Does a sociopath need to go to a mental institution?

Answer 1

Well, if they have been a danger to themselves or the ones around them. Yes, that would be a good idea. If they can be managed with medication and monitored daily then that would be o.k. but that's a lot to ask. Maybe they have an institution that they can get monitored by. Good luck.

Due to extreme financial burdens, inpatient unitstypically do not keep patients long, and actual therapy is notperformed while a person is in an inpatient unit anymore. It's only amatter of getting the patient under control enough to be released andcontinue outpatient therapy.

Only private inpatient units differ on this -- and they can charge as much as $100,000 for a month's intensive treatment!

In any case, sociopaths are the way they are because, from birth onward, the brain of a sociopath stores learning information in a random, chaotic way instead of in the usual designated places in the cerebral cortex. Part of this involves lack of crucial neurotransmitters, but as of yet no one knows whether this lack is caused BY the brain abnormality or is the cause OF it. It's probably the former.

Since their information -- including emotional information -- is scattered all over both brain hemispheres, it takes too long for the brain to retrieve and process information, and the entire process of socialization becomes so ponderous that ultimately it fails. (See the book "Without Conscience" by Robert Hare, PhD.)

Since the entire cerebral cortex of a sociopath is almost never at a normal level of alertness (their waking brain waves resemble the waves of a normal person in a light sleep, alpha waves), this may be the crucial deficiency that cripples the developing child's ability to develop many aspects of the human mind. As the child grows, some of the basic mental and emotional skills the rest of the world takes so for granted never develop, and crucial among these is the thing called conscience. That one never develops at all.

Some people may envy the apparent calm of a sociopath, but their existence is misery. They cannot connect with other human beings, and as babies they are so uncomfortable being held that they fight to wriggle free of all but the most basic necessary contact. Their heartbroken parents often blame themselves or the child, never knowing that what is really wrong with the child is in his or her brain.

Under the almost somnolent calm sociopaths project is a constant sense of restlessness and unfulfillment that is nothing other than the basic need all people have to receive stimulation and support from others. But a sociopath has no way of receiving this even if it's offered. The endless frustration of this, and a discomfort that they are utterly incapable of articulating or even really understanding, is the source of much of their chronic anger and aggression.

Plus, since they grow up in constant conflict with authority, they are most often bitterly angry and sometimes violent adults, brittle and combatative under a thin veneer of charm. Offered friendship, they appear to respond, but quickly discover that they can get nothing from it; they see the obvious pleasure of other people in such contact with each other, and they often seek to "even it up" by stealing what they can -- material goods, or even human lives. They are constantly told how "bad" they are, and by adulthood, most of them believe it. And behave accordingly.

Sociopaths rarely feel true happiness. If they do, it is usually in the condition that some kind of intervention -- such as one of the small number of medications made for other conditions that may also help somewhat with theirs -- has taken place, and it will be fleeting. For all their frantic racing around, they are really very dead inside, and this is tragic beyond description. Imagine spending your entire life trying to get your brain to wake up! And failing. Thousands of times.

There are stories of people diagnosed as sociopaths who did improve to some degree, with the most ceaseless and diligent help. But since the vast majority of this huge body of people (there are more than three hundred million sociopaths on Earth) cannot get that kind of attention, they turn to abusing those they envy, and often to crime. It is certainly vengeance: "If I can't have any of this, why should you?" This is the real reason sociopaths lash out at strong and kind people. No matter what they say, they know that inside, they are always empty and damaged beyond repair.

Only in neuroscience is there hope for these incomplete people. The key lies in awakening the brain, which is risky because sociopaths are much more prone to seizures than the rest of the population, and that -- an uncontrolled blast of electrical discharge spreading through the brain and causing violent convulsions -- is likely to be the first response from brain pathways that, after years or even decades of silence, are suddenly flooded with impulses. But if the devices of neurosurgeons can be tweaked to avoid this shock, and all else related to this idea is workable, it's feasible that small electronic devices planted in the brain (these already exist, but are not yet being used for mental illness) could open up a closed connection.

That leaves us with the problem of whether a lifetime of scattered information can ever be set into order. Probably the best that could be hoped for would be a kind of retraining -- like what is now done with stroke survivors and head injury patients -- that would be both intensive and compensatory.

One of the things that would be necessary would be to try to socialize the person whose congenital birth defect made such a thing completely impossible before. Whatever intervention is used, be it drugs or computer chips or what have you, it would probably -- I'd say certainly -- be excruciating for the patient at first. With no knowledge of how to cope with the emotions the rest of the world has been dealing with all their lives, the recovering sociopath would be rendered as vulnerable as a baby. Which makes sense, because some of the most basic aspects of the human mind would be developing from the primordial stasis in which they had remained since birth!

A person thus treated would never be fully normal, but the human brain is amazing in the way it adapts and continues to develop all through life. And given the utterly joyless and meaningless existence a sociopath leads, any improvement is better than none.

The matter of missing neurotransmitters in a sociopath is, of course, another problem. Would "waking up" the cerebral cortex eventually stimulate production of these? Or would they have to be synthesized? Only time will tell.

Just as science understands that epilepsy is not demonic possession, that people with dissociative conditions are not harboring ghosts or devils in their bodies, and that depression is not a "deadly sin," it would and will be able to prove that sociopathy happens for a reason and that it can be dealt with. Sociopaths do very bad things. But branding them all "pure evil" isn't going to help anyone. It's just more hate.

I have commented elsewhere that the human brain is the greatest new frontier in many ways. (Although I certainly have no lack of interest in space.) Sociopaths, along with other "hopeless cases" like people with Alzheimer's disease, Down's syndrome, Asperger's, ADD, ADHD, autism, and the schizophrenias, along with more common disorders such as depression and addiction, and so on, are a mystery, but scientists have a way of hammering away at mysteries until they unravel them, and, be assured, they are well on their way to the core of this one.

NEW INFORMATION:

See a Neurologist too.

It is now known that it can be diagnosed in childhood, since the underlying brain dysfunction is present at birth.

It was up until very recently believed that children cannot be diagnosed as psychopaths; the newest research, recently published, says that it starts in the womb. The condition is inborn and, so far, incurable. But neuroscience will almost certainly be able to develop some way of compensating for and even partially correcting this terrible condition with the use of computer chips and other artificial implants in the brain, and as well a certain type of specialized inpatient therapy geared to awakening as much as is possible in the person as soon as the condition is diagnosed.

One of the problems with anything wrong with one's central nervous system is that if it's severe and pervasive enough, it can interfere with the autonomic and peripheral nervous systems as well. In psychopaths, such maladies as what was once called neurasthenia (a state of unnatural sedation) or epilepsy (seizure disorders) are far more frequent than in the general population. Many people who are not psychopaths have some of the more than 100 forms of peripheral neuropathy, but some of these may be more common in psychopaths.

The autonomic nervous system, which prepares the body for emergencies (fight-or-flight) is erratic and inefficient in a psychopath, which can, in some situations, lead to fatal accidents; human beings have adrenaline for a reason, and the sympathetic nervous system of a true psychopath is sluggish and cannot sustain arousal for long. (In Borderline Personality Disorder, the problem is the opposite: the sympathetic nervous system responds too easily, too strongly, and way too often!)

Aside from this is the fact that a true psychopath has an extremely peculiar brainwave pattern: while awake, their brain waves most resemble a hybrid of normal waking brain waves and alpha-level sleep waves. And they often tend to sleep deeply.

Emotionally, they are cold, detached, distant, and yet deeply resentful of normal people. They know they're missing something, and often spend most of their typically short, tragic lives avenging themselves on others for what they cannot ever enjoy. So they are not truly emotionless, but they do not love, do not know true joy, and are hostile and destructive.

This ISN'T the work of the Devil; it's Nature gone horribly awry. ANYTHING THAT CAN DAMAGE THE DEVELOPING NERVOUS-SYSTEM IN A FETUS OR VERY YOUNG CHILD CAN CAUSE OR SEVERELY EXACERBATE THIS CONDITION.

THAT INCLUDES STREET DRUGS, ALCOHOL, and even SMOKING!!!

It also includes some medications; check with your obstetrician before taking anything at all during your pregnancy!

During delivery, using a forceps to grasp the baby's head should be avoided if at all possible. Any touching of the area over the FONTANEL (soft spot on top of the baby's head) must be done with caution until the fontanel has closed.

Any head injury that causes dizziness -- even without loss of consciousness -- should be treated as a medical emergency.

And another thing: NEVER SHAKE YOUR BABY!!! NO MATTER WHAT!

ALSO:

By the way, due to extreme financial burdens, inpatient unitstypically do not keep patients long, and actual therapy is notperformed while a person is in an inpatient unit anymore. It's only amatter of getting the patient under control enough to be released andcontinue outpatient therapy.

Only private inpatient units differ on this -- and they can charge as much as $100,000 for a month's intensive treatment!

ALSO:

I was diagnosed a a primary psychopath in 1992, by a clinical psychologist.

And, I was committed this Spring for five days and it was horrible.

Iended up with food poisoning and throwing up, and a nasty nurse accusedme of lying about it because of my diagnosis! Also because she probablyfeared I'd launch a lawsuit or something, which I don't do.

I wasattacked by another patient who tried to beat me with her Bible.

On topof it all, the signs of near-bankruptcy common to so many hospitals ofall kinds were rampant; and the place was crowded as a New Yorksubway!! I am NOT going back there again!!

Yes, I have currently suspended most of my social lifeuntil I am in a betterposition to handle it, but I have agreed upon some carefully-chosenvenues such as this one as means of making contact with the world.

Although I am also physically disabled, I am still ambulatoryand enjoy walking and being outdoors as much as possible -- that is,when I'm not on the Internet! All of this is far better than being "put away"!

If the new, more open attitude in the free world today aboutmental and physical disability and illness does not backpedal intosomething more repressive, I think a time will soon come when many ofthese seemingly insurmountable problems that people have will be farless isolating and debilitating.

Lately, I have been surprised to see people here on WikiAnswers responding positivelytoward me. I'm always surprised when people seem to like me. I can beone scary lady!

So, I mention this now: most people have a colorful Aura.

But, me? What I have is an EVENT HORIZON!

A singularity, you see, is the core center of a Black Hole in space.

A near-perfect metaphor for the psychopath.