What’s the Difference Between a Psychopath and a Sociopath?

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iStock

You see them on the movie screen; you read about them in the news. They’re calculating, charismatic, cold-hearted. But are they psychopaths or sociopaths?

Look to pop psychology for your answer and you’ll get a lot of conflicting opinions. Some folks believe that psychopaths are born, while sociopaths are made, the products of difficult childhoods and traumatic home environments. Others say “sociopath” is just the latest buzzword for “psychopath.” There’s no real consensus.

But there may be a reason for that: neither “psychopath” nor “sociopath” is a clinical diagnosis. They're common terms for people who exhibit "pathological" personality traits. In the U.S., such traits fall under the diagnosis of antisocial personality disorder, or APD, according to the American Psychiatric Association, which issues the Diagnostic and Statistical Manual of Mental Disorders, now in its 5th edition (DSM-5). The World Health Organization calls this dissocial personality disorder, or DPD.

APD and DPD are essentially the same thing. In order to be diagnosed with either, a person must exhibit “disregard for and violation of others’ rights.” The DSM-5 lists 6 major criteria [PDF]:

  1. Impairments in personality including a lack of remorse, egocentrism, "goal-setting based on personal gratification," and the inability to form mutually intimate relationships;

  2. Pathological personality traits, including manipulativeness, deceitfulness, callousness, hostility, irresponsibility, impulsivity, and risk-taking;

  3. These personality traits and impairments must be stable and consistent over time;

  4. These personality traits and impairments are not normal for the person's developmental stage (many toddlers could easily be described as psychopaths) or cultural environment;

  5. The person's personality and behavior are not explained by a medical condition or substance abuse; and

  6. The person has to be at least 18 years old—a contentious criterion, since many psychologists feel that children can begin displaying signs of APD at a very young age

Another frequently used "psychopath test" is the Hare Psychopathy Checklist-Revised, or the PCL-R, a 20-question checklist used by researchers, clinicians, and the courts to measure antisocial tendencies. (You can see the list to check yourself, or your boss, here.)

It's worth mentioning that there is a big difference between psychopathy and psychosis. The two words sound similar and are both used as slurs, but that's where the similarity ends. Unlike psychopathy, psychosis describes the condition of losing touch with reality, undergoing rapid personality changes, and having trouble functioning. The terms are typically mutually exclusive; most people with APD will never experience psychosis, and vice versa.

Scientists are still not sure what causes APD. Some recognize two forms of psychopathy, primary and secondary, each with its own set of causes [PDF] and manifestations. Traumatic childhoods and difficult home environments can definitely contribute, but there’s also a clear physiological component. A genetic variant called MAOA-L has been linked with an increased risk of violent and aggressive behavior, and brain scans of people with APD have shown low activity in areas related to empathy, morality, and self-control. 

This does not mean that all people with APD are violent, nor does it mean that they’re bad people. Many cases of APD go undiagnosed because the people in question are living successful, ordinary lives. 

For proof, just look at neurologist James Fallon: Fallon has spent decades researching the anatomical side of so-called psychopathy. His research has helped identify areas of difference in the brains of people with APD. One day in 2005, Fallon was looking at the brain scans of people with APD, as well as those of people with depression and schizophrenia. Sitting on his desk at the same time were a stack of scans from Fallon’s family members taken as part of a study on Alzheimer’s disease. 

“I got to the bottom of the stack, and saw this scan that was obviously pathological,” he told Smithsonian. The brain in the image appeared to belong to a psychopath—but the scans at the bottom of the pile belonged to his family members. Shaken, he decided to look up the code on the scan to determine whose brain he was looking at.

It was his own brain.

Fallon couldn’t quite believe it. His first thought was that his research had been wrong, and that low activity in those brain areas had nothing to do with APD. Then he talked to his family. Duh, they told him. Of course you’re a psychopath. His mother, wife, and children had recognized and been living with his personality issues all along.

Fallon underwent more tests, which confirmed the diagnosis. Over time, he realized that he’d known all along. Throughout his life, he wrote in an op-ed in The Guardian, strangers had commented that he seemed “evil,” and while he was never violent, he did have an icy streak. He had put other people in danger. He had also just generally been “kind of an a**hole,” he admitted to Smithsonian.

“I’m obnoxiously competitive,” he told the magazine. "I won’t let my grandchildren win games … I’m aggressive, but my aggression is sublimated. I’d rather beat someone in an argument than beat them up.”

Fallon believes his relative success may be the result of growing up in a healthy, stable environment with a lot of support. He was raised in a loving home, which, he says, may have helped him overcome some of his ugliest impulses.

APD currently has no cure. Finding successful treatment methods has been tricky, in part because people with APD tend to feel pretty comfortable with their personalities and have little motivation to change. Still, some, like Fallon, are determined to do at least a little bit better.

“Since finding all this out and looking into it, I’ve made an effort to try to change my behavior,” Fallon told Smithsonian. “I’ve more consciously been doing things that are considered ‘the right thing to do,’ and thinking more about other people’s feelings."

10 Rad Gifts for Hikers

Greg Rosenke/Unsplash
Greg Rosenke/Unsplash

The popularity of bird-watching, camping, and hiking has skyrocketed this year. Whether your gift recipients are weekend warriors or seasoned dirtbags, they'll appreciate these tools and gear for getting most out of their hiking experience.

1. Stanley Nesting Two-Cup Cookset; $14

Amazon

Stanley’s compact and lightweight cookset includes a 20-ounce stainless steel pot with a locking handle, a vented lid, and two insulated 10-ounce tumblers. It’s the perfect size for brewing hot coffee, rehydrating soup, or boiling water while out on the trail with a buddy. And as some hardcore backpackers note in their Amazon reviews, your favorite hiker can take the tumblers out and stuff the pot with a camp stove, matches, and other necessities to make good use of space in their pack.

Buy it: Amazon

2. Osprey Sirrus and Stratos 24-Liter Hiking Packs; $140

Amazon

Osprey’s packs are designed with trail-tested details to maximize comfort and ease of use. The Sirrus pack (pictured) is sized for women, while the Stratos fits men’s proportions. Both include an internal sleeve for a hydration reservoir, exterior mesh and hipbelt pockets, an attachment for carrying trekking poles, and a built-in rain cover.

Buy them: Amazon, Amazon

3. Yeti Rambler 18-Ounce Bottle; $48

Amazon

Nothing beats ice-cold water after a summer hike or a sip of hot tea during a winter walk. The Yeti Rambler can serve up both: Beverages can stay hot or cold for hours thanks to its insulated construction, and its steel body (in a variety of colors) is basically indestructible. It will add weight to your hiker's pack, though—for a lighter-weight, non-insulated option, the tried-and-true Camelbak Chute water bottle is incredibly sturdy and leakproof.

Buy it: Amazon

4. Mappinners Greatest 100 Hikes of the National Parks Scratch-Off Poster; $30

Amazon

The perfect gift for park baggers in your life (or yourself), this 16-inch-by-20-inch poster features epic hikes like Angel’s Landing in Zion National Park and Half Dome in Yosemite National Park. Once the hike is complete, you can scratch off the gold foil to reveal an illustration of the park.

Buy it: Amazon

5. National Geographic Adventure Edition Road Atlas; $19

Amazon

Hikers can use this brand-new, updated road atlas to plan their next adventure. In addition to comprehensive maps of all 50 states, Puerto Rico, Canada, and Mexico, they'll get National Geographic’s top 100 outdoor destinations, useful details about the most popular national parks, and points on the maps noting off-the-beaten-path places to explore.  

Buy it: Amazon

6. Adventure Medical Kits Hiker First-Aid Kit; $25

Amazon

This handy 67-piece kit is stuffed with all the things you hope your hiker will never need in the wilderness. Not only does it contain supplies for pain, cuts and scrapes, burns, and blisters (every hiker’s nemesis!), the items are organized clearly in the bag to make it easy to find tweezers or an alcohol wipe in an emergency.

Buy it: Amazon

7. Hiker Hunger Ultralight Trekking Poles; $70

Amazon

Trekking poles will help increase your hiker's balance and stability and reduce strain on their lower body by distributing it to their arms and shoulders. This pair is made of carbon fiber, a super-strong and lightweight material. From the sweat-absorbing cork handles to the selection of pole tips for different terrain, these poles answer every need on the trail. 

Buy it: Amazon

8. Leatherman Signal Camping Multitool; $120

Amazon

What can’t this multitool do? This gadget contains 19 hiking-friendly tools in a 4.5-inch package, including pliers, screwdrivers, bottle opener, saw, knife, hammer, wire cutter, and even an emergency whistle.

Buy it: Amazon

9. RAVPower Power Bank; $24

Amazon

Don’t let your hiker get caught off the grid with a dead phone. They can charge RAVPower’s compact power bank before they head out on the trail, and then use it to quickly juice up a phone or tablet when the batteries get low. Its 3-inch-by-5-inch profile won’t take up much room in a pack or purse.

Buy it: Amazon

10. Pack of Four Indestructible Field Books; $14

Amazon

Neither rain, nor snow, nor hail will be a match for these waterproof, tearproof 3.5-inch-by-5.5-inch notebooks. Your hiker can stick one in their pocket along with a regular pen or pencil to record details of their hike or brainstorm their next viral Tweet.

Buy it: Amazon

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What Really Happens When Food Goes Down the 'Wrong Pipe'?

The dreaded 'wrong pipe' calamity can strike at any time.
The dreaded 'wrong pipe' calamity can strike at any time.
Photo by Adrienn from Pexels

Your average person isn’t expected to be well-versed in the linguistics of human anatomy, which is how we wind up with guns for biceps and noggins for heads. So when swallowing something is followed by throat irritation or coughing, the fleeting bit of discomfort is often described as food “going down the wrong pipe.” But what’s actually happening?

When food is consumed, HuffPost reports, more than 30 muscles activate to facilitate chewing and swallowing. When the food is ready to leave your tongue and head down to your stomach, it’s poised near the ends of two "pipes," the esophagus and the trachea. You want the food to take the esophageal route, which leads to the stomach. Your body knows this, which is why the voice box and epiglottis shift to close off the trachea, the “wrong pipe” of ingestion.

Since we don’t typically hold our breath when we eat, food can occasionally take a wrong turn into the trachea, an unpleasant scenario known as aspiration, which triggers an adrenaline response and provokes coughing and discomfort. Dislodging the food usually eases the sensation, but if it’s enough to become stuck, you have an obstructed airway and can now be officially said to be choking.

The “wrong pipe” can also be a result of eating while tired or otherwise distracted or the result of a mechanical problem owing to illness or injury.

You might also notice that this happens more often with liquids. A sip of water may provoke a coughing attack. That’s because liquids move much more quickly, giving the body less time to react.

In extreme cases, food or liquids headed in the “wrong” direction can wind up in the lungs and cause pneumonia. Fortunately, that’s uncommon, and coughing tends to get the food moving back into the esophagus.

The best way to minimize the chances of getting food stuck is to avoid talking with your mouth full—yes, your parents were right—and thoroughly chew sensible portions.

If you experience repeated bouts of aspiration, it’s possible an underlying swallowing disorder or neurological problem is to blame. An X-ray or other tests can help diagnose the issue.

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