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Psychopath

THE MASK OF SANITY

Section 2: The Material

Part 1: The disorder in full clinical manifestations

14. Chester

 

 

Energy Enhancement          Enlightened Texts         Psychopath           The Mask Of Sanity

 

 

14. Chester

In his first admission to the closed ward of a psychiatric hospital, Chester W., 24

years of age, was friendly and alert. His freedom from anything that would suggest an

ordinary psychosis was immediately noticeable. He explained to the examiner that he

did not suffer from any nervous or mental disorder and emphasized the statement that

no question of such a condition had ever come up in his case. He said that he came to

the hospital for further examination of a serious injury to his ankle which he sustained

while in the army and for which he hoped to get a pension.

When told frankly that, according to accompanying reports, he had been

admitted because of persistent antisocial and irresponsible behavior, spectacular

alcoholic episodes, and extreme maladjustment, he affected considerable surprise and

insisted that some mistake had been made. In fact, his surprise seemed real.

128 THE MASK OF SANITY

It was pointed out to him that unquestionable evidence from his parents,

relatives, and friends, as well as from a social service report, established the fact that he

had been stealing, defrauding others, and making a boisterous nuisance of himself when

drunk since he was 16 years of age.

It was brought to his attention that he had been expelled from a military school

for gross and inveterate misconduct, had been confined in jail a dozen times recently for

similar reasons, and had been supported and protected by his father, who spent a good

part of his time getting this son out of the troubles which he made for himself and

others almost daily. The patient appeared as if very much astonished at such reports,

denied everything, and, in a convincing fashion, dismissed the question of all personal

difficulties and maladjustment as little short of preposterous.

After careful observation in the hospital for a month, no evidence of delusions,

hallucinations, or any other sign of what is regarded as a psychosis could be discovered.

Chester was presented before a medical staff of ten psychiatrists who unanimously

considered him sane and competent and made the diagnosis of psychopathic

personality. He was kept in the hospital on pretexts and out of common sense because

of his long history of extreme maladjustment.

He was at all times alert and usually cooperative, reacted with a very natural

dislike to being on a closed ward, and continually asked for a discharge, insisting that he

was entirely sane and improperly hospitalized.

On being granted parole of the grounds, he promptly left without permission and

went home. At the insistence of his father he was granted a furlough status. Within a

few days he had insolently suggested sexual intercourse to a respectable matron,

committed several inconsequential thefts, and sold for $1.25 a good rug taken from his

parents' home. After having a few drinks, he is reported to have cursed and further

expressed his contempt by spitting on the foot of a great uncle who encountered him

on the street and politely engaged him in conversation. Later that afternoon he talked

eloquently to a half-dozen or so bystanders in the park about patriotism, honor, God,

and the true meaning of morality.

Meanwhile, he had cashed several small checks on a nonexistent bank account

and, posing as the emissary of a respected cousin (whose husband was cashier in a local

bank), obtained $15.00 which he convinced an old friend of the family was needed to

settle a small obligation that had arisen after banking hours.

When drinking, he usually became rowdy. He made no effort whatsoever to find

employment and roamed about the town or countryside, often sleeping in the woods

and fields. His father and brothers had no choice but to seek him out in the byways and

hedges and bring him in, often laboring

THE MATERIAL 129

strenuously at this task far into the night. He was often found dirty, disheveled, and

alone. Toward his family he was sullen and carping, his reactions those of petty

irritation. He complained constantly that his father meddled with him and at times

ascribed all his troubles to this interference. Finding it impossible to supervise such a

person, even with the frequent assistance of local police, who obligingly locked him up

in jail for a day or two during his worst episodes, the father soon sent him back to the

hospital.

On arrival he was manifestly vexed and seemed at a loss to understand his

situation. "I can't see why they don't let me alone. I don't bother anybody. Why can't I

go about my business like any other man?" These and similar remarks he repeated many

times in tones showing well the dissatisfaction that any normal man would feel on

being, without cause or reason, deprived of his liberty.

Before returning to the hospital, Chester had complained bitterly to his father,

stating that he would kill himself rather than come. The father recognized this threat of

suicide as insincere but typical of the somewhat dramatic airs often assumed by the

patient. Except for past experience with such threats, it would have been natural to

think desperation would be consistent with his intensely strong distaste for restraint of

any sort.

He was kept now on a closed ward, from which he repeatedly schemed to escape,

once stealing keys from an attendant and several times fomenting plots among other

patients. After two weeks he succeeded in his efforts and soon appeared at home (fifty

miles from the hospital) in a magnificent state of boisterous intoxication. He continued

at home in complete idleness except for some enterprising petty thefts, long speeches

about the need of increased virtue in women (delivered in local poolrooms), several

brawls arising from his being caught cheating at dice games, some bold-faced begging,

and numerous maneuvers to obtain money illegally, including forgery.

Despite peaceful intervals of a week or more, he continued to demonstrate an

irresponsibility so utter that one is taxed to describe it. After several additional

experiences in jail he was brought back to the hospital by his father, who confessed

himself at his wit's end.

During psychiatric examinations the patient again denied that he had caused any

trouble or done anything which would justify his being brought to the hospital. He

admitted having taken a few drinks and tried to conclude some wise business deals but

still insisted that he never drank much or ever behaved irresponsibly or in such a way as

to cause trouble.

He glibly dismissed all the massive accumulation of detail concerning his lack of

responsibility, his failure to show normal interests in life, his indifference to the serious

trouble he gave relatives and friends, and the purposeless folly that had consumed all his

efforts for years. The adroitness

130 THE MASK OF SANITY

with which he denied everything and the brisk, facile manner in which he excused

himself and glossed over his record made it clear that his mind was free of any

seriousness whatsoever in regard to his past and of any real intention to behave more

sensibly in the future. One thing only in this man impressed his examiners as having

some emotional weight. This was his vivid chagrin at being confined and his persistent,

restless longing to be free.

Many attempts were made to make him realize that he could stay out of the

hospital only by avoiding inappropriate conduct and acts plainly damaging or

embarrassing to others and by conducting himself so as not to be an unbearable burden

on his family and on the community. He admitted that he did not really enjoy or have

any particular reason for doing as he did, and reports substantiate this, representing him

as a sullen, glum fellow in bars and poolrooms, a man without convivial gaiety or other

signs of stimulation, apparently more unhappy in his efforts to celebrate than in his

usual state.

I am convinced that this man obtains no delight at all from whiskey, that

whatever may be his purpose in drinking, it does not result in the attainment of

pleasure. Every effort was futile to make him see what was so obvious, that he had

brought his troubles on himself, and that only by staying sober could he retain his

freedom. He absolutely refused to face any fact and slipped nimbly from reality to the

world of his evasions.

A few weeks later, because of a death in his family, he was allowed to go home in

custody of his father. He immediately got out of the house and slipped off to a nearby

town, where he drank himself into a state of maudlin intoxication, made a nuisance of

himself in several public houses, engaged in minor street brawls, and wandered cursing

and muttering aimlessly through the streets until found by his relatives.

At the funeral the next day, having skillfully obtained more whiskey, Chester

appeared at first poised and sober. Signs of drunkenness, however, soon appeared, and

the patient proceeded to make a shocking and memorable impression. Vomiting and

defecating while in the aisle of the church contributed to this effect. As an elder brother

was attempting to expedite his departure with minimum conspicuousness, these

momentary and incomplete reactions took place.

The father sent him back to the hospital as soon as arrangements could be made.

Although the patient could not have been unaware that his father had informed the

hospital of his conduct and explained the circumstances under which he returned, he

said with the greatest assurance on arriving that he had voluntarily come back before

expiration of his furlough, merely for the day and in order to have the furlough

extended. He insisted that his conduct at home had been above reproach and

demanded parole privileges

THE MATERIAL 131

until arrangements were made for him to leave the hospital. At this time he was entirely

free from all effects of alcohol.

This man is the son of a rather prosperous farmer and merchant. His home is in

a Southern town of four thousand inhabitants. His father, though not highly educated,

is a successful, sensible man and genuinely respected in the community. Of his three

siblings, a sister is married and in good circumstances, one brother is a physician, and

the other is a lawyer. All are successful and seem well adapted to their environment.

The patient was raised in the same environment with his sister and brothers, but

from early youth, unlike the other children, he showed some signs of his present

inadaptability. He learned rather easily in school and successfully completed his studies

each year until he reached the sixth grade. His truancy then became so pronounced that

he could not be kept in school any longer. On being sent to a strict military school, he

proved intractable and was expelled after a few weeks. Though remarkably lazy and

unpersevering, he showed at this time what appeared to be a slight interest and an

astonishing talent in tinkering with radios. His parents, who throughout his whole life

have shown exceptional patience and gone to no little expense and trouble with him,

sent him to New York to study radio work. He was very eager to go and urged this plan

on the family. His older brother, the physician, was a house officer in a New York

hospital at the time and agreed to keep in touch with him and try to exercise any

necessary supervision.

From the very beginning it became apparent that the venture was useless.

Chester could not be induced to attend classes. He showed no interest whatsoever in

his work or in anything else, lying about his room much of the time and going out alone

on adventures without much purpose or content on missions to borrow a dollar

through solemn-faced fraud or, by cheating or some sort of chicanery, to pick up a little

extra change or to beat the game by getting a free ride on the bus or the subway and,

perhaps, to climax the day by slipping out of a restaurant without paying for his meal.

His brother, after earnest and persistent efforts to persuade him to take advantage of his

opportunities, had to give up and send him home.

Many other efforts have been made to help this young man find some place in

normal life. Various positions have been found for him, but he always refuses to

maintain the slightest interest in any work.

The ordinary pleasures of mankind seem to have as little charm for him as work.

Though he has had sexual relations with prostitutes and other available girls, he never

formed a real attachment for any. Even casual physical encounters with women claim

his interest far less than sporadic bouts of solitary drunken torpor in remote cotton

fields or aimless hours spent

132 THE MASK OF SANITY

idling about uninspiring hamburger stands and poolrooms. When at 22 years of age he

ran off to enlist in the army, his father did not try to interfere, hoping the discipline of

that life would stabilize him.

Since the incidents just mentioned, he has on several other occasions obtained

parole and violated it promptly by carrying out various antisocial acts which seemed to

have no definite purpose, no conceivable explanation in terms of human impulse. He

has also succeeded again in escaping from closed wards. On getting out, he always

repeats his former conduct. Sometimes he has remained cooperative for a month or

more, abiding by the rules of his ward, helping attendants with their work, assisting and

directing frankly psychotic patients. During such periods he would talk frequently with

his physician, discussing his plans for the future, maintaining that he fully realized

drinking or stealing or not taking life seriously enough was his trouble and declaring that

he would never act so unwisely again.

He appeared to be a sane, quick-witted young man with good judgment and

reasonably earnest intentions. So convincing was the impression he made that time

after time the various physicians who had charge of his case would decide that parole

was advisable despite his history. Within a few hours or sometimes a few days, he

would appear at his home in a wretched state, land in jail because of unacceptable

behavior, take an automobile and get caught, or, lacking opportunity for something

more active to do, get himself too drunk to leave town and fall into the hands of the

local police.

On one occasion, several days after being returned by his family from such an

escapade, Chester came to me smiling and at ease. He spoke briefly of his plans for the

future and insisted on having parole at once. In support of this request he sought to

make the point that he had proved himself trustworthy and reliable under all

circumstances. Looking me squarely in the face, he asserted with modest firmness,

"You know that I'm a man of my word." He repeated this statement several times and

spoke most intelligently and convincingly in his own behalf. When asked how he

pretended to be a man of his word after breaking it so many times, so flagrantly, and so

recently, he showed no sign of being confounded.

His memory was of course clear, and he accurately recognized all the

circumstances under which he had given his word not to leave the hospital, not to steal

or to forge or to drink whiskey, as well as his invariably and prompt violations of every

promise. He seemed to seek in the phrase a man of his word, which he uttered in tones

of quite pride and assurance, some magical charm which would irrationally persuade me

to trust him. Indeed, he himself appeared to be well convinced by his statement. On

seeing this man for the first time, one would have read into him a fair degree of sinTHE

MATERIAL 133

cerity and conviction. To me he seemed rather to be activated by a mimicry of these

things, an insubstantial shadow of emotion which the patient, knowing nothing else,

confused in his own mind with what he assumed other people felt when they used such

a tone. Having never in his whole life, so far as I could find in examining him, looked a

fact of this sort in the face, he was untroubled by even the hardest, sharpest contrast

between fact and falsehood and stood free to indulge, with a kind of automatic

imitation-sincerity, in any fantasy he chose.

During his repeated hospitalizations, his case was reviewed many times. No

evidence of a psychosis in the commonly accepted sense of the word was found in his

past record or in his current behavior or thought. At each presentation before the

medical staff, every member has agreed that he is "sane and competent" and that he

should be classified under the term psychopathic personality. He is bright rather than

dull, and his reasoning powers on all general matters and on test questions are average

or better than average.

Here, then, is a man whose measurable intelligence is not at fault, whose extrinsic

situation is normal, and who is entirely free from the delusions and other mental

disorders of the recognized psychoses. His environment is favorable and his

opportunities, past and present, insofar as they can be estimated, appear better than the

average. He is not visibly indifferent or emotionally isolated in the ordinary sense of

those words, but, in sharp contrast to the schizophrenic or the deteriorated patient with

organic brain disease, he reacts with a very natural antipathy to his situation when

confined. Several of the psychiatrists who observed him have expressed the belief that

he detests being in the hospital more than any man they ever saw there.

Why, then, does he always take these active steps to get himself back in

confinement just as soon as he gets away? It has been clearly demonstrated to him that

he will have to spend most of his life in confinement as long as he persists in his present

ways. The opinion held by some physicians is that such people as this patient are

merely spoiled, that they would behave more sensibly if not pampered, and that if

promptly confined to jail or left in whatever other difficulties they bring down on their

own heads, they would finally control themselves. I believe that consistent, prompt and

regular punishment for unacceptable conduct is of great value in treating most people

who persist in flagrant misbehavior, delinquency or crime. I believe it is usually of far

more value than any form of dynamic psychotherapy. In this patient, however, it

proved quite ineffectual. No ordinary punishment could be much more severe than

confinement on a closed ward is to this particular man. He has had it thoroughly

explained to him that he will remain here until he can adapt himself to normal life

outside. He not only

134 THE MASK OF SANITY

gives up everything that other people seek but also, because of confinement, he

sacrifices the chance to follow the inappropriate and bootless patterns of behavior into

which he falls almost at once when left to his own devices.

Whatever strange goals or pseudogoals there may be to prompt and shape his

reactions as a member of the community, these too, it seems, fail to motivate him

sufficiently, fail to induce decisions and acts that would give him the freedom to pursue

them. It has been demonstrated to Chester repeatedly, in the hardest aspects of the

concrete, that his characteristic acts put him back in a situation he finds particularly

disagreeable. This does not produce the slightest modification in his behavior.

If we attempt to interpret his antisocial conduct as a rebellious manifestation, a

symbolic protest against customs, principles, people, and institutions which he will not

accept, we might presume he would take more pains to avoid the interruption of his

efforts along this line. If there is unconscious need for him to make trouble in the

community and to achieve heroic stature as a general nuisance, his steps to fulfill this

need seem peculiarly illogical. They promptly result in the termination of his action.

Arguments for such motivation in more effective criminal careers and in circumscribed

patterns of delinquency seem more plausible than in such a case as this. If loitering,

theft, swindling, "disgracing himself," running up debts, and social sabotage in general

are his goals, the pursuit of these he must give up when he comes under close

supervision on the closed ward.

Is he seeking, then, not to fulfill these goals but to frustrate the impulses to fulfill

them? Or is he seeking punishment as something even more desirable than the perverse

goals surmised above? The claim of such motivational schemes has been advanced.8,207

Perhaps some patients who show more interest in their predicaments may reveal hidden

attitudes, old won grudges, or forgotten but distorting influences that suggest such an

interpretation.

From this patient, however, none of the many psychiatrists who dealt with him

could obtain any underlying material to confirm such speculations. As hypotheses

about his disorder, such interpretations impress me as having very little plausibility. It

might be assumed that if deep penetration of his personality and adequate exploration

of his innermost life could be achieved, substantial evidence of cause and effect would

emerge in some convincing explanation. It seems likely, however, that a valid

explanation would prove to be one far more complex than anything just suggested. An

important clinical feature of his disorder seemed, nevertheless, to lie in the specific and

obdurate difficulty in finding out anything at all about less superficial attitudes or real

inner purposes and meanings.

In closing the summary of this case, let the point be emphasized again

THE MATERIAL 135

that this man does not seem driven by hot temptations to his injudicious deeds. What

he does when free fails to give him much pleasure. Chester is in no way like a man who

sacrifices all the ordinary satisfactions of life for some enthralling sin which will later

bring him to ruin. The well-known human motives which sometimes lead a respected

and successful businessman to lose fortune and family in his pursuit of an illicitly loved

woman or of some other transitory but enticing joy are not discernible in this case.

My candle burns at both ends;

It will not last the night;

But ah, my foes, and, oh, my friends-

It gives a lovely light.

Edna St. Vincent Millay

"A Few Figs from Thistles"

Such a scheme of life, whatever might be said for its final wisdom, has no

apparent place in this patient's maladjustment. The allegory of Faust selling his soul to

the Devil in order to quench a thirst for rarer joys than this life holds is absurdly

inappropriate.

It is most difficult to believe that he is reacting to powerful drives which force or

compel him into obviously disastrous actions. On the contrary, everything about him

suggests a drifting approach, a casual and weak impulse, a halfhearted whim rather than

an explosive release of passion in the forbidden deed. Instead of a pathologic intensity

of drive there seems instead to be a pathologic general devaluation of life, a complex

deficiency, confusion, or malfunction in what chooses aims and directs impulse.

Nothing that he expresses or that can be observed about him suggests a great

stress or inner conflict in which strong opposing forces clash and from which emerges

deep instinctual gratification as he makes off with a stolen automobile, thoroughly

cleans out an opponent by fraud in crap shooting, saddles his father with a heavy debt,

or drains his bottle and brawlingly defies the police. Nor is there anything yet detected

about him that suggests true relief of inner tension as he reacts to society's restraints and

retaliations. If these are his fundamental mechanisms, they are so deeply concealed that

they show no surface or subsurface repercussion of emotion that suggests in the least

their nature or their existence.

136 THE MASK OF SANITY

 

Next: Section 2: The Material , Part 1: The disorder in full clinical manifestations, 15. Walter

 

Energy Enhancement          Enlightened Texts         Psychopath           The Mask Of Sanity

 

 

Section 2, Part 1

 

  • Psychopath Hervey Cleckley THE MASK OF SANITY, Section 2: The Material , Part 1: The disorder in full clinical manifestations, 5. Max
    Psychopath Hervey Cleckley THE MASK OF SANITY, Section 2: The Material , Part 1: The disorder in full clinical manifestations, 5. Max, This patient first came to my attention years ago while I was serving my turn as officer of the day in a Veterans Administration psychiatric institution. His wife telephoned to the hospital for assistance, stating that Max had slipped away from her and had begun to make trouble again. With considerable urgency and apparent distress she explained that she was bringing him to be admitted as a patient and begged that a car with attendants be sent at once to her aid. He was found in the custody of the police, against whom he had made some resistance but much more vocal uproar. The resistance actually was only a show of resistance consisting for the most part of dramatically aggressive gestures made while he was too securely held to fight and extravagant boasts of his physical prowess and savage temper at energyenhancement.org

  • Psychopath Hervey Cleckley THE MASK OF SANITY, Section 2: The Material , Part 1: The disorder in full clinical manifestations, 6. Roberta
    Psychopath Hervey Cleckley THE MASK OF SANITY, Section 2: The Material , Part 1: The disorder in full clinical manifestations, 6. Roberta, This young woman, sitting now for the first time in my office, gave an impression that vaguely suggested-immaturity? The word is not entirely accurate for the impression. Immaturity might imply the guarded, withdrawn attitude often shown by children in the doctor's office. It was another, in fact, almost an opposite feeling that she gave. Something less than the average of self-consciousness, a sort of easy security that does not arise from effort or from pretense-some qualities of this nature seemed to enter into the impression at energyenhancement.org

  • Psychopath Hervey Cleckley THE MASK OF SANITY, Section 2: The Material , Part 1: The disorder in full clinical manifestations, 7. Arnold
    Psychopath Hervey Cleckley THE MASK OF SANITY, Section 2: The Material , Part 1: The disorder in full clinical manifestations, 7. Arnold, This patient had recently left the hospital (A.W.O.L.) while out on pass. The following letters arrived from him after a few days: Baltimore, April 4th, 19-- Saturday, 2 P.M at energyenhancement.org

  • Psychopath Hervey Cleckley THE MASK OF SANITY, Section 2: The Material , Part 1: The disorder in full clinical manifestations, 8. Tom
    Psychopath Hervey Cleckley THE MASK OF SANITY, Section 2: The Material , Part 1: The disorder in full clinical manifestations, 8. Tom, This young man, 21 years of age, does not look at all like a criminal type or a shifty delinquent. In fact, he stands out in remarkable contrast to the kind of patient suggested by such a term as constitutional inferiority. He does not fit satisfactorily into the sort of picture that emerges from early descriptions of people generally inadequate and often showing physical 'stigmata of degeneracy' or ordinary defectiveness at energyenhancement.org

  • Psychopath Hervey Cleckley THE MASK OF SANITY, Section 2: The Material , Part 1: The disorder in full clinical manifestations, 9. George
    Psychopath Hervey Cleckley THE MASK OF SANITY, Section 2: The Material , Part 1: The disorder in full clinical manifestations, 9. George, This man was 33 years of age at the time I first saw him and admitted him to a psychiatric hospital. He stated that his trouble was 'nervousness' but could give no definite idea of what he meant by this word. He was remarkably sell-composed, showed no indication of restlessness or anxiety, and could not mention anything that he worried about. He went on to state that his alleged nervousness was caused by 'shell shock' during the war. He then proceeded to elaborate on this in an outlandish story describing himself as being cast twenty feet into the air by a shell, landing in his descent at energyenhancement.org

  • Psychopath Hervey Cleckley THE MASK OF SANITY, Section 2: The Material , Part 1: The disorder in full clinical manifestations, 10. Pierre
    Psychopath Hervey Cleckley THE MASK OF SANITY, Section 2: The Material , Part 1: The disorder in full clinical manifestations, 10. Pierre, Some of the patients who have been presented give concrete and abundant evidence in their behavior of a serious maladjustment and one of long duration at energyenhancement.org

  • Psychopath Hervey Cleckley THE MASK OF SANITY, Section 2: The Material , Part 1: The disorder in full clinical manifestations, 11. Frank
    Psychopath Hervey Cleckley THE MASK OF SANITY, Section 2: The Material , Part 1: The disorder in full clinical manifestations, 11. Frank, The following letter was received by an influential senator in Washington and referred by him to the hospital at energyenhancement.org

  • Psychopath Hervey Cleckley THE MASK OF SANITY, Section 2: The Material , Part 1: The disorder in full clinical manifestations, 12. Anna
    Psychopath Hervey Cleckley THE MASK OF SANITY, Section 2: The Material , Part 1: The disorder in full clinical manifestations, 12. Anna, There was nothing spectacular about her, but when she came into the office you felt that she merited the attention she at once obtained. She was, you could say without straining a point, rather good-looking, but she was not nearly so good-looking as most women would have to be to make a comparable impression. She spoke in the crisp, fluttery cadence of the British, consistently sounding her 'r's' and 'ing's' and regularly saying 'been' as they do in London. For a girl born and raised in Georgia, such speaking could suggest affectation. Yet it was the very opposite of this quality that contributed a great deal to the pleasing effect she invariably produced on those who met her at energyenhancement.org

  • Psychopath Hervey Cleckley THE MASK OF SANITY, Section 2: The Material , Part 1: The disorder in full clinical manifestations, 13. Jack
    Psychopath Hervey Cleckley THE MASK OF SANITY, Section 2: The Material , Part 1: The disorder in full clinical manifestations, 13. Jack, My prolonged acquaintance with our next subject began on the occasion of his return for a fourth period of hospitalization. He was accompanied by the sheriff who had brought him from jail in Winston-Salem, N.C. He was affable and courteous, entirely rational in his conversation. Though rather carelessly dressed, he made an imposing figure of a man; he was 6 feet, 3 inches tall, weighed 210 pounds, had red hair, blue eyes, a quick, humorous glance, and a disarming smile. Though 45 years of age, he appeared to be in the early thirties. His body retained good athletic lines, and he sat or stood with an easy poise at energyenhancement.org

  • Psychopath Hervey Cleckley THE MASK OF SANITY, Section 2: The Material , Part 1: The disorder in full clinical manifestations, 14. Chester
    Psychopath Hervey Cleckley THE MASK OF SANITY, Section 2: The Material , Part 1: The disorder in full clinical manifestations, 14. Chester, In his first admission to the closed ward of a psychiatric hospital, Chester W., 24 years of age, was friendly and alert. His freedom from anything that would suggest an ordinary psychosis was immediately noticeable. He explained to the examiner that he did not suffer from any nervous or mental disorder and emphasized the statement that no question of such a condition had ever come up in his case. He said that he came to the hospital for further examination of a serious injury to his ankle which he sustained while in the army and for which he hoped to get a pension at energyenhancement.org

  • Psychopath Hervey Cleckley THE MASK OF SANITY, Section 2: The Material , Part 1: The disorder in full clinical manifestations, 15. Walter
    Psychopath Hervey Cleckley THE MASK OF SANITY, Section 2: The Material , Part 1: The disorder in full clinical manifestations, 15. Walter, Walter is an only child. In the old South Carolina city where he spent his early years, he is remembered by his first playmates as having been not only normal but also a particularly desirable friend. During his grammar school days he was a good but not an exceptionally bright pupil. He was happily at ease with boys his own age, being generally looked to as a leader, though never aloof or dictatorial. He was somewhat less inclined than usual to the more destructive forms of mischief so dear to the typical young male, yet no child could have been more secure from the taunts often evoked by primness or piety in the schoolboy. It is nothing short of incredible to imagine the term sissy, withering and still unhackneyed stigma of those times, ever having been applied to Walter by anyone. That term, in fact, could not have been defined better by those who used it than as his direct opposite at energyenhancement.org

  • Psychopath Hervey Cleckley THE MASK OF SANITY, Section 2: The Material , Part 1: The disorder in full clinical manifestations, 16. Joe
    Psychopath Hervey Cleckley THE MASK OF SANITY, Section 2: The Material , Part 1: The disorder in full clinical manifestations, 16. Joe, This patient came in the custody of two friends, both state officers in the American Legion, to apply for admission to the hospital. He had with him commitment papers showing that he had at his own request been declared incompetent. Joe was alert and intelligent and conducted himself in a manner that suggested a person of poise, good judgment, and firm resolution. He was anything but the sort of figure that might come to mind in thinking of a patient sent for admission to such an institution at energyenhancement.org

  • Psychopath Hervey Cleckley THE MASK OF SANITY, Section 2: The Material , Part 1: The disorder in full clinical manifestations, 17. Milt
    Psychopath Hervey Cleckley THE MASK OF SANITY, Section 2: The Material , Part 1: The disorder in full clinical manifestations, 17. Milt, An incomplete account of this patient will be offered. His behavior and his apparent subjective reactions differ little from those of the patients already presented at energyenhancement.org

  • Psychopath Hervey Cleckley THE MASK OF SANITY, Section 2: The Material , Part 1: The disorder in full clinical manifestations, 18. Gregory
    Psychopath Hervey Cleckley THE MASK OF SANITY, Section 2: The Material , Part 1: The disorder in full clinical manifestations, 18. Gregory, I first saw this patient when he was 13 years old. He was referred for study and treatment by a psychiatrist who had already tried to deal with his problems for several years and who had shown great personal interest in his complicated situation. Gregory came to me from the detention center in a large southern city where he had been confined after setting fire to the local cathedral. Though he did not succeed in causing serious damage to the cathedral, the exploit was considered daring and precocious for a boy of his age. Before he was controlled by confinement in the detention center he set another fire in a large apartment building that caused substantial damage at energyenhancement.org

  • Psychopath Hervey Cleckley THE MASK OF SANITY, Section 2: The Material , Part 1: The disorder in full clinical manifestations, 19. Stanley
    Psychopath Hervey Cleckley THE MASK OF SANITY, Section 2: The Material , Part 1: The disorder in full clinical manifestations, 19. Stanley, During the summer of 1972 a small item of news appeared in many of our daily newspapers over the country. It was an item that immediately engaged my attention at energyenhancement.org

 

 

 
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