Sometimes I like to revisit, churn all over again, a prior concern around sociopathy. A number of colleagues were recently stressing the defective quality of empathy in the more sociopathic clients they work with, while I found myself stressing the quality of remorselessness in the more sociopathic clients with whom I work (and have worked).
In my view, remorselessness is a much more serious indicator of sociopathy than lack of empathy per se. I know I’ve stated this in previous pieces, but well”¦here I go all over again.
Many people lack empathy for a great many reasons, depending on how one even defines empathy. But clearly this is true—many of us have a relatively difficult time emotionally stepping into another’s shoes and genuinely, emotionally inhabiting (as it were) his or her experience; that is, feeling their experience with them, for them.
I’d venture to say that a rather high percentage of the general population fails pretty badly at meeting this pretty classical criterion to be considered “empathic.” Of course, nothing is black and white: sometimes we find ourselves experiencing empathy in surprising circumstances, almost unaccountably; otherwise, sensing that empathy is clearly indicated in certain situations, we might find ourselves in suprisingly, uncomfortably short supplies of it?
And so the experience of pure empathy eludes many of us, perhaps even the majority of us, often”¦more often than we might even want to admit.
However, remorselessness is a whole different kettle of fish. A typical case involving a nonsociopath goes like this. One partner, a good communicator, says to her husband, “What you said to me last night in front of our company was humiliating. You have no idea, I’m guessing, how much that hurt me and pissed me off. If you ever do that again, I swear I may never forgive you.”
Her husband, if he’s really honest, might say, “You know what? I really don’t have any idea. I didn’t see, and still don’t, why what I said was that big a deal. I was trying to be funny. I didn’t think you’d take it so personally.”
This husband, we might say, lacks empathy. We don’t even need to know what he said that aroused his wife’s ire to surmise that, here, in this example, taken from a couples session I facilitated recently, he is demonstrating less than optimal empathy.
But he also added, sincerely, “I’m sorry. I am. I’m sorry I hurt you so much. I won’t do that again.”
His wife was only somewhat appeased by his apology because, while it expressed remorse, it didn’t reflect much, if any, empathy. And she wanted more than remorse. She wanted empathy.
I believe it is entirely possible, even common, to express remorse, sincerely, even in the absence of empathically appreciating the impact of the original behavior for which you are expressing the remorse. This is because, if you are not a sociopath, you can really feel bad for hurting someone even without quite understanding why what you did was so hurtful.
Now, in the example above, the partner chastised for his previous night’s insensitivity could have responded differently, reacting to his wife’s feedback with, “You know what? Too damned bad. So you felt hurt? Well”¦get over it.”
This would be a response not only lacking in empathy but also in remorse. As an isolated, occasionally defensive, hostile response, it wouldn’t necessarily suggest the presence of sociopathy; but as a patterned kind of remorseless reaction it may very well signal the presence of sociopathic tendencies.
In the vast majority of cases, the relatively non-empathic individual reacts with some form of true remorse upon learning he or she has been experienced as damaging, even if it comes as a real, confusing surprise to learn this. Again, the typical response might be along the lines of, “Really? I had no idea.” (reflecting defective empathy) “But I’m really sorry. I didn’t mean to hurt you like that.” (reflecting remorse).
Where remorse is missing from acts that have been experienced as hurtful, we find ourselves in much more seriously disturbed territory. Sociopaths, of course, may feign remorse, although many times not. But feigned, shallow remorse—remorse that serves his self-interest, not yours—is worth less than no remorse.
A chronic theme of weak, or absent, remorse is thus much more indicative of the sociopathically oriented individual than the measure of his empathy. Oddly enough weak, or even sometimes missing, empathy, doesn’t necessarily preclude some form of meaningful connection with another (although it won’t be empathically-based).
But weak, or missing, remorse fatally does preclude such a connection, ensuring only the possibility of a damaging, exploitive experience.
(This article is copyrighted © 2011 by Steve Becker, LCSW. My use of male gender pronouns is for convenience’s sake only, not to suggest that females aren’t capable of the attitudes and behaiors discussed.)
Ox,
I’m limited with my insurance as to “specialists” unfortunately.
I started the anti’s but they haven’t kicked yet, side effects have, but not doing much emotionally yet, although I expect it too. It’s prozac and I’ve taken it before. Doc is working with me on the side effects so that I can stay on it. Last time, while I felt emotionally much better, the side effects physically were miserable. I”ve tried LOTS of anti’s in the past. ONly one of them worked for me but is now black labeled.
It’s a process.
LL
Dear 2B,
Thanks, I’ll give it a shot, it won’t hurt to try. I imagine he will give me a cortisone shot tomorrow (and boy o boy do I dread that!) OUCH!! I got one in the Achilles tendon in that same foot a month or so ago and they heard me scream clear up to the check out desk a quarter of a mile away! Didn’t feel the heel spur hurting, didn’t even know it was there till it showed up on the X ray, til the tendon quit hurting then I could feel it! LOL
I’m going to avoid surgery if I can at all as I’m not sure it will do any good ultimately. Maybe they will just shoot me and put me out of my misery like we’d do for an old lame horse! LOL
LL, just be aware that it takes some time for the antidepressants to kick in, and sometimes if there is some bi-polar involved, they will actually make it worse not better, so be aware, and make sure your therapist is aware of what you are taking. Though a therapist is not able to prescribe medication, but because they see patients all the time with various diagnoses they sometimes can spot problematic things and refer to a psychiatrist if needed.
I’m aware.
My therapist and doctor will be working together on this. My therapist sees depression definite PTSD, and anxiety, but does not believe that I’m struggling with bi polar. Given the trauma I just got out of, he isn’t surprised by my reactions right now and that they’ll level out over time and treatment.
My emotional stuff isn’t worse, nor is it better on the anti’s yet. Therapist and doc say it can take up to four weeks to notice any improvements in mood. I DO notice the side effects though and they are bothersome, but under control.
LL
I’m open to whatever outcomes may occur through treatment.
One thing at a time!
Oxy..when I went to this foot dr. in town…and told him that another one..who I had bad vibes from …from hello…..was giving me shots right into my heel…..he flipped!
He said that this was “barbaric”.!!!
He explained that you can have a spur as big as your pinky finger and not even know it. The pain is from the tendon that runs down your foot. So, I looked up the “plantar faceitis” and I got onto Ezorb.com . It was miraculous! Within 3 days…i had no pain and it never came back.
I don’t understand it…but it worked.
The doctor giving me the shots was in trouble for malpractice…so I hear.
tobehappy-what is this stuff you are talking about for the plantar fasciitis? I developed it 6 weeks ago in my left foot and had and x-ray. I don’t have a spur but this is THE worst pain I have ever had. I had a cortisone shot 3 weeks ago but now the pain is back worse than ever. I am doing all the stretching exercises I was given. I haven’t been able to get a night splint yet but I am completely unable to work out and I have a shitload of weight to lose and I am extremely frustrated. I am hurting so bad and I can wear only one pair of shoes which cost $265 and I am on my feet at work all day.
2B, I worked for an orthopedic doc as an advanced practice nurse and I’m pretty familiar with the treatment of a lot of the joint and bone pain problems. The cortisone injections simply dampen down the inflammation, BUT they DO hurt like child birth.
Surgery for a heel spur is also very painful and NOT always successful. “Plantar” just means bottom of the foot in medical terms and fasciitis just means inflammation of the “fasciae” (covering of bones, muscles and tendons) the cortisone dampens the inflammation and thus the pain. Sometimes it works for a short time, sometimes a longer time and sometimes not at all.
A while back I had a bone spur on my shoulder and got an injection and have not had any more pain at all, the next step is surgery, but I don’t want that if I can help it at all. The surgery for it is not too bad, just outpatient through a scope and small hole but may not ever have to have it, may have to have it next month…KISS method–keep it simple, stupid. (If possible)
The injections can’t be done too often or for too many times, but sometimes they fix it pretty good, so are NOT in themselves malpractice, BUT I do know some “doctor feel goods” who injected so many joints so many times that they ended up ruining the joints forever by repeated injections….and that WAS malpractice. Most general family medical doctors are not really qualified to inject most major joints, so that is why I would go to an orthopedic doc for this injection. I do NOT go to “foot doctors” who are ONLY foot doctors. I would go to a veterinarian first actually. (not trying to start an argument about medicine here just my opinion).
Oxy-then do you have any suggestions for my foot?
2Bcop….
I couldn’t walk without those crazy clogs that nurses and doctors wear….they were over 100 dollars….for over a year! I would even have to step into them from my bed, just to be able to walk to the bathroom! It was back a few years.
So…I went online to check out Plantar Fascititis…and it linked me to a site that sold highly absorbable calcium pills~~ I read all about it…ordered them. They said it would take 2 weeks to absorb and the pain would be gone.
In TWO days….the pain went away and I never had it since!!!
NOT EVEN KIDDING!!!
I was so happy…and I kept taking the calcium and it also helps in weight loss.
At my age…I had to do something to jump start my weight loss. I was only eating 700 calories a day and not losing a pound!! So, I was told to eat more and exercise.
I started walking a few weeks ago…got addicted!! I HAVE to walk everyday or I get crazy! lol..So, even with my bad knee…I walk and I journal everything I eat and I eat GOOD foods every two hours to trick my body…even if its just cold water!! I drink at least 4 bottles a day.
Its working. I am losing weight and feel wonderful!!!
If you start walking for ten minutes….then twenty…then 40…it works. Today I walked over 3miles and it took me 50 minutes!! Tomorrow I will probably go 3 miles again. I only started with 20 minutes a few weeks ago.
I walk with a few of my friends…but I also like to go alone like I did today. Everyday I see changes in my body. I love it.
Try the Ezorb.com….read about it. If it doesn’t work…you can get a refund.
Oh..also…if you face a wall and put your foot against it and push ….sortof like pulling your toes up and back toward you…it helps too.
Thats what the night brace did. Didn’t help much. Ezorb did it.