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102 SNAKES IN SUITS<br />

will often diagnose the male as a psychopath (or antisocial personality<br />

disorder) and the female as something else, usually histrionic<br />

or narcissistic personality disorder (see page 40). In each case, the<br />

clinician’s diagnosis is influenced by expectations of how psychopaths<br />

should behave. That is, the clinician expects psychopaths<br />

to be tough, dominant, and aggressive, and a woman who does not<br />

project these characteristics therefore is not a psychopath. What<br />

the clinician fails to understand is that the behaviors of male and<br />

female psychopaths, like those of most other people, are shaped by<br />

the sex-role stereotypes cultivated by society. The same underlying<br />

personality structure may find different behavioral and social expression.<br />

Although the process of socialization fails to embed in the<br />

psyche of psychopaths the network of inner controls we refer to<br />

collectively as conscience, it nevertheless makes them aware of<br />

society’s expectations about sex roles, about what is expected of<br />

them as men and women. More than most people, they effectively<br />

use these expectations as potent tools for manipulation. So<br />

a female psychopath might make full use of the passive, warm,<br />

nurturing, and dependent sex-role stereotype in order to get what<br />

she wants out of others, just as a male psychopath might use a<br />

macho image, intimidation, and aggression to achieve satisfaction<br />

of his desires.<br />

Female psychopaths effectively use society’s expectations<br />

about female behavior to their own advantage. But, more than<br />

most women, they also are able to break out of the traditional<br />

sex-role stereotypes, to go beyond conventional boundaries. This<br />

is readily apparent among female offenders, where the prevalence<br />

of psychopaths is almost as high as it is among male offenders.<br />

The variety and severity of criminal acts performed by<br />

these women, as well as their capacity for cold-blooded violence,<br />

are similar to those committed by their male counterparts.<br />

Sex-role stereotypes about the behavior of women are changing<br />

rapidly. In a sense, the public is just catching up with a reality<br />

that long has been recognized by writers and those in the entertainment<br />

business. Female psychopaths frequently are well portrayed<br />

in fiction, true-crime books, television, and movies.

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