It's disconcerting, no question about it, working with someone who's antisocial, with real sociopathic qualities (forgetting, again, for the moment, the hell of living with such an individual). Recently, I'm struck again, in my work with a client I'll call Howard, by the brew of certain qualities, certain attitudes, certain defenses that strike me as forming a rather sociopathic orientation. Howard is 19. He understands the suffering he's causing others in his life: he can “talk the talk,” meaning that he “gets it” on a cognitive level. He can say, for instance, quite accurately, what he's doing, why it's wrong, that it's wrong, even that he feels bad about it. How badly he really fe …
