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Almost a Psychopath: Do I (or Does Someone I Know) Have a Problem with Manipulation and Lack of Empathy? (The Almost Effect) Paperback – May 22, 2012

4.3 out of 5 stars 132 ratings

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Editorial Reviews


--2012 IPBA Benjamin Franklin GOLD Award Winner in the category of Psychology

"Dr. Schouten and Mr. Silver have written a sophisticated self-help book aimed primarily at those victims--parents, spouses and co-workers--but also at those who might sense some of these traits in themselves. The authors include a detailed discussion of the thought processes behind a psychiatric evaluation and an overview of the still-tentative theories of causation.

The almost-psychopaths are inherently fascinating; they may rise high and fall low (certain scions of politics and finance come to mind) or simply cause smaller miseries in their roles as controlling spouses, manipulative colleagues or uncontrollable teenagers.

At work they may be competent, self-disciplined and high-achieving. At home they may be charming and lots of fun. And on the inside they may be just as morally empty as any true psychopath, but the almost-psychopaths are grounded enough to keep some of their worst instincts in check, staying employed and out of major legal trouble."
--Abigail Zuger, New York Times, June 26, 2012

"Most of us have had an inexplicably uncomfortable feeling upon meeting certain people. They do not fit the psychopath mold, but they leave us with the proverbial hairs on the back of our necks standing alert. Schouten and Silver have done a masterful job explaining both why we have this reaction and how we might deal with almost psychopaths."
--Mark Albanese, MD, Assistant Clinical Professor of Psychiatry at Harvard Medical School and the Director of Addictions at Cambridge Health Alliance.

"At a time when the label 'psychopath' has devolved into a mere epithet, Schouten and Silver provide the understanding that comes from recent research in the field, as well as their many years of education, training, and clinical practice. Most importantly, their 'operational' approach to interactions with those who demonstrate psychopathic behaviors provides a primer for all who might otherwise fall prey to psychopathic behaviors of colleagues, co-workers, and yes, even family members."
--Gregory Saathoff, MD; author, Criminal Poisoning: Clinical and Forensic Perspectives, Associate Professor of Research, University of Virginia School of Medicine

"Psychopaths are the predatory and very dangerous few. Those who are 'almost a psychopath' create mischief and misery for many. In this marvelous book of knowledge, wisdom, and sound advice, the subclinical--or should we say subcriminal--psychopath is brought to life. He can be dangerous but not lethal, duplicitous but not completely fraudulent. We finally have a book to help us recognize and cope with this personality.
--Reid Meloy, PhD, Forensic Psychologist and author, The Psychopathic Mind

"The Almost Effect Series of books captures the fundamentally human experiences and helps readers interpret what the symptoms might mean--both for themselves and others. The Almost Effect collection should be required reading for those interested in psychology and human behavior."
--Howard J. Shaffer, PhD, Associate Professor at Harvard Medical School; Director of the Division on Addiction at the Cambridge Health Alliance; co-author: Change Your Gambling, Change Your Life

"By highlighting the continuum of psychopathy and placing its associated symptoms and behaviors within the context of everyday encounters, the authors make understanding these difficult to manage people a little bit easier for everyone."
--Sally C. Johnson, MD

"Almost a Psychopath is a powerful read for those who want to better understand this mental illness and how to work with such individuals."
--The Midwest Book Review

About the Author

Ronald Schouten, MD, JD, has assessed individuals ranging from victims of child abuse, professional misconduct, and domestic violence to those accused of crimes that include bank robbery, campus shootings, and multiple murders. He is currently on staff at Harvard Medical School.

James Silver, JD, is a former federal prosecutor and current criminal defense attorney who has tried cases and handled appeals on offenses spanning the gamut of illegal behavior, from shoplifting to murder.

Product details

  • Item Weight : 12.8 ounces
  • Paperback : 280 pages
  • ISBN-10 : 1616491027
  • ISBN-13 : 978-1616491024
  • Dimensions : 5.4 x 0.7 x 8.4 inches
  • Publisher : Hazelden Publishing; 1st edition (May 22, 2012)
  • Language: : English
  • Customer Reviews:
    4.3 out of 5 stars 132 ratings

Customer reviews

4.3 out of 5 stars
4.3 out of 5
132 global ratings
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Reviewed in the United States on June 5, 2014
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Reviewed in the United States on October 14, 2014
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Reviewed in the United States on February 17, 2013
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MUM Becky
2.0 out of 5 stars Superficial
Reviewed in the United Kingdom on October 17, 2014
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7 people found this helpful
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Simon Denman
5.0 out of 5 stars An eye-opening insight into the world of those living at the boundary of normality and psychopathy
Reviewed in the United Kingdom on August 31, 2012
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10 people found this helpful
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Kelly-Marie Grey
4.0 out of 5 stars Very interesting read: Link between Autism and Psychopathy
Reviewed in the United Kingdom on May 5, 2014
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Alison Hargreaves
4.0 out of 5 stars Useful to identify and help come to terms with difficult people in my life
Reviewed in the United Kingdom on December 31, 2013
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Wendy Bridge
5.0 out of 5 stars Five Stars
Reviewed in the United Kingdom on February 6, 2015
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