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Borderline personality disorder is a destructive,painful, and dangerous illness , especially left untreated , and this happens far too often , most therapists here in england wont even consider taking on a bpd person . I have bpd and have lived with it untreated for 20yrs plus . I have been taking between 32 and 64 paracetamol a day for at least the last year , because i know that taking lots in one go can be reversed if im found , basically i want to not be here in this world any more , i have no family because i was horriffically abused in every way by my father and in every way but sexually by my mother , who then claimed i was a liar despite doctors reports and psychiatric reports , so even faced with the evidence she point blank said “shes a liar and i cant even look at her “ cheers mum , good times , all this happned before i was even 10yrs old , by the time i was fourteen i was so self destructive and mustrustful , angry and sad full of emotions and unable to understand why bad things happen and what to do to cope with them , i would violently cut myself , arms , legs , face , i hate what i was , am and cant see any way to rectify this , i have begged for help and ive been put on alsorts of meds none of which really help to be honest but i stick with them because if i dont im seen as not taking the help thats offered and put myself at risk of being completely alone again , i worry i might have an episode , i lose time sometimes , hours just disappear , i walk around with a voice recorder and record any conversations i do have just in case at some point someone calls me a liar , basically in the simplest terms its hell , there appears to be no rhyme or reason to my life at all and i just want it to stop , my brother who was also severely abused by my parents is dying , he is much worse off than me, he has hiv and hep c plus he was born with epilepsy thanks to my dad throwing my mum down the stairs whilst pregnant with him , he was born with water on the brain and diagnosed with epilepsy soon after , now he has a lump in his lung , poor bugger , after experiencing this kind of abuse systematically on a daily basis until social services dragged us away from all we knew , what do people think is going to happen to people treated this way , we cant trust anyone , after a while we give up trying , i want nothing more than to be able to have healthy relationships and healthy lives , i want to smile and mean it , i want to genuinely feel happy and content , but i cant …. Its confusing , angering , frustrating and heartbreaking at the same time , i feel useless , unworthy , unloved , unloveable but mostly feel like a failure , i have had no formal education since i was 11 or 12 years old , cant hold down a job am in constant physical and mental anguish , i recently had a 15 min appointment with a psychiatrist in which she didnt even take her eyes off her computer when she did look at me she assumed i was in my early 20s and then came the classic “ youre only young youll be fine , dont feel that way “ actually im almost 37 and i wanted to shake this woman , i lost my temper and was asked to leave i havnt heard anything since , i was once told that the help is out there all you have to do is look for it and ask , be honest and people will be happy to help you , RUBBISH . Im done with it all .

None of them. But since this gives me an excuse to ramble at length about the Python’s sense of humour and 20th century British political satire, I’m going to reply at length.‘Dead Parrot’ isn’t political satire at all. It’s an extended joke about a particular kind of relentlessly unrealistic but permanently chipper service person. It was inspired by a sketch that Michael Palin and Graham Chapman had done for the TV show How to Irritate People, which had been about a car salesman who refused to admit that there was anything wrong with a car, even as the car fell apart in front of him and the customer. That sketch in turn was inspired by an experience Palin had with an actual car salesman.The brilliant twist in ‘Dead Parrot’ is that in the car version of the sketch, it’s easier for the car salesman to pretend that the car’s fine, but in the parrot version, there’s no denying that the parrot itself is, as Cleese so eloquently puts it, ‘bleedin’ demised.’ The laughs build up during Cleese’s slowly rising tide of different ways of describing the parrot as dead. There’s nothing about this that comes close to political satire.‘Tax on Thingy’ isn’t really political satire either. It’s very short, barely a sketch at all, but it begins with Cleese firing off a string of abbreviations in his best authoritative manner:Gentlemen, our MP saw the PM this AM and the PM wants more LSD from the PIB by tomorrow AM or PM at the latest. I told the PM's PPS that AM was NBG so tomorrow PM it is for the PM. Give us a fag or I'll go spare. Now, the fiscal deficit with regard to the monetary balance, the current financial year excluding invisible exports, but adjusted of course for seasonal variations and the incremental statistics of the fiscal and revenue arrangements for the forthcoming annual budgetary period terminating in April.To this, Graham Chapman as one of Cleese’s officials offers the splendidly numbskulled comment ‘I think he’s talking about taxation.’‘Bravo, Madge,’ Cleese replies. (Madge?) ‘Taxation is indeed the very nub of my gist.’From the off, if this is satire, there’s something woolly and unfocused about it. Satire should sting its target; we should be laughing partly out of relief that it’s not directed at us. I’ll get to some examples in a minute, but first to dispose of ‘Tax on Thingy’.An official (Terry Jones) points out that most things that people do for pleasure have been taxed, but not ‘thingy’. The others don’t get what he means, and he’s too inhibited to say it out loud, so the others guess: ‘Poo poos?’ ‘Number ones?’ I note in passing that Jones’ character specified that he was talking about something that people do for pleasure, yet the other officials immediately think he’s talking about going to the toilet.Eventually they figure out that he means sex, and Eric Idle’s official delivers the deliberately corny punchline, ‘Well, it’ll certainly make chartered accountancy a much more interesting job.’ This segues to a series of vox pops in which various idiots deliver their opinions on what should be taxed. My favourite is Terry Jones’ pompous businessman, who provides a foretaste of Brexiteer attitudes with his wonderfully fatuous:To boost the British economy I'd tax all foreigners living abroad.‘Tax on thingy’ is not political satire. The comic meat of the sketch, so to speak, the place with the most laughs, is in the attempts of the officials to guess what Jones’ official is talking about. This is a joke about British inhibition, not political satire. The rest of the sketch are the Pythons having a laugh about bureaucratese, and about British attitudes in general.Finally, ‘Spanish Inquisition’ isn’t political satire. The Spanish Inquisition in the sketch is not meant to be a portrait of the real Spanish Inquisition. It’s a joke about melodramatic representation of the Spanish Inquisition, the kind of joke that would be made by men who had grown up watching cheesy 40s and 50s movies.Palin’s Cardinal Ximinez is not a realistic portrait of the historical Francisco Jiménez de Cisneros. He’s a moustache-twirling villain straight out of a bad film serial. As supporting evidence for the argument that the Python’s Inquisition is a joke about popular culture, not about politics, I give you Ximinez’s bumbling sidekick……Cardinal Biggles!Those who are not as steeped as the Pythons were (and I unfortunately am) in 20th century British popular culture will be unaware of who Biggles was.He was a recurring character in Python, and was ripped straight from the pages of one of the most popular English writers of adventure stories of the middle of the last century, W.E. Johns. Johns had been a bomber pilot in WW1, had seen combat, been shot down and taken prisoner, and after the war he became a writer. His general hostility to the Germans made him an enemy of appeasement, and he began writing stories with the aim of portraying war flying as a worthy occupation for a young chap. His most famous creation was James Bigglesworth, aka Biggles; the first Biggles book, The Camels are Coming, came out in 1932 and they were still coming out after his death in 1968. The Biggles books are notable for, among other things, Johns’ habit of almost never using the word ‘said’ when another word was available to describe how characters utter their dialogue. People in Biggles books never ‘say’ anything. Instead, Johns uses ‘offered’, ‘returned’, ‘opined’, ‘answered’, ‘exclaimed’, ‘announced’ and, most notoriously, ‘ejaculated’.There’s room somewhere else for a more full treatment of W.E. Johns. He wasn’t a total caricature: he also wrote an eleven-book series for girls, aiming to encourage them to take up military flying, starring F/O Joan ‘Worrals’ Worralson; he unbent enough towards the Germans to bring back Biggles’ old nemesis Von Stalhein as a sympathetic character in Biggles Buries a Hatchet, and apparently, when he died, he was working on an unfinished Biggles story in which the great man was retiring and preparing for his ethnically-mixed replacement.However, the Pythons loved the air of open-air, manly adventuring that Biggles brought to the party, and wrote some of their most sexually explicit stuff about Biggles’ relationship with his chums, ‘Algy’ Lacey and ‘Ginger’ Hebblethwaite. And, to be fair, looking at the cover of this early book, you can see their point— this Biggles is startlingly androgynous, and quite a hottie:However, Cardinal Biggles is in the Spanish Inquisition because since Ximinez himself is a character out of silly popular fiction, you might as well have another character out of a completely different kind of silly popular fiction. (Terry Gilliam’s Cardinal Fang is clearly a version of an Igor character from Frankenstein movies.)The central joke about the Python’s Inquisition is, of course, that they’re completely ineffectual. Ximinez can’t even deliver his second line without constantly increasing the list of the Inquisition’s ‘chief weapons’, forcing them to keep restarting the sketch. When Ximinez orders them to ‘fetch the rack’, they nervously produce a rack for drying plates. Their idea of torturing an old woman is to ‘POKE HER WITH THE SOFT CUSHIONS!’Only one of the Pythons, Palin, had done history at university. The others specialised in, variously, medicine (Chapman), law (Cleese), English (Idle and Jones, who admitted to ‘straying into history’ through his interest in medieval literature) and political science (Gilliam). Nevertheless, the Spanish Inquisition sketch isn’t the result of preliminary reading, as Monty Python’s Life of Brian was. Life of Brian turned out the way it did because, once the team was committed to making a movie set in 1st century Galilee, the reading they did confirmed for them that Jesus himself wasn’t a good subject for comedy; they didn’t find him funny, because they agreed with him.The Spanish Inquisition sketch is not historically informed political satire, but a joke about reality not conforming to the dictates of dramatic convention. The final example of this is one of my absolute favourite moments of Python, and a superb piece of production from Ian McNaughton’s team, and timing from Palin.In the final sketch of the episode in which the Inquisition first appeared, a judge (Graham Chapman) sentences another judge (Terry Jones) to be burned at the stake, after delivering a fantastically insane little speech about how England has become too soft on crime:However, I'm not going to punish you, because we're so short of judges at the moment, what with all of them emigrating to South Africa. I'm going tomorrow; I've got my ticket. Get out there and get some decent sentencing done. Ooh, England makes you sick. Best I can manage here is life imprisonment. It's hardly worth coming in in the morning. Now, South Africa? You've got your cat of nine tails, you've got four death sentences a week, you've got cheap drinks, slave labour and a booming stock market. I'm off, I tell you. Yes, I'm up to here with probation and bleeding psychiatric reports. That's it, I'm off. That's it. Right. But I'm going to have one final fling before I leave, so I sentence you to be burnt at the stake.Now, that is political satire. ‘Blimey,’ says Jones’ Justice Kilbracken, ‘I didn’t expect the Spanish Inquisition.’The camera cuts to a suburban house, out of which the Spanish Inquisition bursts. They run hell-for-leather down the street. They’re accompanied by stock exciting music, Charles Williams’ ‘Devil’s Galop’, familiar to people of the Pythons’ age as the theme music for the 1946–51 BBC radio series Dick Barton: Special Agent, another gesture towards cheesy mid-C20 popular culture.The Inquisition catches a bus, where even here Ximinez has difficulty with numbers (‘Two—er, three to the Old Bailey, please’), and then as they travel through the recognisable sprawl of suburban London, the episode credits start to roll. ‘Look,’ Biggles says, ‘they’ve started the credits.’ Ximenez urges them to hurry (‘There’s the lighting credit, only five left’), and as the credits near the end the bus pulls up outside the Central Criminal Court and the Inquisition leaps off and charges inside.We cut to inside the court and the door bursts open, and the Inquisition enters with the maximum possible drama.‘Nobody expects the Spa—’ Palin begins, in his cod-Spanish accent. The screen goes blank and the caption ‘The End’ appears. Palin immediately drops the act and says in his normal voice ‘Oh bugger.’Reality gets the better of them once again.As I said many volumes ago at the beginning of this answer, real political satire has a target, and aims to hurt. In Life of Brian, the Pythons knew who they were aiming at with their depictions of warring sects and rival political groups. But in these three sketches, they weren’t aiming at specific targets in that manner; they’re just having a laugh.By contrast, consider the satirical career of someone who was a forerunner of the Pythons: Peter Cook.Cook was someone to whom satire came as naturally as breathing, perhaps because like many great satirists he wasn’t looking at his targets entirely from the outside. He shared much of their background and on some level, even liked them. This is perhaps why he was so good at taking their attitudes and expanding them to the point of sheer absurdity.An early example was his monologue ‘TV PM’ from Beyond the Fringe, when in character as then-prime minister Harold Macmillan he expertly portrayed Macmillan as a bleary old man delivering a public address, who was quite out of his depth and didn’t realise it. At one point, Cook-as-Macmillan talked about visiting Germany:I went first to Germany, and there I spoke with the German Foreign Minister, Herr… [Pause, can’t remember his name] Herr and there…and we exchanged many frank words in our respective languages. So, precious little came of that in the way of understanding.In the ‘Civil Defence’ sketch, Cook was great as a fabulously oblivious government official, referencing Roger Bannister’s 1954 record-breaking achievement in one of the show’s greatest lines:Now, we shall receive four minutes warning of any impending nuclear attack. Some people have said, "Oh my goodness me, four minutes, that’s not a very long time." Well, I would remind those doubters that some people in this great country of ours can run a mile in four minutes.But one of Cook’s greatest moments as a satirist was in the Amnesty International benefit show The Secret Policeman’s Ball, in 1979.Satire has a shelf-life; if you don’t recognise the target, it’s not as funny. But one of the criticisms of that benefit show, at the time, had been that too much material in it had been performed before.It so happened that Britain in the summer of 1979 had been witnessing the trial of former Liberal Party leader Jeremy Thorpe for conspiracy to murder. (This whole weird business was dramatised in the excellent 2018 miniseries A Very British Scandal.) It’s a long story, but in his summing-up at the trial, Justice Cantley had been notably and even jaw-droppingly favourable to Thorpe, describing one prosecution witness as a ‘humbug’ and the target of the conspiracy, Norman Scott, as a fraud, a sponger, a whiner and a parasite. More than one commentator was taken aback by the extent to which Cantley had evidently decided that Thorpe & co were innocent, and was instructing the jury that they had better find him innocent too.On the third day of the benefit show’s four-day run, Cook wrote a satire of Cantley’s summing up and delivered it: a brutal take-down of the judge’s evident partiality, privilege and homophobia.(‘Norma St John Scott’, incidentally, combines Norman Scott with the gay Conservative politician Norman St John-Stevas.)That’s satire. Like Edgar the giant bug alien in Men in Black, who squeezes himself into Vincent D’Onofrio’s skin until he looks like a lurching, zombified parody of himself, Cook inhabits Justice Cantley’s voice, manner and attitudes, and bloats them to the point that you can’t miss the man’s grotesque fawning over Thorpe and his family, and his equally grotesque contempt for people that he regards as intrinsically beyond the pale as human beings. In the clip, you can see the audience reacting as an audience does, when someone gets up in public and says what everyone in the room is thinking.Did this do anything? Did Cantley’s career suffer? No. But it had the effect of making people feel that they were right to consider Cantley’s handling of the trial to have been biased. If the Thorpe trial is now the thing that Cantley is chiefly remembered for, it’s partly because Cook made him an immortal figure of fun in this monologue.But really, if we’re talking for ‘archetypes’ for political satire, we’d need to go a lot further back than the 1970s.

A pedophile will not readily admit to the public he is a pedophile; the world is not ready to understand the complexity of the human mind. People in the majority are not open-minded and quick to judge. Some people write that a psychopathic mind is rational and logical; that is a complete farce; the psychopathic mind is the complete opposite of neurotypical rationality and logic. The psychopathic is paradoxical, comprised of black and white thinking, highly unpredictable. A psychopathic mind can only exhibit and understands shallow emotions, does not function on a deep level, and cannot bond. The psychopathic personality is anti-social, meaning (contrary to social norms). The nature of a psychopath is predatory. All psychopaths are equally capable of extreme callousness (Taking a human life without a shred of guilt, sympathy, and remorse); Psychopathic inability to understand human emotions on a deep level and inability to bond make the individual dangerously unpredictable. The nature of a psychopath is self-serving and every other life to serve a psychopath is expendable. You are falling for the act, the fancy facade, because you are emotional people and start to feel sympathetic to the personality you perceive; a psychopath understands your nature and will adapt to it and show you only what he wants you to see. If any psychopath showed you their true colors, you would run for the hills and never look back.I will mention Alex Umbreanu; his assessment stated: him being highly intelligent, cold-calculating, manipulative, and callous, a sexual sadist with a taste for blood.Reads: (Blank) holds a distorted, yet rationalized way of thinking that leaves (Blank) feeling superior and validated in (Blank) lack of empathy, remorse, and regard for others. (Blank) is an intelligent (Blank) with strong verbal skills and despite (Blank) tendency to discuss disturbing topics (Blank) can be quite engaging.(Blank) continues to display entrenched and detailed fantasies and thoughts of violence, torture, rape, blood, and gore. (Blank) appears to receive true pleasure from these thoughts and admits they are linked to (Blank) sexual arousal. (Blank) voices no concern about (Blank) patterns of thinking and has no desire to make any change in this area.(Blank) has a fixed, permanent lack of affective activity that may be related to early attachment difficulties or biological abnormality or to possibly (unknown) parental use of drugs or alcohol during pregnancy. There may be a truly biologically based psychopathy in the sense that emotions are definitely different from the normal.File information is that the (Blank) discharge diagnoses were Sexual Sadism, Major Depressive Episode - Moderate Severity In Remission and Attachment Disorder with features of psychopathy. There was also a query of antisocial personality traits with psychopathic tendencies. (Blank) had reported (Blank) had masturbated to images of violence and aggression and it was sexually exciting for (Blank) to think about causing pain in others or watching them suffer. It was also noted that (Blank) manipulated (Blank) peers and particularly targeted vulnerable individuals.Psychologist Dr (Blank) provided s critique Dr (Blank) report; however, he additionally offered an opinion regarding possible diagnosis. He noted that a diagnosis present in this case is Pervasive Development Disorder, as an autism spectrum disorder. Dr (Blank) noted that, regardless of that diagnosis, little would change with respect to treatment and management options or responses. He agreed with Dr (Blank) that (Blank) risk was Moderate while (Blank) was under a legal order. However, he believed it reasonable to assume (Blank) risk would increase when (Blank) is "unmoored from any social connection" He noted (Blank) ability to last six years without violence to another person remarkable was a mitigating factor. However, he took issue with the opinion that (Blank) high intelligence was a protective factor; instead, he saw ut as a risk factor since (Blank) intended to use it to plan (Blank) offense in detail and avoid detection.Reads: Paraphilic or abnormal interests marked prominently by sexually sadistic fantasies, urges, and behavior (Blank) also appears to have another paraphilia involving a blood fetish distinct from sexual sadism that has some features consistent with rare phenomena described in the psychiatric literature called vampirism, which is a condition in which involves the letting of blood by cutting or biting, sometimes drinking it, accompanied by sexual arousal. As a result of (Blank), paraphilic sexual interests (Blank) appear to have sexual dysfunction as (Blank) reports that (Blank) can not obtain any subjective erotic feelings to consenting sexual fantasies. (Blank) has not sought out nor is (Blank) interested in having a sexual partner despite having a heterosexual orientation, and (Blank) appears to have difficulty achieving sufficient sexual arousal to reach orgasm now except in the context of killing.... (critical information blacked out).The other psychiatric problem (Blank) demonstrates evidence of a personality disorder not otherwise specified with anti-social, psychopathic, and narcissistic traits. (Blank) has difficulty with appropriate emotional responses including empathy towards others. (Blank) interpersonal functioning has been described as manipulative and calculating. (passage incomplete) that (Blank) relishes and takes pride in the fact that (Blank) possesses a lack of guilt and empathy towards others, does not bode well for the prospects of building a prosocial network to mitigate (Blank) risk.File information is that psychiatrist Dr (Blank) prepared a forensic report for Bail in May (Blank). he noted (Blank) was developing a "very severe and profound personality disorder in the Cluster B spectrum with antisocial and psychopathic traits". He did not believe (Blank) clinical presentation reflected the diagnosis of Reactive Attachment Disorder. (Blank) preoccupation with violence and gore was so intense it was considered (Blank) might be pre-psychotic albeit there was not much evidence to support that. He opined that (Blank) provided a trial with an antipsychotic but it was discontinued because (Blank) had not responded to it. Dr. (Blank) had noted that (Blank) "is a sexual sadist who becomes extremely aroused at thoughts of aggression and torture particularly towards younger children and other vulnerable potential victims".Two months later, in July (Blank) psychiatrist Dr. (Blank) concluded that (Blank) met the criteria for diagnoses of Conduct Disorder and Sexual Sadism and that (Blank) presented with emerging Cluster B Personality Disorder with narcissism and antisocial features. All (Blank) relationships appeared solely to obtain something from another or to manipulate another. (Blank) was proud (Blank) felt no empathy.Psychologist (Dr (Blank) completed a psychological report dated (Blank) September (Blank) based upon interviews conducted in June and July of that year. (Blank) reported strong fantasies of strangling, jabbing, or otherwise hurting people and (Blank) reported (Blank) obtained erotic satisfaction from those fantasies and occasionally masturbated to those fantasies. He saw (Blank) as at very risk of re-offending in a serious way including murder is (Blank) was not constantly supervised or if therapeutic interventions were not effective. He did not see the diagnosis of Reactive Attachment Disorder as valid for (incomplete).Reads: Based on (Blank) history, (Blank) meets the criteria for a diagnosis of Conduct Disorder. (Blank) also meets the criteria for a diagnosis of Sexual Sadism. (Blank) also presents a young (blank) with an emerging Cluster B Personality Disorder particularly in the areas of narcissistic and anti-social personality disorders.There has been some discussion as to whether or not (Blank) unusual presentation and symptomology may reflect a diagnosis of (Reactive Attachment Disorder. I agree with Dr. (Blank) that I do not believe this to be the case. (Blank) does not develop anxious or pathological attachments to others. (Blank) is quite clear that (Blank) has no desire to form reciprocal relationships. Furthermore, (Blank) complete inability to experience any degree of empathy even on a hypothetical level is beyond the scope of such a diagnosis.The court needs to be aware that the Diagnostic and Statistics Manual - the handbook which contains the criteria for all the psychiatric disorders currently valid, does not have a specific diagnosis that adequately describes (Blank) mental state. The court needs to be aware that young (Blank) is proud of the fact that (Blank has no ability to feel empathy for others. (Blank) is not interested in developing reciprocal meaningful relationships. All of (Blank) relationships are one-sided and based completely on (Blank) desire to obtain something from another person or to manipulate the other person.There has been some research into this type of individual with the suggestion that there is hardwiring abnormally present at birth which results in emotions being processed differently in these types of individuals compared to the normal population. Some studies also suggest that trying to treat these individuals with empathy training or insight-oriented psychodynamic psychotherapy may merely result in developing a better intellectual understanding of empathy and emotions which, unfortunately, can then be used to make these individuals better at manipulating others.The court should also be aware that there are studies that there are a number of individuals who lack empathy and emotional reciprocity who are able to reside in society without engaging in criminal activities. The main motivating factor for these individuals is that it is in their best interest to not commit a crime so they do not have to suffer consequences.Unfortunately, in (Blank) case, there are other features that increase markedly (Blank) risk for future criminal and aggressive behaviors. (Blank) is a sexual sadist who becomes extremely aroused at thoughts of aggression and torture particularly towards younger children or other vulnerable potential victims. This trait strongly increases (Blank) risk for future violence. In addition, (Blank has a great deal of narcissism with regards to (Blank) belief that (Blank) may be able to do crimes without being caught. This trait also significantly increases (Blank) risk. I am extremely concerned that (Blank) will constitute a significant risk to vulnerable members of society for the foreseeable future.Please see Dr. (Blank) report for complete recommendations (passage blanked out - incomplete details of the case). If there are unsolved murders or missing children which occur in the area around where (Blank is living, (Blank) should be considered a potential suspect. If (Blank moves to another area, information regarding (Blank)potential risk should be forwarded to that community (passage blanked out - incomplete). However, I did want to make these recommendations to reflect the significant risk that I believe (Blank) presents to society and will likely continue to represent to society for the foreseeable future. As stated, please see Dr (Blank) report for more recommendations.Reads: The Consultation by Dr. (Blank) noted that (Blank) reported that (Blank - incomplete statement) His working diagnoses were (a) Rule Out major psychiatric pathology in terms of either Mood Disorder Not Otherwise Specified of Psychosis Not Otherwise Specified although the later sounded quite unlikely, (b) Predominant Axis II pathology with Cluster B particularly antisocial personality/psychopathic traits and (c) Question (Blank) in the past (passage blanked out - incomplete).While on remand for the index offenses, (Blank) was certified by psychiatrist Dr (Blank)and transferred to (Blank). While (Blank) was not a management problem there, (Blank)did not cooperate to assess (Blank) psychopathy; (Blank) thrice refused to be assessed by psychology. (Blank) had stated that the outcome of such an assessment could be detrimental to (Blank) sentencing and not in (Blank) best interests. Dr. (Blank) offered the diagnostic considerations: (a) No Diagnosis on Axis I, (b) Narcissistic Personality Disorder with sadistic tendencies and Rule Out Psychopathy on Axis II, and (c) History of (passage blanked - incomplete statement) Axis III.Dr (Blank) subsequently conducted a psychiatric assessment. (Blank) said that Dr. (Blank) diagnosed (Blank) with a Personality Disorder Not Otherwise Specified (antisocial, narcissistic, and psychopathic) and Sexual Sadism (passage blanked - incomplete).Psychiatrist Dr (Blank), in his (Blank) September (Blank) report, noted that (Blank) had abnormal sexual interests marked prominently by sexual sadistic fantasies. (Blank) also had a second paraphilia of vampirism, the letting of blood accompanied sometimes by drinking it and accompanied by sexual arousal. (incomplete passage).Clinicians who have previously diagnosed (Blank) spoke of emergent cluster B traits or specifically identified some of those cluster B traits (e.g., narcissistic and antisocial). psychopathy is another term used but that is not a diagnosis in the DSM-IV-TR. Psychopathy will be addressed separately below.In my opinion, (Blank) meets the criteria for the diagnosis of:Antisocial Personality DisorderThe essential feature of Antisocial Personality Disorder is a pervasive pattern of disregard for, and violation of, rights of others that begins in childhood or early adolescence and continues into adulthood.(Blank) also demonstrates Schizoid, Borderline, and Narcissistic traits in that (Blank) is largely detached from social relationships, has an unstable self-image and sense of self, and is interpersonally exploitative, and lacks empathy. While (Blank) earlier demonstrated some Obsessive-Compulsive traits, none appeared evident at the present time.In the alternate, I would consider a diagnosis of Personality Disorder Not Otherwise Specified (Mixed with antisocial, schizoid, borderline, and narcissistic features) as Dr. (Blank) suggested although I add schizoid traits; however, I would then also diagnose the comorbid condition of Conduct Disorder.Reads:RISK ASSESSMENTHare Psychopathology Checklist-Revised - Second EditionThe Hare Psychopathology Checklist-Revised (PCL-R) is an instrument that was designed to measure the construct called psychopathy. It was subsequently discovered that scores on the PCL-R could predict future violence. Additional work was done on the scale and the norms were revised. The revised PCL-R referred to ass PCL-R2, consists of the same set of items, scored in the same manner, as the PCL-R. The difference is in norms used to interpret the results of the rating scale.(Blank) overall score on the PCL-R2 fell to the 77.8 percentile for North American (Blank (youth (?)) offenders. That means that (Blank (his, her (?)) is higher than about 77.8 percent of North American (Blank (youth (?)) Offenders. and lower than about 22.2 percent of such offenders. That is a relatively high score; however, the cut score for psychopathy, by convention, falls at the 92.6 percentile (i.e. score of 30 out of 40) for the same group.While the construct of psychopathy uses a cut score of 30 on the test, the research linking psychopathy to violence uses a lower cut score, typically a score in the 20s. One of the most robust findings for sexual recidivism is that those with high PCL-R scores and evidence of paraphilia (particularly when assessed using phallometric methods) are the individuals most likely to re-offend. In one study, using 25 as the cut score (the same score (Blank attained), 70 percent of those with scores of 25 or more on the PCL-R and evidence of deviant sexual arousal reoffended. In another study, the cut score was lowered to 15.5 points on the PCL-R; 70 percent with those with scores higher than 15.5 and evidence of deviant sexual arousal reoffended while 15 percent of those with scores lower than 15.5 and no evidence of deviant sexual arousal reoffended.A high PCL-R2 score and deviant sexual arousal would be considered as an offender at relatively high to very high risk of reoffending.The PCL-R2 consists of two factors: Factor 1 assesses interpersonal and affective aspects of psychopathy while Factor 2 assesses lifestyle and antisocial features of psychopathy. (Blank (name (?)) Factor 1 score fell at the 98.9 percentile while (Blank (name (?)) while Factor2 score fell at the 51 percentile. It appears that (Blank (full name (?)) has the interpersonal and affective features of psychopathy, considered the core psychopathic features; however, (Blank) psychopathic traits have not been fully expressed into an anti-social and socially deviant lifestyle. it appears that (Blank may be capable of controlling the full expression of (Blank) psychopathy or (Blank) may sublimate it into more prosocial forms of expression (e.g., (Blank) pursuit of criminology and forensic psychology or excellence in biology class). I would also suspect that (Blank) relatively young age has protected (Blank) somewhat, from having sufficient time to engage in behaviors (e.g., multiple marital partners, criminal versatility) that would otherwise have increased (Blank) overall score and, specifically, Blank score on the antisocial and social deviant scales.Violence Risk Appraisal Guide - (report incomplete).Link to the report - Alex Umbreanu's answer to To the people that call themselves sociopaths/ psychopaths on Quora, do you have actual medical proof you can share?PS. Ask yourselves; based on the information, would you befriend this person and invite them into your home?