Psychopathic Personality and Social Responsibility

Since there is little general agreement either on the nature of psychopathic personalities or on how to deal with the problems within organized society which their behaviour creates, we are justified in any attempt to present these problems in a new light and to examine the impact of recent work upon them. There is, moreover, an urgent need to clarify our own ideas on the subject in the hope that we can present them in practical form to those social agencies who so frequently meet with the psychopath as a perplexing hindrance to the smooth working of the State's affairs, whether in the schools, the courts, in industry, in the services or in any part of our national life in which planned co-operation is desirable. The psychopathic misfit for whom the increasing complexity of society has allowed no place, and for whom as yet science has found no certain remedy, often manifests his disability at least as much in a disorder of citizenship as in one of personal adjustment, and in no field of our work are we so constantly reminded that it is impossible to consider the patient in isolation from the milieu in which he must live. While the brain is a part, and the controlling, communicating part of the somatic mechanism, the concept of the mind of an individual is not so confined. In that the individual is a member of a group, part of his mental life belongs to that group and plays a part in forming its characteristics. In favourable circumstances this contribution is repaid by the guidance and support which membership of a group can provide. When an individual is so constituted that he is without the inward mechanisms necessary for the efficient working of this process of interchange, the result may be unhappiness for him or loss of harmony in the group. Thus, although it is to medical science that the appeal for an explanation or a remedy is most often made, the psychopathic personality is a responsibility which we must always share with the social sciences. Since the defect of personality is usually a constitutional one, the problems it creates are as likely to be solved by manipulation of the environment of the psychopath than by any effort to change his spots. This is not to say that the leopard in our kraal is not to be rendered more tame, or that he cannot be afforded the help of psychotherapeutic cosmetics, so long as the therapist in his preoccupation with the spots does not forget the savage heart that lies beneath them.