PRIMARY PSYCHOPATHS do not respond to punishment, apprehension, stress, or disapproval. They seem to be able to inhibit their antisocial impulses most of the time, not because of conscience, but because it suits their purpose at the time. Words do not seem to have the same meaning for them as they do for us. In fact, it's unclear if they even grasp the meaning of their own Words, a condition that Cleckley called "semantic aphasia." They don't follow any life plan, and it seems as if they are incapable of experiencing any genuine emotion.
SECONDARY PSYCHOPATHS are risk-takers, but are also more likely to be stress-reactive, worriers, and guilt-prone. They expose themselves to more stress than the average person, but they are as vulnerable to stress as the average person. (This suggests that they are not "fully psychopathic." This may be due to distinctive genetic variations.)
They are daring, adventurous, unconventional people who began playing by their own rules early in life. They are strongly driven by a desire to escape or avoid pain, but are unable to resist temptation. As their anxiety increases toward some forbidden object, so does their attraction to it. They live their lives by the lure of temptation. Both primary and secondary psychopaths can be subdivided into:
Primary psychopathy was defined by those following this theory as the root disorder in patients diagnosed with it, whereas secondary psychopathy was defined as an aspect of another psychiatric disorder or social circumstances.
Factor 1Aggressive Narcissism
Primary psychopaths are considered to have mostly Factor 1 traits from the PCL-R (arrogance, callousness, manipulativeness, lying) whereas secondary psychopaths have a majority of Factor 2 traits (impulsivity, boredom proneness, irresponsibility, lack of long-term goals).
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