Dr. David B. Adams – Psychological Blog

Psychology of Illness, Pain, Anxiety and Depression


psychopathPsychopath:Prior to the age of 15, some individuals exhibit a conduct disorder This is a persistent and repetitive pattern that violates the rights of others, fails to respect societal norms and is pervasively present in rebellious and seemingly conscienceless behavior.

There is an inflexible approach to problem solving, and it does not cause distress in the individual.

The media will alternately refer to this as “psychopath” or “sociopath” or “dissocial”, but the correct term is anti-social personality disorder.

The term can be a bit confusing in that a “psychopath” is seen by many as someone who is out of control, has poor reality testing and is driven to mayhem. In reality, the individual with anti-social (meaning going against society) personality disorder is actually cunning, calculated and grossly manipulative. Unfortunately, the public sees the term anti-social as someone who is withdrawn and avoidant. Thus, it is best to interpret the term in reverse: social or society and “anti” or against.

Some of the characteristics of an individual with anti-social personality are:

  1. Failure to conform to societal norms including acts that are unlawful and grounds for legal prosecution.
  2. A pattern of deceit, lying, and conning others for gain or pleasure.
  3. Living life without a plan; existing on immediate impulse gratification
  4. Irritable and aggressive with verbal or behavioral lashing out when frustrated
  5. Irresponsible with reckless disregard; uncaring with regard to the impact upon issues of safety
  6. An utter lack of remorse when others have been harmed by his/her behavior
  7. An inability to learn and self-modify from punitive experiences

The anti-social injured individual sees their injury as an opportunity. They act on the urge to con, benefit, manipulate and orchestrate how they are seen, treated and compensated. They are defiant and crafty, and are discovered by the impulsive changing of their history, their injury, their symptoms and their goals.

They are planning only to maximize their tangible reward from their injury,  and there is no true attachment to treating doctors, nurse case managers, their employer or even their family.

These are often charming individuals upon casual acquaintance, whose behavior only becomes evident over time when inconsistencies arise. You can detect this personality disorder, but it will not be changed by the course of treatment for an injury, nor should it be addressed as a work-related psychological disorder.


Comments for this post are closed.

Infliction of Guilt

If those who cause work-related injury experience guilt or remorse, it is rarely expressed to the patient. The role where …
Read Blog Post

Sleep & Medication

Many medications designed to assist with pain management change the stages of sleep. The stages of sleep are referred to …
Read Blog Post

Noncompliance Masking Domestic Violence

I have found that when an injured worker claims to have psychological problems as a result of physical injury, they often …
Read Blog Post