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Index
Preface to the Fifth Edition Preface to the First Edition An Outline of the Problem
Sanity — A Protean Concept
Material to Distinguish from Our Subject Traditions That Obscure Our Subject Not as Single Spies but in Battalions Method of Presentation
The Material
The Disorder in Full Clinical Manifestation
Max Roberta Arnold Tom George Pierre Frank Anna Jack Chester Walter Joe Milt Gregory Stanley
Incomplete Manifestations or Suggestions of the Disorder
Degrees of Disguise in Essential Pathology The Psychopath as Businessman The Psychopath as Man of the World The Psychopath as Gentleman The Psychopath as Scientist The Psychopath as Physician The Psychopath as Psychiatrist
Cataloging the Material
Orientation
Conceptual Confusions Which Cloud the Subject Clarifying the Approach
A Comparison with Other Disorders
Purpose of This Step The Psychotic Deviations Recognized as Similar to the Psychoses but Regarded as Incomplete or Less Severe Reactions The Psychoneurotic The Mental Defective The Ordinary Criminal Other Character and Behavior Disorders, Including Delinquency A Case Showing Circumscribed Behavior Disorder Specific Homosexuality and Other Consistent Sexual Deviations The Erratic Man of Genius The Injudicious Hedonist and Some Other Drinkers The Clinical Alcoholic The Malingerer Fictional Characters of Psychiatric Interest The Psychopath in History
A Clinical Profile
Synopsis and Orientation Superficial Charm and Good “Intelligence” Absence of Delusions and Other Signs of Irrational Thinking Absence of “Nervousness” or Psychoneurotic Manifestations Unreliability Untruthfulness and Insincerity Lack of Remorse or Shame Inadequately Motivated Antisocial Behavior Poor Judgement and Failure to Learn by Experience Pathologic Egocentricity and Incapacity for Love General Poverty in Major Affective Reactions Specific Loss of Insight Unresponsiveness in General Interpersonal Relations Fantastic and Uninviting Behavior with Drink and Sometimes Without Suicide Rarely Carried Out Sex Life Impersonal, Trivial, and Poorly Integrated Failure to Follow Any Life Plan
Some Questions Still Without Adequate Answers
What Is Wrong with These Patients?
A Basic Hypothesis The Concept of Masked Personality Disorder or Defect Further Consideration of the Hypothesis Aspects of Regression Surmise and Evidence
What Can Be Done?
Illness and Misconduct Legal Competency and Criminal Responsibility Treatment or Control
Appendix Bibliography
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