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September 12th, 2011 at 6:45 pm
I think it depends on what you mean by evidence-based. Theodore is opinionated but his opinion derive directly from his personal experience of working as a prison psychiatrist, and his description of his experiences coincides closely with mine, which is why I agree with him.
As an example in one of his books he cites the example of interviewing men who have beaten their wives and then quickly inflicted some superficial injury to themselves and claimed to be suicidal so that when the police come the guy is put in a mental ward for assessment instead of in the slammer. These guys then say something like "I don’t know why I did it (i.e. beat the wife). She was nagging me and something just came over me and I lost control." Theodore remarks that these same guys never lose control in the same way when nagged by prison or police officers, or anyone who could beat the shit out of them.
Just look at the behavior of two-year-olds. Children are little savages (see Lord of the Flies, a novel and film about a group of shipwrecked upper class choirboys who go feral and end up as killers) unless they are socialized into society by learning how to behave, partly by coping their elders and partly by the threat of punishment. The people who grow up to be (so-called) psychopathic are the ones who never had a conscience (call it superego if you like) beaten into them. It is nothing to do with biochemistry except in the sense that all human behavior–rage, anger, unhappiness, happiness–is a biochemical event.
Of course most people with antisocial personality disorders are men, and probably testosterone is a contributing factor, but you do find some females. But people are like dogs–the males in general are more aggressive and less considerate of others than the females.