What is the Difference Between Primary and Secondary Psychopathy?

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Dr. Todd Grande

Dr. Todd Grande

5 років тому

This video answers the question: What is the difference between primary and secondary psychopathy? When we talk about the construct of psychopathy, we are talking about a construct that is fairly similar to the mental disorder “antisocial personality disorder,” which is in the Diagnostic and Statistical Manual (DSM). Actually, psychopathy is similar to all of the Cluster B personality disorders: antisocial, narcissistic, and to a lesser extent it is associated with borderline and histrionic personality disorder. The way we could think of these two constructs, psychopathy and antisocial personality disorder, would be that antisocial personality disorder is defined mostly based on behaviors and psychopathy is defined partially on behaviors, but it also adds this interpersonal component. The way these two constructs are measured is a bit different and the way they're used in the research is a bit different. Usually the way we think about them is that most everyone who has psychopathy would also qualify for antisocial personality disorder, but only some individuals with antisocial personality would also qualify as having psychopathy. When we look at the construct of psychopathy a little more closely we see that it can be divided in the two major types and that's what I'm really talking about here in today's video: primary versus secondary psychopathy. A lot of times the term primary psychopathy can be synonymous with the term psychopathy. A lot of times when individuals in research say psychopathy, they really mean primary psychopathy. Secondary psychopathy is sometimes referred to as sociopathy. This term is not common in the research literature anymore, but it really does have the strongest relationship with this construct of secondary psychopathy. This can become a bit confusing because when you hear the term psychopathy, it's not really clear if it's referring to the entire construct or just primary psychopathy. Additionally, sometimes when individuals use sociopathy, they're really talking about psychopathy as opposed to just secondary psychopathy. When we look at primary psychopathy we know there are certain characteristics associated with it: being unemotional, callous, manipulative, calculating, having little or no fear, guilt, remorse, empathy, or anxiety. We also tend to think of primary psychopathy as having an etiology that is genetic more so than environmental. Psychopathy has a fairly strong association with antisocial personality disorder and narcissistic personality disorder. When we talk about secondary psychopathy, we see a different set of characteristics. Sometimes secondary psychopathy is referred to by this term antisocial deviance. Secondary psychopathy is more associated with criminal behavior than is primary psychopathy. We also see a number of other characteristics: being rash, impulsive, emotional, anxious, hostile, aggressive, volatile, and self-destructive. Individuals that secondary psychopathy also tend to be more disorganized and tend to have a risky decision-making style when compared to individuals with primary psychopathy.

КОМЕНТАРІ: 122
@gupgupgupgup9790
@gupgupgupgup9790 5 років тому
A thing I also see with both of these constructs is the constant "boredom" they experience. The need to constantly look for outside stimulation and risky behaviour (drug abuse, criminal behaviour,..) to quench it. I am unsure if this is due to decreased affect, emotional dysregulation,..
@mnpd3
@mnpd3 4 роки тому
Yep, and in interpersonal relationships they remedy the boredom by the gaming process of destroying you.
@jr1364
@jr1364 4 роки тому
I'm schizophrenic and always bored
@tsbcmhc2083
@tsbcmhc2083 5 років тому
Confusing is an understatement! However, I did find very interesting that a person with Primary Psychopathy is considered to be born that way, while a person with Secondary Psychopathy has been influenced by the environment.
@vitalentity1074
@vitalentity1074 3 роки тому
I feel like secondary psychopathy is extremely common.
@furiousape7717
@furiousape7717 5 років тому
Man thank you so much, whenever I get confused and run into false info on the internet, your always there to help. Thank you.
@DrGrande
@DrGrande 5 років тому
You are quite welcome!
@furiousape7717
@furiousape7717 5 років тому
Dr. Todd Grande you mentioned primary psychopaths are unemotional, does this mean they can’t be depressed or have anger problems
@Jax.Scorpio
@Jax.Scorpio 4 роки тому
@@furiousape7717 Most psychopaths have both types in some ways, because genetic ones were most likely raised in crazy houses. So depression is common.
@piuli1418
@piuli1418 4 роки тому
Best description ever. Thank you☺️
@pisces_chick2511
@pisces_chick2511 3 роки тому
Best analogy I have ever heard how to differentiate between psychopathy & sociopathy goes like this. A person somehow angers, upsets, harms, makes them rage. The sociopath would be your bar fighter, instant rage, uncontrollable, reactionary, beats the tar out of said person. The psychopath, on the other hand, he walks away, cool, calm, collected. Goes home and mastermind's and executes a plan, murders said person, three days later.
@virginiamurrey9139
@virginiamurrey9139 5 років тому
This was a very informative video. What I like about your videos would be that they describe differences between similar topics, or topics that could easily be mixed up or mistaken for one another.
@wandamixon5360
@wandamixon5360 5 років тому
I found this distinction between primary and secondary psychopathy interesting. As you stated the terms have been used interchangeably, making it confusing. I found that reviewing both antisocial personality disorder and psychopathy videos prior to reviewing this one helpful.
@bjc215
@bjc215 5 років тому
I wholeheartedly agree with the distinctions that you clarified in this video. From the biological psychopath to a secondary psychopath being developed to the distinction from antisocial personality.. Your talk is spot on perfect!! Because secondary psychopathy does not necessarily meet the criteria for apd (or any cluster b for that matter), do you think it is possible for a person who meets the criteria for avoidant personality to have secondary psychopathy?
@johnharrisjr2808
@johnharrisjr2808 5 років тому
I thought it was interesting that most everyone that has psychopathy would qualify for anti social personality disorder but only some individuals with anti social personality disorder would qualify for having psychopathy. i think that the terms primary and secondary psychopathy are confusing. Thank you for clarifying those terms. I need to watch this video again the get the full meaning
@janicedixon2051
@janicedixon2051 5 років тому
Same John. I wonder it works one way and not the other. Is it because psychopathy is more extreme than anti social personality disorder in regards to the behaviors the person diagnosed engage in?
@MaximusCrixusDb
@MaximusCrixusDb 5 років тому
Janice Dixon It works one way or the other,can’t be combined.
@qiuwbr091
@qiuwbr091 4 роки тому
You have saved me from the pain these personalities hunt me with.
@hanazuza
@hanazuza 5 років тому
Thanks for this very well structured and clear explanation!
@DrGrande
@DrGrande 5 років тому
You're welcome!
@SuprSi
@SuprSi 5 років тому
Interesting. Thank you for the info Dr Grande. I was a bit puzzled because I'd never heard the difference between primary/secondary psychopathy before. I don't like to manipulate or hurt feelings and i do empathize strongly (unless i don't respect a person for some reason, then it's like empathy for that person is switched off) so I wasn't sure, but seeing this I feel like I fit pretty much all the traits you listed for secondary psychopathy.. I'll have to speak to my psychiatrist aunt about it, should be an interesting conversation! I've always thought to myself that it's a good job I have a solid moral compass, because my emotions certainly wouldn't hold me back otherwise.
@SuprSi
@SuprSi 5 років тому
Update: Apparently not, I guess it's just some similarities in my personality then. :) Very interesting stuff all the same.
@OffGridMadMan
@OffGridMadMan 3 роки тому
I was directed here by someone from my Schizotypal PD community and secondary psycopathy seems to fit me like a glove. Strangely, BPD doesn't apart from when I was abusing substances,etc.... I will speak to my psych about this. If you get round to answering this, are dissociative disorders commonly linked with this? I have one of those too, what joy.... Great video as always doc, thank you.
@yourenough3
@yourenough3 5 років тому
Thanks Dr. G
@nv_chino
@nv_chino 9 місяців тому
Thanks Dr.Grande, I’ve been trying to understand my abusers and they literally got more than half of these symptoms as you mentioned in this video.
@veronicabetz9452
@veronicabetz9452 5 років тому
Great job clarifying these differences! I have always had a fascination with ASPD.
@runwiththewind3281
@runwiththewind3281 5 років тому
Thank you for helping me understand This is valuable information Thank you
@DrGrande
@DrGrande 5 років тому
You're welcome!
@breemorrison4455
@breemorrison4455 2 роки тому
I have been dating a man for 15 years who has been diagnosed with antisocial personality disorder. I have, for all this time, been unable to discern whether he is a sociopath or a psychopath. He constantly gaslights me, and has been very cruel to me and to other people. I have created a physical distance of nearly 2000 miles between us, but have yet to end the relationship. What I really want to know, is whether he does these things purposefully, or if he is unaware of the impact of his behaviors. I feel as though I need to know before I take any further steps to truly cut all ties. I also have no idea what to expect if I end it. Even though I know for a fact that my life is easier since I left, I still am hesitant to stay away. Please be kind if you choose to respond to my comments....you have no idea what this is like if you haven't experienced it firsthand. Thanks.
@Kroops12
@Kroops12 Рік тому
I only feel empathy when im alone but never express it to others.
@yellowrepublic5636
@yellowrepublic5636 4 роки тому
Villanelle is totally a secondary psychopath. Thanks, nice video
@the_natural_philosopher
@the_natural_philosopher 3 місяці тому
Well informed video...
@giselego47
@giselego47 5 років тому
Is covert narcissism the same as secondary psychopathy. I see many similarities. They both engage in a lot of passive aggressive behaviour.
@DrGrande
@DrGrande 5 років тому
There is some overlap, but they are distinct constructs. Anger and aggression would be shared characteristics.
@rebekah1216
@rebekah1216 5 років тому
Yes! This secondary thing explains so much! I hadn't heard this distinction before, thank you, i just had a light bulb in my life!
@SOLOMONDAMIANAARON
@SOLOMONDAMIANAARON 8 місяців тому
I am a person with ASPD , a combination of both primary and secondary psychopathy, and seem to show signs of BPD and manic episodes. My inner world is horrible ahaha. I also had schizophrenia but got rid of it forever.
@sasfishadventures9729
@sasfishadventures9729 4 роки тому
Amazing video!
@yazansakran3326
@yazansakran3326 5 років тому
Fascinating Information. Great channel
@DrGrande
@DrGrande 5 років тому
Thank you!
@retroactivejealousy-worldl1805
@retroactivejealousy-worldl1805 4 роки тому
Interesting. Would it be possible to illustrate this with either publicly known diagnoses or constructed/ composite case studies? Also, how much of a spectrum are these constructs?
@karn5019
@karn5019 5 років тому
Two separate questions. 1) Can a secondary psychopath suffer from abandonment anxiety? 2) Might it make sense to classify secondary psychopathy as a personality disorder, but not primary psychopathy? It seems more and more plausible that a primary psychopath need not do any more harm to society than a number of non pathological subsets of it: nor cause more psychological damage in relationships than, for example, autistic spectrum people. The current exclusion of both types, as if they are the same thing and behave the same way, seems wrong. I guess ASPD will very often welcome the secondary psychopath into its fold though.
@pocoeagle2
@pocoeagle2 5 років тому
Very interesting! Thank you.
@DrGrande
@DrGrande 5 років тому
You're welcome!
@SoyoyoS
@SoyoyoS 5 років тому
Doc, please do something about the audio volume of your videos... really it would improve the presentation drastically
@Elia-ys9rc
@Elia-ys9rc 5 років тому
This is very interesting, thank you for all your videos and information
@DrGrande
@DrGrande 5 років тому
You're welcome!
@petero.7487
@petero.7487 5 років тому
It's ironic that, when one says "psychopath", people either think "serial killer" or "psychotic". While, admittedly, most serial killers are psychopathic, most psychopaths are not serial killers. The ironic thing is sociopaths are immediately connected with "a person who lacks a conscience".
@HYPERxSONICxFANx2012
@HYPERxSONICxFANx2012 5 років тому
@Orduro Ord how do you spot psychopaths?
@antoniofdez
@antoniofdez 5 років тому
Very good video
@DrGrande
@DrGrande 5 років тому
Thank you!
@elizabethc7696
@elizabethc7696 5 років тому
Your videos on this topic is done very well and explained very well. My question is..and maybe it is in a video I haven't gotten to. Is I read that antisocial personality disorder can come with anxiety & depression. I didn't understand how, but would that more so manifest in secondary psychopathy vs primary?
@DrGrande
@DrGrande 5 років тому
Excellent question - depression and anxiety would be more associated with secondary psychopathy and would be somewhat common.
@HAL-mu4ey
@HAL-mu4ey 4 роки тому
What the dr said primaries tend to hyper focus which mutes affect empathy which creates the perception of a lack of empathy which is temporary during the focus on said task, secondary dysregulates due to social stress, economic, ect... causing unempathic lashing out behaviors. Depending on how long these particular behaviors occur and frequently it is possible for that individual to never display any forms of empathy.
@MrMolotow97
@MrMolotow97 4 роки тому
Just did the Levenson Self-Report Psychopathy test. Is this test any good? Got a 4 on primary psychopathy and a 4.4 on secondary psychopathy.
@jpfitness2242
@jpfitness2242 3 роки тому
Antisocial personality disorder is just the new accepted name for psychopaths and sociopaths.
@hanazuza
@hanazuza 5 років тому
Could you share some bibliography on secondary psychopathy? Thanks a lot in advance!:)
@sarahkay5422
@sarahkay5422 5 років тому
whats the difference between secondary psychopathy and anti social pd?
@sasfishadventures9729
@sasfishadventures9729 4 роки тому
Why is primary and secondary psychopathy not in the DSM 5? Seems like a huge issue. Theres only antisocial personality disorder which is more specific to men I think
@tamarleigh
@tamarleigh 2 місяці тому
I have a question. You mentioned how individuals with secondary psychopathy, when trying to use affective empathy skills, experience emotional dysregulation, instead displaying their own emotions such as hostility and aggression. What is the target of the aggression/hostility? Is it directed towards the person they’re empathizing with, or towards the source of the emotions that person is experiencing? For example, let’s say a waitress is feeling upset about a customer that had been rude to her at work, and her psychopathic boyfriend is trying to empathize with her and instead expressing hostility. Would this be perhaps in the form of saying something like “want me to go kick that customer’s ass for ya?” or would it be directed at her like “you should quit that place, you’re going nowhere there anyway”- or something else?
@charlesleger6787
@charlesleger6787 4 роки тому
I got diagnosed antisocial disorder but the psychiatrist doesnt want to label me psychopath because he says I'll always blame psychopathy on my bad behaviors Lol
@nogoogledontusemyrealname6973
@nogoogledontusemyrealname6973 5 років тому
I have two questions. If secondary psychopathy is environmental does that mean it can be treated and cured, similarly to PTSD? And in a person suffering from type two PTSD and fighting secondary psychopathy is a full recovery realistic?
@saraOok
@saraOok 6 місяців тому
Fantastic, thank you. I never felt as though my partner of 16 years, was a standard narcissist because a gut feeling kept me digging deeper..and after much searching, I strongly believe he falls under primary psychopathy . I left him 3 months ago, thank the good Lord, no legal divorce or children. Highly intelligent man and pretty great on the surface..but there is an underbelly to his whole existence and persona that I know nothing about which is oddly terrifying after "knowing" him for half my life.
@randomthoughts6625
@randomthoughts6625 4 роки тому
Is there a overlap between primary psychopathic traits and schizoid pd traits?
@imnotcaligulashorse9708
@imnotcaligulashorse9708 5 років тому
So people who have BPD are also likely to be sociopaths? I really wish they would completely reorganize how they label people like that. Maybe create a spectrum like they have with autism.
@imnotcaligulashorse9708
@imnotcaligulashorse9708 5 років тому
Lance Dowds I think I understand what you mean actually I had a "girlfriend" and she was definitely narcissistic and a sociopath and she had some sort of BPD wisp to her too... but definitely wouldn't have the entire disorder.
@magentuspriest
@magentuspriest 5 років тому
Warrior of Mars, in all honesty any kind of mental illness is a spectrum. There's no "labeling" to it. Someone who beats up cute puppies can be a psychotic spectrum, but they might be nowhere near as capable someone Ted Bundy, who would be miles ahead on the spectrum.
@xivwords5448
@xivwords5448 5 років тому
Toxic Humanity they do bpd is third level
@user-vb6ky1mo9e
@user-vb6ky1mo9e 5 років тому
Can someone have traits of both?
@kelly4321
@kelly4321 5 років тому
Is this saying that sociopathy and psychopathy are the same, even if one is secondary and the other is primary? I liken this to Cougar and Puma. Two different names to make you think they are two different cats but they really are the same. Am I understanding this correctly?
@omerer_sanal
@omerer_sanal 5 років тому
Can you give me some sources for this video, abstract or anything?
@myheatgoesboomboomboom1655
@myheatgoesboomboomboom1655 4 роки тому
So vunrable narcissistic wil have low openess and grandiose narcissistic wil have high ? Is that the difference ?
@masbucket3083
@masbucket3083 Рік тому
question, can secondary psychopaths feel any sort of empathy?
@wonderwoman4726
@wonderwoman4726 6 місяців тому
Dr do you think the teen boys who recently purposely hit that retired police officer on his bike and recorded it on their phones would be possibly an example of primary?? It shows them in court laughing and smiling at the deceased victims family and showing no remorse. Just wanted your “opinion “ Thanks
@JoshuaDb_The_Witness
@JoshuaDb_The_Witness 10 місяців тому
I miss these more educational videos....
@gillz666
@gillz666 4 роки тому
When do we get Dr Venti?
@mr.t658
@mr.t658 4 місяці тому
Who will win??
@Madmen604
@Madmen604 4 роки тому
I dont think CW qualifies for anti social or sociopathic diagnosis, because no known conduct disorder in his youth. But he has many traits of a primary psychopath. The family history, we don't know. He also deliberately lived under the radar as he said himself. He has no concern for or emotional empathy for victims or anyone else. Dad appears to have limited range of expressed emotion as well. Dad has hist of serous drug abuse..cocaine There was parent child conflict in the fam of origin household. Wall the rest seem to match CW. I suppose they will continue to assess him in prison. I would not want to be a young female counsellor in that place.
@shannonmayer18
@shannonmayer18 5 років тому
A little confused on why they put borderline personality and this primary and secondary psychopathy together in the same cluster. Seems to me they are actually kind of opposites. Psychotics are never nervous or anxious or scared and have a lack of remorse. Borderlines are generally the opposite of psychopathic, they are neurotic. They are constantly tremoille by guilt shame remorse fear passionate feelings and all that, etc, etc. And they can love, in fact they seem to "fall in love" easily. So by that criteria, it appears to me that they seem to be almost opposite disorders of each other, in a way. I know you're probably awesome very busy, but if you have a moment never can you explain that to me a bit? There may be something I'm not quite understanding
@jackiesorrells5571
@jackiesorrells5571 5 років тому
Secondary pathology sounds pretty normal and unremarkable.
@mortizmetzger
@mortizmetzger 5 років тому
Secondary psychopathy sounds exactly like ADHD sans the non-genetic etiology aspect
@statickevin
@statickevin 5 років тому
Yep. ADHD sometimes turns into conduct disorder which sometimes turns into antisocial personality disorder. All cluster B personality disorders, and also ADHD, are tied to executive system dysfunction. I wonder if a low dose of adderall would help control cluster B traits.
@nikkic83
@nikkic83 5 років тому
Can a parent with primary psychopathy raise a child who develops secondary psychopathy ?
@goromaster10
@goromaster10 5 років тому
Yes
@HAL-mu4ey
@HAL-mu4ey 4 роки тому
NikkiC83 yes, it’s also possible the second parent is a secondary the child would most likely display both
@snowwhite8143
@snowwhite8143 2 роки тому
Ouuuuuuuu! Guess I’m a primary psychopath!
@ellDiavolo666
@ellDiavolo666 5 років тому
Can the primary psychopathy be a product of evolution?
@kluse.2329
@kluse.2329 4 роки тому
Or maybe left overs from when we were more animalistic , and didn't feel much?
@flipgunderson1946
@flipgunderson1946 4 роки тому
It's certainly a beneficial attribute in terms of personal survival.
@Chesewow
@Chesewow 5 років тому
Is it possible extensive use off weed is making a person Secondaryly Psychopathic. great video btw.
@DrGrande
@DrGrande 5 років тому
I am not aware of any link there, but I will take a look at the literature - thank you!
@Chesewow
@Chesewow 5 років тому
@@DrGrande Thank you.
@nogoogledontusemyrealname6973
@nogoogledontusemyrealname6973 5 років тому
Only speaking from personal experience, but no. I'd even argue that in certain cases it could be a potential treatment. Secondary psychopathy is partly the inability to control your emotions, and weed definitely smooths out my emotions a lot. After years of regular use this is still the case.
@allisonphillips668
@allisonphillips668 Рік тому
I think I have major primary psychopathy and yes I've always felt that way
@xivwords5448
@xivwords5448 5 років тому
Most everyone is a sociopath
@dixonshaun
@dixonshaun 4 роки тому
Kip's dad (napoleon dynamite)
@holdenakridge
@holdenakridge Місяць тому
Drink every time you hear psychopathy
@consciousequus
@consciousequus 4 місяці тому
Never heard psychopathy pronounced that way.
@james-ob9rz
@james-ob9rz 4 роки тому
People who grow up in ghettos or warzones Will be secondary
@mysteryguy793
@mysteryguy793 4 роки тому
why do they get abused all the time?
@xivwords5448
@xivwords5448 5 років тому
They only feel bad for themselves
@flamingpanda3784
@flamingpanda3784 Рік тому
People always said i had phycoapthic tendencies but I was to emotional. But chances are its just sociopathy
@Hshjshshjsj72727
@Hshjshshjsj72727 5 років тому
Is Ariana ur sister 🤓
@propogandalf
@propogandalf 2 роки тому
I came here to understand Amber heard
@erikarohac6191
@erikarohac6191 5 років тому
There is nothing specifically wrong with being rash, impulsive or emotional. Or boredom. Especially when there is a good reason. In this case most of regular people on this planet are secondary psychopaths, because of today's sick culture.
@furiousape7717
@furiousape7717 5 років тому
Erika Rohac it’s when these traits become unhealthy that it is considered secondary psychopaths. Most people aren’t secondary psychopaths ya dumbass
@Avant_gardens
@Avant_gardens 5 років тому
borderline is the female variant of psychopathy..
@ROCdevelopments
@ROCdevelopments 5 років тому
You're definition of psychopathy, sociopathy and ASPD is NOT correct. Fact of the matter is that there is no such thing as either sociopathy or psychopathy, only ASPD exists and ASPD is a broader definition of either those who previously called it sociopathy or psychopathy. There are hundreds if not more of completely different definitions of sociopathy and psychopathy and how they are different or interchangeable. There is NO established difference and it seems every researcher, psychiatrist, psychologist, therapist etc. have their own definition of how they are or are not different. Your definition is just one out of many used by clinicians or researchers on the subject.
@LordHeadBooty
@LordHeadBooty 5 років тому
I'm guessing you've never met q psychopath. I personally know a sociopath and my dad's friend is a psychopath I'm prison for murder. There is a distinct difference between the two. I believe that's why we have the sociopath and psychopath.
@zumcamero6709
@zumcamero6709 5 років тому
what gives you the right to determine which definition is correct? i'm guessing you're not a certified psychologist, clearly you're not.
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