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Hervey M. Cleckley - The Mask of Sanity: An Attempt To Clarify Some Issues About the So Called Psychopathic Personality

There are many more psychopathic personalities living among us than the general public and professionals first supposed. The troublesome brother or sister - the boyfriend or girlfriend we love but are puzz,led by their inconsistant behavior; the teacher, physician or lawyer whose behavior makes us think we are crazy, are among the many. This book puts the victims ( usually family members or their loved ones) in a position of understanding how to deal with the individual who has no conscience and no emotional feelings. This book will aid in relieving families of the guilt and financial burden that so often follows the psychopathic personality. Cleckley was a brilliant clinical psychiatrist who narrates case studies that he himself worked with over the years, usually with a sharp wit that makes this book more than just the greatest study of psychopaths ever written - it is also hilariously funny. The antics of some of these individuals are truly incredible. He describes one patient in particular who was in the hospital, we'll call him Al, who was a master at getting attention. While he was in hospital being evaluated, he began to chew up bread, spit it out, and scuplture the masticated dough, quite skillfully I might add, which then dried up into a rock-hard piece of - well, chewed up bread. He did this frequently and bestowed his little figurines to nurses and other patients - what a charmer. Cleckley's description of this behavior was hilarious.

Reviews

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Everyone who works with people must read this book Several other good reviews explain what this book is about but I can add a personal note. Some years ago I was describing to an older lawyer a bizarre, frightening man who had filed suit against my clients. "They guy's obviously a psychopath," he said. "Haven't you read Cleckely?" He gave me a copy and after reading it I understood what I was dealing with. A judge had recommended it to him many years before when he had his own first encounter with a psychopath (nowadays a person suffering from "anti-social personality disorder"). Those who work with people in stressful circumstances -- doctors, lawyers, social workers, etc. -- owe it to themselves, and to their patients and clients, to know this book. Dr. Cleckley's Final Edition This 5th edition is an absolute masterpiece of a pychiatrist's life work that began when he first encountered the psychopath in a closed institutional hospital setting, which could not even begin to do anything for him. Attempting to understand, to have empathy for, and to treat this kind of person became Dr. Cleckley's lifetime work. His incredible insight into the psychopath is detailed with longitudinal case examples that are poetically descriptive. If Dr. Cleckley were alive today, he would be so proud to be reading the current scientific literature that substantiates his initial hunch that the psychopath has a biological impairment of emotional learning that cannot be fixed by any means yet available to humankind. The history and science of the psychopath begin with Dr. Hervey Cleckley's final edition.

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CONTENTS

SECTION ONE --- AN OUTLINE OF THE PROBLEM

1 Sanity-a protean concept, 3

2 Traditions that obscure our subject, 10

3 Not as single spies but in battalions, 17

4 Method of presentation, 20

SECTION TWO --- THE MATERIAL

PART I -- The disorder in full clinical manifestations

5 Max. 29

6 Roberta, 46

7 Arnold, 55

8 Tom, 64

9 George, 70

10 Pierre, 77

11 Frank, 93

12 Anna, 102

13 Jack, 121

14 Chester, 127

15 Walter, 136

16 Joe, 146

17 Milt, 159

18 Gregory, 167

19 Stanley, 174

PART II -- Incomplete manifestations or suggestions of the disorder

20 Degrees of disguise in essential pathology, 188

21 The psychopath as businessman, 193

22 The psychopath as man of the world, 196

23 The psychopath as gentleman, 199

24 The psychopath as scientist, 203

25 The psychopath as physician, 205

26 The psychopath as psychiatrist, 208

SECTION THREE --- CATALOGING THE MATERIAL

PART I -- Orientation

27 Conceptual confusions which cloud the subject, 225

28 Clarifying the approach, 237

PART II -- A comparison with other disorders

29 Purpose of this step, 244

30 The psychotic, 245

31 Deviations recognized as similar to the psychoses but regarded as incomplete or less severe reactions, 248

32 The psychoneurotic, 256

33 The mental defective, 259

34 The ordinary criminal, 261

35 Other character and behavior disorders, including delinquency, 267

36 A case showing circumscribed behavior disorder, 272

37 Specific homosexuality and other consistent sexual deviations, 286

38 The erratic man of genius, 293

39 The injudicious hedonist and some other drinkers, 306

40 The clinical alcoholic, 312

41 The malingerer, 316

42 Fictional characters of psychiatric interest, 316

43 The psychopath in history, 326

PART III -- A clinical profile

44 Synopsis and orientation, 337

45 Superficial charm and good "intelligence," 338

46 Absence of delusions and other signs of irrational thinking, 339

47 Absence of "nervousness" or psychoneurotic manifestations, 339

48 Unreliability, 340

49 Untruthfulness and insincerity, 341

50 Lack of remorse or shame, 343

51 Inadequately motivated antisocial behavior, 343

52 Poor judgment and failure to learn by experience, 345

53 Pathologic egocentricity and incapacity for love, 346

54 General poverty in major affective reactions, 348

55 Specific loss of insight, 350

56 Unresponsiveness in general interpersonal relations, 354

57 Fantastic and uninviting behavior with drink and sometimes without, 355

58 Suicide rarely carried out, 358

59 Sex life impersonal, trivial, and poorly integrated, 359

60 Failure to follow any life plan, 364

SECTION FOUR --- SOME QUESTIONS STILL WITHOUT ADEQUATE ANSWERS

PART I -- What is wrong with these patients?

61 A basic hypothesis, 367

62 The concept of masked personality disorder or defect, 376

63 Further consideration of the hypothesis, 388

64 Aspects of regression, 397

65 Surmise and evidence, 403

PART II -- What can be done?

66 Illness and misconduct, 416

67 Legal competency and criminal responsibility, 420

68 Treatment or control, 433

APPENDIX, 447

BIBLIOGRAPHY, 453

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