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> Sociopath is a clinical term, it's just not in the DSM because it's not, per se, a disease or disorder. Being a sociopath doesn't, by itself, cause impairment
by dsacco 9y ago
> Sociopath is a clinical term, it's just not in the DSM because it's not, per se, a disease or disorder. Being a sociopath doesn't, by itself, cause impairment as defined by the DSM. But that doesn't mean it's not a clinical term. Ask any psychiatrist or psychologist what the defining characteristics are of a sociopath and they could immediately recite the Hare Psycopathy Checklist.
Sociopathy is not a clinical term, despite Robert Hare's research into the subject. I have spoken to psychologists and psychiatrists about this, as you're recommending - they only use terminology like "sociopathy" insofar as they use terminology like "insanity." It helps them quickly invoke a set of peripherally familiar traits when they're speaking to a lay audience, like clients or law enforcement.
The entire purpose of a clinical term is to label a disease or disorder. There's no such thing as a clinical term not being documented in clinical reference material, because that's implicitly definitional. Antisocial personality disorder is the clinical label for traits which are usually bundled together under the colloquial term "sociopathy" because "sociopathy" is just that - colloquial. For the same reason the legal insanity defense doesn't qualify it as a clinical term, psychologists do not actually use sociopathy because it's far too imprecise.
> Sociopath in the vernacular does often connote a serial killer. Fair enough. But there's plenty of literature, for professionals and laymen, that discusses sociopathy in clinical, well-defined terms.
Can you cite literature intended for a professional audience that actually uses sociopathy as a clinical term? Using sociopath in popular science books or books targeted to a lay audience doesn't count. That sociopathy occupies a zeitgeist among a lay audience is exactly why it's not used in a clinical setting. It has too many associations and inconsistencies that do not lend itself to a rigorous analysis, and is often abused to refer to whatever set of qualities someone wants to attribute to another party.
This might come across as pedantry, but I find it very frustrating when words like "sociopathy" or "psychopathy" or even "insanity" are all claimed to be clinical terminology. Claiming they are dilutes the clarity of actual diagnosable disorders in discussion, and somewhat legitimizes ad hominem attacks involving these terms. The terms are fun as a popular reference or for joking incredulity, but there is a serious lack of self awareness among all of the comments in this thread which keep trying to define and redefine terms which have no clinical definition.
- wahern 9y agoYou make great points, but I think 1) reasonable people can disagree and 2) your definition is overly pedantic. For example, a doctor can still discuss, in clinical terms, smokers (as individuals, as a class) who suffer from no discernible impairment warranting treatment. Without actual impairment such clinical vocabulary may ultimately be more fluid and hand-wavy than it otherwise might be if anchored by concrete presentations, but it's no less clinical in the sense of 1) a professional vocabulary with well-defined denotations and connotations 2) useful in the application of and study of clinical treatment of actual impairment. So, for example, doctors and researchers may use terms like diffuse intimal thickening (DTI) or nicotine dependence. Much like "lack of empathy" they beg many questions, but even so they raise the same questions among those familiar with the subjects. Regarding the literature, https://www.ncbi.nlm.nih.gov/pubmed/?term=sociopathy https://www.ncbi.nlm.nih.gov/pubmed/?term=sociopathy I'll let those search results speak for themselves. If we're being pedantic I think many of them make my case. But in fairness those results taken as a whole probably augur in favor of the term "sociopathy" being, at best, borderline clinical.
- wahern 9y agoAlso, FWIW, the last time I asked a psychiatrist about sociopaths it was a very short conversation. He immediately replied that he doesn't see many because 1) there's no real treatment and 2) they usually have no reason to seek treatment. My sense of the conversation was that the term evoked precisely the same concepts in both our minds (even if his had more nuance and depth), and nothing at all as a muddled as "insanity". I wanted to ask more questions but I figured, what was the point. All he could do would be to confirm what I've read and reiterate the open questions and debates. "Clinical" is not defined by the degree of accuracy or precision relative to the objective truth of a phenomenon. Depending on the state of the science a clinical term could be extremely fuzzy or perhaps even an ontological misstep--i.e. a grouping of unrelated phenomena, or an overly restrictive grouping. But it can be still be a clinical term serving a clinical role.