The Mark of Cain Psychoanalytic Insight and the Psychopath

The Mark of Cain makes available for the first time the accumulated psychoanalytic understanding of the psychopathic mind. Editor Reid Meloy, a leading authority on the psychology of the psychopath, has brought together in a single collection the most historically important psychoanalytic papers on the psychopath and delineted their continuing relevance to contemporary understanding.

According to Meloy, two theoretical traditions flow into the psychoanalytic understanding of psychopathy. The first tributary focuses on the early development of the psychopath in order to illuminate how a profound alteration in self-regard leads both to a denigration of the other and to an impulsive search for gratification in the present. The second tributary seeks to locate the psychopathic miscarriage of human potentiality within analytic theories of personality structure and clinically grounded differential diagnosis. Meloy presents the major contributions associated with both of these traditions. Included within this body of literature are the original formulations of concepts that have long since become part of the psychoanalytic nomenclature: the "affectionless" juvenile offender, the diagnostic significance of "affect hunger," the behavioral consequences of "superego lacunae," the recourse to promiscuous identification in "the impostor," and the paradoxically lethal lure of "malignant narcissism." Of special interest are Meloy's historical notes to each chapter and two section introductions, the latter major essays in their own right.

The explosion of empirical research on psychopathy over the past two decades masks the fact that much contemporary work in this area is grounded in the clinical formulations of leading psychoanalysts of the twentieth century. The Mark of Cain rescues this intimate understanding of the inner world of the psychopath and thereby contributes to clinical realism in the face of deception, manipulation, exploitation, and even frank dangerousness.

Part I: Development and Psychodynamics. Introduction. Ley, Primary Affect Hunger. Bowlby, Notes on the Psychopathology of the Affectionless Character. Greenacre, Conscience in the Psychopath. Bender, Psychopathic Behavior Disorders in Children. Friedlander, Latent Delinquency and Ego Development. Johnson, Sanctions for Superego Lacunae of Adolescents. Deutsch, The Imposter: Contribution to Ego Psychology of a Type of Psychopath. Winnicott, The Antisocial Tendency. Miller, Time and the Character Disorder. Halleck, Psychopathy, Freedom, and Criminal Behavior. Meloy, The Psychology of Wickedness: Psychopathy and Sadism. Part II: Treatment, Risk Management, and Psychodiagnosis. Introduction. Reich, The Phallic-Narcissistic Character. Aichhorn, The Narcissistic Transference of the "Juvenile Imposter." Joseph, Some Characteristics of the Psychopathic Personality. Bursten, Some Narcissistic Personality Types. Lion, Outpatient Treatment of Psychopaths. Symington, The Response Aroused by the Psychopath. Strasburger, The Treatment of Antisocial Syndromes: The Therapist's Feelings. Kernberg, The Narcissistic Personality Disorder and the Differential Diagnosis of Antisocial Behavior.

J. Reid Meloy, Ph.D., is associate clinical professor of psychiatry at the University of California, San Diego School of Medicine and adjunct professor at the University of San Diego School of Law. A past president of the American Academy of Forensic Psychology, he is the author of numerous books and articles on psychopathy. He currently devotes his time to a private civil and criminal forensic practive and to research, writing, and teaching in this area.