they shape their behaviour to get it. I am not going to think they are monsters of deception. The likelihood, if we apply only what we are told about people with ASPD is that anyone I meet with ASPD can't act in a consistent way to ever reach a goal anyway. That is plainly not true. While their behaviour and inclination to disrupt may inhibit their own progress we have to allow that every one of us exhibits something in the list above in greater and lesser degrees at different times of our lives, including before our first cup of coffee in the morning; after a divorce; or when we are stressed like immediately before an exam.

I suggest, that we be aware that pretty much all mental illness has crossovers in behaviour and attitude.

I invariably find that it is the person pointing the finger at someone else that is the most interesting person in the room. I find that they are trying to distract people from focusing on themselves. But Why? 

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