Free Confessions of a Sociopath by M.E. Thomas

total of 19 out of 24 on the PCL:SV. There are no sharp diagnostic cutoffs, but according to the manual, scores of 18 and higher “offer a strong indication of psychopathy.” I got a 12 for part 1 (personality) and a 7 for part 2 (antisocial behavior). Dr. Edens remarked: “Notably, 12 is the maximum score one can obtain on Part 1 of this rating scale and indicates the presence of pronounced affective and interpersonal characteristics typically evidenced by highly psychopathic individuals.”
    This linear grading system is in line with recent evidence that, in Robert Hare’s words, “psychopathy is dimensional (i.e., more or less), not categorical (i.e., either or).” Those with higher scores are more outwardly antisocial, but even those with lower scores “may present significant problems for those around them, just as those with blood pressure readings below an accepted threshold for hypertension may be at medical risk.” So Dr. Edens also had me take several other personality tests designed to look for sociopathic personalities. The most specific to sociopathy was probably the Psychopathic Personality Inventory–Revised (PPI-R), a self-report questionnaire developed to tap various personality characteristics historically thought to be indicative of psychopathic personality. This scale provides both a total score indicative of a global index ofpsychopathic traits as well as eight subscales that assess more specific traits. Dr. Edens reported: “Perhaps more notably, Ms. Thomas’s results were beyond the 99th percentile for any sub-sample within the PPI-R’s normative database, regardless of age or gender. Needless to say, these findings are highly consistent with a psychopathic personality structure.”
    Other tests included the revised NEO Personality Inventory, also a self-report questionnaire, for which Dr. Edens noted that my profile mirrored that of “the prototypical psychopathic personality among females.” Finally, I took the Personality Assessment Inventory, for which I scored very high for traits like egocentrism and sensation-seeking characteristics, interpersonal dominance, verbal aggression, and excessive self-esteem, as well as very low scores on measures tapping negative affective experiences (e.g., phobias, traumatic stressors, depressive symptoms), interpersonal nurturance, and stressful life events.
    I liked Dr. Edens. He seemed like a reasonable person—a genuinely caring person. At one point during our interview I thought that he might cry, he seemed so distressed on my behalf. I don’t remember what we were discussing, perhaps some story about my father beating me. I think if anything he was worried for me—worried about what a diagnosis like “sociopath” would mean for me in my life. Of course it’s hard for me to worry about things like that. If I can’t manage to care about my own health and safety, I’m not likely to care about the potential fallout in my professional and personal life from being officially diagnosed a sociopath. He must have realized that too. Maybe that’s why he seemed troubled.
    We talked about how none of the tests are designed for someone like me, who seeks the diagnosis of her own free will and choice. Criminals have an incentive in an institutionalsetting to lie and distort their self-assessments, particularly in situations like a parole hearing. The diagnostic tests were designed to be administered with a healthy dose of skepticism. But what to do with an individual who seems to have an incentive to be diagnosed a sociopath? Several times he noted how I could possibly be tricking him by lying to him to make myself seem more sociopathic than I was, but he had to admit that lying for the purpose of self-aggrandizement was also consistent with sociopathy. Still, I wasn’t really tempted to lie. It would have seemed silly to lie. I was genuinely looking for answers and insight—as much as you can get from a three-hour appointment with a